Eating DOs

Question 1

what type of DOs has the highest mortality rate of psych disorders? why?

Answer 1

eating disorders- starvation, electrolyte disturbance

Question 2

what are four comorbidities to eating disorders?

Answer 2

depression, anxiety, OCD, substance abuse

Question 3

what is the prognosis for eating disorders?

Answer 3

very poor, 70% failure in treatment (lifetime management needed)

Question 4

what is the goal for anorexia treatment?

Answer 4

get weight back on

Question 5

what is the main characteristic for anorexia nervosa?

Answer 5

low weight- BMI less than 18%

Question 6

what is low weight in anorexia due to?

Answer 6

restricted eating

Question 7

anorexia: fear of ____, ________ _______ disturbance

Answer 7

fat; body image

Question 8

what are the two subtypes of anorexia?

Answer 8

restricting and purging

Question 9

what are some physical symptoms of anorexia?

Answer 9

Low weight or failure to gain; restricted eating; fatigue, hypothermia, bradycardia, hypotension, dizziness, cardiac arrhythmias, constipation, sleep disturbance, dry hair and skin, loss of hair, anemia, decreased reproductive hormones (females particularly)

Question 10

what are some psychological symptoms of anorexia?

Answer 10

Depression, irritability, anxiety, preoccupation with food/exercise**, body image distortion, perfectionism, ritualized behaviors, poor concentration, social withdrawal, self-hate

Question 11

what is bulimia?

Answer 11

recurrent episodes of binge eating and purging

Question 12

bulimia: pts sense a ______ ___ _______ over eating

Answer 12

lack of control

Question 13

what are methods of purging in bulimia? (5)

Answer 13

vomiting, laxative abuse, diet pills, fasting, excessive exercise

Question 14

bulimia: self evaluation is dependent on what two things?

Answer 14

body shape and weight

Question 15

people with bulimia often have what?

Answer 15

body image distortion

Question 16

bulimia can be associated with what other DO?

Answer 16

anorexia

Question 17

what are some physical symptoms of bulimia?

Answer 17

weight changes- not always
heart arrhythmias, electrolyte imbalances; fatigue; dizziness; GI distress; edema; swollen salivary glands (result of vomiting); tooth decay (result of vomiting); loss of hair; esophageal bleeding.

Question 18

what are some psychological symptoms of bulimia?

Answer 18

depression, anxiety, poor concentration, impulsivity, secretive behaviors, low self esteem

Question 19

Binge eating DO: recurrent episodes of ___________, absence of _________ behaviors

Answer 19

binge-eating; purging behaviors

Question 20

binge eating disorder is associated with what five things?

Answer 20

obesity, depression, anxiety, social withdrawal, low self-esteem

Question 21

binge eating DO: sense of lack of control about what?

Answer 21

over eating

Question 22

what is starvation syndrome?

Answer 22

psychological and physiological effects of prolonged dietary restriction

Question 23

starvation syndrome: what biological response do you see? what can happen to menarche?

Answer 23

same biological response as famine; women can have enough calorie deficit to stop menarche

Question 24

what were the results of the starvation study?

Answer 24

prolonged semi-starvation produces significant increases in depression, hysteria, and hypochondriasis; social withdrawal and isolation; decreased sexual interest; decreases in metabolic rate, HR, body temp, some pts had edema

Question 25

core psychopathology of eating disorders: anorexia nervosa = ___________, thinness = ____________, self-worth = ___________

Answer 25

``` anorexia = pseudosolution thinness = successful self self-wroth = weight control ```

Question 26

people with eating DO have deficits in ________ and __________ emotions

Answer 26

identifying and expressing

Question 27

people with eating DO have poor __________ awareness and pervasive sense of _____________

Answer 27

interoceptive; ineffectiveness

Question 28

PCPs are the first line of defense for what two parts of helping people with eating disorders?

Answer 28

assessment and intervention

Question 29

describe overall treatment plan for eating disorders?

Answer 29

team treatment and involve the parents

Question 30

what are three stages to treatment of eating DOs

Answer 30

refeeding, returning control to the patient, establishing a healthy identity

Question 31

general guide to treating eating DOs: (7)

Answer 31

1) . assess 2) . educate 3) . establish the "norms" 4) . set up tx team 5) . communicate, prevent "splitting" 6) . affirm feelings- confront behaviors 7) . provide hopefulness: "someone who believes in me"