lect 7 Flashcards
(15 cards)
DSM criteria for Anorexia Nervosa
A. Underweight
B. Intense fear of gaining weight
C. Disturbance in the way in which one’s body weight or shape is experienced
Bulimia Nervosa
B. Inadequate compensatory behaviors
A. Objective binge eating episodes
C. Self-evaluation is unduly influenced by body shape and weight
AN subtypes
Anorexia Nervosa: subtypes
Restrictive subtype
binging/pruging subtype
Binge Eating disorder DSM criteria
A: Recurrent episodes of binge eating
B: At least 3 of the following:
1. Eating much more rapidly than normal.
2. Eating until feeling uncomfortably full
3. Eating large amounts of food when not feeling physically hungry
4. Eating alone because of embarrassment.
5. Feeling disgusted with oneself, depressed, or very guilty after overeating.
C: Marked distress regarding binge eating is present
D: No inadequate compensatory behaviors
Avoidant Restrictive Food Intake Disorder (ARFRID) DSM criteria and subtypes
what is the difference between feeding and eating disorders
no body image disturbance or fear of weight gain
how is need for control and ridgidity show its self in EDs
- Rigid thinking styles in eating disorders
- Deficits in mental flexibility
- Holding on to old habits
- Extreme focus on details
- Difficulties in seeing the whole picture
- Perfectionism, extreme need for control
- Compulsive behaviors and obsessive thoughts
- Strong routines, difficult to change behaviors
what are some controling behaviors in EDs
body checking
counting
rituals and rules(what to eat first, what plate…)
–> prevention of weight gain
–> escape from or supression of neg emotions
how come EDs are so addicting
because there are 2 stages
1st stage
- Provides feelings of control
- Relieves anxiety in the short-term
Increased self-esteem, “This is what I do best, better than others”, Stronger ego and identity, feeling ‘special’, Identity becomes highly related to eating behavior, Prevention weight gain, Escape from negative emotions…
2nd stage - negative consequences
- psychological
negative mood increases, stress, obsessive behaviors, rules, problems with concentration, emotional numbness, body avoidance
- physical
laungo, low body weight, russells sign, swrlling of glands, weight gain, low blood sugar, heart problems, kidney problems, osteoporosis
- social consequences
social isolation, difficulties in social engagement, conflicts with parents, avoidance of situations taht invlolve eating, avoidance of physical activities, not beaing able to work or study
course and mortality
- 50% recovers fully
- 30% recovers only partly
- 20% chronic
- 10% die
name some barriers to help seeking
- Lack of knowledge about the illness
- In sufferers and health professionals
- Acknowledgement of ED
- Shame, fear of stigmatization, problems with disclosure
- Lack of knowledge about treatment
- 3 to 5 years on average between onset of illness and professional help
- More than 50% of people with an ED never receive treatment
what is the 1st choce for AN/BN treatment
CBT and or youth -multi family treatment
BED treatment
CBT
- with anti depressants
- self help programs based on CBT
what is CRT - cognitive remediation therapy
- how ppl think not what do they think
- CRT aims to improve memory, planning skills, and flexibility
- Improves the awareness of ongoing thinking processes
- Use of exercises, reflection and behavioral tasks, to develop more flexible thinking styles
- Reflection about thinking styles during these cognitive exercises is a crucial part of CRT
structure
1. Task: explanation and execution
2. Reflection – which thinking strategies were used
3. Translation – link to daily life
what is central coherence and why does it matter in EDs
central coherence - ability to overview complex stimuli or info, bigger picture thinkin
- ppl with EDs have weak central coherence
- trained in CRT
