Flashcards in Lecture 10 Deck (28):
What are psychological symptoms of AN?
depression, irritability preoccupation with food, obsessions, and decreased concentration.
What are premorbid personality features of AN?
perfectionism, introverted, low self-esteem
What are behaviors of AN patients?
cut food in small pieces, eating slow, hide/dispose of food
What are physical consequences of AN?
-Lanugo hair (soft hair)
-alopecia (lose hair)
What are clinical characteristics of AN?
-slow metabolic rate
-loss of brain function
-amenorrhea (losing periods)
-low body temp
What are the core features of BN?
-similar to AN, sometimes arises from AN
-usually starts with dieting
What are clinical characteristic of BN?
lack of control, low immunity, Fluid and mineral imbalances which causes abnormal heart beats and kidney injuries
-esophagus may rupture
-overuse of emetics which depletes K+ and causes heart failure
What are factors that cause ED's?
-SES & body image
-family pressures (BN)
-peer influencing (teasing) (BN)
Specific vs general pathology?
General- low self-esteem, introversion, perfectionism, substance abuse
Specific- BW & it's history, denial of very low BW & fear of weight gain, binge eating, vomitting, diuretics
What are assessment methods for ED's?
Clinical interviews- EDE (eating disorder exam) or Yale-Brown
Self-reports: EDE- not biased in absence of interviewer (less accurate than interviews)
Self-monitoring- better than retrospective reports
As a health practitioner...
-avoid judgment statements
-treat major safety concerns FIRST
(T/F) It is uncommon to observe anxiety and/or depression is ED patients.
What anxiety disorders are present in the chronic phase of AN?
OCD, GAD, & social phobia
Does genetics play a role in depression & AN?
Yes, ppl with relatives that have AN are more likely to have anxiety or depression
(T/F) Food Binging and Substance abuse have many similar features.
True (cravings, loss of control)
(T/F) The etiology of ED's are the same as SA.
False- but many similarities and the rates of SA are higher in AN and BN but not BED
(T/F) AN and BN have higher anxiety levels than SA (substance abuse).
(T/F) ED's are invariably linked to SA's.
(T/F) Substance Abuse often precedes ED's.
False- SA often follows EDs
If both SA and ED are observed in a patient, which one should be treated first?
SA (substance abuse)
What is the difference between a restrictive AN patient and a purging AN patient?
restrictive AN= obsessive
purging AN= impulsive
What are the personality traits of a BN patient?
Impulsive, narcissistic, low self-esteem, and sensitive
What are the family structure differences seen between AN and BN patiences?
BN- family conflict, poor organization, lack of care
AN- no conflict, stability, care
What are the issues with identifying AN or BN in a person?
1. different classification systems
2. Overlap of diagnoses
3. inconsistent literature
Which ED can lead to mortality?
AN (not BN)
Which ED doesn't crossover to the other ED?
BN doesn't crossover to AN
What are features of AN patients who recover?
increased depression and anxiety after recovery and maintains ED attitudes