Lecture 10 Flashcards Preview

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Flashcards in Lecture 10 Deck (28):
1

What are psychological symptoms of AN?

depression, irritability preoccupation with food, obsessions, and decreased concentration.

2

What are premorbid personality features of AN?

perfectionism, introverted, low self-esteem

3

What are behaviors of AN patients?

cut food in small pieces, eating slow, hide/dispose of food

4

What are physical consequences of AN?

-Lanugo hair (soft hair)
-alopecia (lose hair)
-dry skin
-osteoporosis

5

What are clinical characteristics of AN?

-low protein
-hypoglycemic
-hypotension
-slow metabolic rate
-loss of brain function
-impaired immune
-anemia
-amenorrhea (losing periods)
-low body temp

6

What are the core features of BN?

-similar to AN, sometimes arises from AN
-suicidal
-usually starts with dieting

7

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
-dental carries
-overuse of emetics which depletes K+ and causes heart failure

8

What are factors that cause ED's?

-SES & body image
-models
-family pressures (BN)
-peer influencing (teasing) (BN)

9

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

10

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

11

As a health practitioner...

-avoid judgment statements
-treat major safety concerns FIRST

12

(T/F) It is uncommon to observe anxiety and/or depression is ED patients.

False

13

What anxiety disorders are present in the chronic phase of AN?

OCD, GAD, & social phobia

14

Does genetics play a role in depression & AN?

Yes, ppl with relatives that have AN are more likely to have anxiety or depression

15

(T/F) Food Binging and Substance abuse have many similar features.

True (cravings, loss of control)

16

(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

17

(T/F) AN and BN have higher anxiety levels than SA (substance abuse).

True

18

(T/F) ED's are invariably linked to SA's.

False

19

(T/F) Substance Abuse often precedes ED's.

False- SA often follows EDs

20

If both SA and ED are observed in a patient, which one should be treated first?

SA (substance abuse)

21

What is the difference between a restrictive AN patient and a purging AN patient?

restrictive AN= obsessive

purging AN= impulsive

22

What are the personality traits of a BN patient?

Impulsive, narcissistic, low self-esteem, and sensitive

23

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

24

What are the issues with identifying AN or BN in a person?

1. different classification systems
2. Overlap of diagnoses
3. inconsistent literature

25

Which ED can lead to mortality?

AN (not BN)

26

Which ED doesn't crossover to the other ED?

BN doesn't crossover to AN

27

What are features of AN patients who recover?

increased depression and anxiety after recovery and maintains ED attitudes

28

Who is most likely to recover from AN?

-motivation to change
-young
-absence of binging/purging
-good insurance