Lecture 6

Question 1

Eating disorders prevalence

Answer 1

morbidity: 50-60% of overweight
Mortality: 8% before 10 and 20% before 20 due to eating disorders
Comorbidity: somatic complications with depression, anxiety, and high risk of suicide

Question 2

anorexia nervosa

Answer 2

12-18 years

Question 3

Bulimia nervosa

Answer 3

17-25 year s

Question 4

Most prevalent diseases among teenagers

Answer 4

Obesity, Asthma bronchiole, Anorexia nervosa (all psychosomatic diseases)

Question 5

Anorexia nervosa

Answer 5

Significant low body weight BMI <18.5
Intense fear of gaining weight
body image disorder

Question 6

Subtypes

Answer 6

Restricting type: when not under an episode the individual doesn’t engage in binge eating or purging behaviour

Binge Eating/purging type: self induced vomiting or binge eating

Question 7

Amenorrhea

Answer 7

loss of menstrual cycle

Question 8

Bulimia nervosa

Answer 8

Binge eating: eating in a discrete time period more than the average individual
Recurrent inappropriate compensatory behaviour: prevent weight gain by vomiting.

Question 9

Types of Bulimia

Answer 9

Purging type: self induced vomiting or misuse of laxatives during episode

Non purging: fasting or excessive exercise rather than vomiting or what was mentioned before

Multi impulsive forms: bulimia and drug abuse, alcoholism, self harm, or promiscuity

Question 10

Binge Eating Disorder

Answer 10

Episodes of eating significant more food in a short period marked by lack of control
No compensatory behaviour and occurs at least once a week over three months

Question 11

Orthorexia

Answer 11

Obsession of healthy eating or righteous eating
On the OCD spectrum

If severe restrictive can lead to anorexia

Question 12

Night eating syndrome

Answer 12

Eating after awakening from sleep or by excessive food consumption after evening meal

Question 13

Body image disorder

Answer 13

False perception of the body

Question 14

DSM-5 criteria for BDD

Answer 14

body dysmorphic disorder: seeing a perceived defect in oneself that others can’t observe

Question 15

Are eating disorders complex psychosomatic disorders?

Answer 15

Yes

Question 16

Treatments of eating disorders

Answer 16

Pharmacotherapy, nutritive rehabilitation, psychotherapy, psychoeducation, and integrative programs.

Question 17

What is the best combination for treatment

Answer 17

Pharmacotherapy and psychotherapy supposedly

Question 18

Psychotherapies

Answer 18

CBT
Family therapy
Group Therapy
Hypnotherapy

Question 19

Types of CBT

Answer 19

Cognitive therapy: negative patterns of throughs about oneself
Rational emotive: focuses on resolving emotional and behavioural disturbances
Multimodal Therapy: look at each modality e.g. behaviour, sensation, and interpersonal relationships
Behavioural therapy: training a patient to react properly to stimuli and hence avoid prevention of vomiting

Question 20

Dialectical behavioural therapy

Answer 20

Skills to improve coping skills

Question 21

Moduls of DBT

Answer 21

Mindfullness: obsevation and participation
Interpersonal effectiveness: effective methods for asking for what on needs, saying no, and strategies for interpersonal conflict
Distress tolerance: crisis endurance tolerance (distracting, self soothing, improving the moment, and consideration of pros and cons)
Emotional regulation: recognise and labelling emotions

Question 22

Teenagers what is the first strategy?

Answer 22

Family therapy