lecture 8

Question 1

feeding/eating disorder definition? and 2 consequences

Answer 1

Disturbance in eating or eating-related behavior that results in:
1, altered consumption of food
2, Impaired health/functioning

Question 2

what are the three feeding disorders and three eating disorders of DSM-V?

Answer 2

Feeding:
- Pica
- Rumination Disorder
- ARVID

Eating:
- Anorexia Nervosa
- Bulimia Nevosa
- Binge-Eating Disorder

Question 3

What are length diagnostic criteria and definition of Pica?
What mental disorder groups have the highest risk

Answer 3

• 1+ month of eating non-food substances
• Highest risk in ASD and IDD (intellectual developmental disabilities

Question 4

What are length diagnostic criteria and definition of Rumination DIsorder?
What association is there?

Answer 4

• 1+ month of repeated regurgitation of food, like re-chewing
• Associated with malnutrition at infancy.

Question 5

What are 4 possible symptoms, symptom diagnostic criterium and definition of ARVID DIsorder?

Answer 5

Definition: lack of interest in food. Can be based on things like texture. There is NO motive to lose weight.
- Symptom criteria (1+):
- Weight loss/ failure to gain weiht
- Nutritional deficiency
- Dependent on feeding tube/ supplements
- Significant psychological interference.

Question 6

What age group has the highest eating disorder prevalence? And what gender?

Answer 6

• Highest between 15 and 39 years old.
• Higher in females

Question 7

Anorexia Nervosa: 3 symptoms and 2 types, BMI severity measures, prevalence, onset and life course

Answer 7

1, Restriction of energy intake
2, Intense fear of gaining weight or behavior that interferes with weight gain
3, Disturbance in how someone perceives their body weight or shape. Or lack of recognition of how serious the low body weight is.

Types: Restricting type and Binge-eating/Purging Type (BN with weight loss).

• Mild >17
• Moderate 16-16,99
• Severe 15-15.99
  Extreme <15
• Prevalence: 0,4%
  -Onset:adolescence/puberty
• Life course: usually remission within 5 years.

Question 8

What are temperamental, environmental and genetic (2) risk factors for AN

Answer 8

• Temperamental: perfectionism
• Environmental: cultures that promote thinness
• Genetic: heritable factors and some brain abnormalities.

Question 9

What are two severe possible consequences of AN?

Answer 9

• Death due to medical complications resulting from AN
• Increased suicide risk.

Question 10

What are three goals of AN treatment?

Answer 10

1, Restoring patient to normal healthy weight
2, Reducing/eliminating behaviors and thoughts that led to the eating disorder
3, Treating psychological disorders related to the illness

Question 11

What is the definition of a binge episode? Combined with what feeling?

Answer 11

• Eating a large amount of food in a short period: 2000+ calories in less than 2 hours.
• There is also a sense of lack of control over the eating

Question 12

What is the difference between Bulimia and BED? And what amount of episodes for: mild, moderate, severe and extreme version of these disorders?

Answer 12

• In bulimia there is “purging”, which is compensatory behavior, which is absent in BED.
• Mild: 1-3 binge eating/compensatory behavior a week
• Moderate: 4-7 episodes of binge eating/ compensatory behavior
• Severe: 8-13 binge eating or compensatory episodes
• extreme: 13+

Question 13

What is Bulimia Nervosa prevalence in females, common onset (after what?) and life course

Answer 13

• 1-1,5% prevalence in females
• Onset in Adolescence/Youn adulthood (sometimes after dysfunctional dieting)
• life course is unknown

Question 14

What is BED prevalence in males and females? What about onset? Is crossover common?

Answer 14

• 3,5% in females and 2% in males.
• unknown onset. (sometimes after dysfunctional dieting)
• Crossover to different eating disorder is uncommon.

Question 15

What are temperamental, environmental and (3) genetic/physciological risk factors for BN

Answer 15

• impulsive temperament
• Abusive childhood environment
• Heritable component and linked to childhood obesity and early puberty.

Question 16

What are temperamental and genetic risk factor for BED?

Answer 16

• Impulsive temperament
• Genetic component.

Question 17

What is CBT, Nutriotionists and Medications used for in BED/BN

Answer 17

• CBT is used to break the binge-purge cycle and reduce episodes. You also learn to challenge negative thoughts and coping strategies.
• Nutritionists can give structured meal plans and exercise plans.
• SSRIs are used to increase impulse control and to reduce binge eating.