Lecture 9 - Eating Disorders and Substance Abuse Disorders Flashcards

(65 cards)

1
Q

What are the 3 eating disorders?

A

Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the diagnostic criteria for anorexia nervosa?

A
  • Refusal to maintain a minimally normal body weight
  • Intense anxiety about weight gain or becoming fat, despite being underweight
  • Significant disturbance in perception of size or shape of body, or denial or seriousness of current low body weight
  • In women, amenorrhea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 types of Anorexia nervosa?

A

Restricting type

Binge eating/purging type

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The word anorexia is a misnomer meaning

A

Lack of appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When is the onset of anorexia

A

mid to late adolescence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Within the first 5 years of anorexia, many individuals developed ______, which may alter the diagnosis

A

binge eating and purging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Compared to the general population, which type of disorders are somewhat more prevalent in people with anorexia?

A

Personality disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the diagnositc criteria for bulimia nervosa

A
  • Binge eating and inappropriate compensatory methods to prevent weight gain (twice per week for three months)
  • Self-evaluation is unduly (greatly) influenced by body shape and/or weight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why is it sometimes harder to notice bulimia nervosa?

A

Individuals with bulimia are typically within normal weight range, but can be slightly over or underweight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What was the most common diagnosis in this categery until binge-eating disorder was listed in DSM 5?

A

Eating disorder NOS (not otherwise specified)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Of males with eating disorder, up to _____ identify as gay or bisexual

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the prevalence of anorexia?

A
  1. 3% F

0. 02% M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the prevalence of bulimia?

A

1% F

0.1% M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the rate of complete remission/partial remission in eating disorders?

A

> 50-80% in complete remission

and higher rate of partial remission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What disorders have the highest direct mortality rate of any mental illness

A

Eating disorders (electrolyte imbalance leading to organ failure, dehydration, suicide, susceptibility to other illness)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bulimia and binge eating type of anorexia are distinguished by

A

objective body weight (you will be eating same amounts ish however in bulimia you will be weighing less, and binge-eating you will be higher weight)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Non-purging bulimia and binge eating disorder are distinguished by the presence of

A

other inappropriate compensatory behavirs in bulimia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the female athlete triad

A

In competitive athletes, if suffering from one of these quite likely to have the others: disordered eating, abnormal periods, osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

the female athlete triad is particularly common in _____ sports and to a lesser extent in _____ sports

A

Aesthetic

Endurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Genetics account for ____ of variance in eating disorders

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are traits associated with anorexia?

A
  • self-esteem and self-efficacy are usually very low, and is strongly linked to perceptions about weight
  • perfectionism
  • weight loss is often viewed as a significant and impressive achievement and a sign of self-control
  • weight loss is usually reinforced (initially)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are 3 traits associated with bulimia and binge-eating?

A

Impulsivity
Emotionality
poor interoceptive awareness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the relationships with traumatic/adverse events and eating disorders?

A

They may precipitate EDs, but are not thought to be causal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is orthorexia nervosa?

A
  • This is a non-diagnostic term used to describe a pattern of extremely unhealthy obsessions with eating correctly, which goes well beyond dieting or normal healthy eating
    often occurs in or before eating disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Tobacco intoxication is not a valid diagnosis. What disorder is?
Tobacco use disorder
26
Caffeinse us disorder is not a valid diagnosis. What disorder is?
Caffeine intoxication, induced sleep disorder and induced anxiety disorder
27
what are the specifiers of substance use disorder?
Early (3-12 months) remission Sustained (>12 months) remission In a controlled environment Mild (2-3 symptoms), moderate (3-4), or severe (>5)
28
what is the use of alcohol?
relaxation, CNS depressant
29
What are the withdrawal symptoms of alcohol
Anxiety and agitation
30
What is the use of amphetamines or cocaine?
Weight loss, psychomotor agitation
31
What are the withdrawal symptoms of amphetamines or cocaine?
Increased appetite, psychomotor retardation
32
What are the uses of nicotine
Weight loss, psychomotor agitaiton
33
What are the withdrawal symptoms of nicotine?
Weight gain, decreased heart rate
34
What are the uses of opioids?
Euphoria, drowsiness
35
What are the withdrawal symptoms of opioids?
Dysphoria, insomnia
36
What are the uses of sedatives, hypnotics and anxiolytics?
Lower anxiety, stupor
37
What are the withdrawl symptoms of sedatives, hypnotics, and anxiolytics?
Anxiety, insomnia
38
What approach is the rat park?
Social-materialist approach
39
What is a behavioural therapies used in substance use disorders?
Aversion therapy Rewards and punishments for use or abstinence Working to change life circumstances that the person is escaping
40
What are 2 cognitive therapies used in substance use disorders?
Motivational interviewing | Relapse prevention
41
what 2 approaches do not work for substance use disorder therapies?
Interventions | D.A.R.E (police officers going to school)
42
what are the long term effects of alcohol addiction?
Moderate risk of dependence, poor absorption and less consumption of nutrients can result in Alcohol Induced Persisting Dementia (Korsakoff's dementia)
43
What are some genetically related risk factors
dysfunction in GABA receptors, greater ability to metabolize alcohol, lack of allergic reaction
44
What are anxiolytics?
Benzodiazepines, Barbituates, “downers” (mamas little helper) Rarely the sole drug of abuse, often used together with opioids or alcohol
45
What are the short term effects of anxiolytics?
Mild euphoria, slurred speech, poor motor coordination, problems with judgment, attention, and memory
46
What are the long term effects of anxiolytics?
depression, chronic fatigue, mood swings, paranoia
47
The highest prevalence of nictoine is in...
young adults, lower SES, FIirst nations
48
What are the short term effects of nictoine?
Increased mood, alertness
49
What are the long term effects of nicotine?
Probably the highest real potential for dependence of any substance, and of course well-established links to cancer and other health problems
50
What are amphetamines
Ecstasy, speed, ritalin, crystal meth | Effects like natural occuring adrenaline (SNS arousal)
51
What are short term effects of amphetamines?
Arousal, alertness, improved cognitive performance, exhilaration, extroverted behavior, confidence, restlessness, anxiety
52
What are the long term effects of amphetamines?
Fatigue, sadness, social withdrawal, physical changes (weight loss, weakness, irregular heart rate)
53
What is cocaine?
Stimulant derived from the coca plant native to South America... affects dopamine system
54
What are long term effects of cocaine?
mood swings, loss of interest, increased blood pressure, irregular heart rate
55
what are opioids?
Natural opiates (morphine, codeine), semi- synthetic opiates (heroin, oxycodone), and synthetic opiates (methadone, Demerol)
56
what are short term effects of opioids?
analgesia, euphoria, dulled sensations, appetite suppressant, respiratory depression
57
What are long term effects of opioids?
Pain sensitivity, dysphoria, anxiety, respiratory and pulmonary problems
58
What is the most commonly used illicit substance?
Cannabis
59
What is the short term effects of cannabis?
Mild euphoria, relaxation, wellbeing, hallucinations, anxiety (sometimees)
60
What is the long term effects of cannabis?
“Amotivational syndrome”, some evidence of mild cognitive impairment
61
what are phencyclidine/hallucinogens?
PCP, ketamine, LSD, mescaline, magic mushrooms
62
What are short term effects of phencyclidine/hallucinogens?
mood and setting congruent hallucinations, synesthesia, SNS arousal
63
What are long term effects of phencyclidine/hallucinogens?
Hallucination persisting perception disorder
64
What are 2 behavioural addictions?
Gambling disorder and internet gaming disorder
65
- Some evidence that brain activity in the dopaminergic system is similar in response to substances and other pleasurable activities such as ...
Sex, food, shopping, exercise, self-inflicted pain, spicy foods, Internet/social media use