Lectures 17 and 18

Question 1

What is the hallmark of bulimia nervosa?

What are the compensatory behaviours?

Answer 1

Binge eating

Purging, or excessive exercise

Question 2

What are the hallmarks of anorexia nervosa?

Answer 2

15% below expected weight

Intense fear of obesity and losing control over eating

Question 3

What are the DSM subtypes of anorexia?

Answer 3

Restricting subtype - limiting calories

Binge-eating and purging subtype

Question 4

What are the differences between bulimia and anorexia?

Answer 4

People with bulimia tend to be controlled by emotion - more likely to display characteristics of a personality disorder

Almost all women with anorexia lose menstruation

Question 5

What is involved in binge eating disorder?

Answer 5

Binging 2x per week for at least 6 months
Loss of control during binge - causes distress

Often accompanied by obesity

Question 6

What is the eating disorder seen in young children?

Answer 6

Pica - ingestion of inedible, non-nutritive substances for a period of at least one month

Question 7

What leads to poorer prognosis of bulimia?

Answer 7

When it is combined with depression and substance abuse comorbidity

Question 8

What is the prognosis like for patients with anorexia?

Answer 8

Relapses are common, and death rates are 10x higher than general population

Question 9

How do problematic eating habits normally develop?

Answer 9

Problematic eating habits are common in young children, but around age 9 society starts putting more pressure on girls

Homeostasis plays a large role in that the body wants to maintain a set weight

Question 10

What is the cognitive behavioural view of anorexia?

Answer 10

Criticism from family and peers regarding weight play a roll

Perfectionism and personal inadequacy

Question 11

What is the family systems theory of psychological views of anorexia?

Answer 11

Relationship between patient and how the symptoms are embedded in a dysfunctional family structure than may exhibit the characteristics of: Enmeshment, overprotectiveness, rigidity, lack of conflict resolution

Question 12

What is the link between eating and mood disorders?

Answer 12

More people with an eating disorder qualify for a clinical diagnosis of major depressive disorder than do people in the general population

Question 13

What are the neurological factors in eating disorders?

Answer 13

Serotonin receptors function abnormally in patients with anorexia and bulimia - evidence implies that receptors are abnormal before developing anorexia

Question 14

What does the family environment have to do with eating disorders?

Answer 14

Abnormal interactions and communications can have a part in leading to eating disorders - including over-involvement or over-concern

Question 15

What are the general treatments for eating disorders?

Answer 15

Correcting abnormal eating patterns

Address broader psychological and situational factors that may have led to or are maintaining the eating problem

Question 16

What are the negative aspects of treatment for anorexia?

Answer 16

Recovery is not always permanent - recurs in at least one-third of recovered patients

Lingering emotional problems are common

Question 17

What type of treatment is most commonly used for bulimia?

Answer 17

Cognitive-behavioural therapy is most often used - exposure and response prevention

Question 18

How is interpersonal therapy used to treat eating disorders?

Answer 18

Reduces interpersonal problems to increase feelings of hopefulness and self-esteem