Obesity/Eating Disorders

Question 1

what is a feeding problem vs eating prob

Answer 1

Typically involve fussy or fadish eating in which certain foods are avoided because of taste/texture/basic dislike

eating- typically involve concerns about being overweight or experiencing ones body in negative or distorted ways

Question 2

What are the 6 eating disorders that DSM 5 and ICD11 share

Answer 2

anorexia
bulimia
binge eating disorder
pica
avoiding food intake disorder
rumination disorder

Question 3

What is anorexia nervosa and key aspect

Answer 3

-low body weight due to restricted food intake (intense fear of going)

Key- failure to maintain minimal body weight

Question 4

What is Bulimia nervosa and 2 key aspects

Answer 4

1. Binge eating

2. Compensatory behaviour (purging or non purging)

Question 5

What are the 2 subtypes of anorexia

Answer 5

restricting- loses weight mainly by dieting/fasing/ex

bing/purging- like bulimia but dx due to failure to maintain min weight

Question 6

What is avoiding food intake disorder

Answer 6

reserved for picky eaters who fit to eat enough to meet basic nutritional requirements

Question 7

What is rumination disorder

Answer 7

dx in those who regularly rechew/reswallow or spit out food after intentionally regurgitating it

Question 8

what is pica

Answer 8

dx in people who consistently eat non food substances

Question 9

What are the 5 NT involved in eating disorders

Answer 9

Monoamine NTs
GABA
Glutamate}
Serotonn
Dopamine

Question 10

What are serotonin levels associated w

Answer 10

decreased in people w active symptoms of bulimia

Question 11

what are dopamine levels associated w

Answer 11

dopamine levels lower in unrecovered anorexia pts

Question 12

drugs used to tx eating disorders

Answer 12

SSRI
Antipsychotics
Mood stabalizers
Anti convulsants
Benzos

Question 13

Role of the hypothalamus and 2 areas

Answer 13

lateral- role to make ppl feel hungry

ventromedial hypothalamus- role is to make ppl feel satiated

Question 14

HPA axis role and what happens when overactive/underactive

Answer 14

producing cortisol

overactive- anorexia/bulimia

underachieve- binge eating disorder

Question 15

reward pathway disturbances in anorexia, bulimia, BED

Answer 15

anorexia presents w unresponsiveness to rewards

bulimia, bed present with too much responsiveness to reward

Question 16

immune system perspectives on eating problems

Answer 16

some studies show pp with anorexia and bulimia have increased cytokine levels

Question 17

classic psychoanalysis idea of eating problems

Answer 17

oral stage conflicts

-annorexic pt was viewed as having a weak ego that was unable to manage strong oral impulses

Question 18

Modern psychodynamic approach to eating disorders

Answer 18

eating probs arise when parents resist their children efforts to establish independence
(eating disorders express child’s unfulfilled desire for independence and autonomy_

Question 19

what is exposure and response prevention for purging

Answer 19

preventing the patient for purging after binging

Question 20

what is exposure and response prevention of binging

Answer 20

exposing pts to foods they binge on, then prevent binging

Question 21

What is food exposure for anorexia

Answer 21

gradually exposing pt to food

Question 22

what is the idea behind enhanced cognitive behaviour therapy for eating disorders

Answer 22

idea- pts self worth based on ability to control body weight/shape rather than on achievements

-psychoeducation used as primary technique to identify cognitive distortions such as all or non thinking and selective attention

Question 23

What is acceptance and commitment therapy for eating disorders

Answer 23

ACT encourages clients to pay attention and to be aware of their thoughts
-by being aware of thoughts they can be less influenced by them

Question 24

What is emotion focused therapy for eating probs

Answer 24

(humanistic perspective)
-help clients get in touch with negative emotions

-usually restrictive food intake/binding/pruging is a way to dissociate from upsetting emotions