W10: Eating Flashcards
(26 cards)
Disordered eating is
skipping meals, avoiding eating, overeating
The eating disorders are
Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, subtypes
Adolescent girls with body dissatisfaction
90%
Risk factors
Families, age, personality (perfectionism, black & white thinking), girls, social influence
Centre for Excellence in Eating Disorders categories
green (non-dieting), yellow (dieting, body checking), red (harmful dietary practices)
EDs are often a way to
deal with underlying emotional and psychological issues
EDs work by
providing a sense of accomplishment and mastery, or reinforcement
AN is (x3)
restriction of energy intake, fear of gaining weight, dislikes body
AN subtypes
bingeing/purging, restricting
BN is (2)
Lost control eating too much in a 2hr window, compensated for by purging, medication, exercise
We can still record non-compliant EDs by
using the ‘other specified feeding or eating disorder’ specifier
Two other interesting EDs are
Pica, rumination, othorexia (not DSM)
One theoretical understanding is
Theory of latent vulnerability (childhood = carries over risk)
Disorders associated with EDs
affective, anxiety, OCD, PDs, substances
Some theorists believe that not eating is designed to
punish parents
Binge eating may occur neurologically
due to low serotonin or low serotonin sensitivity
Pharmacological treatments include
fluoxetine (serotonin re-uptake inhibitor)
Which personality traits are linked to EDs?
OCD
ED assessments include
SCOFF, EAT
Treatments include
Fluoxetine, CBT, nutrition counselling
A whole picture treatment is
Family-Based Treatment. Superior to individual treatment, no good when parents are abusive
FBT works by
removing blame, focussing on the family, interdisciplinary (psychiatrist)
The first phase of FBT is
engage the child and hand control of eating to parents
Second phase of FBT is
parents are empowered, weight is restored, child can take responsibility for eating/weight
