06c_Feeding and Eating Disorders: Bulimia, Binge Eating, and Pica

Question 1

Pica

Answer 1

Persistent eating of non-nutritive, non–food substances

Inappropriate for developmental level

Not part of a culturally sanctioned practice

Question 2

Pica

Duration criteria

Answer 2

1+ month

Question 3

Bulimia Nervosa:

Diagnostic criteria

Answer 3

Binge eating accompanied by Lack of Control
&
Inappropriate compensatory behaviors

1+ times a week

3+ months

Question 4

Bulimia Nervosa:

Binges Onset and Course

Answer 4

Triggered by interpersonal stress or dysphoric mood

Binge continues until person is uncomfortably full

Question 5

Bulimia Nervosa:

Associated features

Answer 5

Anxiety disorder often precedes eating disturbance

Symptoms of depression may occur before or after

[similar to AN]

Question 6

Bulimia Nervosa:

Most common comorbidity

Answer 6

Depression among women

Question 7

Bulimia Nervosa:

Medical complications

Answer 7

Electrolyte imbalances

Metabolic alkalosis

Metabolic acidosis

Dental problems

Menstrual abnormalities

Question 8

Bulimia Nervosa:

Severe electrolyte imbalance danger

Answer 8

Cardiac arrhythmia

Cardiac arrest

Question 9

Bulimia Nervosa:

Age of Onset and Gender Prevalence

Answer 9

Adolescence / early adulthood

Onset is often during or after a period of DIETING

90% = female

Question 10

Bulimia Nervosa:

Etiology

Answer 10

Low Endogenous opioid beta-endorphin

Low Serotonin

Question 11

Bulimia Nervosa:

Treatment

Answer 11

Help individual gain control over eating

Modify dysfunctional beliefs about eating/shape/weight

Question 12

Bulimia Nervosa:

Treatments

Answer 12

Nutritional counseling

CBT techniques

Question 13

Bulimia Nervosa:

CBT techniques

Answer 13

Self-monitoring

Stimulus control

Cognitive restructuring

Problem solving

Self distraction during periods of high risk for binge eating

Question 14

Bulimia Nervosa:

Pharmacotherapy

Answer 14

Imipramine and fluoxetine are effective for:

Reducing binge eating and purging

Improving dysphoria

*CBT has lower relapse and treatment dropout rates

Question 15

Binge-Eating Disorder:

Overview

Answer 15

Recurrent episodes of binge eating that involves a sense of lack of control over eating

Question 16

Binge-Eating Disorder:

Diagnostic criteria

Answer 16

1+ times per week

3+ months

3+ Characteristic symptoms

Question 17

Binge-Eating Disorder:

Characteristic symptoms

Answer 17

Eating more rapidly than usual

Eating until feeling uncomfortably full

Eating alone due to feeling embarrassed about the amount of food consumed