2. Eating Disorders

Question 1

Anorexia - Reasoning for ED

Answer 1

Obsession with weight loss

Question 2

Bulimia - Reasoning for ED

Answer 2

Obsession with weight loss

Question 3

BED - Reasoning for ED

Answer 3

Emotional
Unrelated to weight loss desire

Question 4

Anorexia - weight

Answer 4

Underweight
Severely so in many cases

Question 5

Bulimia - weight

Answer 5

Normal to slightly overweight

Question 6

BED - weight

Answer 6

Typically overweight or obese

Question 7

Anorexia - body perceptions

Answer 7

Distorted body perception
(less about body shape) more about weight

Question 8

Bulimia - body perception

Answer 8

Over-concerned with weight

Question 9

BED - body perception

Answer 9

May be unhappy with body & weight but not the reason for binging

Question 10

Anorexia trump card

Answer 10

If the person also meets the requirements for anorexia, they are diagnosed with anorexia, not bulimia

Question 11

Pride & Shame

Answer 11

Anorexia - deny seriousness of condition/behaviour, surprised at others reactions to them

Bulimia - shame & guilt at behaviours, attempts to conceal them

Question 12

Timing

Answer 12

Anorexia most commonly develops during adolescence (between 15-19)

Bulimia most commonly develops after adolescence (between (20-24)

Binge-eating most commonly develops in middle age (30-50)

Question 13

Skipping meals

Answer 13

Anorexia & bulimia

Question 14

Ritualized eating

Answer 14

• Organizing cabinets of food
• Cutting up all the food (Cassie)

Question 15

Anorexia-Bulimia Link

Answer 15

Women often have a history of both (generally anorexia before bulimia)

Question 16

Attitudes to treatment

Answer 16

Eating disorders can be difficult to treat as patients often feel conflicted about recovering

• Also feel pessimistic about treatment as they view their disorder as chronic
  
  • Many drop out of therapy
  • Drop out of treatment prematurely

Question 17

Transdiagnostic approach

Answer 17

• Huge mix and crossover between features of anorexia & bulimia
• Reformulation of CBT with this in mind (focusing on pathological eating regardless of disorder) have been very effective/promising

Question 18

*Diathesis Stress Model

Answer 18

• Genetic predisposition
• Struggle to handle stress
• Life stresses trigger anorexia

Question 19

Crossover

Answer 19

Anorexia - bulimia is common (weight gain/loss)
Never from restrictive to bulimia though

No link between anorexia & BED

BED more commonly moves to bulimia than the other way around

Question 20

Cultural

Answer 20

• Most common in caucasian and asian women
• black women have the least EDs
• Possibly because Western ideals centre on thinness
• asian women seem less concerned with thinness despite also having EDs