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PSYC3314 Adult Psychopathology 2023 > 7. Eating Disorders > Flashcards

7. Eating Disorders Flashcards

1
Q

Diagnostic Criteria: Restriction of energy intake, intense fear of weight gain or becoming fat even as significantly low weight, disturbance in perception of body weight or shape (not recognising seriousness of current low weight)

A

Anorexia nervosa

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2
Q

Subtypes of Anorexia

A

Restricting type (Dieting, fasting, excessive exercise),
Binge-eating/purging type (Binge eating or purging, using laxatives, diuretics, enemas)

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3
Q

Severity specifiers for Anorexia (BMI):
Mild:
Moderate:
Severe:
Extreme

A

Mild: >17
Moderate: 16-16.99
Severe: 15-15.99
Extreme: <15

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4
Q

Anorexia: when weight is at least ___% below expected body weight, or BMI of ___ or less (in adults)

A

15%; 17.5

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5
Q

_______ Symptoms of Anorexia: refusal to eat, obsessive interest in food, eating alone, limited menu of acceptable foods

A

Behavioural

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6
Q

_______ Symptoms of anorexia: amenorrhea, dry skin, fatigue, constipation

A

Physical

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7
Q

DF: All the criteria for Anorexia Nervosa are met except despite significant weight loss, the individual’s weight is within or above the normal range

A

Atypical Anorexia Nervosa

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8
Q

Most common eating disorder, often underreported/recognised, recurrent episodes of Binge eating without compensatory behaviours, doesn’t meet criteria for AN or BN

A

Binge eating disorder

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9
Q

DF: Alternation between periods of extreme dietary restraint and episodes of binge eating followed by compensatory behaviours

A

Bulimia nervosa

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10
Q

DF: Consumption in a short period of time with quantities that definitely exceeds what normal people would eat

A

Binge eating

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11
Q

Prompts of __________:

  • Excessive dietary restraint
  • All or nothing approach to dietary choices
  • Negative mood states
  • Reactions to interpersonal difficulties or stress
A

Binge eating

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12
Q

Severity Specifiers for Bulimia (Average No. Of Compensatory Behaviours per Week)
Mild:__-__
Moderate:__-__
Severe:__-__
Extreme:__

A

Mild: 1-3
Moderate: 4-7
Severe: 8-13
Extreme: 14+

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13
Q

Examples of Other Specified Feeding or Eating Disorders (OSFED)

A

Atypical Anorexia Nervosa,
Bulimia Nervosa (low frequency/limited duration),
Binge Eating Disorder,
Purging Disorder,
Night eating syndrome

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14
Q

Lifetime prevalence of any ED:
Males:__%
Females__%

A

2.2%; 8.4%

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15
Q

Lifetime prevalence of OSFED:
Males:__%
Females__%

A

3.6%; 4.8%

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16
Q

Theory that the human body has a predetermined weight or fat mass range

A

Set Point Theory

17
Q

Assessment tools for EDs

A

Screening Tools like SCOFF and EDE-QS, Self-report questionnaires, Structures clinical interviews like EDE or SCID-5

18
Q

3 Outcomes of Minnesota Starvation Study (1944) after 3 months of re-feeding

A
  1. Lean tissue took longer to recover than fat tissues
  2. 12 weeks of insatiable appetite and preoccupations with food
  3. Small number still overeating after 8 months
19
Q

Characteristics of Starvation Syndrome

A
  1. Physical Changes (Metabolism)
  2. Personality Changes (Irritability,
    Food Preoccupation)
  3. Social Behaviour changes
20
Q

_____ treatment strategies for EDs:

  • Establish regular eating
  • Anticipate triggers
  • Setting aside eating as an activity
  • Planned shopping
A

Behavioural

21
Q

_____ treatment strategies for EDs:

  • Address all or nothing thinking
  • Discuss affective judgement
  • Explore values associated with weight
  • Development of more flexible and tolerant personal philosophy
A

Cognitive

22
Q

Key Treatment Components of CBT-ED

A
  1. Weekly in-session weighing
  2. Normalising eating behaviours
  3. Body acceptance
  4. Exposure - facing fears to challenge unhelpful/false beliefs
  5. Other general CBT Strategies e.g. Thought diaries, behavioural experiments
23
Q

Causes of eating disorders

A

Genetic vulnerability,
Environmental triggers, Epigenetics

24
Q

Disordered eating is either ___, or ___, and often oscillating between the two

A

Overly rigid and inflexible; Chaotic and out of control

25
Q

Leading evidence-based treatment for:
1. Anorexia diagnosis
2. Under 18 years old
3. Recent onset

A

Family Based Therapy (FBT)

26
Q

3 Phases of Family Based Treatment (FBT)

A

Phase 1: Full parental control over all choices around food/eating,
Phase 2: Gradual Transition of control back to young person,
Phase 3: Returning to normal development and age-appropriate autonomy

27
Q

Ways to adopt Weight and Body Neutral or Inclusive Practices

A

Adopt Weight-neutral language,
Drop diet talk

PSYC3314 Adult Psychopathology 2023 (12 decks)

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