AB- Eating Disorders

Question 1

Bulimia Nervosa

Answer 1

self evaluation focused on body shape and weight 
recurrent episodes of binge eating 
perceived as out of control 
most within 10% of normal weight 
purging and subtypes removed from DSM5

Question 2

Compensatory behaviors

BN

Answer 2

purging, excessive exercise, fasting

Question 3

Severity of BN

Answer 3

based on frequency of compensatory behaviors 
mild - 1-3 per week 
moderate- 4-7 per week 
severe- 8-13
extreme- 14+

Question 4

comorbidity

Answer 4

anxiety disorders, mood disorders, substance abuse disorders

Question 5

medical consequences of BN

Answer 5

salivary gland enlargement 
erosion of dental enamel  
electrolyte imbalance 
kidney failure 
intestinal problems 
colon damage 
cardiac arrhythmia

Question 6

Anorexia Nervosa

Answer 6

highest rates of death 
relentless pursuit of thinness 
body image distortion 
fear of gaining weight and losing control 
15% below healthy weight 
pride in dieting

Question 7

subtypes of AN

Answer 7

restricting- dieting, fasting, extreme exercise, last three months no purging
binge eating/purging- during last 3 months purging or binge eating occurred

Question 8

Severity of AN

Answer 8

based on BMI 
mild- 17 or higher 
moderate- 16-16.99
severe- 15-15.99
extreme- <15

Question 9

comorbidity AN

Answer 9

Anxiety disorders, OCD, mood disorders

Question 10

Medical consequences of AN

Answer 10

no menstruation- amenorrhea 
brittle nails & hair 
cardiovascular problems 
bone loss
organ damage/failure 
death -  suicide, organ failure

Question 11

Binge eating disorder

Answer 11

binge eating with distress but no compensatory behaviors

happens once a week for 3 months

Question 12

Severity of BED

Answer 12

based on frequency of BE episodes 
mild 1-3
moderate 4-7
severe 8-13
extreme 14+

Question 13

BED comorbidity

Answer 13

anxiety disorders

mood disorders

Question 14

Causes of eating disorders

Answer 14

social- cultural, social, gender standards
media
Friends and peer groups
family influences- “typical family” (driven, history of dieting/eating disorders
psychological influences - self esteem issues, low confidence, perfectionist
Biological dimensions - inherited tendency (compulsion, anxiety)

Question 15

Treatments

Answer 15

psychopharmacological- antidepressants, not for anorexia
CBT-E - most effective for bulimia, consequences of actions, thoughts ass w. actions
Interpersonal therapy - IPT, bulimia
family therapy - bulimia and anorexia
eating disorder clinics - big for anorexia