Abnormal Psychology L6 Flashcards
What are the four common behavioral psychological dimensions of eating disorders?
- Body dissatisfaction/weight or shape concerns
- Restrictive eating
- Binge-eating (objective vs subjective)
- Purging/compensating
What are the 5 DSM-5 eating disorders?
- Anorexia Nervosa
- Bulimia Nervosa
- Binge Eating Disorder
- Avoidant/restrictive Food Intake Disorder
- Other Specified Eating Disorder
What are the symptoms of Anorexia Nervosa?
. Restriction of energy intake relative to energy requirements, leading to significant weight loss (BMI)
. Intense fair of gaining weight or becoming fat.
. Disturbance in the way in which one’s body weight is experienced/percieved
What are the two types of Anorexia?
Restricting Type: no binging or purging
Binge-eating/Purging Type: regular binging or purging.
What are the symptoms of Bulimia Nervosa?
. Recurrent binge-eating with a sense of a lack of control
. Recurrent inappropriate compensatory behavior in order to prevent weight gain.
. Binge eating and compensatory behavior occur at least once a week for three months.
. Self evaluation is unduly influenced by body shape and weight
What are the associate symptoms of Bulimia Nervosa?
. Individuals are usually within the normal weight or over weight range
. Between binges individuals typically restrict caloric intake
. Low self esteem
. Low mood/depression
. High rates of smoking
. High rates of substance abuse
What are the symptoms of Binge Eating Disorder
Self evaluation unduly influenced by body shape or size
Recurrent binges (2x a week for at least 6 months)
3 or more of the following:
- eating more rapidly then normal
- eating until uncomfortably full
- binging when not hungry
- eating alone due to embarrassment
- feeling disgusted, depressed, guilty after overeating
What is the difference between Binge Eating Disorders and Bulimia Nervosa?
Bulimia patients display purging/compensating behaviors while Binge Eating patients do not.
Reported rates for eating disorders are…
Underestimates
What are the biological causes of Eating Disorders?
There is evidence for genetic components (twin studies)
Lower levels of neurotransmitters (Seratonin and Norepinephrine)
Hormones - individuals with restricting anorexia have deficiency in hypothalamus functioning which allows them to starve themselves (suppresses bodies eating response)
What are the socio-cultural causes of Eating Disorders?
Western standards of female attractiveness ever progressing to thinner ideal
Describe the “Diet-Binge-Purge” cycle.
Rigid dieting -> Slipup -> Abstinence Violation Effect -> Binge eating -> Guilt/remorse -> Purging/compensatory -> Rigid dieting
Describe the Abstinence Violation Effect.
“I slipped up so everything is ruined, might as well go to town and binge eat”
What treatments are commonly used in Anorexia?
- Restoration of proper weight (often needs to occur before psychological approaches can begin)
- Sometimes hospitalisation for malnutrition
- Residential programs
- Cognitive Behavioural Therapy
- Family Systems Therapy
What treatments are commonly used in bulimia and binge eating?
- Cognitive-Behavioural Therapy
- Medication