CH. 9 Eating & Sleeping Disorders Flashcards
Commonalities
- desire to be thin
- issues of control ( over/ under)
- comorbidity
- 50-75% (anxiety/ depression)
Anorexia
- organ failure
- self starvation
- silia
- restricting calorie intake
- body distortion
- binge & purge
DSM:
- 3 months
- unable to self valuate (doesnt know its a problem)
- restriction/ refusal of energy intake
- age, sex, developmental, health
- perfectionism > body distortion
- 15% below statistical weight
-DSM 4:
cease 3 menses
Bulima Nervosa
- esophageal & enamel damage
- electrolyte imbalance > heart
- blood vessels broken
- dehydration
-binging
-compensatory : compensation
Ex. vomiting, excessive fasting
DSM:
- 1x a wk for 3 months
- discrete period of time (2hrs)
- eating large amount than normal
- inappropriate compensatory
- weight gain
- 10 % of normal body weight
Binge eating disorder
-obesity (BMI > 30) 2nd
»> smoking 1st
- binge cycle w/o purge
- recurrent episodes
- continues eating beyond full
DSM:
- eating rapidly
- eating alone > disgusted & distressed
- over 1/3 obese
Multipath Model : Obesity
Social
-coping from bullying or teasing
Psychological
- neg mood state > more dopamine producing
- mood state
Socialcultural
- less access to healthier foods
- what is perceived as a healthy body type
Diet rebound
- fad diets
- diets fail and end up gaining more weight
Etiology: Eating Disorders
Set Point theory : natural flux
-anorexia: (in btw ) refusal for maintain body weight
Mutlipath Model :
Eating Disorder
Biological
- puberty weight gain
- moderate heritability
- dopamine
Psychological
- low self esteem
- personaility characteristics
SocialCultural
-media presents what is beautiful
Social -barbie & ken syndrome -attitudes, appearance -peer pressure Ex. Rosen body attractiveness
Treatment : Eating Disorders
SSRIs (depressed)
-side effects : reduces impulsivity
& full feeling
- Education > ineffective, bad physical function, observation
- CBT : health attitude toward food, accurate body images , control, “forbidden” > one error you lost control
- meal management > jenny craig
- impulse coping (triggers, not alone)
- IPT: slower but strong > relationships effective
- Self help : trying to do way to much way to fast
Prevention: who can be a risk
-history of heart disease
“selectively”
RISKS : Eating disorders
- family attitude
- role of the media
- misinformation about ideal weight
- food prices (healthy vs sugary sweet)
Sleep Disorders
- dramatically contribute to functional nature
- melatonin (pineal gland)
- superchiasmatic nucleus in the hypothalamus
- 8hrs adult
- adolescents require more sleep
Sleep deprivation effects
24 hours is enough
- need rest and repairing
- survival value
Polysomnographic evaluation
- history of substance abuse
- EEG : rapid eyemovement, disruption in sleep cycle (breathing)
Dyssomnia
problem in the amount of timing or quality of sleep
-if can stay asleep
Insomnia
- 3nights per week
- diff maintaining or initiating sleep
- early morning awakening
- difficulties w ADL
Hyersomnolence
-excessive sleeping
Narcolepsy
- paralysis
- brain has woken up but body hasnt sent a signal
> turning head releases blood flow = laying on their back
Treatment : Sleep Disorders
Why > is there an explanation
-alcohol
- antidepressants (shorten REM cycle)
- stimulants (hypersomulence)
Apena- weight loss, mechanical
Benzodiapenes -potential for dependence -achytocholine functions CBT sleep hygiene
