Chapter 11 - Eating Disorders Flashcards
Features for anorexia nervosa diagnosis
Restriction of behaviors that promote healthy body weight
Intense fear of gaining weight and being fat
Distorted body image or sense of body shape
Loss of appetite due to emotional reasons
Anorexia
Loss of me trial blood
Amenorrhea
Type of anorexia nervosa wherein weight kiss is achieved by severely limiting food intake
Restricting type
Anorexia nervosa type wherein the person regularly engages in binge eating and purging.
Binge-eating/purging type
Fine soft hair
Lanugo
Disorder that involves episodes of rapid consumption or a large amount of food, followed by compensatory behavior to prevent weight gain
Bulimia nervosa
Ox hunger
2 characteristics of binge
Eating an excessive amount of food
Feeling of losing control over eating
Bulimia nervosa in which compensatory behaviors are fasting or excessive exercise
Non-purging type
BMI
Body mass index
Kg/m
Normal BMI
20-25
Recurrent binges, lack of control during the bingeing episode, and distress about bingeing, as well as other characteristics, such as rapid eating and eating alone
Binge eating disorder
Obese
BMI >30
Key brain center for regulating hunger and eating
Hypothalamus
Substances produced by the body that reduce pain sensations, enhance mood and suppress appetite
Endogenous opioids
Neurobiological changes from starvation
Cortisol level abnormalities
Opioids are released
Neurotransmitter that related to eating and satiety
Serotonin
Neurotransmitter linked to the pleasurable aspects of food that compel an animal to go after food and motivation to obtain other pleasurable and rewarding things
dopamine
Behaviors that achieve or maintain thinness are negatively reinforced by
reducing anxiety from being fat
Dieting and weight loss are positively reinforced
sense of mastery or self control
A questionnaire measure of concerns about dieting and overeating
Restraint scale
HIgh Restraint scale ate ___ than nondieters after a fattening preload
more
Theory that states that the prevalence of objectification messages in Western culture has led some women to self objectify
objectification theory
The extent to which people can distinguish different biological states of their bodies
Interoceptive awareness
Facets of perfectionism
self oriented
other-oriented
socially oriented
Reduces binge eating, vomiting, depression and distorted attitudes towards food and eating in bulimic patients
antidepressants
Immediate goal for anorexia therapy
gain weight to avoid medical compications
therapy somewhat successful in achieving weight gain in the short term
operant conditioning behavior therapy programs
Second goal of anorexia treatment
long term maintenance of weight gain
principal form of psych therapy for anorexia
family therapy
Major goals of family lunch sessions
changing the patient role of the person with anorexia
redefining the eating problem as an interpersonal problem
preventing the parents from using their child’s anorexia as a means of avoiding conflict
Best-validated and most current standard for the treatment of bulimia
CBT
Goal of treatment of bulimia
develop normal eating patterns
Component involves discouraging the person from purging after eating foods that usually elicit an urge to vomit
Exposure and Ritual Prevention
People receive self-help books on topics like perfectionism, body image, negative thinking and food and health
Guided self-help CBT
Targets of CBT bulimia
binges
self monitoring. self control
problem solving
often used to treat obesity
behavioral weight loss programs
educating children and adolescents about eating disorders in order to prevent them from developing symptoms
psychoeducational approaches
helping children and adolescents resist or reject sociocultural pressures to be thin
Deemphasizing sociocultural influences
Identifying people with known risk factors for developing eating disorders
risk factor approach
focus on deemphasizing sociocultural influences
dissonance reduction intervention
targets risk factors
healthy weight intervention
