Chapter 11: Eating Disorders Flashcards

1
Q

List the types of eating disorders.

A
  • Pica
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge Eating Disorder
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2
Q

What is pica?

A

Recurrent, compulsive consumption of non-nutritive items

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3
Q

What is the DSM-V criteria for Anorexia Nervosa?

A
  • Weight at least 15% below normal
  • Intense fear of gaining weight or becoming fat
  • Disturbance of body perception
  • Sometimes excessive exercising
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4
Q

What is the lifetime prevalence of Anorexia Nervosa?

A

1-2%

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5
Q

When is the onset of Anorexia Nervosa?

A

Usually starts in early teens

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6
Q

What is the course of Anorexia Nervosa?

A

Chronic and progressive w/o treatment

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7
Q

Which gender predominates Anorexia Nervosa? Percentage?

A

90% female

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8
Q

What are the ways in which anorexia is a dangerous disorder?

A
  • Death from starvation
  • Irreversible bone loss, osteoporosis
  • Heart arrhythmia
  • Electrolyte imbalance
  • Anemia
  • Lowered white blood cell count
  • Hormonal imbalance
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9
Q

What disorders and conditions are comorbid w/ anorexia?

A
  • OCD, OCD personality disorder
  • Anxiety disorders
  • Body dysmorphic disorder
  • Narcissistic personality disorder (perfectionism)
  • Hypomania
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10
Q

What is the DSM-V criteria for Bulimia Nervosa?

A
  • Recurrent episodes of binge eating w/ experience of loss of control
  • Recurrent purging behavior
  • Both occur at least once a week for at least 3 months
  • Poor self-image (based on body shape & weight)
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11
Q

What is the lifetime prevalence of Bulimia Nervosa?

A

3%

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12
Q

When is the onset of Bulimia Nervosa?

A

Mid teens to early 20s

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13
Q

What is the course of Bulimia Nervosa?

A

Chronic and progressive w/o treatment

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14
Q

Which gender predominates Bulimia Nervosa? Percentage?

A

80% female

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15
Q

What are the ways in which Bulimia Nervosa is a dangerous disorder?

A
  • Heart arrhythmia
  • Electrolyte imbalance (Na+, K+)
  • Dehydration
  • Esophagus and stomach rupture
  • Chronic constipation (from laxative use)
  • Tooth decay (erosion of dental enamel)
  • Hormone imbalance
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16
Q

What disorders and issues are comorbid w/ Bulimia Nervosa?

A
  • Depression, poor self esteem
  • Anxiety disorders
  • Substance use disorders (alcohol)
  • Borderline personality disorder
  • Childhood abuse issues
17
Q

What is the DSM-V criteria for Binge Eating Disorder?

A

Repeated episodes of compulsive overeating during which are consumed

  • large amounts of food
  • at least once a week for at least 3 months
  • w/o really feeling hungry
  • to the point of feeling uncomfortably full
  • often done in secret
  • followed by feelings of disgust & guilt
18
Q

What is the lifetime prevalence of Binge Eating Disorder?

A

At least 5%

19
Q

What percentage of obese individuals go on to binge?

A

25-30%

20
Q

When is the onset of Binge Eating Disorder?

A

Wider age range of onsets

21
Q

What is the course of Binge Eating Disorder?

A

Chronic and progressive w/o treatment

22
Q

Which gender predominates Binge Eating Disorder? Percentage?

A

50-60% are female

23
Q

What disorders and issues are comorbid w/ Binge Eating Disorder?

A
  • Anxiety disorders
  • Depression
  • Somatic symptom disorder
  • Avoidance or Dependent personality disorder
  • Medical issues (diabetes, hypertension)
24
Q

What are the biological factors that contribute to eating disorders?

A
  • Genetic predisposition (dopamine system)

- Hx of eating, drug use –> messes up metabolism

25
Q

What are the psychological factors that contribute to eating disorders?

A

LOOKUP

26
Q

What are the social factors that contribute to eating disorders?

A
  • Societal expectations for appearances

- Media

27
Q

What are the treatments of eating disorders?

A
  • Medication
  • Cognitive-Behavioral therapy
  • Family therapy
  • Treat comorbid condtions
28
Q

Which medications are used to treat eating disorders?

A
  • SSRIs

- Prozac (antidepressant)

29
Q

What forms of cognitive-behavioral therapy are used to treat eating disorders?

A
  • Reduce irrational thinking
  • Establish healthy eating routine and diet
  • Exposure w/ response prevention (for bulimia)