Chapter 11 Eating Disorders

Question 1

PICA

Answer 1

recurrent, compulsive consumption on non-nutritive items
>seen in mentally disabled
>seen in abused children
>seen in nations that go through malnutrition/famine

Question 2

Anorexia Nervosa

Answer 2

weight at least 15% below normal
intense fear of gaining weight
disturbance of body perception
sometimes excessive exercise

Question 3

Anorexia Nervosa Dangers

Answer 3

death from starvation
irreversible bone loss (osteoporosis)
heart arrhythmia
electrolyte imbalance
anemia
lowered white blood cell count
hormonal imbalance

Question 4

comorbidity with anorexia

Answer 4

OCD, ocd personality
anxiety disorders
body dysmorphic 
narcissistic 
hypomania

Question 5

Bulimia Nervosa

Answer 5

binge and purge at least once a week for 3 months

Question 6

Bulimia Dangers

Answer 6

heart arrhythmia
electrolyte imbalance
dehydration
esohagus and stomach rupture
chronic constipation
ulcers
tooth decay
hormonal imbalance

Question 7

Comorbidity with bulimia

Answer 7

depression/ poor self esteem
anxiety disorders
substance use disorders
borderline personality
childhood abuse issues

Question 8

Binge Eating Disorder

Answer 8

binge at least once a week for 3 months

Question 9

Comorbidity with Binge eating

Answer 9

anxiety disorders
depression
somatic symptom disorder
avoidant or dependent personality disorder
medical issues (diabetes II, hypertension, etc.)

Question 10

Etiology of Eating Disorders

Answer 10

1. Biological Factors
   >dopamine rewards system more easily triggered
   >predisposed to addiction because of sub. abuse
2. Psychological Factors
   >anything from depression==>abusive issues
3. Social Factors
   >skinny is ideal in America, not in other cultures
   >obesity problem in America

Question 11

Treatment of Eating Disorders

Answer 11

1. Medication (SSRI’s, Prozac)
2. Cognitive-Behavioral Therapy
   >exposure w/ response prevention (bulimia)
3. Family Therapy
   >dysfunctional families= enmeshed, disengaged
4. Treat comorbid conditions
   >OCD
   >PTSD
   >anxiety
   >mood (depression)
   >personality (borderline, avoidant, dependent)
   >abandonment
   >identity issues
   >power/control issues
   >alcohol/drug abuse
   >other self-destructive behaviors

Question 12

anorexia prevalence

Answer 12

Lifetime== 1-2%
Onset==early teens
course==chronic and progressive w/o treatment
genter==90% female

Question 13

bulimia prevalence

Answer 13

lifetime==3%
onset==midteens-early 20’s
course==chronic and progressive w/o treatment
80% female

Question 14

Binge eating prevalence

Answer 14

lifetime==5%, 25-30% obese binge
onset==wide range
gender==50-60% female