Chapter 11 - Eating Disorders Flashcards
In the DSM-IV-TR, ____________ was viewed as a condition requiring further study, but in the DSM-V it has its own diagnostic category.
Select one:
a. pica
b. rumination disorder
c. obsessive eating disorder
d. binge eating disorder
d. binge eating disorder
__________ refers to a loss of appetite, while __________ indicates that it is due to emotional reasons.
Select one:
a. anorexia, bulimia
b. bulimia, anorexia
c. anorexia, nervosa
d. nervosa, anorexia
c. anorexia, nervosa
Cathy stopped eating meals over two months ago. Now she eats very little, and only when under some family pressure. She has lost over 22 pounds, and is now about 15% below normal body weight for her height. She probably has
Select one:
a. anorexia, binge-eating-purging type
b. binge eating disorder
c. bulimia nervosa
d. anorexia, restricting type
d. anorexia, restricting type
People with anorexia nervosa are also frequently diagnosed with
Select one:
a. depression
b. anxiety
c. substance abuse
d. all of the above
d. all of the above
As compared to anorexia nervosa, the diagnosis of bulimia nervosa is associated with
Select one:
a. higher mortality rates
b. lower mortality rates
c. equal mortality rates
d. none of the above; data on mortality caused by eating disorders does not exist
b. lower mortality rates
Bulimia nervosa typically begins in:
Select one:
a. early or middle adolescence
b. late adolescence or early adulthood
c. late adulthood
d. childhood
b. late adolescence or early adulthood
Genetic influences on eating disorders are
Select one:
a. not important for obesity
b. a substantial factor
c. not important for anorexia nervosa or bulimia nervosa
d. a minor factor
b. a substantial factor
Studies of perfectionism in anorexia nervosa indicate that which of the following statements would be most typical of an anorexic?
Select one:
a. “I must complete all my work before I can enjoy a night out.”
b. “I can’t possibly be expected to meet the unrealistically high standards that my parents have set for me.”
c. “I can’t stand it when my boyfriend lets me down by not buying me flowers on special occasions.”
d. “I’ve got to show my teacher that I can meet his goal for me of winning the debate championship.”
d. “I’ve got to show my teacher that I can meet his goal for me of winning the debate championship.”
Eating disorders are more common in women who are
Select one:
a. single
b. urban
c. less educated
d. white
d. white
The principal form of psychological treatment for anorexia nervosa is
Select one:
a. providing a safe inpatient environment
b. social skills training
c. reinforcing appropriate eating behaviors
d. family therapy
d. family therapy
What is the diagnostic criteria for anorexia nervosa? What are the subtypes and severity ratings?
Restriction of food that leads to very low body weight; body weight is significantly below normal. Intense fear of weight gain or repeated behaviour that interfere with weight gain; body image disturbance.
Severity: mild (BMI=<17), moderate (16-16.9), severe (15-15.9), extremet (<15)
Subtypes: restricting or binge-eating/purging
Eddy et al. longitudinal study found that nearly 23 switched from restricting to binge/purging 8 years later.
When does anorexia begin?
Early to middle teenage years due to dieting and occurrence of life stress. Lifetime prevalence <1%. 10x more frequent in women than men. Gender difference most likely due to societal emphasis on women’s beauty.
What disorders are commonly comorbid with anorexia?
Depression, OCD, specific phonbias, panic disorder and personality disorders. Suicide rates high (5% complete, 20% attempt).
What are physical consequences of anorexia?
decreased blood pressure, slower heart rate, kidney and gastrointestinal problems, bone mass declines, skin dries out, nails brittle, mild anaemia, hormone levels change.
What is the prognosis?
50-70% of people recover. Usually takes 6-7y. Relapses are common. Death rate 10x higher than general pop and 2x higher than psychological pop. Mortality rates 3-5%.
