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Amanda 175.302 Abnormal Psych > Chapter 11 eating disorders > Flashcards

Chapter 11 eating disorders Flashcards

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1
Q

eating disorders are defined as?

A

severe disturbances
in eating behaviors, such as eating too
little or eating too much

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2
Q

eating disorder diagnostic catagories are?

A

– Anorexia Nervosa
– Bulimia Nervosa
– Binge Eating Disorder

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3
Q

DSM-5 made what change in this section?

A

Adding binge eating disorder as a new diagnostic
category, rather than a condition in need of further
study,

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4
Q

Eating disorders are a part of what group in the DSM-5

A

“Feeding and

Eating Disorders” group

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5
Q

what is PICA disorder?

A

eating non-food

substances for extended periods

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6
Q

what is Rumination disorder?

A

repeated regurgitation of foods

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7
Q

Anorexia Nervosa has three main components which are?

A

-Intense fear of weight gain/behaviours that limit weight gain
-body distortions of weight or shape (thinks they are fat when not)
self-starvation

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8
Q

Anorexia nervosa onset is usually?

A

early to mid teens

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9
Q

Anorexia nervosa affects more ____ than _____

A

affects more women than men

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10
Q

Anorexia nervosa can be triggered by?

A

stress and diet

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11
Q

Anorexia nervosa is usually comorbid with (women)?

A

depression, OCD, phobias,

panic, alcoholism, and PDs

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12
Q

Women are ____ more likely to develop anorexia nervosa?

A

10x

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13
Q

Anorexia nervosa is usually comorbid with (men)?

A

substance dependence,

mood disorders, or schizophrenia

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14
Q

what are the suicide rates with anorexia nervosa (contemplating and completing)?

A

– 5% completing

– 20% attempting

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15
Q

what are the two subtypes of anorexia nervosa and what is the timeframe noted for each?

A

restricting (no binge/purge in last 3 months)

Binge/purge ( for previous 3 months)

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16
Q

what are the physical changes in anorexia nervosa?

A 
Low blood pressure, heart rate decrease
• Kidney and gastrointestinal problems
• Loss of bone mass
• Brittle nails, dry skin, hair loss
• Lanugo
– Soft, downy body hair
• Depletion of potassium and sodium electrolytes
– Can cause tiredness, weakness, and death
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17
Q

what are the death rates compared to the general population and compared with other psychiatric conditions?

A

Death rates 10x higher than general population
– Death rates 2x higher than other psychological
disorders

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18
Q

what is the recovery rate for Anorexia Nervosa and how long does it usually take?

A

50-70% eventually recover
– May often take 6 or 7 years
– Relapse common

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19
Q

Bulimia nervosa: what are the DSM-5 criteria?

5

A 
Recurrent binge eating
– Binge = eating an excessive amount of food within
two hours, sense of loss of control
• Inappropriate compensatory behaviours
– Purge = vomiting or misuse of laxatives, diuretics, or
enemas
– Excessive exercise
• Distorted body image
• Not due to anorexia
20
Q

Bulimia nervosa: what percentage are women?

A

90%

21
Q

Bulimia nervosa: what is the typical age of onset?

A

late adolescence or early adulthood

22
Q

Bulimia nervosa: what is the prevalence rate among women (in the general population)

A

1-2% of the general population

23
Q

Bulimia nervosa is comorbid with (5)?

A

depression, PD, anxiety,

substance abuse, conduct disorder

24
Q

Bulimia nervosa suicide rates are higher or lower than anorexia?

A

lower. but higher than the general population for both contemplating and completing

25
Q

Bulimia nervosa: what is the usually BMI?

A

they tend to have normal BMI

26
Q

Bulimia nervosa: a mild severity rating is ?

how many compensatory behaviours per week

A

1-3 per week

27
Q

Bulimia nervosa: a moderate severity rating is ?

how many compensatory behaviours per week

A

4-7 per week

28
Q

Bulimia nervosa: a severe severity rating is ?

how many compensatory behaviours per week

A

8-13 per week

29
Q

Bulimia nervosa: an extreme severity rating is?

how many compensatory behaviours per week

A

14 or more per week

30
Q

Reports of ______ or ___ and they feel

___ and ____ often after?

A

Reports of losing awareness or dissociation

• Shame and remorse often follow

31
Q

what are the physical changes in Bulimia nervosa patients? (4)

A

Menstrual irregularities (amenorrhea)
• Potassium depletion from purging
• Laxative use depletes electrolytes, which
can cause cardiac irregularities
• Loss of dental enamel from stomach acids
in vomit
• Mortality rate of 4%

32
Q

what is amenorrhea

A

Menstrual irregularities

33
Q

What is the recovery rate for Bulimia?

A

75%

34
Q

what rate of Bulimia sufferers remain fully symptomatic

A

10-20% remain fully symptomatic

35
Q

Bulimia: what issues can make a poorer prognosis?

A

when depression and
substance abuse are comorbid or when
more severe symptomatology

36
Q

Binge Eating Disorder: must have three or more of the following?

A

1) Eating more rapidly than normal.
2. Eating until feeling uncomfortably full.
3. Eating large amounts of food when not feeling physically hungry.
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.

37
Q

Binge Eating Disorder:The binge eating occurs, on average, at least ___ a ____ for _ months.

A

once a week for three months

38
Q

Binge eating disorder: full remission is when?

A

none of the criteria have

been met for a sustained period of time.

39
Q

Binge eating disorder: Partial remission is when?

A

binge eating occurs at an

average of less than one episode per week for a sustained period of time.

40
Q

Binge eating disorder: DSM-5 diagnostic criteria is

A 
Diagnostic criteria:
– Recurrent binges, feel out of control
– Distress regarding the binge eating
• No compensatory behaviours
• Not just during anorexia or bulimia
41
Q

what is one difference between Binge Eating Disorder vs. Anorexia:

A

lack of weight loss in Bulimia

42
Q

what is one difference between Binge Eating Disorder vs. Bulimia:

A

Absence of compensatory behaviors (purging,
fasting, or excessive exercise) in binge eating
disorder

43
Q

Binge eating disorder: what are the risk factors?

A

Childhood obesity, early childhood weight loss attempts, having
been taunted about their weight, low self-concept, depression, and
childhood physical or sexual abuse

44
Q

Binge eating: what rate of obese people may qualify as having this disorder?

A

Approximately 2-25% of obese may qualify

45
Q

which of the eating disorders is the most common

and lasts the longest?

A

Binge eating disorder

46
Q

What is the average timespan for having binge eating disorder? how many years

A

14.4 years

47
Q

what is the recovery rate with binge eating disorder

A

approx 60%

Amanda 175.302 Abnormal Psych (2 decks)

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