Chapter 12- Eating disorders

Question 1

What are 3 main eating disorders?

Answer 1

• Anorexia Nervosa (AN)
• Bulimia Nervosa (BN)
• Binge-Eating disorder (BED)

Question 2

What are 2 cognitive symptoms and 2 behavioral symptoms of disordered eating?

What is 1-2 emotional symptom?

Answer 2

Cognitive:
- Body dissatisfaction
- Preoccupation with one’s body weight

Behavioral:
- Binge eating episodes (eating large amounts of food in short period) plus sense of loss of control over eating
- Dietary restriction

Emotional:
- Fear of gaining weight, distorted body image

Question 3

What are key features of Anorexia Nervosa (AN)?

3pts

Answer 3

• Restrictions of food intake
• Intense fear of weight gain/fatness
• Disturbance in body image

Question 4

What are the two subtypes of Anorexia Nervosa?

5pts

Answer 4

AN- Restricting type (AN-R):
- No recurrent binge eating or purging in the last 3 months
- Weight loss caused primarily by dieting, fasting and/or excessive exercise

AN- Binge-eating/purging type (AN-BP):
- Recurrent episodes of binge eating or purging in the last 3 months

Question 4

• Recurrent episodes of binge eating
• Recurrent inappropriate
  compensatory behaviour to
  compensate for binge eating in
  order to prevent weight gain
• Frequency ≥ 1/wk for 3 months
• Self-evaluation unduly influenced by
  body weight/shape
• Absence of AN
• Typical person has normal or near
  normal weight

Answer 4

Bulimia nervosa

Question 5

• Recurrent episodes of binge eating with no inappropriate compensatory behaviours
• Frequency ≥ 1 wk for 3 months
• Binges associated with marked distress/guilt
• Absence of AN and BN
• Most individuals are overweight or obese
• Larger than normal food amounts vs. over-eating
• Negative emotions as precipitants of binge eating

Answer 5

Binge eating-disorder

Question 6

What’s the prevalence for these eating disorders?

3pts

Answer 6

• AN–> more females
• BN–> more females
• BED–> female = male

Question 7

What are the most successful treatments for eating disorders?

Answer 7

• CBT (cognitive behavioral therapy)
• DBT (dialectical behavior therapy)

Question 8

If this diagnosis is left untreated/if it does not improve, what can the new diagnosis be?

Answer 8

• Eating disorders can have comorbidity with personality disorders

Question 9

What are some markers of AN ?

4pts

Answer 9

• Thyroid hormone abnormalities
• Low bone density
• Fluid and electrolyte imbalance
• Missing menstrual periods or delayed menarche

Question 10

What are some possible complications of BN?

Answer 10

• Loss of dental enamel from frequent vomiting
• May have calluses or scar on the back of the hand from inducing vomiting