Chapter 8

Question 1

What is the most common type of eating disorder?

Answer 1

Bulimia

Question 2

What are the DSM5 critereiia for bulimia?

Answer 2

i. Recurrent episodes of binge eating
ii. Recurrent inappropriate behavriours to offset weight gain
iii. Occurs at least once a week for at least three months
iv. Self-evaluation is unduly influenced by body weight
v. Disturbance does not occur exclusively during periods of anorexia

Question 3

Which purging type has the most compulsive behaviours?

Answer 3

Laxatives

Question 4

What are the two types of bulimia?

Answer 4

i. Exercising type (rare)

ii. Purging type (common)

Question 5

What are six medical consequences for bulimia?

Answer 5

i. Salivary gland enlargement (making face look chubby)
ii. Erosion of enamel from repeated vomiting
iii. Electrolyte imbalance
iv. Develop more body fat than age and weight matched controls
v. Intestinal damage from laxative use
vi. Calluses on fingers from forcing gag reflex

Question 6

What medical disorders associated with bulimia

Answer 6

i. High comorbidity with anxiety and mood disorders
ii. Commonly, there is substance abuse
iii. Poor impulse control

Question 7

How is anorexia different from bulimia?

Answer 7

i. Differs from Bulimia in that they are very successful at losing weight through extraordinary control to the point of putting their lives in danger

Question 8

What are the DSM 5 criteria for bulimia?

Answer 8

i. Restriction of energy intake relative to requirements
ii. Intense fear of gaining weight
iii. Persistant lack of recognition of the seriousness of current low body weight

Question 9

Define anorexia

Answer 9

i. Characterized by intense fear of obesity and relentless pursuit of thinness, marked disturbance in body image
ii. Have tendency to over-estimate body weight, never satisfied with weight loss

Question 10

What are the two subtypes of anoexia

Answer 10

1. Restricted type
   a. Diet to limit calorie intake
2. Binge-eating, purging type
   a. Differ from bulimia in that they eat small amounts of food and purge regularly

Question 11

What are four consequences for anorexia

Answer 11

1. Cessation of menstruation
2. Intolerance of cold temperatures
3. Lanugo
   a. Downy hair on limbs and cheeks
4. If vomiting is present, electrolytic imbalance may result

Question 12

What are the DSM 5 criteria for BED

Answer 12

i. Recurrent episodes of binge eating
ii. Marked distress regarding the binge
iii. Occurs at least once a week for three months
iv. Not associated with compensatory behaviours like purging

Question 13

What is the most likely demographic for BED

Answer 13

i. Males in later years

ii. Often on a weight-control program

Question 14

What occurs when binging is mixed with dieting? Which sequence gives the worst outcome?

Answer 14

i. Those who binge FIRST are more likely to be severely affected by BED

Question 15

What kind of people are most likely to have bulimia

Answer 15

i. Vast majority are women, with large minority of gay/bisexual men

Question 16

What are some negative consequences of dieting?

Answer 16

i. Broken diets lead to bingeing

ii. Low self-esteem, food preoccupation, negative mood

Question 17

what are three cross cultural considerations in eating disorders?

Answer 17

a. Overwhelmingly associated with Western culture, but becoming more homogenous
b. The disorder will develop in people immigrating to Western cultures when it wasn’t there before
c. Black girls in North America worry less about body image compared to white girls

Question 18

How does development make females more prone to eating disorders?

Answer 18

i. Physical development during puberty brings boys closer to ideal, while it pulls girls further away
ii. Boys gain muscle tissue, girls gain fatty tissue

Question 19

How did men rate body sizes?

Answer 19

1. Men rated current, ideal, and female attractive size basically all the same

Question 20

How did women rate body size?

Answer 20

2. Women rated current figures as most heavy, which was heavier than male attractiveness, which in turn was higher than ideal from women