Chapter 8- Eating and Sleep Wake Flashcards
Binge-Eating
Brief episode of uncontrolled, excessive consumption of food or alcohol
Purging methods
Vomiting, diuretics, laxatives, and enemas
Amenorrhea
Lack of menstruation
Bulimia Nervosa
Recurrent binge eating followed by compensatory behaviors while maintaining normal weight
Two types- Purging and non-purging
Self-worth is tied to weight and appearance
High anxiety and mood comorbidities
Bulimia consequences
Enlarged salivary glands
Erode enamel
Tear esophagus
electrolyte imbalances
Anorexia Nervosa
Intense fear of obesity and gaining weight that results in dramatic weight loss and low body weight with disturbed body image
Two types- Restrictive and purging
Associated with depression, anxiety, OCD, and substance abuse
Anorexia Consequences
Amenorrhea, dry skin, brittle hair and nails, cold sensitivity
Lanugo- Hair on limbs and cheeks
Cardiovascular problems
Binge-Eating Disorder
Distress from binge-eating without compensatory behavior
Concern about weight and appearance
Eating Disorder Statistics
Majority women, onset in adolescence
Men have more binge-eating
Chronic conditions
Associated with western beauty standards and developmental changes
Social Dimensions of Eating Disorders
Buying into beauty standards
Women- Thinness
Men- Big and muscular
Dieting
Family and direct societal pressures
Preoccupation with food
Biological Dimensions of Eating Disorders
Some genetic factors
Hypothalamus and Serotonin System
Hormone levels with menstruation
Serves to maintain disorder rather than cause
Psychological Dimensions of Eating Disorders
Associated with low confidence and self esteem
Associated with high perfectionism and poor coping
Preoccupied with perception
Eating Disorder Treatment
Use Cognitive Therapy to restore healthy weight followed by education about consequences of disorder and treatment of dysfunctional thoughts about body and self worth
Prevention of Eating Disorders
Target negative behaviors to change before disorder develops
Obesity
BMI of over 30
Not eating disorder
Associated with increased mortality
Disordered Eating Patterns
Binge-eating
Night eating syndrome
Night eating syndrome
Third of daily food intake is after evening meal and get out of bed to snack; Do not usually eat breakfast
Causes of obesity
Modernization- High caloric foods with sedentary lifestyle
Mediated by genetics, physiology, and personality
Obesity Treatments
1) Self-directed weight loss
2) Commercially directed weight loss
3) Professionally directed behavior modification programs
Other:
Appetite restricting drugs
Bariatric Surgery
Rapid Eye Movement (REM) sleep
Dreams occur but no bodily activity
Dyssomnias
Trouble in getting to bed and quality of sleep
Parasomnias
Abnormal behavioral and physiological events during sleep