Chapter 8: Eating Disorders

Question 1

Anorexia Nervosa

Answer 1

characterised by someone who has an intense fear of gaining weight or being fat and copes with this fear by restricting food intake (20% underweight)

Question 2

Anorexia Nervosa Subtypes

Answer 2

Bingeing/Purging
Restricting

Question 3

Anorexia Nervosa Prevalence

Answer 3

majority female and white
middle to upper-middle class families
early adolescent development
many develop it after moving to Western countries

Question 4

Bulimia Nervosa

Answer 4

characterised by the compensatory behaviour for bingeing, which is eating an excessive amount of food
no weight criteria (usually slightly overweight)
(usually) accompanied by uncontrollable binges
1x a week for 3 months

Question 5

Compensatory Behaviour for Bulimia

Answer 5

purging
excessive excercise
fasting
laxatives
diuretics

Question 6

Bulimia Prevalence

Answer 6

more common in females
7% of college women suffer from bulimia at some point of their college careers
later adolescence for onset

Question 7

Orthorexia

Answer 7

Incredible rigidity for what is considered healthy food

Question 8

Binge Eating Disorder

Answer 8

characterised by out of control binges without compensatory behaviour
50% of those seeking bariatric surgery have BED
different emotional states than just being overweight; comorbid w/ anxiety, depression, etc

Question 9

Etiology of Eating Disorders

Answer 9

thin has change meaning
different subcultures
beliefs about what is physically attractive
online media
disordered eating among men manifests in different ways
close relatives are 4-5x more likely to have an eating disorder
perfectionism and personality
low serotonin + bingeing
hormones influencing eating behaviour

Question 10

Bulimia in the family

Answer 10

more outward conflict with one another
strain on family relationships

Question 11

Anorexia in the family

Answer 11

more high-achieving atmosphere
concern with external appearances (not excluding the way you look, but “keeping appearances” like the way you act, perform, etc)
motivated to maintain harmony = poor familial communication and denial

Question 12

Mood Intolerance

Answer 12

inability to cope with uncomfortable emotions and therefore using something to combat these feelings

Question 13

Adolescent Risk

Answer 13

Dieting = 8x more likely to develop an eating disorder
adolescents internalise the standards of friends
dieting may actually cause weight gain because it can increase food cravings

Question 14

Treatment for Eating Disorders

Answer 14

SSRIs (mainly bulimia)
CBT and IPT
group therapy
residential treatment
behavioural components (postponing binges)
coping mechanisms
making sure the family is involved
address underlying issues