Chapter 8 - Feeding & Eating and Sleep & Wake Disorders Flashcards

1
Q

what percentage of Canadian’s aged 15+ are currently diagnosed with an eating disorder?

A

0.4%

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2
Q

at what age does anorexia nervosa typically develop?

A

early to late adolescence, between the ages of 12 and 18 (usually around first menstrual period)

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3
Q

who’s at a greater risk for developing an eating disorder?

A

competitive activities that emphasize endurance, aesthetics, and weight levels put athletes at risk for developing an eating disorder

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4
Q

what are the subtypes of anorexia nervosa?

A

bing eating/purging: self-induced vomiting or the misuse of laxatives, diuretics, or enemas
restrictive: weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise

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5
Q

what are the medical complications of anorexia nervosa?

A
  • approximately 10% will die within 10 years of receiving a diagnosis
  • amenorrhea
  • osteoporosis
  • dry, cracking skin
  • fine, downy hair
  • heart irregularities, hypotension, dizziness, blackouts
  • constipation, abdominal pain, and obstruction or paralysis of the bowels or intestines
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6
Q

what is bulimia nervosa accompanied by?

A

persistent overconcern with body weight and shape

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7
Q

what is the age of onset for bulimia nervosa?

A

late teens

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8
Q

what are the characteristics of a bulimic binge?

A
  • occurs in secret
  • usually lasts fro 30 to 60 minutes
  • binge eaters feel they lack control
  • may consume 5000 to 10 000 calories at a time
  • continues until the binger is exhausted, suffers painful stomach distention, induces vomiting, or runs out of food
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9
Q

what are the medical complications of bulimia nervosa?

A
  • decay of tooth enamel and dental cavities due to vomiting
  • pancreatitis
  • potassium deficiency, producing muscular weakness, cardiac irregularities, sudden death
  • bloody diarrhea and laxative dependancy
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10
Q

what are the sociocultural factors associated with the development of eating disorders?

A
  • culture

- the media

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11
Q

what are the psychosocial factors associated with the development of eating disorders?

A
  • perfectionistic attitudes
  • body dissatisfaction
  • psychological problems and low self-esteem
  • rigid behaviour
  • control and independence
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12
Q

what are the family factors associated with the development of eating disorders?

A

systems perspective

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13
Q

what are the biological factors associated with the development of eating disorders?

A
  • serotonin and dopamine (related to binging)

- genetics

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14
Q

what are the different treatment options for people with eating disorders?

A
  • hospitalization (especially with anorexia)
  • cognitive analytic therapy
  • behaviour therapy
  • family therapy
  • cognitive behavioural therapy
  • interpersonal psychotherapy
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15
Q

what are the eating problems that can occur in infancy and early childhood?

A
  • pica: consumption of things that aren’t food
  • rumination disorder: regurgitation and re-eating
  • feeding disorder: not consuming enough calories for development
  • Prader-Willi syndrome: from under-eating to over-eating
  • cyclic vomiting syndrome: both psychological and physiological
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16
Q

what are the eating problems that can occur in adolescents and adulthood?

A
  • anorexia athletica: compulsive exercise
  • muscle dysmorphia (bigorexia): desire to be more muscular
  • orthexia nervosa: quality of food is important (healthy food only)
  • night-eating syndrome: majority of calories are consumed at night
  • nocturnal sleep-related eating disorder: eating while sleeping
  • gourmand syndrome: obsessed with gourmet food to the point that it impacts daily life
17
Q

what is the age of onset for binge-eating disorder?

A

30-40 years of age

18
Q

what are the characteristics of binge-eating disorder?

A
  • many individuals are either overweight or obese
  • depression
  • body dissatisfaction
  • dieting
  • weight-related teasing
19
Q

how many people aged 15+ suffer from insomnia in Canada?

A

3.3 million, or 6-10%

20
Q

what are the risk factors associated with insomnia?

A
  • high levels of life stress
  • shift work
  • heavy drinking or cannabis use
  • obesity
  • being divorced, separated, or widowed
  • being female
  • lower levels of education and income
21
Q

what are the cognitive effects of insomnia?

A

sleep deprived brain is less able to concentrate, pay attention, respond quickly, solve problems, and remember recently acquired information

22
Q

what are the effects of breathing-related sleep disorders?

A
  • excessive daytime sleepiness
  • impaired intellectual and memory functioning
  • depression
  • accidents at work and on the road
  • increased risk of high blood pressure, heart attacks, strokes, cancer, and even sudden death
23
Q

what can cause circadian rhythm sleep disorders?

A
  • frequent changes of time zones and changes of work shifts
24
Q

what is the prevalence of nightmare disorder in adults?

A

1-2%

25
Q

what is the prevalence of sleep terrors in adults? in 18 month old children? in 30 month old children?

A

adults: 2.2%
18 month olds: 36.9%
30 month olds: 19.7%

26
Q

what are the physical characteristics of sleep terrors?

A
  • profuse sweating with rapid heartbeat
  • child may be sitting up, appear frightened, and show signs of extreme arousal
  • child may start talking incoherently or thrash about wildly but remain asleep
27
Q

what is the prevalence of sleepwalking?

A

2-3% (more common in children)

28
Q

when do episodes of sleepwalking tend to occur?

A

during the deeper stages of sleep

29
Q

what is sleepwalking characterized by?

A

episodes in which the sleeper arises from bed and walks about while remaining fully asleep

30
Q

what are the biological approaches treating to sleep-wake disorders?

A
  • anxiolytics (drugs that help you stay asleep)
  • psychostimulants for narcolepsy (stops you from falling asleep)
  • medical assistive devices (CPAP) or surgery for sleep apnea
31
Q

what are the psychological approaches to treating sleep-wake disorders?

A

cognitive behavioural therapy (stimulus control techniques and/or cognitive restructuring)