Chapter 8: Feeding & Eating, Sleep Disorders Flashcards

1
Q

What percentage of the Canadian population is diagnosed with an eating disorder?

A

0.4%

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2
Q

What gender more commonly suffers from eating disorders?

A

Women (80%)

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3
Q

What are the three major types of eating disorders?

A

Anorexia nervosa
Bulimia nervosa
Binge-eating disorder

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4
Q

What is anorexia nervosa?

A

Eating disorder characterized by maintenance of an abnormally low body weight, distortions of body image, and intense fears of gaining weight.

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5
Q

When is the onset on anorexia nervosa?

A

12-18

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6
Q

Who is at the greatest risk for developing anorexia nervosa?

A

Girls in activities that emphasize on endurance, aesthetics, and weight levels.

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7
Q

What are the subtypes of anorexia nervosa?

A
  1. Binge-eating and purging.

2. Restrictive.

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8
Q

What is binge eating/purging anorexia nervosa?

A

A subtype disorder characterized by weight loss accomplished through self-induced vomiting and usage of laxatives.

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9
Q

What is restrictive anorexia nervosa?

A

A subtype disorder characterized by weight loss achieved through restrictive diet, excessive exercise, or fasting.

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10
Q

What are medical complications of anorexia nervosa?

A

10% will die within 10 years of receiving diagnosis.

Amenorrhea
Osteoporosis
Dry, cracking skin
Fine hair
Heart irregularities and low BP
Constipation, bowel obstruction
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11
Q

What is amenorrhea?

A

Absence of menstruation

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12
Q

What is osteoporosis?

A

Physical disorder caused by calcium deficiency resulting in extremely brittle bones.

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13
Q

What is bulimia nervosa?

A

Eating disorder characterized by a recurrent pattern of binge eating followed by inappropriate compensatory behaviors (purging) to prevent weight gain.

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14
Q

What is the typical onset of bulimia?

A

Late teens.

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15
Q

At what point is a binging episode stopped?

A

When the stomach is painfully distended which induces vomiting, or the person is exhausted or runs out of food.

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16
Q

What are medical conditions associated with bulimia?

A

Tooth decay
Pancreatitis
Potassium deficiency
Bloody diarrhea

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17
Q

What are sociocultural causes of anorexia/bulimia?

A

Unrealistic media portrayal of body and beauty standards

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18
Q

What are psychosocial causes of bulimia and anorexia?

A
Perfectionistic attitude
Body dissatisfaction
Low self-esteem
Rigid behavior
Control and independence
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19
Q

What are biological causes of anorexia/bulimia?

A

Serotonin and dopamine deficiencies

Genetics

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20
Q

What are the treatments for anorexia and bulimia?

A
Hospitalization
Cognitive analytic therapy
Behavior therapy
Family therapy
CBT
Interpersonal therapy
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21
Q

What are other eating problems and related conditions in childhood? (5)

A
  1. Pica
  2. Rumination disorder
  3. Feeding disorder
  4. Prader-Willi Syndrome
  5. Cyclic Vomiting Syndrome
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22
Q

What are other eating problems and related conditions in adolescents and adults?(6)

A
  1. Anorexia Athletica
  2. Muscle dysmorphia
  3. Orthexia Nervosa
  4. Night-Eating syndrome
  5. Nocturnal sleep-related eating disorder
  6. Gourmand syndrome
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23
Q

What is binge eating disorder?

A

Eating disorder characterized by repeated episodes of binge-eating that are not following by purging

24
Q

When is typical onset of BED?

A

30s-40s

25
Q

What are causes of BED?

A
Overweight/obesity
Depression
Body dissatisfaction
Dieting
Weight-related teasing
26
Q

What is pica?

A

Compulsive eating disorder in which people each non-food items.

27
Q

What is rumination disorder?

A

Eating disorder in which food is involuntarily brought back up from the stomach.

28
Q

What is feeding disorder?

A

Eating disorder in which an individual refuses to eat a particular kind of food.

29
Q

What is prader-willi syndrome?

A

Developmental syndrome that results in constant hunger in childhood.

30
Q

What is cyclic vomiting?

A

Constant vomiting/cycles of fatigue and lethargy

31
Q

What is gourmand syndrome?

A

Eating disorder with organic (frontal lobe) origin.

32
Q

What are sleep-wake disorders?

A

Disorders characterized by persistent or recurrent sleep-related problems that cause significant personal distress or impaired functioning.

33
Q

What is polysomnographic recording?

A

Simultaneous measurement of multiple physiological responses during sleep or attempted sleep (PSG)

34
Q

What is insomnia disorder?

A

Difficulty falling asleep, remaining asleep, or achieving restorative sleep.

35
Q

What is the prevalence of insomnia disorder?

A

6-10%

36
Q

What are risk factors for insomnia?

A

High stress, shift work, heavy drinking, cannabis use, obesity, being female.

37
Q

What are the adverse conditions caused by insomnia?

A

Difficulty concentrating, learning, and remembering. Reduced immune functioning.

38
Q

What is hypersomnolence disorder?

A

Persistent patterns of excessive sleepiness during the day.

39
Q

What is narcolepsy?

A

Sudden, irresistible episodes of sleep attacks. The individual may remain asleep for an average period of 15 minutes.

40
Q

What is cataplexy?

A

A form of narcolepsy; brief, sudden loss of muscular control in response to strong emotions.

41
Q

What is cataplexy caused by?

A

Hypocretin deficiency, immediate transition into REM sleep from a state of wakefulness.

42
Q

What is obstructive sleep apnea-hypopnea?

A

Repeated episodes of complete or partial obstruction of breathing during sleep.

43
Q

What are circadian rhythm sleep disorders?

A

Disruptions in sleep caused by mismatch in sleep schedules between internal clock and state of the environment.

44
Q

What are parasomnias?

A

Category of sleep-wake disorders involving the occurrence of abnormal behaviors or physiological events during sleep.

45
Q

What is nightmare disorder?

A

Recurrent awakenings from sleep because of frightening nightmares.

46
Q

What is the prevalence of nightmare disorders?

A

1-2%

47
Q

When do nightmares occur?

A

During REM sleep.

48
Q

What are risk factors for nightmare disorder?

A

Stress, associated with trauma.

49
Q

What are non-REM sleep arousal disorders?

A

Recurrent episodes of incomplete arousals during sleep that are accompanied by sleep terrors or sleepwalking.

50
Q

What is the prevalence of sleep terrors?

A

2% in adults
35% in babies
20% in children

51
Q

What is sleepwalking?

A

Episodes in which the sleeper arises from bed and walks about while remaining fully asleep. Tends to occur in deeper stages of sleep.

52
Q

What is the prevalence of sleepwalking?

A

3%

53
Q

What are medicative treatments for sleep disorders?

A

Anxiolytics (sedatives)

54
Q

How is narcolepsy treated?

A

psychostimulants

55
Q

How is sleep walking/talking treated?

A

Antidepressants and benzodazepines

56
Q

How is sleep apnea treated?

A

Positive pressure airway masks.

57
Q

What are psychological approaches to treating sleep disorders?

A

CBT techniques;

lowering states of arousal, modifying sleep habits, relaxation and anxiety management