Chapter 8 part 2

Question 1

How do friend groups impact eating disorders in girls?

Answer 1

1. Young girls gravitate toward groups of friends that share their attitudes toward dieting and weight

Question 2

Why is dieting dangerous for adolescent girls?

Answer 2

v. For adolescent girls, dieting increases your chances 8x of developing a eating disorder

Question 3

What is the family type most associated with anorexic patients?

Answer 3

1. Successful, concerned about external appearance, hard driving

Question 4

what are the four different types of attachment anxiety?

Answer 4

1. Affect regulation
2. Interpersonal style
3. Coherence of mind
4. Reflective functioning

Question 5

Define the attachment anxiety affect regulation

Answer 5

a. Poor self regulation, able to identify affect but exaggerated, repeatedly re- access painful experiences, hyper-active emotions

Question 6

Define the attachment anxiety interpersonal style

Answer 6

a. Intense focus on relationships, hyper-vigilent of rejection, intense focus on own needs, solicit displays of care

Question 7

Define the attachment anxiety coherence of mind

Answer 7

a. Difficulty organizing past experiences, disconnected unfocused narrative, not mindful of current context

Question 8

Define the attachment anxiety reflective functioning

Answer 8

a. Overly preoccupied with past rejections, not consider consequences of behaviors, difficulty keeping in mind the needs of others, problems with perspective-taking due to emotions

Question 9

Eating disorder people have what attachment problem?

Answer 9

ii. ED people have greater attachment insecurity

Question 10

How is the role of fathers related to eating disorders in girls?

Answer 10

1. Lower father care leads to greater attachment anxiety, which makes one vulnerable to Media internalization, then on to body Dissatisfaction

Question 11

What are two types of hormones that can play a role in eating disorders?

Answer 11

i. Low levels of serotogenic activity and increased eating disorders
ii. Strong relationship between ovarian hormones and eating disorders

Question 12

What are for psychological traits of people with eating disorders?

Answer 12

i. Diminished sense of personal control
ii. Perfectionistic traits
iii. Altered body perception
iv. Intense emotions in the presence of food cues

Question 13

What does the integrative model of eating disorders say?

Answer 13

a. Eating disorders are anxiety disorders focused exclusively on becoming overweight, with significant pressure from society and family coming into play

Question 14

Drug treatments and eating disorders

Answer 14

i. Not effective for anorexia
ii. Can be helpful for bulimia
During bingeing and purging cycle
Same drugs used for mood and anxiety disorders

Question 15

What is CBT-E?

Answer 15

1. Principal focus is to challenge the views the person holds on body shape, weight and maladaptive attempts to control weight

Question 16

What are the step of CRT_E for bulimia?

Answer 16

a. Teach consequences of binging
b. Regular meals thru day
c. Altering dysfunctional thoughts about body
d. Coping strategies for impulses

Question 17

What is another type of psychological treatment that has been helpful in treating bulimia?

Answer 17

2. Family therapy directed at internal conflict can also be helpful

Question 18

What is the best strategy for psychological treatment of BED?

Answer 18

1. The best strategy is still CBT

a. Works well if delivered as self-help, therefore, that type should be delivered first

Question 19

What are the best psychological treatments for anoexia

Answer 19

1. The most important goal is to restore lost weight
2. Treatment then must focus on anxiety over being overweight
3. Often make use of CBT-E or Family Based Therapy