Chapter 9: Eating Flashcards

1
Q

What is bulimia nervosa?

A
  • put-of control eating episodes (binges)
  • followed by self-induced vomiting, excessive use of laxatives, or other attempts to purge
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2
Q

whst is absolutely not good to eat?

A

snails - because we love them & because we are not french hihi

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3
Q

What is anorexia nervosa?

A
  • person eats minimal amounts of food or exercises vigorously to offset foot intake
  • one of the highest mortality rates (in psychological disoders)
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4
Q

What is the clinical description of the bulimia nervosa?

A

(amount, out of control, compensate)
1. Eating large amounts of food (rather junk)
2. Eating is expereinced as out of control
3. Individuals attempt to compensate for the binge ating and potential weight gain

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5
Q

What were subtypes of the DSM-IV-TR - regarding bulimia nervosa?

A
  1. Purging type
  2. Nonpurging type
    (little evidence on difference, hence subytping was fropped in DSM-5)
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6
Q

What are some medical consequences of bulimia nervosa?

A
  • salivary gland enlargement
  • electrolyte imbalance (upset the chemical balance of bodily fluids)
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7
Q

Associated psychological disoders … bukimia seems related to …

A
  • anxiety disorders
  • mood disorders
  • substance use disoders
  • borderline ersonality
  • impulsivity
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8
Q

What are similarities between anorexia nervosa and bulimia nervosa?

A
  • morbid fear of gaining weight
  • losing control overeating
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9
Q

What are major differences between bulimia nervosa and anorexia nervosa?

A
  • poeple with anorexa are proud of both - their diets and their extraordinary control (don’t think they have an illness)
  • people with bulimia are ahamed of both - the problme itself and their lack of control (are secretive avout their symptoms)
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10
Q

What is the clinical description of anprexia nervosa?

A
  • decreased body weight
  • intense fear of obesity and relentlessly pursue thinness.
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11
Q

DSM-5 specifies two subtypes of anorexia nervosa

A
  1. Restricting type
  2. Binge-eating/perging type
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12
Q

What are medical consequences of anorexia nervosa?

A
  • cessation of mestruation (amerrhea) - dropped in DSM-5
  • dry skn, brittle hair or nails
  • cardiovascular problems
  • electrolyte imbalance (when vomiting)
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13
Q

What are associated psychological disoders - regarding anorexia nervosa?

A
  • anxiety disorders and mood disorders are often present
  • substance abuse
  • strongt predictor for mortality
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14
Q

What is the Binge-eating disorder (BED)?

A
  • individuals who experience marked distress from binge eating
  • but do NOT enageg in extreme compensatory behaviors (hence, no bulimia)
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15
Q

What can be said about the statistics regarding BEM?

A
  • greater likelihood of occuring in males
  • greater likelihood of remission and a better response to treatment
  • crossing over to bulimia is common
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16
Q

What can be said regarding the statistics of bulimia nervosa?

A
  • majority women (90%)
  • age of onset 16-19 years
  • after bulimia develops, it tends to be chronic
  • poor diagnosis
17
Q

What can be said regarding the statistics - of anorexia nervosa?

A
  • hifher in females (90%)
  • onset arounf 15
  • once developed, seems chronic (not as chronic as bulimia though)
  • more reistent to treatment
18
Q

What is the avoidant/restrictive food intake disorder (ARFID)

A
  • involves lack of interest in eating food
  • oversensitivity to certain aspects of food.
19
Q

What are causes of eating disorders?

A
  • Social (seld-worh and happiness determined to large extent by body measurements, exposure to media, mother is a perfectionist)
  • biological (genetic component, emotional instability and poor impulsivity might be inherited)
  • psychological (perfectionist attitudes, must consider themseves fat and manifest a low self-esteem)
20
Q

What can be said about drug evidence - regarding eating disorders?

A
  • generally not effective
  • antidepressants useful for some people with bulimia (NOT anorexia)
21
Q

Therapy regarding bulimia nervosa

A
  • teaching the patient physical consequences of binge eachting and purging (CBT)
  • CBT-E focuses on altering dysfunctional thoughts and coping strategies!!
  • IPT did as well as CBT (CBT still preferred method)
22
Q

Treatments - of binge-eating disorder (BED)

A
  • CBT treatment wuite sucessful
  • Self-help may be useful
23
Q

What can be said about treatment regarding anorexia nervosa?

A
  • initial goal to restore patient’s weight
  • CBT-E (effective) - treatment of anxiety over becoming obese and losing control of eating
  • assess readiness for change.