Child Psych Chapter 14 Flashcards
Developmental Risk Factors for Disordered Eating
Disturbed eating attitudes
Adolescent transitions
Dieting and weight concerns
Biological influences:
Metabolic weight, body weight, and growth
Obesity
1/6 north american children are obese
Chronic condition of excessive body fat
Genetic, biochemical, and lifestyle causes
Treated with nutrition and physical activity interventions
Avoidant/Restrictive Food Intake Disorder (ARFID)
Avoidant or restrictive food intake
Significant weight loss and nutritional deficiency can lead to dependence on enteral feeding
Interfere with psychosocial functioning
Cause Failure to Thrive
Emotional deprivation and poor attachment or home environment
Pica
Ingestion of inedible substances for over one month
Common in very young children or those with intellectual disability
Caused by poor stimulation and home environments
Anorexia Nervosa
Refusal to maintain minimally normal body weight
Intense fear of weight gain
Disturbed perception and experience of body size
Bulimia Nervosa
Recurrent binge eating followed by compensatory behaviors
Follows interpersonal stressors
Surrounded by shame
Self-evaluation based on weight
Binge Eating Disorder
Recurrent binge eating episodes followed by feelings of loss of control
Vary by subject and circumstance
Eating Disorder Prevalence
12% girls and 2% boys
Common in high SES and Western countries
Overlap with anxiety, mood, and substance-use disorders
Presents in adolescence
Biological Causes of Eating Disorders
More implicated in disorder maintenance
Tend to run in families, inherit vulnerability
Decreased serotonin
Sociocultural causes of Eating Disorders
Western culture
Preoccupation with appearance
Self-concept and worth tied to appearance and weight
Sex-role identification
Family Influences on Eating Disorders
Parental psychopathology interaction
Family dysfunction
Familial eating disorder or substance abuse
Childhood abuse
Psychological Causes of eating disorders
Struggle for autonomy, competence, control, and self-respect
Parental failure to support needs
Phobic avoidance of food and bodily change
Mood swings, impulse control, obsessive-compulsive behaviors
Eating Disorder Treatments
Family-based interventions
Restoration of healthy weight
Monitor medical consequences
CBT with family involvement
SSRIs