eating and feeding disorders

Question 1

ED: spectrum

Answer 1

wax and wane
normal eating -> dev of RF -> partial syndrome eating disorder -> full syndrome eating disorder -> tm

Question 2

ED: rf

Answer 2

low self esteem, dieting, parental attitudes, body dissatisfaction, media ideal bodies

Question 3

partial syndrome eating disorder

Answer 3

binge eating
serious dieting

Question 4

full syndrome eating disorder

Answer 4

increased freq and severity of binge eating, purging, starvation, etc

Question 5

eating disorder

Answer 5

consistently below or above a person’s caloric needs to maint weight
accompanied by anx and guilt
occur without hunger or fails to produce satiety (comfortable fullness)
results in phys imbalance or med comp

Question 6

factors contributing to ED

Answer 6

genetics, puberty onset, vulnerable personality, F, hx obesity, dieting uncontrolled, major change/stressors, fam functioning style, sociocultural emphasis on slimness (social media), perfectionism, impulsivity

Question 7

ED causes - psych

Answer 7

low self esteem
inadequate
decreased control of life
dep
anx
stress
loneliness
trauma

Question 8

ED causes - interpersonal factors

Answer 8

troubled relationships, difficulty expressing emotions, hx bullying based on weight/size, hx phys/sexual abuse

Question 9

ED causes - social

Answer 9

cultural pressures that glorify thinness or muscularity, value of perfect body, narrow definition of beauty, norms that value people based on phys appearance and not inner qualities

Question 10

ED causes - biological

Answer 10

genetics (hereditary), irregular hormone function

Question 11

ED etiology - neurobiological

Answer 11

altered brain serotonin function contribute to dysreg or appetite, mood, impulse control

Question 12

ED etiology - env

Answer 12

childhood trauma and sex abuse
hx abuse = poor prognosis
culture influences development of self concept and satisfaction with body size

Question 13

ED comorbidities and dual dx

Answer 13

associated with dep and anx -> anorexia
associated with OH or substance abuse -> binge and purge behavior
dep, SAD, personality disorders -> bulimia

Question 14

ED treating

Answer 14

rarely seek help, not motivated to change, often leave tm, some recover spont and others have long term problems

Question 15

feeding disorders: pica

Answer 15

ingest substances with no nutritional value -> dirt, paint
early childhood, few months, adolescents and adults
M = F
monitor eating behavior, reward appropriate eating

Question 16

feeding disorders: rumination

Answer 16

undigested food returned to mouth, rechewed, swallowed, or spit out
dx after 1 mo, any age, infants onset = 3-12 mo
more freq with intellectual disabilities
childhood neglect is predisposing factor

Question 17

feeding disorder: avoidant/restrictive food intake

Answer 17

weight loss, nutritional deficiency, dependence on supplements or enteral feeding, marked interference with functioning
food avoidance r/t strong dislikes of sensory qual, appearance, color, smell, texture, temp, taste
M = F, infancy and early childhood
personal and fam anx = rf

Question 18

feeding disorder: avoidant/restrictive food intake - tm

Answer 18

behavior mod to increase regular food consumption
fam needs support and education on specific behavioral techniques, fam therapy not usually necessary
treat dep and anx

Question 19

feeding disorders: rumination - tm

Answer 19

reposition during feeding, make mealtimes pleasant, distract when behavior starts, may need fam therapy