Eating and Feeding Disorders Flashcards
What is pica?
when you eat non-food substances over a 1 month period - NOT developmentally appropriate, NOT socially supported
Describe the treatment for pica?
just manipulate the antecepdestimulus so they can’t eat it
self protective devices
train to tell the dif between food and non food
reinforce and redirect
What is rumination and who usually has it?
usually in infants, but also children and adults under considerable distress or with GERD, hiatal hernia etc. - it’s regurgitating food that is then either spit out or swallowed again
HOw do you treat rumination?
you use behavioral analysis to determine triggers, then eliminate the trigger. Make it aversive by flicking their foot while they do it, or distract them right before they do it. improve environment so they’re not bored.
What is avoidant/restrictive food intake disorder and how is it different from anorexia?
It’s avoidance of food or not eating enough of it - that’s all it has in common with AN
Do classical/operant conditioning models work for anorexia and bulimia?
nope
Describe the family dynamic in anorexia?
anorexia generally reflects dysfunction in the family - usually high expectations, over-archieveing, perfection striving and absence of interpersonal warmth
In the James Marcia theory of identify status, what are the two factors that are either present or absent in a person’s identity developent?
crisis and commitment
What are the 4 general identity statuses?
diffusion (following the group) foreclosure (just taking on the adults point of view) moratorium (reflecting on a crisis and trying to figure it out) identity acievement (figured it out!)
What is the scoff questionnaire for anorexia/bulimia?
- do you make yourself sick because you feel full?
2/ do you worry you have lost control over how much you eat - have you recently lost more than one stone in a 2 month period
- do you believe yourself to be fat?
- would you say that food dominates your life?
In addition to eating habits, what is important to ask potential anorexics about?
exercise - frequency and how hard?
What are the two questions that are 100% sensitive and 90% specific for bulimia?
- are you satisfied with your eating patterns?
2. do you ever eat in secret?
What criteria for anorexia was removed for the DSM5?
amenorrhea
What are the two types of anorexia?
restricting type and binge-eating/purging type
What are the BMI severity indicators for eating disorders?
mild = 17
moderate = 16-17
severe = 15-16
extreme BMI less than 15
What’s the mean age of onset for AN?
17