Eating Behaviour - Anorexia Flashcards
What % of EDs are AN?
10%
Morality rates of AN?
15-20%
How many individuals does AN affect?
70 million+
How is AN diagnosed by the DSM-IV-TR?
Anxiety
Weight (below 85% of normal body weight)
Body-image distortion
Amenorrhea (no periods for 3+ months)
Psychological explanations of AN?
Cultural ideas and the media & personality
Research on cultural ideas?
Gregory et al
Gregory et al?
16% of 15-18 year old girls in the UK were ‘currently on a diet’ - national diet and nutrition survey of young people
Research on media influences?
Jones and Buckingham
Jones and Buckingham?
Individuals with low self esteem much more likely to compare themselves to idealised images
What aspects of personality affect AN?
Perfectionism and impulsiveness
Research on perfectionism?
Strober et al
Strober et al?
High levels of perfectionism in 73% of girls and 50% of boys being treated for AN
Research on impulsiveness?
Butler and Montgomery
Butler and Montgomery?
Patients with AN responded rapidly but inaccurately to a performance task despite low self reported impulsiveness
Strengths of psychological explanations of AN?
Supporting evidence
Genetics
Weaknesses of psychological explanations of AN?
Ethics
Contradictory evidence
Is personality a cause or effect?
Support for psychological explanations of AN?
Halmi et al
Halmi et al?
Those who had a history of AN scored high on the Multi dimensional perfectionism scale and extent was directly related to severity of AN
Ethical issues in psychological explanations of AN?
Researchers look to internet communities for qualitative data
Contradicting evidence for psychological explanations of AN?
Hoek et al
Hoek et al?
Looked at 44,192 people admitted to hospital from 1987-89 in Curaco and found 6 cases of AN (within western ranges)
Issues of cause and effect in psychological explanations of AN?
Difficult to separate lasting traits from short lived ones
Role of genetics in psychological explanations of AN?
Halmi et al
Halmi et al (genetics)
Perfectionism ran in families
Biological explanations include…
Neural and evolutionary
Neural explanations of AN?
Neurotransmitters and neurodevelopment
Neurotransmitters affecting AN?
Serotonin and dopamine
Role of serotonin?
High levels = anxiety, which triggers AN
Research on serotonin?
Bailer et al
Bailer et al?
Significantly higher levels of serotonin in women recovering from binge eating/purging than in healthy controls, and high levels in the most anxious
Role of dopamine?
High levels = AN
Research on dopamine?
Kaye et al
Kaye et al?
PET scan on 10 recovering ANs and 12 controls found over activity in dopamine receptors in the basal ganglia (part of the brain where dopamine plays a part in the interpretation of harm and pleasure)
Aspects of neurodevelopment influencing AN?
Pregnancy and birth complications, and season of birth
How do pregnancy and birth complications cause AN?
Birth complications lead to brain damage due to hypoxia, impairing neurodevelopment
Research on premature birth?
Lindenberg and Hjern
Lindenberg and Hjern?
Significant association between premature birth and AN
Research on mothers with AN?
Bulik et al
Bulik et al?
Mothers with AN expose their offspring to a double disadvantage due to genetics and inadequate nutrition
How does season of birth affect AN?
Higher temperatures = AN due to intrauterine infections during pregnancy and temperature at time of conception
Research on temperature at birth?
Willoughby et al
Willoughby et al?
No seasonality effect in the development of AN in equatorial regions where it’s always hot
Research on season of birth?
Eagles et al
Eagles et al?
Those with AN more likely to have been born in spring
Evolutionary explanations of AN?
Reproductive suppression hypothesis and the adapted to flee famine hypothesis
Reproductive suppression hypothesis?
Surbey
Surbey?
Reproductive suppression hypothesis
Adapted to flee famine hypothesis?
Guisinger
Guisinger?
Adaptive to flee famine hypothesis
Strengths of biological explanations of AN?
Supportive research
Treatment implications
Weaknesses of biological explanations of AN?
Gender bias
Reductionist
Problems with evolutionary theories
Support for dopamine in AN?
Castro-fornieles et al
Castro-fornieles et al
Higher levels of homovahillic acid (waste product of dopamine) in girls with AN, and levels normalised as weight improved
Support for perinatal complications?
Favaro et al
Favaro et al?
Perinatal complications significantly associated with AN
What % of those with EDs are men?
25%
Treatment implications of biological explanations of AN?
Bulik et al
Bulik et al?
If we could use a persons genetic profile to indicate level of risk it’d be possible to tailor prevention programmes
Reductionism in biological explanations of AN?
Guisinger
Guisinger on reductionism?
The AFFFH relieves therapists of the need to search for familial reasons for AN despite them being reported as a characteristic
Problems with evolutionary explanations of AN?
Why would AN be passed on when it has a 15-20% mortality rate and a risk of decreased fertility - it’s useless outside the EEA