Eating Disorders Flashcards
Anorexia Nervosa
- Subsisting on little or no food for long periods of time, resulting in low body weight
- High mortality rate - 6% per decade
- Linked to problems with heart, liver, bone density, electrolytes gastro
- Usually don’t recognize they are under weight
- Fear of gaining weight and losing control
Prevalence of anorexia nervosa
- 0.6% lifetime in western countries
- 75% of cases are in girls and women
- peak age 14-20
- higher rates in trans and non-binary
How is anorexia nervosa different for men and boys
Ideal body type is muscular and leaner
Types of anorexia nervosa
Restricting type
- Using dieting, fasting, and/or excessive exercise
Binge/purge types
- Engage in binge eating and purging
- Could include misuse of laxatives
- binging is not usually large amount of food
Symptoms of anorexia nervosa
Food preoccupation
- Spend lot of time thinking and planning mood
Distortions in Thought
- Think they are bigger than they are
Research in Body image
Participants view a photo of themselves through adjustable lens
- can adjust to be 20% smaller or larger than actual proportions
Over 50% of participants with anorexia overestimate their body size
Bulimia Nervosa
- Bingeing followed by inappropriate compensatory behaviours to prevent weight gain
- 1 to 14 times per week
- Body distortions are not as pronounced as AN
Binge
Large amount of food consumed in a discrete period of time
- Feeling of little to no control over eating
- Feeling compelled to eat even when not hungry
Prevalence of Bulimia Nervosa
1% lifetime prevalence
Differences between bulimia nervosa and anorexia
Compared to those with anorexia:
- History of mood swings, strong emotions
- Trouble coping, controlling impulses
- Dental problems
- More concerned about: Pleasing others, being attractive to others, experiencing intimacy
Binge-Eating Disorder
- Binge eating without compensatory behaviors
- Generally associated with obesity
- Higher risk for those living with food insecurity
- Binges not driven by desire for thinness
Prevalence of binge-eating
2-3.5% lifetime prevalence in USA
Biological Approach for theories of eating disorders
HERITABILITY
- 48-74% for AN
- 23% for bulimia
- 41% for BED
Structural or functional problems in hypothalamus
AN - enhanced dopamine activation in response to weight loss
Bulimia - deficiency in serotonin may lead to carbohydrate cravings
Psychosocial Contributors to theories of eating disorders
Social media usage linked to:
- body image concerns
- low self-esteem
- dieting and disordered eating
Involvement in certain sports
Family dysfunction, poor communication inappropriate boundaries
Internalizing ‘thin ideal’
Stice, maxfield & wells (2003) body satisfaction study
A thin, attractive 19-year-old women approached college women and spoke about:
- Pressure Condition: Dissatisfaction with weight, extreme exercise regime and restrictive diet
- Neutral Condition: Classes and plans for the weekend
FINDINGS: women in the pressure condition significantly more dissatisfied with their own bodies