Eating Disorders Flashcards
DSM-5 Criterion A for Anorexia Nervosa: A _______ of energy intake relative to requirements, leading to significantly ____ ______ _____
restriction; low body weight
DSM-5 Criterion B for Anorexia Nervosa: Intense fear of ______ ______ or becoming _______ even though underweight
gaining weight; fat
DSM-5 Criterion C for Anorexia Nervosa: Distorted ____ image
body
What are the two types of anorexia nervosa?
Restricting type
Binge-eating/purging type
Restricting type of anorexia nervosa involves _______, ________, and _______
dieting, fasting, excessive exercise
What is a binge?
Eat more than most would in a discrete time period
What are some examples of purging?
Vomiting
Laxative
Diuretics
Enemas to minimize caloric imapct
True or false: You can diagnose two eating disorders at the exact same time
False
Anorexia nervosa is often associated with several ______ complications
medical
Common medical complications in anorexia nervosa:
Loss of bone mass/strength
Loss of menstruation
Electrolyte imbalance
Hypertension
Anorexia Nervosa onset:
adolescense
Onset for AN is associated with a stressful life event
True
AN Prevalence in the U.S.
1%
__% of all those with AN are women.
95
AN is more prominent in those with a low/high SES
high
What is the death rate from AN (not counting from suicide)?
5-8%
DSM-5 Criteria for BN:
A. Recurrent ______ :
B. __________________ behaviors to prevent weight gain
C. A and B occur at minimum _x/week for _ months
D. Self-esteem tied to ________
E. Symptoms do not occur exclusively during episodes of _________.
Binges
Compensatatory
1; 3
weight/shape
anorexia
Binges
Eating more than most would in a discrete time period with little to no sense of control
Examples of compensatory behaviors
Purging, excessive exercise, laxatives, diuretics
BN Cycle
Shame and disgust
Strict dieting
Tension and craving
Binge eating
Purging to avoid weight gain
What are some common triggers for a binging episode in BN?
Emotions
Tempting food
Interpersonal stressors
Body image dissatisfaction
Skipping meals/
getting too hungry
Medical complications with BN
stomach rupture
bradycardia
dehydration
sore throat
electrolyte imbalance
dental erosion
swelling of salivary glands
BN Prevalence
0.5-3%
BN W:M Ratio
10:1
BN Onset
15-29 years
BN is more common in Caucasian/African Americans.
Caucasian
BN is highly comorbid with
depression, anxiety, personality disorder, substance abuse
DSM-5 Binge-eating disorder:
Recurrent binges associated with _+ of:
Unusually rapid eating
Eating large amounts w/o hunger
Eating until uncomfortably full
Eating alone because of embarrassment
Depression/self-disgust/guilt post binge
Significant _____ about binges
Average of _x/week for _ months
__ appropriate compensatory behavior
3
distress
1; 3
No
Lifetime prevalence of binge-eating disorder
2.8%
Which is better for eating disorders, medication or therapy?
Therapy
Ideal therapy type for eating disorders
CBT approach
What behaviors are we targeting with CBT?
Normalize eating
What cognitions are we targeting with CBT?
need for control / coping with stress
With anorexia, in addition to normalizing eating and changing the maladative thoughts, we also need the individual to _____ ________
gain weight
