Eating Disorders Flashcards
subtypes of anorexia
restricting type
binge-eating/purging type
Anorexia Nervosa- must have all these criteria
restriction of energy intake–>significantly below body weight
intense fear of gaining weight or becoming fat (may deny)
body-image disturbance (disturbance in perception of how you see your body)
partial remission
normal weight but rest of criteria are present
mild anorexia BMI
> 17
moderate BMI
16-16.99
severe anorexia
15-15.99
extreme
BMI <15
prevalence of anorexia
0.4% rare! but not rare, just stringent criteria
used to have amennorhea for 3 months or more but too hard to assess
percentage of women who maintain a near-normal body weight
little less than half
how many patients do not recover
about 1/4
suicide risk
higher than any other mental disorder
mortality rate
higher than any other mental disorder except heroin disorder
inpatient treatment AN focuses on
weight gain
long term AN treatment
no psychological or drug treatment
outcomes of treatment vs no treatment
similar outcomes
-doesnt mean treatment isnt important
promising treatments
family therapy (for adolescents) acceptance and cmmitment therapy
Bulimia Nervosa
recurrent episodes of binge eating
recurrent inappropriate compensatory behavior to prevent weight gain
both behaviors occur at least 2x/week for 3 months
self evaluation is unduly influenced by body shape and weight
disturbance is not exclusively during episodes of AN
severity scale
mild: 1-3
moderate: 4-7
severe: 8-13
extreme: 14 or more
prevalent of Bullemia
about 1-3% in women
90% women
effective in treating BN
CBT
Interpersonal psychotherapy
fluoxteine
big problem with treatments
drop-out, non-response, incomplete response
binge eating disorder
recurrent binges
assocaited with atleast three- eating more rapidly, feeling uncomfortably full, large amounts of food when not hungry, eating alone bcause of embarrassment, feeling disgusted, depressed or very guilty
marked distress about binge eating***
once a week for 3 months
no compensatory beahviors (purging, restriction)
less emphasis in binge eating on
body dissatisifcation
gender in binge eating
more even sex ratio
CBT is
effective but does not cause weight loss
BED NOT synonymous with
obesity
EDNOS
more common than AN and BN
DSM5 replaced with 2 diagnosies
other specified feeding or eating disorder
unspecified feeding or eating disorder
other specificed feeding or eating disorder
includes specific subthreshold instances of other disorders
unspecified feeding or eating disorder
inadequate information to make another diagnosis
genetic influences
may be specific for AN- starving humans crave sugar- anorexics have that switch turned off
other influences
family influences
dieting
socioculture- If no cultural imperative to be thin, no eating disorder
obesity is NOT
a mental disorder
obestiy and eating
most obese people do not eat differently than normal people
underweight, overweight and mortality
underweight 2x more likely to die
overweight has most likely to have long mortality
all treatments except ___ haveproven ineffective for long term
bariatric surgery
weight loss efforts predict
eright gain and onset of obesity
intended weight loss
may be as strongly related to health outcomes as actual weight loss
empirically supported for AN
maudsley-model family therapy
