Eating Disorders

Question 1

Amount of kids who are picky eaters

Answer 1

1/4– mostly girls

Question 2

At what age are girls more anxious about losing weight

Answer 2

9

Question 3

Eating attitudes

Answer 3

Belief that cultural standards for attractiveness, body imahe and societal acceptance are tied to one’s ability to control diet and weight gain

Question 4

What age are western values of body weight internalized

Answer 4

7-10

Question 5

How many girls report being on a diet in past year

Answer 5

2/3

Question 6

What % of girls are chronic dieters

Answer 6

10%— 2% of boys

Question 7

Metabolic rate

Answer 7

Balance of energy expenditure based on genetic and physiological makeup, and eating and exercise habits

Question 8

Set point

Answer 8

Comfortable range of body weight body defends to maintain

Question 9

2 hormones in growth rate

Answer 9

Growth hormone

Thyroid hormone

Question 10

Growth hormone inhibiting factor

Answer 10

Stops GH response to internal signs of hunger, so we stop eating

Question 11

Amount of obese children

Answer 11

1/6

Question 12

Childhood obesity

Answer 12

Chronic condition characterized by excess body fat and BMI above 95th percentile

Question 13

Growth of obesity rate since 80s

Answer 13

x2 for girls
x3 for boys
4.2- 6.7%

Question 14

Leptin

Answer 14

Hormone carries instructions to brain to regulate energy and appetite– deficiencies found in obese kids
- decrease with dieting

Question 15

Family disorganization

Answer 15

Poor communication, lack of perceived control and abuse

Question 16

Pica

Answer 16

Ingestion of inedible substances such as hair, insects and paint for at least one month

Question 17

Prevalence of pica in intellectually disabled and institutionalized kids

Answer 17

0.3- 14.4% disabled

9-25% institutionalized

Question 18

Causes of pica

Answer 18

Poor stimulation and supervision in home environment

Vitamin and mineral deficiencies

Question 19

Two important periods for eating disorders

Answer 19

Passage into adolescence

Transition into early adulthood

Question 20

When were anorexia and bulimia recognized

Answer 20

Anorexia– 19th century

Bulimia– 6th century

Question 21

Anorexia

Answer 21

Refusal to maintain a minimally normal body weight, intense fear of gaining weight and significant disturbance in perception of body size

Question 22

Restricting type

Answer 22

Lose weight primarily through fasting, diet or exercise

Question 23

Binge/Eating Type

Answer 23

Compared to bulimia, eat smaller amounts of food and purge more consistently – more severe form

Question 24

Amenorrhea

Answer 24

Absence of 3 consecutive menstrual cycles

Question 25

Bulimia

Answer 25

Recurrent binge eating followed by compensatory behaviours to prevent weight gain

Question 26

Purging type

Answer 26

Self-induced vomiting, laxatives, enemas-- 2/3 of bulimic people

Question 27

Non-purging type

Answer 27

Use of other inappropriate compensatory behaviours such as fasting and exercise

Question 28

Binge eating disorder

Answer 28

Bulimia without the compensatory behaviours

Question 29

Prevalence of BED

Answer 29

1.6%

Question 30

Prevalence of anorexia

Answer 30

0.3%

Question 31

Prevalence of bulimia

Answer 31

0.9%

Question 32

Anorexia % below normal weight

Answer 32

15% below normal body weight

Question 33

Bulimia % of normal weight

Answer 33

Within 10% of normal body weight

Question 34

% of ED that are not other specified

Answer 34

60%

Question 35

anorexia age of onset

Answer 35

14-18

Question 36

anorexia mortality rate

Answer 36

5%

Question 37

Anorexia development outcomes

Answer 37

1/2 fully recover 1/3 show fair improvement 1/5 continue on chronic course

Question 38

% that die from medical complications or suicide

Answer 38

6-10%

Question 39

Bulimia onset

Answer 39

Late adolescence and early adulthood

Question 40

Recovery rate for bulimia

Answer 40

50-75%

Question 41

Best predictor for ED

Answer 41

Being an adolescent female

Question 42

Inherited personality risk factors

Answer 42

Emotional instability | Poor self-control

Question 43

Serontonin

Answer 43

Regulates hunger and appetite | -- binge eating increases serotonin

Question 44

Personal freedom

Answer 44

Emphasis on instant gratification, availability of food, lack of supervision

Question 45

Bruch

Answer 45

Related to struggle for autonomy, competence, control and self-respect

Question 46

Crisp

Answer 46

Phobic avoidance in which phobic objects are normal adult body shape and weight

Question 47

% of ED with comorbid axis 1 disorder

Answer 47

90%

Question 48

Behavioural family systems

Answer 48

Emphasize parental control, cognitive restructuring and skills training

Question 49

Ego-oriented individual training

Answer 49

Build ego strength, autonomy and insight