eating disorders

Question 1

precipitating event –> lack of control

cognitive appraisal: primary

Answer 1

SELF-CONCEPT THREATENED

• influences: genetics, past experiences, current conditions

Question 2

precipitating event –> lack of control

cognitive appraisal: secondary

Answer 2

weak ego strength = INEFFECTIVE COPING

• DEFENSE MECHANISMS: denial, regression, rationalization

Question 3

precipitating event –> lack of control

maladaptive responses

Answer 3

refuses to eat, binge and purge, binge without purge, compulsive overeating

Question 4

highest mortality rate of all psychiatric illnesses

Answer 4

anorexia nervosa

Question 5

anorexia nervosa: diagnostic criteria

Answer 5

• restriction of intake –> significantly low body weight
• intense fear of gaining weight
• disturbance in experience of personal weight or shape

Question 6

metabolic alteration due to: bowel loss (enema, laxative)

Answer 6

metabolic acidosis - loss of HCO3-

ASS-dosis :)

Question 7

metabolic alteration due to: purging (vomiting)

Answer 7

metabolic alkalosis - loss of H+ and Cl-

Question 8

refeeding syndrome

Answer 8

rare, life threatening complication of anorexia nervosa that is often not recognized

• cardiovascular, neurologic, hematologic issues due to shifts in PO4- from extra to intracellular spaces s/t total body P depletion due to malnutrition
  results: cardiac arrest, delirium

reduce risk with: slower refeeding, replacing P, avoid high Na intake

monitor: serum electrolytes, edema, congestive heart failure

Question 9

bulimia nervosa: diagnostic criteria

Answer 9

• binge eating AND compensatory behaviors occur at least 2x week for 3 months
• self-eval unduly influenced by body weight/shape
• doesn’t occur exclusively during episode of AN

Question 10

bulimia nervosa: unhealthy eating pattern

Answer 10

• binge 2x weekly to several times daily
• secretive, frenzied, brief
• often high calorie intake
• post-binge anguish and compensatory behaviors

Question 11

binge eating disorder: definition

Answer 11

type of eating disorder not otherwise specified

binge eating: overeating accompanied by loss of control

Question 12

binge eating disorder: diagnostic criteria

Answer 12

• recurrent binge eating, at least 2x week for 3 months
• • frequent feelings of lack of control over eating
• does NOT use inappropriate compensatory behavior

Question 13

binge eating disorder: unhealthy eating pattern

Answer 13

• large amounts rapidly, without hunger until uncomfortably full
• eats alone because embarrassed
• consequent disgust, depression, guilt

Question 14

obesity: definition

Answer 14

NOT an eating disorder - 20% above ideal body weight

BMI 30+

Question 15

morbid obesity

Answer 15

100% above ideal body weight

Question 16

overweight

Answer 16

BMI 25.5 - 29.9

Question 17

pharmacological interventions: binge eating disorder

Answer 17

if stable: TCA, SSRI

Question 18

pharmacological interventions: bulimia nervosa

Answer 18

SSRI

stable: TCA, MAOI, lithium

Question 19

FDA warning NOT to prescribe this

Answer 19

wellbutrin