eating disorders

Question 1

4. Discuss the medical complications and indications for hospitalization in patients with eating disorders.

Answer 1

liver failure, spontaneous pneumothorax, heart issues, sepsis,

Question 2

demographic

Answer 2

90% female, industrialized countries

Question 3

anorexia nervosa

Answer 3

low body wt. 
intense fear of gaining wt
distorted body image
extreme focus on shape/weight
denial of seriousness of illness
onset before 40

Question 4

bulimia Nervosa

Answer 4

recurrent binge-eating
feeling out of control
compensatory behavior- vomiting laxative abuse, excessive exercise, fasting
extreme focus on shape and wt.

Question 5

do families cause eating disorders

Answer 5

no

Question 6

are eating disorders a choice

Answer 6

no

Question 7

what has highest mortality rate of an psychiatric disorder

Answer 7

anorexia nervosa, usually by suicide, starvation, cancer

avg. age is 34

Question 8

predisposing factors Biolgical

Answer 8

FH
mood disorder, anxiety depression
traits/temperment
increased BMI prior to onset
early onset puberty
cognitive lags

Question 9

predisposing factors: environmental

Answer 9

type A
dieting culture
athletes, industry
Family of dieting and excercise

Question 10

common precipitants

Answer 10

early puberty
major transitions
traumatic events
family difficulty
onset of comorbid illness
innocent wt loss

Question 11

what is temperment

Answer 11

hard wiring

Question 12

temperment in anorexia

Answer 12

harm avoidance, neurotic, obsessional, anxious, reward dependent, pperfectionist, low novelty seeking, low self esteem

Question 13

temperment in bulimia nervosa

Answer 13

harm avoidant
neurotic
obsessional
perfectionist
anxious
low self esteem
high novelty seeking
impulsive
affective dysregulation

Question 14

Tx

Answer 14

medical unit with eating disorder and psychiatric expertise the best
hard to treat