Eating Disorders

Question 1

Eating disorders

Answer 1

-90% F
AN: .5-1% of F 13-35
BN: 2-5% of F 13-35
-industrialized countries

Question 2

Anorexia nervosa

Answer 2

• low body weight
• intense fear of gaining weight
• distorted body image
• extreme focus on shape/weight
• denial of seriousness of illness
• Amenorrhea
• Age at onset teens (changing)

Question 3

Bulimia Nervosa

Answer 3

• recurrent binge-eating
• feeling out of control
• compensatory behavior (vomiting, laxative abuse, excessive exercise, fasting
• Extreme focus on shape/weight

Question 4

Mortality rate for AN

Answer 4

AN has highest mortality rate of any psychiatric disorder:
suicide (32%)
anorexia (19%)
Cancer (11%)
Average age of death: 34 y old

Question 5

Age of developing eating disorder

Answer 5

90% b/t 12-25

Question 6

Predisposing factors: biological

Answer 6

• FH
• mood disorder, anxiety, or depression
• traits/temperament
• Increased BMI prior to onset
• Early onset puberty
• Cognitive lags (set shifting/integrating complexity)

Question 7

Common Precipitants

Answer 7

• puberty (wt gain): age 11-14 w/ 40 lb weight gain
• Major transitions: separation/individuation/identity
• traumatic events
• family difficulty
• onset of co-morbid illness (anx/dep)
• innocent weight loss (increased exercise/performance enhancement)

Question 8

Etiology of Eating disorders

Answer 8

-gene-environment interaction
-gene (50-80% genetic influence)
Whats inherited?
temperamental traits
co-morbid anxiety, dep, OC tendencies

Question 9

Temperament in Anorexia

Answer 9

• harm avoidant
• neurotic
• obsessional
• anxious
• reward dependent
• perfectionistic
• low novelty seeking
• abysmal self-esteem

Question 10

Temperament in Bulimia nervosa

Answer 10

• harm avoidant
• neurotic
• obsessional
• perfectionistic
• anxious
• low self esteem
• higher novelty seeking
• impulsive
• affective dysregulation

Question 11

Clinical components of good treatment

Answer 11

Full continuum of care:

• medical unit with eating disorder and psychiatric expertise
• inpatient
• residential
• seven day per week, 11 hr/d, partial hospitalization
• outpatient
• long term transitional living alternative

Question 12

Eating disorders are NOT

Answer 12

disorders of choice