Eating Disorders

Question 1

Eating Disorders Are Commons

Answer 1

1. 90% female
2. 5 to 10 million girls and women
3. Anorexia Nervosa 0.5-1% of females 13-35
4. Bulimia Nervosa 2-5% of females 13-35
5. Industrialized countries

Question 2

Anorexia Nervosa

Answer 2

• Low body weight (

Question 3

Ideal body weight

Answer 3

5lbs each inch

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/weight

Not an effective weight reduction mechcanism

Binging and purging slows down metabolism

Question 5

Eating disordersare NOT disorders of choice

Answer 5

Devalues the seriousness. Need to support

Question 6

Most frequent causes of death in AN pts

Answer 6

1. Suicide 50:50 violent/non-violent
   2 Anorexia starvation
2. Cancer
   - Avg age at death: 34 years old

Question 7

Biological factors

Answer 7

1. Family hx of eating disorder or chemical dependency
2. Mood disorder, anxiety or depression
3. Traits/Temperament
4. Increased BMI prior to onset
5. Early onset puberty
6. Cognitive lags - set shifting/integrating complexity

Question 8

Environmental factors

Answer 8

1. Go fast, highly competitive/social environment
2. Dieting culture - war on obesity
3. High risk sports/industry
4. Family Hx of severe dieting/exercise
5. Family constellation - enmeshed/disengaged

Question 9

Common precipitants to ED

Answer 9

1. Onset of puberty between 11-14
2. Major transitions - separation/individuation/identity
3. Family difficulty
4. Onset of co-morbid illness
5. Innocent weight loss - increased exercise/performance enhancement

Question 10

Etiology of eating disorders

Answer 10

1. Gene
2. FHx = 12x more likely for AN and 4x for BNH
3. 50-80% genetic influence

What is inherited?

• Temperamental traits
• Co-morbid anxiety, depression, OC tendencies

Question 11

Temperament in Anorexia

Answer 11

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

Question 12

Temperament in bulimia

Answer 12

• harm avoidant
• neurotic
• obsessional
• anxious
• perfectionistic
• low self-esteem
• high novelty seeking
• impulsive
• affective dysregulatio