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abnormal psychology, Comer 9e > eating disorders > Flashcards

eating disorders Flashcards

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1
Q

how many cases of anorexia nervosa (restricting type) occur in women

A

90-95%

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2
Q

OCD and anorexia

A

many w anorexia show obsessive compulsive tendencies, and are perfectionistic

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3
Q

general medical issues from AN

A
  • lack of period- amenorrhea
  • lowered body temp
  • low blood pressure
  • body swelling
  • lowered heart rate
  • reduced bone mineral density
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4
Q

appearance based medical issues from AN

A
  • skin becomes dry and rough
  • nails brittle
  • hair falls out
  • feet cold and blue
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5
Q

bulimia nervosa- purging type

A
  • engage in binges, then in compensatory behaviors like throwing up, laxatives, excessive exercise
  • weight typically stays in normal ranges, if too low then qualifies for AN
  • often follows pd of intense dieting
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6
Q

bulimia binges

A
  • 1-30 eps/week
  • eat 3500-10,000 cals very quickly
  • preceded by sig feelings of tension; powerless, unreal
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7
Q

compensatory behaviors

A
  • vomiting most frequent, but it (and other comp behaviors) actually fail to prevent 1/2 of the caloric intake
  • binging leads to more purging etc; vicious cycle
  • feelings of disgust
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8
Q

diffs between AN and BN

A
  • ppl w AN worry about opinions of others, while ppl w BN more concerned w pleasing others/being attractive to others
  • BN more sexually active
  • BN more likely to have mood swings, trouble controlling emotions- 1/3 show signs of personality disorder especially BPD
  • AN almost all have no pd, while BN just 1/2
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9
Q

binge eating disorder

A

binging w/o purging

  • 2/3 become obese
  • no large gender diffs like w AN and BN
  • not as driven towards thinness
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10
Q

multidimensional risk perspective

A

-identify a number of risks for devlepoing a disroder, and the more you have the more likely youll develop the disorder

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11
Q

psychodynamic factors of EDs

A
  • disturbed mother-child relationships lead to ego deficiencies (incl. poor sense of independence and control) and perceptual disturbances
  • ineffective parenting (not responding to childs needs accurately) leads to kids using external guides for whats happening w them
  • then, not being in control of one’s needs/body- feel unable to be independent
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12
Q

alexithymic

A

having great trouble putting names to emotional states

-often the case w EDs

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13
Q

cognitive factors of EDs

A

ppl can’t accurately percieve internal cues,

-judge themslevs almost exclusively on their shape/weight/ability to control those

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14
Q

biological factors

A

genetic proof for bio effects- for instance, identicial twins 70% chance of also developing, while fraternal 20%

  • typically show low levels of serotonin
  • hypothalamus + related chemicals may manage weight set point created by genetics and early eating; when above/beloew the brain tries to adjust
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15
Q

societal pressures factors of ED

A
  • western standards of female attractiveness, since much more widespread in western coutrnies
  • higher in more affluent ppl
  • fatphobia
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16
Q

family environment factors of ED

A
  • mothers more likely to diet and be perfectionistic
  • enmeshed families more likely to lead to EDs; push for independence is a prob when parents want too much closeness/interdependence, then subtly force child to take on victim role
17
Q

racial diffs in EDs

A

white womens eating habits USED TO BE much less healthy than black womens

  • but, EDs on rise amongst all racial groups
  • harder for general public to spot an ED if not white woman
18
Q

general treatment for EDs

A

first, correct dangerous eating pattern ASAP

-then, focus on addressing what led to it- psych probs must be addressed for lasting change

19
Q

CBT treatment for EDs

A
  • included in most treatments, can be even more helpful for BN than for AN
  • identify core pathology (that they should be judged by weight/shape/ability to control it)
  • change maladaptive assumptions
20
Q

exposure and response treatment for BN

A

-same as w OCD; eat particular kinds/amounts of food and then prevent from purging to show that nothing bad happens. therapist stays w client during this. reduces binging/purging

21
Q

antidepressent drugs and ED

A

often help BN, not typically AN

abnormal psychology, Comer 9e (11 decks)

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