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Psych Final Final > Eating Disorders - Vertrees > Flashcards

Eating Disorders - Vertrees Flashcards

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1
Q

undue preoccupation with body image - leading to impaired intake

A

eating disorder

disordered behavior, thinking, physiology

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2
Q

anorexia nervosa types

A

restricting
binge/purge

split roughly 50/50

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3
Q

2 hour with intake significantly greater than others would consume in similar circumstance

A

binge

sense of lack of control

followed by guilt, sad, disgust

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4
Q

purge

A

self-induced vomiting or misuse of laxatives, diuretics, enemas

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5
Q

diagnosis of anorexia nervosa

A

below BMI 18.5

intense fear gaining weight or getting fat

significant disturbance in perception of shape or weight of body

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6
Q

restricting anorexia

A

in last 3 months - not engaged in recurrent binge eating or purging

weight loss - diets, fasts, excessive exercise

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7
Q

binge/purge anorexia

A

in last 3 months - engaged in recurrent binges/purges

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8
Q

BMI of 18.5

A 
5'1 - 98
5' - 104
5'7 - 118
5'9 - 125
6'1 - 140
6'5 - 155
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9
Q

anorexia epidemiology

A

14-18yo onset

female 10:1 ratio

more in modeling, ballet, cross country

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10
Q

genetic anorexia

A

higher in monozygotic twins

mood disorders common in family

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11
Q

social of anorexia

A

heterosexual women and gay men - high rates

heterosexual men and lesbian women - lower risk

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12
Q

psychodymanic of anorexic

A

mommie dearie

domineering family
-excellence demanded

control of self from mother

rigid and perfectionist
-ego-syntonic

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13
Q

anorexics and loss of appetite

A

no - often think about food alot

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14
Q

decreased with anorexia

A

socializing - isolate and secret
decreased sex
loved ones drag pt to tx

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15
Q

restrictive vs. bunge/purge anorexia

A

restricting - high achievers

binge/purge - less self control - substance abuse

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16
Q

psych disorders with anorexia

A 
65% major depressive
35% social anxiety
25% OCD
12% GAD
80% single
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17
Q

phys of anorexia

A 
slow HR
low BP
amenia
kidney stones
low lytes
constipation
period stops
growth problems
bruise easily
grow fine hair over body
18
Q

complications anorexia

A 
lower cognition
anhedonia - can't experience pleasure
cold intolerance
low LH and FSH
osteoporosis
lanugo
19
Q

tx anorexia

A

weight normalization
treat physical complications
CBT
SSRIs - comorbid depression/anxiety

20
Q

hospitalize anorexic

A

BMI

21
Q

anorexia progonis

A

age of onset

adolescent onset - 70% recover post tx
adult onset (>18yo) - 15% recover post tx
22
Q

lifetime mortality adult onset anorexia

A

25%

23
Q

bulimia nervosa

A

recurrent binge eating with inappropriate compensatory methods to avoid weight gain

binge and compensate - 1/week for 3 months

self eval - influenced by weight or shape

24
Q

bulimia epidemiology

A

more in females

late teen, early 20s

25
Q

biology of bulimia

A

linked to satiety - serotonin

SSRIs - decreases binge/purge and depression

more bulimia in first degree relatives

26
Q

psych of bulimia

A

more outgoing, emotional labile
substance use
destructive sexual relations

BPD associations

27
Q

complications of bulimia

A

dehydration and lyte abnormalities

  • laxatives - met acid
  • vomiting - met alkalosis - chipped teeth, enlarge parotid

low Mg - elevated amylase
irregular menses

28
Q

tx bulimia

A

psychotherapy - 50% sx reduction

  • CBT most effective
  • psychodynamic - once binge/purge sx improve
29
Q

meds for bulimia

A

SSRIs - fluoxetine

best results - combine meds with CBT

30
Q

prognosis bulimia

A

episodic course
-3 months - 70% remission

10 years - 60% recovered

31
Q

binge eating disorder

A

recurrent binge eating - weekly in 3 months

no compensation

eat fast, uncomfortably full, large amounts when not hungry, eat alone

32
Q

epidemiology binge eating

A

more in females

-50% are obese

33
Q

tx binge eating

A

CBT
SSRIs
self help groups

34
Q

normal weight

A

bulimia

35
Q

as incidence of overweight and obesity rise

A

so does incidence of eating disorders

36
Q

42% girls age 6-9

A

want to be thinner

50% 4th grade girls - on diet
90% high school girls - on diet

37
Q

substance abuse

A

with 23-40% bulimia

12-18% anorexia

38
Q

borderline PD

A

with bulimia

39
Q

O/C PD

A

with anorexia

40
Q

avoidant PD

A

with anorexia and bulimia

41
Q

sexual abuse

A

with bulimia and anorexia

Psych Final Final (9 decks)

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