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Year 2 Psych exam2 > Eating Disorders, Vertrees > Flashcards

Eating Disorders, Vertrees Flashcards

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1
Q

what is an eating disorder

A

undue preoccupation with body image leading to impaired intake

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2
Q

types of anorexia nervosa

A

restricting type and binge/purge type

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3
Q

binge

A

limited period with intake greater than others
sense of lack of control over eating in episode
almost always followed by built, sadness, disgust

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4
Q

purge

A

self induced vomiting or misuse of laxatives, diuretics or enemas

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5
Q

criteria anorexia nervosa

A

restriction energy intake relative to requirements below BMI 18.5
intense fear of gaining weight or getting fat
significant disturbance in perception of shape or weight of body

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6
Q

restricting type anorexia nervosa

A

last 3 mo, not engaged in recurrent binge eating or purging

weight loss achieved through diets, fasts and excessive exercise

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7
Q

binge purge type anorexia nervosa

A

las 3 mo has engaged in recurrent binges and/or purges

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8
Q

epidemiology anorexia nervosa

A

common onset 14-18
F>M
higher in modeling, ballet, cross country

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9
Q

biologic anorexia

A

higher concordance in monozygotic twins than dizygotic

mood disorders common in family

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10
Q

higher social risk anorexia

A

heterosexual women and gay men

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11
Q

pyschodynamic

A 
family where excellence is demanded
lack of sense of autonomy and selfhood
self starvation= discipline, self mastery
wrest control of self from mother
rigid and perfectionist
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12
Q

what accompanies onset anorexia

A

dec sex

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13
Q

what psych disorders common with anorexia

A 
MDD
social anxiety
OCD
GAD
80% are single
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14
Q

complicaitons anorexia

A 
lowered cognition, anhedonia/apathy
cold intolerance
bradycardia
reduced thyroid metabolism
low LH and FSH, estrogen/testosterone
osteoporosis, hypocalcemia
chronic dehydration and constipation
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15
Q

Tx anorexia

A 
weight normalization
physical complications
CBT: distorted body image, low self esteem, destructive coping strategies
SSRI 
family therapy
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16
Q

hospitalize for anorexia when

A

BMI under 17

evidence organ system failure: HR

17
Q

adult onset anorexia

A

Sx onset after 18 y.o

18
Q

adolescent onset prognosis anorexia

A

5 yr post tx
most full recovery
no deaths reported

19
Q

adult onset prognosis

A

4 yrs post Tx
15% recover
40% “good” outcome
5% dead

20
Q

lifetime mortality anorexia

A

25%

21
Q

bulimia nervosa

A

recurrent binge eating with inappropriate compensatory methods to avoid weight gain
binge avg 1/week for at least 3 mo

22
Q

onset bulimia nervosa

A

late teens early 20s

23
Q

which NT implicated in bulimia

A

serotonin- satiety

SSRI dec binging and purgin

24
Q

psychodynamics of bulimia

A

less superego control
more outgoing, impulsive, emotional lability
engage in substance use and destructive sexual relations
significant BPD assoc traits
family viewed as conflictual, neglectful and rejecting

25
Q

complications of bulimia

A 
dehydration and electrolyte disturbances
laxatives- metabolic acidosis
vomiting- metabolic alkalosis
low Mg elevated amylase
irregular menses
26
Q

Which SSRI used in bulimia

A

fluoxetine

27
Q

binge eating disorder

A

recurrent binge eating (weekly in 3 mo)
no compensation
binges: eat fast, uncomfortably full, large amounts when not hungry, eating alone, post binge disgust

28
Q

epidemiology binge eating

A

most common

50% obese

29
Q

Tx binge eating

A

CBT
SSRI
self help groups

30
Q

When trying to Dx binge eating

A

why are they disordered eating
look at BMI
look for complicaitons form behavior

31
Q

substance abuse more likely with bulimia or anorexia

A

bulimia

32
Q

OCD assoc with

A

anorexia

33
Q

borderline personality disorder associated with

A

bulimia

34
Q

avoidant personality disorder

A

anorexia and bulimia

Year 2 Psych exam2 (13 decks)

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