Eating DOs Flashcards

1
Q

what type of DOs has the highest mortality rate of psych disorders? why?

A

eating disorders- starvation, electrolyte disturbance

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2
Q

what are four comorbidities to eating disorders?

A

depression, anxiety, OCD, substance abuse

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3
Q

what is the prognosis for eating disorders?

A

very poor, 70% failure in treatment (lifetime management needed)

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4
Q

what is the goal for anorexia treatment?

A

get weight back on

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5
Q

what is the main characteristic for anorexia nervosa?

A

low weight- BMI less than 18%

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6
Q

what is low weight in anorexia due to?

A

restricted eating

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7
Q

anorexia: fear of ____, ________ _______ disturbance

A

fat; body image

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8
Q

what are the two subtypes of anorexia?

A

restricting and purging

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9
Q

what are some physical symptoms of anorexia?

A

Low weight or failure to gain; restricted eating; fatigue, hypothermia, bradycardia, hypotension, dizziness, cardiac arrhythmias, constipation, sleep disturbance, dry hair and skin, loss of hair, anemia, decreased reproductive hormones (females particularly)

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10
Q

what are some psychological symptoms of anorexia?

A

Depression, irritability, anxiety, preoccupation with food/exercise**, body image distortion, perfectionism, ritualized behaviors, poor concentration, social withdrawal, self-hate

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11
Q

what is bulimia?

A

recurrent episodes of binge eating and purging

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12
Q

bulimia: pts sense a ______ ___ _______ over eating

A

lack of control

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13
Q

what are methods of purging in bulimia? (5)

A

vomiting, laxative abuse, diet pills, fasting, excessive exercise

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14
Q

bulimia: self evaluation is dependent on what two things?

A

body shape and weight

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15
Q

people with bulimia often have what?

A

body image distortion

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16
Q

bulimia can be associated with what other DO?

A

anorexia

17
Q

what are some physical symptoms of bulimia?

A

weight changes- not always
heart arrhythmias, electrolyte imbalances; fatigue; dizziness; GI distress; edema; swollen salivary glands (result of vomiting); tooth decay (result of vomiting); loss of hair; esophageal bleeding.

18
Q

what are some psychological symptoms of bulimia?

A

depression, anxiety, poor concentration, impulsivity, secretive behaviors, low self esteem

19
Q

Binge eating DO: recurrent episodes of ___________, absence of _________ behaviors

A

binge-eating; purging behaviors

20
Q

binge eating disorder is associated with what five things?

A

obesity, depression, anxiety, social withdrawal, low self-esteem

21
Q

binge eating DO: sense of lack of control about what?

A

over eating

22
Q

what is starvation syndrome?

A

psychological and physiological effects of prolonged dietary restriction

23
Q

starvation syndrome: what biological response do you see? what can happen to menarche?

A

same biological response as famine; women can have enough calorie deficit to stop menarche

24
Q

what were the results of the starvation study?

A

prolonged semi-starvation produces significant increases in depression, hysteria, and hypochondriasis; social withdrawal and isolation; decreased sexual interest; decreases in metabolic rate, HR, body temp, some pts had edema

25
Q

core psychopathology of eating disorders: anorexia nervosa = ___________, thinness = ____________, self-worth = ___________

A
anorexia = pseudosolution
thinness = successful self
self-wroth = weight control
26
Q

people with eating DO have deficits in ________ and __________ emotions

A

identifying and expressing

27
Q

people with eating DO have poor __________ awareness and pervasive sense of _____________

A

interoceptive; ineffectiveness

28
Q

PCPs are the first line of defense for what two parts of helping people with eating disorders?

A

assessment and intervention

29
Q

describe overall treatment plan for eating disorders?

A

team treatment and involve the parents

30
Q

what are three stages to treatment of eating DOs

A

refeeding, returning control to the patient, establishing a healthy identity

31
Q

general guide to treating eating DOs: (7)

A

1) . assess
2) . educate
3) . establish the “norms”
4) . set up tx team
5) . communicate, prevent “splitting”
6) . affirm feelings- confront behaviors
7) . provide hopefulness: “someone who believes in me”