Eating Dxs (Anorexia, Bulimia, etc.)

Question 1

Anorexia Nervosa
Criteria:

A) Restriction of energy intake relative to requirements, leading to ___________ for age, sex, developmental trajectory, and physical health.

Answer 1

significantly low body weight

Question 2

Anorexia Nervosa
Criteria:

B) Intense fear of ________, becoming fat, OR
persistent behavior that interferes with _______

Answer 2

gaining weight;

weight gain

Question 3

Anorexia Nervosa
Criteria:

C) Disturbance in how one’s weight or ________ is experienced
OR
Undue influence of body weight or shape on __________
OR
Persistent lack of recognition of seriousness of ___________

Answer 3

body shape;

self-evaluation;

current low weight

Question 4

Anorexia Nervosa
Subtypes:
_______ - Weight loss through dieting, fasting, and/or excessive exercise.
- No binge or purge in last 3 months.

Answer 4

Restrictive

Question 5

Anorexia Nervosa
Subtypes:

_________ - Last 3 months with recurrent ______ and ______

Answer 5

Binge-eating/purging;

Binges and purges

Question 6

Anorexia Nervosa
Specifiers:

Remission can be either ______ or _______.

_______ means person meets criteria B and C but not A.

Answer 6

Full or partial

Partial

Question 7

Anorexia Nervosa
Specifiers:

Severity: Name the 4 levels of severity

Answer 7

Mild
Moderate
Severe
Extreme

Each has their own corresponding BMI calculation.

Note: Severity rating can increase to reflect Sxs, functional disability, or need for supervision rather than BMI.

Question 8

Anorexia Nervosa

The distinguishing factor between anorexia and bulimia is _________

Answer 8

low weight

Question 9

Anorexia Nervosa

Binge-eating/purging does not necessarily indicate ________ Dxs

Answer 9

bulimia

Question 10

Anorexia Nervosa

When you can, counselors should always diagnose _______ before ______ because of hierarchical issues

Answer 10

Anorexia; bulimia

Question 11

Anorexia Nervosa

The prevalence of anorexia is higher in _______ than ______

Answer 11

females

Question 12

Anorexia Nervosa

The age of onset is ______ & ______ (bimodal)

Answer 12

bimodal: 14 and 18

Question 13

Anorexia Nervosa

Onset is frequently associated with a __________

Answer 13

stressful life event

Question 14

Anorexia Nervosa

Close to ___% - ____% recover but ______ are common and recovery usually takes ____-_____ years

Answer 14

50-70;

relapses;

6-7 years

Question 15

Anorexia Nervosa

Anorexia has a very high _______. Individuals are 5x more likely to _____ from any cause and are 18x more likely from ______

Answer 15

Mortality;

die;

suicide;

Question 16

Bulimia Nervosa
Criteria:

A) Episodes of ________
_______= in a discrete period of time (e.g. 2 hours)
- Eat a _____ amount of food than most
- Feel a __________ over eating

Answer 16

binge eating;

greater amount;

lack of control;

Question 17

Bulimia Nervosa
Criteria:

B) Recurrent inappropriate ______________ to prevent weight gain
(provide some examples)

Answer 17

compensatory behaviors;

vomiting, misuse of laxatives/diuretics, fasting, excessive exercise

Question 18

Bulimia Nervosa
Criteria:

C) _______ and inappropriate _______ behaviors both occur more than 1x/week for 3 months

Answer 18

binges;

compensatory

Question 19

Bulimia Nervosa
Criteria:

D) ________ is unduly influenced by body shape and weight

Answer 19

Self-evaluation

Question 20

Bulimia Nervosa
Criteria:

E) Does NOT occur exclusively during episodes of ______

Answer 20

anorexia

Question 21

Bulimia Nervosa

_______ is what differentiates Bulimia from Anorexia because the other criteria are identical

Answer 21

Low weight

Question 22

Bulimia Nervosa
Specifiers:

Partial ______
Full ______

Answer 22

remission

Question 23

Bulimia Nervosa
Specifiers:

Severity is based on ______ of ______ behaviors.

List 4 severity specifiers: Each severity specifier is designated by amount of episodes per week.

Note: Severity may be increased to reflect other _____ and degree of _______

Answer 23

frequency;
compensatory;

mild; moderate; severe; extreme

Sxs;
functional disability

Question 24

Bulimia Nervosa

Which sex has a greater prevalence of BN

Answer 24

Females

Question 25

Bulimia Nervosa Age of onset is ....

Answer 25

late adolescence/early adulthood

Question 26

Bulimia Nervosa ___% recover but most experience a long time before seeking _____

Answer 26

75%; treatment

Question 27

Bulimia Nervosa Mortality is less than, equal to, or greater than anorexia?

Answer 27

Most studies cite mortality as lower than anorexia, but mortality is still appreciable.

Question 28

Bulimia Nervosa Name the sign of bulimia that occurs on the 1st knuckles of the hands

Answer 28

Russell's Sign

Question 29

Binge Eating Dx Criteria: Associated with at least 3 of the following: A) Eat much more ______ than normal B) Eat until _______ full C) Eat _____ amounts of food when not feeling physically ______ D) Eat _____ because of feeling _______ by amount one is eating E) Feeling ______ with oneself, ______, or very ______ afterward F) Marked ______ regarding binge eating G) At least ____ time per week for 3 months H) Binges are not associated with _______ ________ behavior I) Binges do not occur exclusively during ______ or _________

Answer 29

``` A) rapidly B) uncomfortably C) large D) alone; embarrassed E) disgusted; depressed; guilty F) distress G) 1 time H) inappropriate compensatory I) anorexia or bulimia ```

Question 30

Binge Eating Dx No compensatory behavior = ______ Compensatory behavior = _______ Compensatory behavior + low weight = ______

Answer 30

Binge eating Dx; bulimia nervosa; anorexia nervosa

Question 31

``` Binge Eating Dx Specifiers: Remission: Partial = ______ Full = _______ ```

Answer 31

less than 1x/week; | no criteria met for sustained period

Question 32

Binge Eating Dx Specifiers: Severity: Based on frequency of episodes of binge eating. Name the 4 levels of severity. Each correspond to number of binge-eating episodes per week. Note: Severity may be increased to reflect other Sxs and degree of functional disability

Answer 32

Mild; moderate; severe; extreme

Question 33

Binge Eating Dx: | More common amongst which sex? What's the age of onset?

Answer 33

Women; early adulthood

Question 34

Other Specified OR Unspecified Feeding or Eating Dx These Dxs account for __%-__% of cases seeking help at specialty eating disorder centers

Answer 34

40-60%

Question 35

Anorexia, Bulimia, and Binge Eating Dx | Name at least 3 possible health complications for each Dx...

Answer 35

``` Anorexia: Decreased bone density Bradycardia Severe Dehydration Muscle loss; weakness Brittle hair; dry skin; growth of fine hair on body (lanugo) ``` ``` Bulimia: Electrolyte imbalance leads to irregular heartbeat Tooth decay (stomach acid) Irregular bowel movements (laxatives) Mallory-weiss tears (esophagus) Russell's Sign (hands) ``` ``` Binge Eating Dx: Type II Diabetes Increase cholesterol and triglycerides Increased blood pressure Obesity Increase risk of heart disease and stroke ```

Question 36

Eating Dx Etiologies 1. Genetics - _____ heritability 2. Serotonin _______ 3. Cognitive ______ a. Lack of _____ (AN) b. Over-valuing of ______ c. Automatic ______ 4. Personality traits Too much or too little _______ depending on Dx - Rigidity/perfectionism/excessive control (AN) - Impulsivity/too little ______ (BN; BED) 5. Pressures from ______ and _______

Answer 36

1. moderate 2. imbalance 3. distortions a. insight b. thin-ideal c. thoughts 4. control; control 5. culture; society

Question 37

What are some aspects of Maudsley treatment for eating Dxs?

Answer 37

1. Considering the eating disorder a distinct entity from the child. 2. Parents find it difficult to be tough on a child with eating Dx. The weakness and desperation of the child make it emotionally challenging. But toughness is necessary. 3. Child has to experience a break between themselves and the disorder. Disambiguation frees up child's mind to view disorder from a more objective perspective

Question 38

CBT-E (Enhanced) | Transdiagonstic view of eating Dxs means...

Answer 38

Same pathological processes underlying all EDs

Question 39

CBT-E (Enhanced) Highly individualized Tx and patients are asked to keep a _______. If the person is underweight - the goal is to get the person to ________

Answer 39

food diary; decide to regain weight themselves

Question 40

CBT-E Vs. Maudsley Tx for Adults There was _____ statistical difference on.... - Weight _____ - Eating ______ pathology - Quality of ______

Answer 40

NO statistical difference on... - Weight gain - Eating disordered pathology - Quality of life

Question 41

Bulimia Tx CBT is slightly _____ than other Txs IPT is just ______ CBT and _____ at 1 year follow-up

Answer 41

CBT=slightly better IPT is just behind CBT and catches up at 1 year follow up

Question 42

Bulimia Tx Meds: Anti-depressants ______ binge/purge frequency. Patient still _____ & ____ ___-____ times p/week

Answer 42

decrease binge and purge 4-6 times

Question 43

Binge Eating Dx Tx Comparing meds and various types of therapy, _______ Tx comes out ahead

Answer 43

Not one treatment comes out ahead