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Adv. Psychopathology Final > Eating Dxs (Anorexia, Bulimia, etc.) > Flashcards

Eating Dxs (Anorexia, Bulimia, etc.) Flashcards

1
Q

Anorexia Nervosa
Criteria:

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

A

significantly low body weight

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2
Q

Anorexia Nervosa
Criteria:

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

A

gaining weight;

weight gain

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3
Q

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 ___________

A

body shape;

self-evaluation;

current low weight

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4
Q

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

A

Restrictive

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5
Q

Anorexia Nervosa
Subtypes:

_________ - Last 3 months with recurrent ______ and ______

A

Binge-eating/purging;

Binges and purges

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6
Q

Anorexia Nervosa
Specifiers:

Remission can be either ______ or _______.

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

A

Full or partial

Partial

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7
Q

Anorexia Nervosa
Specifiers:

Severity: Name the 4 levels of severity

A

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.

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8
Q

Anorexia Nervosa

The distinguishing factor between anorexia and bulimia is _________

A

low weight

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9
Q

Anorexia Nervosa

Binge-eating/purging does not necessarily indicate ________ Dxs

A

bulimia

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10
Q

Anorexia Nervosa

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

A

Anorexia; bulimia

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11
Q

Anorexia Nervosa

The prevalence of anorexia is higher in _______ than ______

A

females

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12
Q

Anorexia Nervosa

The age of onset is ______ & ______ (bimodal)

A

bimodal: 14 and 18

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13
Q

Anorexia Nervosa

Onset is frequently associated with a __________

A

stressful life event

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14
Q

Anorexia Nervosa

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

A

50-70;

relapses;

6-7 years

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15
Q

Anorexia Nervosa

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

A

Mortality;

die;

suicide;

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16
Q

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

A

binge eating;

greater amount;

lack of control;

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17
Q

Bulimia Nervosa
Criteria:

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

A

compensatory behaviors;

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

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18
Q

Bulimia Nervosa
Criteria:

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

A

binges;

compensatory

19
Q

Bulimia Nervosa
Criteria:

D) ________ is unduly influenced by body shape and weight

A

Self-evaluation

20
Q

Bulimia Nervosa
Criteria:

E) Does NOT occur exclusively during episodes of ______

A

anorexia

21
Q

Bulimia Nervosa

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

A

Low weight

22
Q

Bulimia Nervosa
Specifiers:

Partial ______
Full ______

A

remission

23
Q

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 _______

A

frequency;
compensatory;

mild; moderate; severe; extreme

Sxs;
functional disability

24
Q

Bulimia Nervosa

Which sex has a greater prevalence of BN

A

Females

25
Q

Bulimia Nervosa

Age of onset is ….

A

late adolescence/early adulthood

26
Q

Bulimia Nervosa

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

A

75%; treatment

27
Q

Bulimia Nervosa

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

A

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

28
Q

Bulimia Nervosa

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

A

Russell’s Sign

29
Q

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 _________

A 
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
30
Q

Binge Eating Dx

No compensatory behavior = ______
Compensatory behavior = _______
Compensatory behavior + low weight = ______

A

Binge eating Dx;
bulimia nervosa;
anorexia nervosa

31
Q 
Binge Eating Dx
Specifiers:
Remission:
Partial = \_\_\_\_\_\_
Full = \_\_\_\_\_\_\_
A

less than 1x/week;

no criteria met for sustained period

32
Q

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

A

Mild; moderate; severe; extreme

33
Q

Binge Eating Dx:

More common amongst which sex? What’s the age of onset?

A

Women; early adulthood

34
Q

Other Specified OR Unspecified Feeding or Eating Dx

These Dxs account for __%-__% of cases seeking help at specialty eating disorder centers

A

40-60%

35
Q

Anorexia, Bulimia, and Binge Eating Dx

Name at least 3 possible health complications for each Dx…

A 
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
36
Q

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 _______
A
  1. moderate
  2. imbalance
  3. distortions
    a. insight
    b. thin-ideal
    c. thoughts
  4. control; control
  5. culture; society
37
Q

What are some aspects of Maudsley treatment for eating Dxs?

A
  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
38
Q

CBT-E (Enhanced)

Transdiagonstic view of eating Dxs means…

A

Same pathological processes underlying all EDs

39
Q

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 ________

A

food diary;

decide to regain weight themselves

40
Q

CBT-E Vs. Maudsley Tx for Adults

There was _____ statistical difference on….

  • Weight _____
  • Eating ______ pathology
  • Quality of ______
A

NO statistical difference on…

  • Weight gain
  • Eating disordered pathology
  • Quality of life
41
Q

Bulimia Tx
CBT is slightly _____ than other Txs

IPT is just ______ CBT and _____ at 1 year follow-up

A

CBT=slightly better

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

42
Q

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

A

decrease

binge and purge 4-6 times

43
Q

Binge Eating Dx Tx

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

A

Not one treatment comes out ahead

Adv. Psychopathology Final (7 decks)

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