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Psych > eating/feeding disorders (2) > Flashcards

eating/feeding disorders (2) Flashcards

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1
Q

which ED has the highest mortality rate?

A

anorexia nervosa

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2
Q

what is the relapse rate of anorexia at 1 year

A

50%

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3
Q

which disorder has an extreme fear of obesity/weight gain even though they are severely underweight

A

anorexia

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4
Q

which disorder has a severe distortion of body image

A

anorexia

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5
Q

describe restricting type of anorexia

A

-does not engage in binge eating or purging
-diet and fast rigorous exercise

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6
Q

describe binge/purge anorexia

A

primarily only restricts but does binge/purge occasionally

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7
Q

when is someone with anorexia in full remission

A

at a regular BMI

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8
Q

BMI levels of mild, moderate, severe, and extreme anorexia

A

mild= >17
mod= 16-16.99
severe= 15-15.99
extreme= <15

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9
Q

heart complications of anorexia

A

prolonged QT and ST-T wave (CAN LEAD TO DEATH)
bradycardia
vtac/vfib

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10
Q

how is BP effected by anorexia

A

hypotension/ortho

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11
Q

comorbidity with anorexia

A

depression/anxiety
compulsive behavior/OCD

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12
Q

when does bulimia occur?

A

late adolescence/early adulthood

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13
Q

what condition is repeated, episodic, uncontrolled, compulsive, rapid ingestion of large quantities of food over a short period of time. FOLLOWED by inappropriate compensatory behaviors to rid body of excess calories

A

bulimia

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14
Q

how long does episodes of bulimia need to occur to be diagnosed

A

once a week for 3 months

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15
Q

compensatory mechanisms used in binging

A

-self-induced vomiting
-misuse of laxatives, diuretics, enemas
-fasting
-excessive exercise

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16
Q

describe frequency of episodes that classifies mild, mod, severe, and extreme bulimia (also the same for binge eating disorder)

A

mild= 1-3 eps/week
mod= 4-7 eps/week
severe= 8-13 eps/week
extreme= 14 or more eps/week

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17
Q

comorbidities with bulimia

A

MDD/bipolar, anxiety, borderline/histrionic personality, substance abuse

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18
Q

describe weight fluctuation in bulimia

A

weight fluctuation common, but likely stays in normal range

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19
Q

what can lead to death in bulimia

A

dehydration/electrolyte imbalances, EKG changes/arrythmias

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20
Q

effects of vomiting frequently (bulimia)

A

tooth enamel erosion, dental carries, loss of dental arch, tears in esophagus

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21
Q

risk factors for anorexia/bulimia?

A

UNKNOWN
-linked to chromosomes 1, 2, abd 13
-neuro-endocrine abnormalities

22
Q

what part of the brain is effected in eating disorders

A

hypothalamus

23
Q

what does the hypothalamus do in relation to eating disorders

A

-recognize when hungry
-nit hungry
-when sated

24
Q

which neurotransmitter is impaired in anorexia

A

dopamine, triggers anxiety

25
Q

which neurotransmitters are altered in bulimia

A

serotonin and norepinephrine

26
Q

which amino acid is essential to serotonin synthesis and is only available through diet

A

tryptophan

27
Q

brain differences in bulimia

A

-increased grey matter
-more likely to have ADHD

28
Q

psychodynamic influences on bulimia/anorexia

A

-mother-infant disturbances
-parent responds to emotional need with food
-enmeshed boundaries
-conflict avoidance
-POWER/CONTROL OF BODY
-passive father/domineering mother

29
Q

which kind of gain are where they get to avoid something

A

primary

30
Q

which kind of gain are where they get attention

A

secondary

31
Q

which kind of gain are where their areas of conflict are shifted

A

tertiary

32
Q

personality traits linked with EDs

A

perfectionism, avoidant, interceptive awareness, anxirty, intolerance of uncertainty, obsession, thought sticking, impulsive/compulsive, competitive

33
Q

which ED is repeated episodes of uncontrolled binge eating with significant distress, do not use compensatory mechanisms

A

binge eating disorder

34
Q

psychological/environment factors for binge eating disorder

A

-low self esteem / body dissatisfication
-reduced coping
-ACE

35
Q

which feeding disorder is the persistent eating of substances with no nutritional value (dirt, paint, paper clips)

A

pica

36
Q

why is pica dangerous

A

undigested objects can cause intestinal blocking

37
Q

which feeding disorder is where undigested food is returned to the mouth, re-chewed, re-swallowed, or spit out

A

rumination disorder

38
Q

what is rumination disorder associated with

A

intellectual development disorders and neglect

39
Q

which eating disorder is when someone with DM1 restricts insulin to lose weight

A

diabulimia (ED-DMT1)

40
Q

treatment of eating disorders

A

restore nutritional status - weight restoration program

41
Q

what is an imbalance of electrolytes / fluid shifts that can occur when a malnourished pt begins to eat normally (rapid discharge of insulin & ↓ phosphorus)

A

refeeding syndrome

42
Q

what increases the risk of refeeding syndrome

A

-rapid weight loss
-abnormal EKG/low phos
-diuretic, laxative, or insulin misuse

43
Q

s/sx of refeeding syndrome

A

weakness, leg swelling, difficult breathing, altered mental status, seizures, heart failure

44
Q

how must people with refeeding syndrome be fed?

A

refed slowly and supplement electrolytes

45
Q

descrube behavior modification treatment for ED

A

must perceive control of treatment, contract for privleges based on weight gain

46
Q

which practice of ED recovery uses concepts of CBT and eastern mindfulness practices

A

dialectical behavior therapy

47
Q

what are the goals of family therapy for ED

A

-educate
-don’t comment on body
-support for feelings of guilt and stigma
-support gorups
-stop tertiary gains

48
Q

when should individual therapy be used for EDs

A

not normally used, only when there is an underlying psych problem

49
Q

how can “fear foods” be handled?

A

pair challenging food with non-challenging food

50
Q

meds with anorexia

A

no approved meds, no evidence of meds being beneficial for treatment

51
Q
A

Psych (19 decks)

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