Feeding & Eating Disorders

Question 1

What is Avoidant/Restrictive Food Intake Disorder?

Answer 1

-Picky eating and/or disinterest in food leading to significant weight loss
-Little to no concern w/ body image
-Common in infancy and early childhood

Question 2

How prevalent are eating disorders by gender?

Answer 2

-Most people with E.D. are women

Question 3

How prevalent are eating disorders by Westernization?

Answer 3

-Thinness is seen as a sign of wealth and status nowadays
-Food and feminity go hand in hand (eating less is “woman like”)

Question 4

Which types of males are susceptible to E.D.s?

Answer 4

-Males in sports emphasizing thinness and weight control
-Queer men
-Men in body-building

Question 5

How effective is dieting as a weight-loss method?

Answer 5

-It will usually worsen binge-eating
-Most diets fail and result in regaining weight quickly
-Can gain even more weight

Question 6

What is Anorexia Nervosa?

Answer 6

-when a person will limit food intake to below normal levels for age/sex/other
-intense fear of gaining weight

Question 7

What is the nature of body-image distortion in Anorexia?

Answer 7

-the person will “feel” fat and believe they are
-deny significance of low body weight

Question 8

Which populations are susceptible to Anorexia?

Answer 8

-Adolescents (13-18)
-Women athletes and dances
-Male wrestlers and models
-Common in W.E.I.R.D. societies

Question 9

How are eating habits altered in Anorexia?

Answer 9

-restrictive (obsessively thinking about food and holding irrational food rules)
-binge-eating/purging (some will binge small and then purge excessively)

Question 10

What co-morbidity exists with Anorexia?

Answer 10

-many people also have OCD

Question 11

What are the “Two P’s” of Anorexia?

Answer 11

-Powerless
-Perfectionism

Question 12

What is the bodily damage suffered in Anorexia?

Answer 12

-Dry skin
-Blueing of nails and skin
-Chronic constipation
-Chest pain

Question 13

How is Anorexia treatment and what is the outcome?

Answer 13

-Patients usually deny their issue
-Need medical management (hospital refeeding)
-Medication is not very effective
-Impatient to outpatient family therapy

Question 14

What is Bulimia Nervosa?

Answer 14

-recurrent binge eating in 2 hour periods
-accompanied with compensatory behavior to maintain/lose weight

Question 15

Which populations are susceptible to Bulimia?

Answer 15

-mainly female
-adolescents and young adults (esp in college students w/ “Freshman 15”)

Question 15

What is Binge Eating Disorder?

Answer 15

-binge eating at least once a week without compensatory behavior
-people are generally medically obese

Question 15

What bodily damage is suffered in Bulimia?

Answer 15

-Ruptured stomach
-Broken eye blood vessels
-Teeth/gum erosion from vomit

Question 15

What are the types of compensatory behavior in Bulimia?

Answer 15

-purging: self-induced vomit, diet pills, laxatives
-non-purging: excessive exercise and fasting

Question 15

How is Bulimia treated and what is the outcome of it?

Answer 15

-high SSRI dose to reduce bingeing and vomiting
-therapy focusing on resisting the impulses
-treatment is usually successful, but relapse is common

Question 16

What is the main difference between Binge and Bulimia?

Answer 16

-Binge does not have any compensatory behabior
-Bingeing has a complete loss of control of food intake

Question 17

What are the physical costs of bingeing?

Answer 17

-obesity
-type 2 diabetes
-sleep apnea
-early mortality

Question 18

What are the psychological costs of bingeing?

Answer 18

-shame and guilt at bingeing behavior
-social avoidance
-embarrassed of appearance
-depression
-anxiety

Question 19

What is the use of Semaglutide?

Answer 19

-can be used to help with obesity that results in bingeing
-only FDA approved weight loss medication