Feeding & Eating Disorders Flashcards
What is Avoidant/Restrictive Food Intake Disorder?
-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
How prevalent are eating disorders by gender?
-Most people with E.D. are women
How prevalent are eating disorders by Westernization?
-Thinness is seen as a sign of wealth and status nowadays
-Food and feminity go hand in hand (eating less is “woman like”)
Which types of males are susceptible to E.D.s?
-Males in sports emphasizing thinness and weight control
-Queer men
-Men in body-building
How effective is dieting as a weight-loss method?
-It will usually worsen binge-eating
-Most diets fail and result in regaining weight quickly
-Can gain even more weight
What is Anorexia Nervosa?
-when a person will limit food intake to below normal levels for age/sex/other
-intense fear of gaining weight
What is the nature of body-image distortion in Anorexia?
-the person will “feel” fat and believe they are
-deny significance of low body weight
Which populations are susceptible to Anorexia?
-Adolescents (13-18)
-Women athletes and dances
-Male wrestlers and models
-Common in W.E.I.R.D. societies
How are eating habits altered in Anorexia?
-restrictive (obsessively thinking about food and holding irrational food rules)
-binge-eating/purging (some will binge small and then purge excessively)
What co-morbidity exists with Anorexia?
-many people also have OCD
What are the “Two P’s” of Anorexia?
-Powerless
-Perfectionism
What is the bodily damage suffered in Anorexia?
-Dry skin
-Blueing of nails and skin
-Chronic constipation
-Chest pain
How is Anorexia treatment and what is the outcome?
-Patients usually deny their issue
-Need medical management (hospital refeeding)
-Medication is not very effective
-Impatient to outpatient family therapy
What is Bulimia Nervosa?
-recurrent binge eating in 2 hour periods
-accompanied with compensatory behavior to maintain/lose weight
Which populations are susceptible to Bulimia?
-mainly female
-adolescents and young adults (esp in college students w/ “Freshman 15”)
What is Binge Eating Disorder?
-binge eating at least once a week without compensatory behavior
-people are generally medically obese
What bodily damage is suffered in Bulimia?
-Ruptured stomach
-Broken eye blood vessels
-Teeth/gum erosion from vomit
What are the types of compensatory behavior in Bulimia?
-purging: self-induced vomit, diet pills, laxatives
-non-purging: excessive exercise and fasting
How is Bulimia treated and what is the outcome of it?
-high SSRI dose to reduce bingeing and vomiting
-therapy focusing on resisting the impulses
-treatment is usually successful, but relapse is common
What is the main difference between Binge and Bulimia?
-Binge does not have any compensatory behabior
-Bingeing has a complete loss of control of food intake
What are the physical costs of bingeing?
-obesity
-type 2 diabetes
-sleep apnea
-early mortality
What are the psychological costs of bingeing?
-shame and guilt at bingeing behavior
-social avoidance
-embarrassed of appearance
-depression
-anxiety
What is the use of Semaglutide?
-can be used to help with obesity that results in bingeing
-only FDA approved weight loss medication
