Lecture 10 - Bulimia Nervosa

Question 1

What is bulimia nervosa mainly characterised by?

Answer 1

Recurrent episodes of binge eating, inappropriate compensatory behaviours to prevent weight gain, and negative self-views related to body weight.

Question 2

What was a significant change between DSM-IV and DSM-5 on BN?

Answer 2

DSM-IV said at least 2 binge eating episodes once a week for 3 months, but there was no significant difference between the one and two (DSM-5) -> better for insurance.

Question 3

What is the Eating Disorders Examination (EDE)? What four areas does it involve subscales?

Answer 3

Semi-structure, 45 minute interview with good reliability and validity. However, it requires extensive training -> EDE-Q self-report questionnaire is more used.

Involves restraint, shape concern, eating concern, and weight concern as subscales.

Question 4

What does CBT-E involve in regards to BN?

Answer 4

Over 20 weeks, attempts to restructure behaviour -> concerned with future and present.

Question 5

What is stage 1 of CBT-E? (5)

Answer 5

Establish a relationship.
Explanation of cognitive views of BN, and the behaviours needed to combat it.
Educate people about food regulation, dangers of dieting, etc.
Enforce regular meals (3 meals and 2 snacks a day).
Reduce secrecy.

Question 6

What is stage 2 of CBT-E? (4)

Answer 6

Incorporate proper dieting.
Enhance problem-solving skills.
Address concerns about shape/weight.
Address cognitive distortions

Question 7

What is stage 3 of CBT-E?

Answer 7

Focus on relapse prevention and maintenance of current behaviour.

Question 8

What is the cyclical nature of BN?

Answer 8

Binge eating is usually triggered by negative affect, but negative affect also triggers binging.