Lecture 10- Eating disorders

Question 1

what is the difference and similarity between Anorexia nervosa and Bulimia Nervosa?

Answer 1

AN centers on restriction of food intake while BN centers on recurrent binge-eating accompanied by inappropriate compensatory behavior.
Both ED have unhealthy self-evaluation based on body image

Question 2

What is the difference between Bulimia and Binge eating disorder?

Answer 2

Bulimia involves inappropriate compensatory behavior after episode of binge-eating such as purging.
BED does not involve regular use of inappropriate compensatory behavior

Question 3

which other mental disorders are AN and BN most likely to be comorbid with?

Answer 3

Anxiety and depression

Question 4

Give one example of a psychological feature in Anorexia Nervosa

Answer 4

Perfectionism
Feelings of ineffectiveness
Inflexible/rigid thinking
Overly restrained emotional expression

Question 5

What are the 2 subtypes of AN and BN each?

Answer 5

AN: AN-R (Restrictive) and AN-BP (Binge purge)
BN: BN-P (Purge) and BN-NP (non-purge)

Question 6

What is the difference between an eating disorder and feeding disorder

Answer 6

ED has more body image concerns as cause of disordered eating. FD is more concerned with problem of the food than the individual’s self-evaluation

Question 7

Which 2 eating disorders must occur at least once per week for 3 months as a DSM5 criteria

Answer 7

BN and BED

Question 8

what is are the 2 setbacks of Atypical Anorexia Nervosa

Answer 8

1) All criteria met but despite weight loss, Individual’s weight is wiithin/above normal weight range
2) Harder to detect as individual does not present as “underweight”

Question 9

There are 3 types of OSFED stated in lect, what are they? And why are they classified as OSFED?

Answer 9

Atypical AN
Purging disorder
Night eating syndrome

Question 10

Under what circumstances are Unspecified Feeding and Eating Disorder (UFED) diagnoses given? 2 types

Answer 10

1) When clinicians choose not to specify why criteria not met
2) Insufficient info to make a specific diagnosis (E.g. emergency room setting)

Question 11

Give an example of a feeding disorder

Answer 11

Avoidant Restrictive Food Intake Disorder (ARFID)
Pica
Rumination disorder

Question 12

Which disorder requires clinical attention if occurred with another mental health condition or pregnancy

Answer 12

Pica and Rumination disorder

Question 13

What does the dual pathway transdiagnostic model of bulimia nervosa attribute binge eating to?

Answer 13

Result of restriction

Emotional regulation technique

Question 14

What are the 5Ps in which risk factors of ED come together?

Answer 14

Predisposing factors- Contribute to vulnerability of prob
Precipitating- Factors that trigger presenting prob
Presenting- Current prob, symptoms + context
Perpetuating- Maintenance of presenting prob
Protective- Protect individual against prob worsening

Question 15

A) Recurrent episodes of binge eating (size & time & loss of control)
B) Recurrent inappropriate compensatory behaviour to prevent weight gain
(e.g., Purging, laxatives/diuretics, fasting, excessive exercise)
C) Occurs at least once per week for 3 months
D) Self-evaluation unduly influenced by body shape and weight
E) Does not occur exclusively during AN episode

These are DSM criteria of which eating disorder?

Answer 15

Bulimia Nervosa

Question 16

DSM criteria of Anorexia Nervosa

Answer 16

A) Persistent restriction of energy intake leading to low body weight
B) Intense fear of weight gain or persistent behaviour that interferes with weight gain
C) Disturbance in how weight/shape is perceived, undue influence of weight/shape on self-evaluation, or lack of recognition of seriousness of current low weight

Question 17

Give one cognitive changes to AN

Answer 17

Mild deficits in executive functioning, memory, verbal & visuospatial processing
Can impede recovery – e.g. rigid thinking
Mostly improves with weight restoration
Cog + Health issues can severely impact adolescent development

Question 18

What is the 5 DSM criteria of BED

Answer 18

A) Recurrent binge eating (size + time + loss of control)
B) Three or more of the following:
Eating more rapidly than normal
Eating until uncomfortably full
Eating large amount of food when not hungry
Eating alone because embarrassed or disgusted
Depressed or guilty after over-eating
C) Marked distress regarding binge eating
D) Occurs once per week, 3 months +
E) No regular use of inappropriate compensatory behaviours

Question 19

What are the 3 similarities between Orthorexia and AN

Answer 19

Health risks/malnutrition from cutting foods
Rigid food rules and preoccupation with food
Interfering with normal functioning

Question 20

There 6 possible aetiological factors to ED. Give 2 examples

Answer 20

1) Dieting
2) Personality factors- neuroticism, perfectionism, negative affect
3) Body dissatisfaction
4) Thin-ideal internalization
5) Family environment
6) Genetics

Question 21

TRUE OR FALSE. Muslim fasting can lead to Avoidant Restrictive Food Intake Disorder (ARFID).

Answer 21

FALSE.