Quiz #8: Eating Disorders (Morrison, Ch. 9) Flashcards
Feeding and eating disorders are: ___________________.
severe disturbance in eating behaviors.
Criteria of feeding and eating disorders are:
- Extreme reduction of _______
- Extreme ______
- Extreme ______ or concern about body weight or shape
- Significantly ______ physical health or psychosocial functioning
intake
overeating
distress
impairs
Out of all the feeding and eating disorders, the only one that is not mutually exclusive with the other diagnoses is:
Pica
The following are under the category of _____________?
Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Restricting type or binge-eating/purging type
Bulimia Nervosa
Binge-Eating Disorder
Feeding and Eating Disorders
The DSM-5 says ________ is NOT an eating disorder.
Obesity
_________ etiology includes a range of genetic, physiological, behavioral environmental factors varying across individuals. Robust association with some mental disorders (binge-eating disorder, depressive/bipolar disorder, schizophrenia). A side effect of some psychotropic meds.
Obesity
Which disorder is found in “feeding disorders in infancy and early childhood” in DSM-5?
Pica
Which disorder contains the following diagnosis?
- Eating non-nutritive, nonfood substances for more than one month (no aversion to food in general)
- Eating behavior inappropriate to the developmental level of the individual.
- Examples: paper, soap, cloth, hair, string, wool, soil, chalk, paint, gum, metal, pebbles, charcoal
Pica
Pica can be diagnosed in:
Children (F93.3) and adults (F50.8)
_______ in adults can be psychological or underlying medical condition (e.g., iron or zinc deficiency). It can be comorbid with: intellectual disability, autism spectrum disorder, less often Sz and OCD
Pica
In Pica terms, Dirt or clay eating is ______.
Geophagia
In Pica terms, Stone or gravel eating is ______.
Lithophagia
In Pica terms, starch eating is ______.
Amylophagia
In Pica terms, ice eating is ______.
Pagophagia
In Pica terms, potato eating is ______.
Geomelophagia
In Pica terms, burned match
eating is _______.
Cautopyreiophagia
In Pica terms, hair
eating is _______.
Trichophagia
One example of _______ is eating pebbles with hope that God would turn to bread.
Pica
Which diagnosis contains the following description?
- Repeated regurgitation of food (at least 1 month). Food may be re-chewed, re-swallowed, or spit out
- Repeated regurgitation is not due to GI or other medical conditions
Rumination Disorder
For Rumination Disorder, symptoms generally last ________.
several times weekly, often daily
Rumination Disorder is more common among those with ________.
intellectual disability
The functional consequence for Rumination Disorder is ________.
Potential malnutrition
Rumination Disorder can be fatal, especially in _________.
infancy
Which diagnosis contains the following description?
- Eating disturbance (e.g., lack of interest in food) manifested in persistent failure to meet nutritional or energy needs, as seen by 1 or more of the following:
- Weight loss (or failure to achieve expected weight gain in children)
- Significant nutritional deficiency
- Dependence on external feeding or nutritional supplements
- Marked interference with psychosocial functioning (e.g., inability to participate in normal social activities)
Avoidant/Restrictive Food Intake Disorder
For __________, the diagnostic markers are:
- Malnutrition
- Low weight
- Growth delay
- Need for artificial nutrition in the absence of any clear medical condition other than poor intake
Avoidant/Restrictive Food Intake Disorder
Which diagnosis contains the following description?
- during the current episode has not regularly engaged in binge eating or purging
Anorexia Nervosa Restricting type
Which diagnosis contains the following description?
- a person has regularly engaged in binge eating or purging (i.e., self-induced vomiting, misuse of laxatives, diuretics, or enemas); greater pathology/chronicity
Anorexia Nervosa Binge-eating/purging type
What was dropped from the DSM-5 in the Anorexia Nervosa diagnosis?
85% or less of expected body weight
The following are in the diagnostic criteria of ____________:
1. Significantly low weight, less than energy needs “Restriction of energy intake relative to requirements, leading to significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected”
2. Intense fear of gaining weight or getting fat, even though underweight
3. Disturbance in how body weight/shape is experienced, undue influence on self-evaluation
Anorexia Nervosa
_________ is the absence of 3 menstrual cycles). This is a controversial criterion and was dropped from DSM-5 criteria.
Amenorrhea
The following are symptoms that may develop over time with ________
- thinning of the bones (osteopenia or osteoporosis)
- brittle hair and nails
- dry and yellowish skin
- growth of fine hair over body (e.g., lanugo)
Anorexia Nervosa
The following are other symptoms of _________:
- muscle weakness and loss
- severe constipation
- low blood pressure, slowed breathing and pulse
- drop in internal body temperature, causing a person to feel cold all the time
- Lethargy
Anorexia Nervosa
The following are treatment goals for ___________:
- restoring the person to a healthy weight;
- treating the psychological issues related to the eating disorder;
- reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse
Anorexia Nervosa
_____ of anorectic community sample in remission at __ year follow-up, but still ____X mortality of general population (Morrison)
⅔
5 year
6X
The following are in the diagnostic criteria of ____________:
- “Binge Eating plus Compensatory Behaviors”
- Recurrent episodes of binge eating (“definitely larger amounts of food” or “sense of lack of control”)
- Recurrent inappropriate compensatory behavior to prevent weight gain (self-induced vomiting, misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise)
Bulimia Nervosa
To be diagnosed with Bulimia Nervosa, a person must experience symptoms at least _______ for ____ months.
once a week
3 months
Self-evaluation of Bulimia Nervosa unduly influenced by _______ and _______.
body weight
shape
Other symptoms of ______ include:
- chronically inflamed and sore throat
- swollen glands in the neck and below the jaw
- worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
- intestinal distress and irritation from laxative abuse
- kidney problems from diuretic abuse
- severe dehydration from purging of fluids
Bulimia Nervosa
Treatment for __________ include:
- Nutritional counseling
- Psychotherapy, especially cognitive behavioral therapy (CBT)
- Prescription medication
Bulimia Nervosa
Medication for Bulimia Nervosa includes some _______, such as fluoxetine (Prozac), which help patients who also have depression and/or anxiety.
antidepressants
Some antidepressants, such as fluoxetine (Prozac), also appear to help reduce binge eating & purging behavior, reduce the chance of relapse, and improve eating attitudes. This could be a medication for _________.
Bulimia Nervosa
The following is a ___________ for Bulimia Nervosa:
- CBT tailored to treat bulimia has also been shown effective in changing binging and purging behavior and eating attitudes.
- Therapy may be individual or group-based
Psychotherapy Treatment
Which diagnosis includes the following criterion?
- Recurrent episodes of binge eating
- Marked distress over binge eating
Binge Eating Disorder
Which diagnosis includes “Disorders in Need of Further Study” in DSM-5-R?
Binge Eating Disorder
What is the duration necessary to be diagnosed with Binge Eating Disorder?
At least once a week for 3 months
For Binge Eating Disorder, there is no use of __________ behaviors (purging or non-purging) as a result of binging.
compensatory
The following is a definition or criteria of ________:
1. Eating much more rapidly than normal
2. Eating until feeling uncomfortably full
3. Eating large amounts of food when not feeling physically hungry
4. Eating alone because of being embarrassed by how much one is eating
5. Feeling disgusted with oneself, depressed, or very guilty after overeating
Binge Eating Disorder
Although eating disorders primarily affect ________, ________ are also vulnerable.
1) women and girls
2) boys and men
One in four preadolescent cases of anorexia occurs in ______.
boys
Binge-eating disorder affects _________.
females and males
Despite the fact that they are severely underweight, these patents see themselves as fat.
Anorexia Nervosa
These patients eat in binges, then prevent weight gain by self-induced vomiting, purging, and exercise.
Bulimia Nervosa
Although appearance is important to their self-evaluations of _______, they do not have the body image distortion characteristic of anorexia nervosa.
Bulimia Nervosa
These patients eat in binges, but do not try to compensate by vomiting, exercising, or using laxatives.
Binge-eating disorder
The patient eats material that is not food.
Pica
The person persistently regurgitates and re-chews food already eaten.
Rumination Disorder
An individual’s failure to eat enough leads to weight loss or a failure to gain weight.
Avoidant/restrictive food intake disorder
_____ is another cause of Abnormal Appetite and Weight, as patients with major depressive episode (or dysthymia) can experience either anorexia with weight loss or increased appetite with weight gain.
Mood disorders
_____ is another cause of Abnormal Appetite and Weight, as bizarre eating habits are occasionally encountered in psychotic patients.
Schizophrenia and other psychotic disorders
_____ is another cause of Abnormal Appetite and Weight, as complaints of marked weight fluctuation and appetite disturbance may be encountered in these patients.
Somatic Symptom Disorder
