T4: Lecture 6

Question 1

True of False: Anorexia Nervosa has the highest mortality rate of any mental disorder

Answer 1

TRUE

10-15% mortality rate

Question 2

What is objective binge-eating?

Answer 2

Large amount of food, more than usual

Question 3

What is subjective binge-eating?

Answer 3

Perceiving they ate a large amount of food, but very minimal

Question 4

What is the KEY diagnostic feature for AN?

Answer 4

Restriction of energy intake relative to requirements, leading to significantly low body weight. Severity based on BMI

Question 5

What are other diagnostic features for AN?

Answer 5

• Intense fear of gaining weight/becoming fat, despite being underweight
• Disturbance in way one’s body weight/shape is experienced

Question 6

What are the two types of AN?

Answer 6

1. Restricting Type = no binding or purging

2. Binge-Eating/Purging Type = with regular binging or purging

Question 7

What is the KEY diagnostic feature for BN?

Answer 7

Recurrent binge eating with sense of lack of control

Question 8

What are other diagnostic features for BN?

Answer 8

• Recurrent inappropriate compensatory behaviour in order to prevent weight gain
• Binging/compensatory occur at least ONCE A WEEK for THREE MONTHS
• Severity depends on number of binges and compensatory behaviours per week

Question 9

True or false, individuals with BN are severely underweight?

Answer 9

FALSE

Individuals normally within normal weight or overweight due to binging

Question 10

What is the KEY diagnostic feature for Binge Eating Disorder?

Answer 10

Recurrent binges

TWO WEEKS and least SIX MONTHS

Question 11

What is the diagnostic criteria for Binge Eating Disorder?

Answer 11

Three +

• eating more rapidly than usual
• eating until uncomfortably full
• binging when not hungry
• eating alone due to embarrassment
• feeling disgusted, depressed, guilty after overeating

Question 12

Does Binge Eating Disorder involve compensatory behaviours?

Answer 12

No, BED doesn’t involve regular use of inappropriate compensatory behaviours

Question 13

What is the epidemiology for Eating Disorders?

Answer 13

• Women have higher rates
• Stats tend to be underestimates as most people don’t fit into any categories
• Maori are 2x as likely to be diagnosed with an ED (primarily BN)

Question 14

What are the biological influences for AN/BN?

Answer 14

Genetic influences
-High concordance rates for both AN and BN

Neurotransmitters

• Serotonin
• Norepinephrine

Hormones

• AN: deficiency in hypothalamus functioning
• > survivable weight is disrupted which allows the body to function at a lower level of food/weight

Question 15

What are the societal pressures for women?

Answer 15

• Western standards of attractiveness always progress towards a thinner ideal
• Models vs normal woman= taller, thinner, unhealthy BMI
• Media pressures

Question 16

What are the societal pressures for men?

Answer 16

-Body dissatisfaction focuses on muscles and body side

Question 17

What is the Diet-Binge-Purge cycle?

Answer 17

Rigid dieting -> slip up -> Abstinence violation effect (slipped up so might as well binge) -> binge eating -> guilt and remorse -> purging (unless had BED) ->back to rigid dieting

Question 18

What is the treatment for AN?

Answer 18

• Restoration of proper weight
• Sometimes hospitalisation for malnutrition
• Residential programs
• CBT, family systems therapy

Question 19

What is the treatment for BN?

Answer 19

• CBT

- Medication