Test 2 Flashcards

1
Q

What are eating disorders?

A

a group of psychological diseases that manifest themselves in one’s relationship to food

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2
Q

How many major types of eating disorders are there?

A

Three; anorexia nervosa, bulimia nervosa, bingeing

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3
Q

Who is most likely to have eating disorders?

A
  • Women and girls
  • People between the ages of 12 and 25
  • Bright, attractive individuals
  • Caucasians
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4
Q

What might trigger an eating disorder?

A
  • Difficult transitions (new job or school)
  • Loss
  • Sexual or physical abuse
  • Family/relationship problems
  • Critical comments from an authority figure
  • Depression or feelings of worthlessness
  • DIETING
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5
Q

What does the “culture of slenderness” teach us?

A

slenderness is associated with happiness, success, beauty, health, popularity, admiration, approval, friends, romance and love, power and self-discipline

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6
Q

What is the difference between an eating disorder and disordered eating?

A

-Eating disorders are specific diagnosable diseases with
serious health complications.
-Disordered eating may present itself like an eating disorder but does not meet all of the criteria required for a formal diagnosis. Disordered eating will usually precede an eating disorder.

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7
Q

What are the criteria for diagnosis of Anorexia Nervosa?

“self-induced starvation”

A

-Reduced caloric intake resulting in significantly below
total body weight for developmental stage
-Intense fear of gaining weight = body image disturbances

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8
Q

What are some of the warning signs of anorexia nervosa?

A
  • Weight loss (wearing baggy, layered clothes)
  • Loss of period
  • Preoccupation with food and weight
  • Excessive exercise
  • Intermittent periods of intense dieting
  • Increasing social isolation, depression, irritability and self-criticism
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9
Q

What are criteria for diagnosis of bulimia nervosa?

“bingeing and purging”

A
  • Recurrent episodes of bingeing (once per week over 3 month duration
  • Regular compensatory purging behaviors (vomiting, laxative use, diuretic use, diet pill use, enemas, excessive exercise)
  • Persistent over-concern with body shape/weight
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10
Q

What are some of the warning signs of bulimia nervosa?

A
  • Strict dieting followed by indulgences
  • Frequent over-eating
  • Expressing guilt or shame about eating
  • Frequent trips to the bathroom
  • Other compulsive behaviors (excessive exercise)
  • Depression and feelings of guilt
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11
Q

What are some characteristics of binge eating disorder?

A
Characterized by recurrent episodes of
binge eating without compensatory purging
behaviors
-at least once per week over 3 month
duration
-Typically individuals are overweight
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12
Q

Individuals can have more than one eating disorder at the same time. True/False

A

True

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13
Q

What are some additional red flags that could warn you that someone may have an eating disorder?

A
  • Unusual concern over school performance
  • Very controlled behavior/hides feelings
  • Conversations revolve around food/weight
  • Ritualistic and compulsive behaviors
  • Extremely competitive
  • Unusually critical of self or others
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14
Q

As a health and fitness professional, what should you do when you come across a (client) with a possible eating disorder?

A

• Focus on prevention. EDUCATE individuals about healthy diet and exercise habits
• Don’t encourage dieting or compulsive exercise
• Promote self-acceptance and acknowledge size/shape
diversity

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15
Q

Before you try to intervene with the (client), what should you always remember?

A

• Realize that Eating Disorders are stubborn and serious
diseases
• Understand that you will not “cure” the person by yourself
• Realize that the person will be receptive to help only when he or she is ready

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16
Q

What are some questions you can ask if you already have a high level of rapport with that (client)?

A
  • What would your life be like if you got to be the weight you want to be?
  • What are the advantages of eating the way you do?
  • What can you do differently to increase the chances that you will get what you want?
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17
Q

If someone is in serious danger (regarding their eating habits/disorder), what should you do/remember?

A

-Consult a physician, nurse or counselor
-Get the family involved
-Know that adults have the right to refuse treatment. You
can’t force someone to get help

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18
Q

What is stress?

A

A negative emotional experience accompanied by predictable biochemical, physiological, cognitive, and behavioral changes that are directed either toward altering the stressful event or accommodating to its effects.

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19
Q

How is stress determined?

A

The person-environment fit. It results from the process of appraising events (as harmful, threatening, or challenging), of assessing potential resources, and of responding to the events.

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20
Q

Why are studies of stress in the workplace important?

A

• They help identify some of the most common stressors of everyday life.
• They provide evidence for the stress-illness
relationship.
• Work stress may be one of our preventable stressors and so provide possibilities for intervention.
• Stress-related physical and mental health disorders account for a growing percentage of disability and social security payments to workers.

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21
Q

How can stress be reduced at work?

A
  1. Minimize physical work stressors, such as noise, harsh lighting, crowding, or temperature extremes.
  2. Minimize unpredictability and ambiguity in expected tasks and standards of performance.
  3. Involve workers as much as possible in the decisions that affect their work.
  4. Make jobs as interesting as possible.
  5. Provide workers with opportunities to develop or promote meaningful social relationships.
  6. Reward workers for good work, rather than focusing on punishment for poor work.
  7. Look for signs of stress before stress has an opportunity to do significant damage.
  8. Add workplace perks that enhance quality of life.
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22
Q

What is the acute stress paradigm?

A

A laboratory procedure whereby an individual goes through moderately stressful procedures (such as counting backward rapidly by 7s), so that stress-related changes in emotions and physiological and/or neuroendocrine processes may be assessed.

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23
Q

What are the after effects of stress?

A

Performance and attentional decrements that occur after a stressful event has subsided; believed to be produced by the residual physiological, emotional, and cognitive draining in response to stressful events.

24
Q

What is allostatic load?

A

the fluctuation of biological systems to meet the demands of stress…degree to which the system ratchets up over time resulting in heightened neural and neuroendocrine responses.

25
Q

What is chronic strain?

A

A stressful experience that is a usual but continually stressful aspect of life.

26
Q

What are daily hassles?

A

Minor daily stressful events; believed to have a cumulative eff ect in increasing the likelihood of illness.

27
Q

What is the demand-control-support model?

A

Model of job stress developed by Karasek and associates that suggests that high demands, low control, and little support enhance risk for ill health, especially coronary artery disease.

28
Q

What is the fight or flight response?

A

A response to a threat in which the body is rapidly aroused and motivated via the sympathetic nervous system and the endocrine system to attack or flee a threatening stimulus; the response was first described by Walter Cannon in 1932.

  • perceived threat=sympathetic nervous system & endocrine system respond
  • adrenomedullary response (1. Adrenal glands produce & secrete catecholamines 2. Mobilizes the body to attack or flee
  • adaptive for survival but destructive over time
29
Q

What is general adaption syndrome?

A

Developed by Hans Selye, (1956/1976) a profile of how organisms respond to stress stating that stress response is “non-specific”. General adaptation syndrome is characterized by three phases:

  1. Alarm (mobilization)
  2. Resistance (maintenance of mobilization, process of coping)
  3. Exhaustion (failure)
30
Q

What is reactivity?

A

A disposition to respond physiologically to threats/challenges (subjective)

  • refers to changes that occur to the autonomic neuroendocrine and/or immune system
  • may be genetic or develop early in life
  • research shows differences in reactivity as early as age 3 (temperament)
31
Q

What is role conflict?

A

Conflict that occurs when two or more social

or occupational roles that an individual occupies produce conflicting standards for behavior.

32
Q

What are stressful life events?

A

Events that force an individual to make

changes in his or her life.

33
Q

What are stressors?

A

Events perceived to be stressful.

34
Q

What does the term “tend-and-befriend” mean?

A

Normal physiological responses are down-regulated in females leading to social and nurturant behavior

  • an example of social impacts on stress
  • adaptive difference, to protect offspring (women have more child rearing responsibilities)
  • may be related to oxytocin (released rapidly in response to stress) levels, modulated by estrogen
35
Q

Explain stress.

A

The negative emotional experience accompanied by predictable biochemical, physiological, cognitive and behavioral changes that are directed either:

1) toward altering the stressful event or
2) accommodating its effects.

36
Q

What are the four major theories and models that explain the stress response?

A
  • Fight or Flight Response
  • General Adaptation Syndrome
  • Tend and Befriend Theory
  • Appraisal of Stress
37
Q

What are four ways that our bodies respond to stress?

A
  • Physiological Responses
  • Cognitive Responses
  • Emotional Responses
  • Behavioral Responses
38
Q

What are two types of stress?

A
  1. Acute or short term stress
    - Physical (injury), emotional (panic) or psychological (anticipation, after effects)
  2. Chronic or on-going
    - Physical (illness), emotional (disorder) or psychological (worry, PTSD)
39
Q

What is the appraisal of stress?

A

Events are perceived as either positive, neutral, or negative.

40
Q

What is primary appraisal?

A

Primary appraisal occurs as a person is trying to understand what the event is and what it will mean. Negative events may be appraised for their harm, threat, or challenge.

41
Q

What is secondary appraisal?

A

Secondary appraisals assess whether personal resources are sufficient to meet the demands of the environment. When a person’s resources are more than adequate to deal with a difficult situation, he or she may feel little stress and experience a sense of challenge instead.

42
Q

Generally we feel stressed if we perceive that the demands of a situation exceed our coping skills/resources. True or False

A

True

43
Q

What is high reactivity?

A

higher susceptibility to acute and chronic health problems

44
Q

What is the physiological recovery process?

A

The time is takes to physiologically recover from a stress response

  • cumulative damage from stress interferes with the recovery process
  • delayed recovery is related to chronic effects
45
Q

What are some characteristics of stressors?

A
  • Negative events
  • Ambiguous events
  • Uncontrollable events
  • Overload
  • Central life domains
46
Q

Is stress purely subjective?

A

No. Multiple studies have shown that both subjectively perceived stress and objectively assessed stress predict psychological distress and health complaints
-objective stress might include measures of work load, major life events, etc.

47
Q

What are some of the consequences of chronic exposure to the stress response?

A
  • Cardiovascular damage and blocked arteries
  • Ulcers, irritable bowel
  • Lost reproductive functioning
  • Memory lapses and loss
  • Stunted growth
  • Loss or gain in appetite and weight
  • Decreased immune functioning
48
Q

What can you do if you are stressed?

A
  • Remove yourself from the situation
  • Learn new ways of thinking
  • Pay attention to your life
  • Learn and practice relaxation skills
  • Exercise
49
Q

Only anticipatory stress impacts physiological and psychological responses. True or False.

A

False. Both anticipatory stress and aftereffects of stress impact physiological and psychological responses

50
Q

What does SAM stand for?

A

Sympathetic Adrenomedullary System

51
Q

What does HPA Axis stand for?

A

Hypothalamic Pituitary-Adrenal Axis

52
Q

If a situation is processed as stressful, what portion of the brain is activated?

A

hypothalamus

53
Q

The hypothalamus in the brain is in charge of the stress response. When a stress response is triggered, it sends signals to two other structures - what are they?

A

pituitary gland and the adrenal medulla

54
Q

Short term (acute) stress responses (fight-or-flight) is regulated by which stress response system?

A

Sympathetic Adrenomedullary System (SAM)

55
Q

Long term (chronic) stress responses is regulated by which stress response system?

A

Hypothalamic Pituitary-Adrenal Axis (HPA Axis)

56
Q

What does catecholamine secretion lead to?

A
  • Increased HR, BP, Respiration
  • Slowed Digestion
  • Blood flow redistribution
  • Pupil dilation
  • Memory enhancement
57
Q

What does a hormonal release of glucocorticoids lead to?

A
  • Fluid retention
  • Metabolism increase
  • Memory damage
  • Cardiovascular damage
  • Immune suppression
  • Bowel irritation/ misfiring