Test 3 Flashcards
What was stated in the film clip on “teens & eating disorders”?
- trauma can cause disorders
- weight loss led to hospitalization for person in video
- recovery takes a long time and specialized care is needed
- many trauma’s can also lead to eating disorders
What is the core issue with eating disorders?
- morbid fear of weight gain
What are the 3 kinds of eating disorders?
- Anorexia
- Bulimia
- Binge eating disorders
What are the diagnostic criteria’s for anorexia nervosa?
- “rexia” means without desire for food
- person refuses to maintain 85% of normal body weight (thinness is the goal)
- intense fears of becoming overweight
- distorted view of their body weight and shape (meaning they still see themselves as overweight no matter how thin they are)
- are very preoccupied with food (think about food but they refuse to eat)
- can experience amenorrhea (meaning an absence of ones period - at least one cycle missed since the body shuts down)
What are the 2 subtypes of anorexia nervosa and their characteristics?
- RESTRICTING TYPES : cutting out/restricting “bad foods” first then they cut out all foods. They control food intake in order to cope.
- BINGE-EATING/PURGING TYPE: engage in compensatory behaviours in order to loose weight.. They may binge and want to control food intake and can’t control impulses
What is the Minnesota starvation study (1940)? What were the results?
- 36 young men
- did a 12 week control period followed by 12 weeks of calorie restriction
RESULTS: - became preoccupied with food
- had urges to overeat when they didn’t have access to food
- enjoyed & prolonged time when had access to food
- had mood swings
- developed a distorted self-image but didn’t see themselves as overweight - instead they say others as overweight
What are the medical problems associated with anorexia nervosa
- amhenorrea
- low body temperature
- low BP
- body welling
- reduced bone density
- decreased heart rate
- metabolic and electrolyte imbalance
- dry skin and brittle nails
- poor circulation
- lanuogo - fine and downy hair
What are the diagnostic criteria’s of bulimia nervosa?
- periods of uncontrolled overeating during a limited period of time
- followed by compensatory behaviours like:
- forced vomiting (purging)
- excessive exercise
- fasting
What are binges and the consequences the person feels after?
- overeating that’s uncontrolled in a limited period of time
- often caused by stress
- often followed by feelings of tension and/or powerlessness
- extreme self-blame
- guilt
- depression
- fear of weight gain and being discovered leading to compensatory behaviours
What are the medical complications of bulimia?
- decay of tooth enamel
- abdominal pain
- stress on internal organs
- cavities
- dependence on laxatives
- no period
What are the psychodynamic causes of eating disorders?
- disturbed mother-child interactions like care or comfort
- leads to ego deficiencies
- leads to not knowing how to fulfill own needs regarding food
What are the cognitive causes for eating disorders?
- maladaptive attitudes about self image or body image/weight
- all or nothing (black or white thinking) regarding self
What are the behavioural causes of eating disorders?
- rewarded by seeing weight loss which relieves anxiety
- operant conditioning
What are some possible biological causes of eating disorders?
- genetic predisposition to develop and eating disorder
- relatives are 6x more likely to develop and ED
- SEROTONIN - it regulates mood and appetite
- decreased serotonin levels found in those with anorexia
- decreased levels of serotonin can lead to binges
- hypothalamus dysfunction (called SETPOINT THEORY)
What are the societal pressures leading to eating disorders?
- standards of female attractiveness
- societally-accepted prejudice against being over-weight
What are the sociocultural pressures leading to eating disorders?
- role of the media
- more men. Tends to be JOB-LINKED such as sports
- called REVERSE ANOREXIA - pressure or preoccupation with muscles and strength
What are the familial pressures associated with eating disorders?
- communication patters called ENMESHMENT
- meaning wanting to be like parents as much as possible due to their attachment
What are the multicultural factors for eating disorders?
- studies in 1995 showed boys dissatisfaction being more common in White women comparents to Black women
- BUT: eating disorders are increasing in minority groups
What are the 2 steps for treating anorexia nervosa? Explain the 1 problem
- Restoring proper weight and eating
- may need to be hospitalized
- most common techniques are supportive nursing care + high calorie diets- necessary weight gain is often achieved in 8-12 weeks
- Therapy
BUT: 20% of clients struggle for years/ dont recover or it reappears/recurs with stress triggers
List and explain the 3 types of therapies used for treating anorexia nervosa
- Behavioural
- monitor feelings, hunger, and eating behaviours
- look for possible links - Cognitive
- build autonomy and self-awareness about bad/maladaptive thoughts regarding food
- have them recognize their need for control
- correct contributing cognitive distortions - Family therapy
- focuses on separation and boundaries
What are the 4 treatment steps for bulimia
- Eliminate binge-purging patterns
- Eliminate underlying causes
- Educate the client
- Therapy
What are the 7 therapies for bulimia
- Behavioural
- Cognitive
- Interpersonal treatment (IPT)
- Psychodynamic therapy
- Family therapy
- Group therapy
- Self-help groups or self-care books
What is done in behavioural therapy for bulimia?
- diaries
- exposure and response prevention
What is done in cognitive therapy for bulimia?
- change maladaptive attitudes
- challenge the negative thoughts that trigger binges
What is done in interpersonal treatment for bulimia?
- if they have better relationships or more social supports will decrease stress
What are the 4 areas of interpersonal treatment (IPT)
- Role disputes - conflicts, difficulties with forgiveness
- Role transitions - when there’s big changes in life and client has difficulty transitioning
- Unresolved grief - death that’s not resolves, changes in life or losing friends/family and the grief is unresolved affecting the person
- Interpersonal deficits - isolation, social deficits
what are the 3 phases for interpersonal treatments
- Looking at past conflicts
- Learning and implementing strategies
- Reviewing what’s been done
Explain why antidepressants would be used for treating bulimia.
- SSRI’s used since it could be due to low serotonin levels
- helps with 25-40% of patients
- works best with psychotherapy
What was said i the film clip “the downside of high”
- brain scans shows links between marijuana and schizophrenia
- Majorie Wallace was the first person to guess there’s a link between marijuana and schizophrenia
- heavy smokers at age of 18 are 6x more likely to get schizophrenia
- smoking can double changes of symptoms of clinical psychosis
- smoking at age of 16 increases chance of schizophrenia by 4x
- bipolar can also be triggered by smoking
- weed is the most used drug
- cocaine, crystal meth, and environment can increases risks of schizophrenia
- marijuana increases dopamine which can disregulate the brain
- more likely to develop schizophrenia when smoking if you have the COMT gene since it regulates dopamine
- before the plants produced a balanced amount of THC and CBD
- now the plants have been modified to create lots of THC and less if the ‘protective’ CBD
- this can lead to psychosis and other mental disorders
- now the plants have been modified to create lots of THC and less if the ‘protective’ CBD
What are the effects of drugs?
- it alters the body and the mind
What is stated in the DSM-5 (diagnostic criteria) for substance use disorder?
- pattern of maladaptive behaviours and reactions from repeated use of substances
Causes:- physical dependence
- develops a tolerance
- withdrawal reactions : opposite of what drugs do
What is the prevalence of substance use disorder?
Alcohol:
- rewarding so people keep using it
- Canadian alcohol drug survey: ages 20-24 are most likely to use alcohol in excessive amounts and report harm due to it
Cannabis:
- use increased by 15% (2017) to 21% (2021) - medical and non-medical usage
- men use cannabis more than women (men 23%, women 19%)
What are the 5 types of drugs?
- Depressants
- Stimulants
- Hallucinogens
- Opioids
- Other drugs
What are depressants?
- decreases neural firing
- slows activity in the central nervous system (brain and the spinal cord)
What are some examples of depressants?
- alcohol
- opioids
- benzodiazepines
What does alcohols do to the body?
- alcohol increases GABA
- cases motor difficulties
What are some negative effects or consequences of alcohol?
- women are more likely
- societal, and physical health consequences
- liver sorosis
- KORSAKOFF - memory gaps
- FAS (fetal alcohol syndrome) - when the mom drinks during pregnancy leading to: deformities, death, or slows the system/ causes withdrawal
What are stimulants/what do they do to the body?
- activates neural firing
- increases activity in the central nervous system
- increases dopamine causing the ‘rush’
- affects norepinephrine and serotonin
What are some examples of stimulants?
- cocaine
- caffeine
- nicotine
What are some negatives or consequences of stimulants?
- mania
- paranoia
- withdrawal symptoms
- death
- bleeding in brain
- overdose
- seizures
What are the effects of hallucinogens on the body?
- causes sensory changes in the body
What are some examples of hallucinogens?
- cannabis
- ecstasy
- LSD
Explain some factors of cannabis
- can be a depressant and a stimulant?
- high in THC
- comes in many forms
What are some negatives or consequences of hallucinogens?
- memory issues
- anxiety
- paranoia
- accidents (for example when driving)
- affects fertility