W10: Eating

Question 1

Disordered eating is

Answer 1

skipping meals, avoiding eating, overeating

Question 2

The eating disorders are

Answer 2

Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, subtypes

Question 3

Adolescent girls with body dissatisfaction

Answer 3

90%

Question 4

Risk factors

Answer 4

Families, age, personality (perfectionism, black & white thinking), girls, social influence

Question 5

Centre for Excellence in Eating Disorders categories

Answer 5

green (non-dieting), yellow (dieting, body checking), red (harmful dietary practices)

Question 6

EDs are often a way to

Answer 6

deal with underlying emotional and psychological issues

Question 7

EDs work by

Answer 7

providing a sense of accomplishment and mastery, or reinforcement

Question 8

AN is (x3)

Answer 8

restriction of energy intake, fear of gaining weight, dislikes body

Question 9

AN subtypes

Answer 9

bingeing/purging, restricting

Question 10

BN is (2)

Answer 10

Lost control eating too much in a 2hr window, compensated for by purging, medication, exercise

Question 11

We can still record non-compliant EDs by

Answer 11

using the ‘other specified feeding or eating disorder’ specifier

Question 12

Two other interesting EDs are

Answer 12

Pica, rumination, othorexia (not DSM)

Question 13

One theoretical understanding is

Answer 13

Theory of latent vulnerability (childhood = carries over risk)

Question 14

Disorders associated with EDs

Answer 14

affective, anxiety, OCD, PDs, substances

Question 15

Some theorists believe that not eating is designed to

Answer 15

punish parents

Question 16

Binge eating may occur neurologically

Answer 16

due to low serotonin or low serotonin sensitivity

Question 17

Pharmacological treatments include

Answer 17

fluoxetine (serotonin re-uptake inhibitor)

Question 18

Which personality traits are linked to EDs?

Answer 18

OCD

Question 19

ED assessments include

Answer 19

SCOFF, EAT

Question 20

Treatments include

Answer 20

Fluoxetine, CBT, nutrition counselling

Question 21

A whole picture treatment is

Answer 21

Family-Based Treatment. Superior to individual treatment, no good when parents are abusive

Question 22

FBT works by

Answer 22

removing blame, focussing on the family, interdisciplinary (psychiatrist)

Question 23

The first phase of FBT is

Answer 23

engage the child and hand control of eating to parents

Question 24

Second phase of FBT is

Answer 24

parents are empowered, weight is restored, child can take responsibility for eating/weight

Question 25

Third phase of FBT is

Answer 25

remission, review and problem solve

Question 26

Body image dissatisfaction

Answer 26

is rarely treated as the sole presenting issue. Key component of body dysmorphic disorder (BDD) though