Week 10: Eating Disorders Flashcards
What are the three main eating disorders
- anorexia nervosa
- bulimia nervosa
- binge eating disorder
Biological model
- genetic contribution
- imbalance of serotonin
Psychological model
Comorbid depression, anxiety, or OCD (in 90% of cases)
Social model
- western beliefs about self worth and physical appearance
- attractive people have it easier
- dieting popularity
- family dysfunction (control, sexual abuse)
Lifetime prevalence in women of anorexia
0.5-3.7%
Lifetime prevalence in women of bulimia
1.1-4.2%
Describe the comorbidity of eating disorders
- high rates of depression, anxiety and OCD
- personality disorders
- sexual abuse in 20-50% of cases
- substance abuse
Describe the development of eating disorders
- negative affect or psychological distress
- life dissatisfaction
- dysthymia
- stressful life events
- periods of restrictive dieting
Age of onset of anorexia
Between 14 and 18
How many people show full recovery from bulimia?
50-75%
Describe some assessment measures for eating disorders
- detailed food and exercise report
- psychometric measures
- meal observation
- related psychological symptoms
- patients insight and change motivation
- explore patients understanding of how it developed
Best treatment for anorexia
Family based interventions to restore healthy communication patterns; CBT to modify rigid beliefs, self esteem, and self control
Best treatment for bulimia
CBT that focuses on attitudes, beliefs and behaviours supporting problematic eating
What works treatment wise?
- family therapy
- motivational interviewing
- CBR
- interpersonal psychotherapy
- focused psychodynamic therapy
- cognitive analytic therapy
Briefly describe anorexia
- restriction of energy in take, leading to significantly low body weight
- intense fear of gaining weight or becoming fat
- disturbance in the way their body is perceived
