week 6

Question 1

Eating disorders DSM-5

Answer 1

• pica
• rumination disorder
• avoidant/restrictive food intake disorder
• anorexia nervosa
• bulimia nervosa
• binge eating disorder

Question 2

Pica

Answer 2

eating substances not intended for consumption for at least a month. Considered developmentally inappropriate. Not part of culturally accepted practice.

Question 3

rumination disorder

Answer 3

repeated regurgitation expulsion food. not part of another eating disorder. Can occur in the context of another eating disorder

Question 4

avoidant/restrictive food intake disorder

Answer 4

avoidance or reduction on food intake. Not the result of lack of food or cultural context. Not the result of another eating disorder. Not the result of a somatic disorder

Question 5

anorexia nervosa

Answer 5

these people starve themselves, subsisting on little or no food for very long periods of time, yet they remain convinced that they need to lose more weight. this disorder has a death rate of 5 - 9 percent. Serious consequences are reduced bone strength, kidney damage, high suicide rate, cardiovasculair complications.

Question 6

amenorrhea

Answer 6

extreme weight loss often causes women and girls who have begun menstruating to stop having menstrual periods.

Question 7

restricting type of anorexia

Answer 7

they simply refuse to eat and/or engage in excessive exercise as a way of preventing weight gain.

Question 8

binge/purge type of anorexia nervosa

Answer 8

people periodically engage in binge eating or purging behaviours. These people are substantially below a healthy body weight.

Question 9

medical problems anorexia nervosa

Answer 9

• amenhorrhea
• low body temperature
• low blood pressure
• swelling
• low bone density
• low heartrate
• dry skin, brittle nails
• lanugo

Question 10

prevalance anorexia nervosa

Answer 10

mean age = 23,4
6 per 100000 people, new cases each year
GP diagnose only 40% of AN people

Question 11

bulimia nervosa

Answer 11

is uncontrolled eating, or binging, followed by behaviours intended to prevent weight gain from the binges. These people use self-induced vomiting; the abuse of laxatives, diuretics, or other purging medications. Much more common in females than males, and men are more likely to exercise excessively to control their weight and develop a lean.

Question 12

medical problems bulimia nervosa

Answer 12

• disrupted electrolyte levels
• dental erosion
• disrupted hydration
• kidney failure
• heart arrythmia
• intestinal damage
• russel’s sign (damage from vomiting at the knuckles)
• weight is usually normal

Question 13

prevalance bulimia nervosa

Answer 13

mean age = 24,8 years
3,2 per 100000 people new cases each year
GP diagnose bulimia nervosa in 11% of BN patients

Question 14

binge-eating disorder

Answer 14

resembles bulimia nervosa, except that a person does not regularly engage in purging, fasting or excessive exercise to compensate for the binges. Eat large amounts of food often in response to stress and to feelings of anxiety or depression. Have higher rates of depression and anxiety. More common in women than in men.

Question 15

medical problems binge-eating disorder

Answer 15

• obesity
• high blood pressure
• high cholesterol
• heart disease
• type || diabetes mellitus
• gastrointestinal problems

Question 16

partial syndrome eating disorders

Answer 16

are syndroms that don’t meet the full criteria for anorexia nervosa or bulimia nervosa. They may be underweight, but not severely

Question 17

other specified feeding or eating disorder

Answer 17

is a new diagnostic category to capture presentations of an eating disorder that cause clinically significant distress or impairment but do not meet the full diagnostic criteria for any of the eating disordes

Question 18

atypical anorexia nervosa

Answer 18

wherein all the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual’s weight is within or above normal range.

Question 19

night eating disorder

Answer 19

characterized by eating excessive amounts of food at night and believing that one has to eat in order to fall asleep. Often these people are overweight and suffer from depression

Question 20

anorexia nervosa, bulimia nervosa and binge-eating disorder biological factors

Answer 20

genes appear to carry a general risk for eating disorders rather than a specific risk for one type of eating disorder. Changes in hormones at puberty may activate a genetic risk for eating disorder.

Question 21

thin ideal and body dissatisfaction

Answer 21

the ideal shape for women in many developed nations has become thinner and thinner since the mid-twentieth century. women who internalize the thin ideal promoted in the media are at risk for eating disorders. thinness is more valued and more strongly encourageed in females than in males. however, the power of the thin ideal among girls and woman had decreased over time.

Question 22

athletes and eating disorders

Answer 22

athletes may have standards for appearance that put them at greater risk of developing an eating disorder.

Question 23

cognitive factors eating disorder

Answer 23

when the body dissatisfaction that comes from social pressures to achieve a certain shape or weight is combined with low self-esteem and perfectionism, the result is a toxic mis of cognitive factors that strongly predict the development of an eating disorder.

Question 24

emotion regulation difficulties (eating disorder)

Answer 24

eating-disorder behaviours may sometimes serve as maladaptive strategies for dealing with painful emotions.

Question 25

family dynamics eating disorder

Answer 25

girls from overcontrolling families deeply fear separation because they have not developed the ability to act and think independently of their family. Their rigid control of their body provides a sense of power over the self and the family that they have never had before

Question 26

cognitive-behavioural therapies anorexia nervosa

Answer 26

the client’s overvaluation of thinness is confronted and rewards are made contingent on the person’s gaining weight.

Question 27

family therapy anorexia nervosa

Answer 27

the person with anorexia and het family treated as a unit. Parents are coached to take control of their child’s eating and weight until the child’s weight increases to a stable level and the child gains greater autonomy overeating.

Question 28

cognitive behavioural therapy bulimia nervosa/binge eating

Answer 28

is based on the view that extreme concerns about shape and weight are the central features of the disorder. Teaches the client to monitor the conditions that accompany her eating, particularly the binge episodes and purging episodes. introducing forbidden foods back into the client’s diet.

Question 29

interpersonal therapy bulimia nervosa/binge eating

Answer 29

the client and the therapist discuss interpersonal problems related to the client’s eating disorder, and the therapist works actively with the client to develop strategies to solve these problems.

Question 30

supportive expressive psychodynamic therapy bulimia nervosa/binge eating

Answer 30

the therapist also encourages the client to talk about problems related to the eating disorder especially interpersonal problems, but in highly nondirective manner.

Question 31

behavioural therapy bulimia nervosa/binge eating

Answer 31

the client is taught how to monitor her food intake is reinforced for introducing avoiding foods into her diet and is taught coping techniques for avoiding bingeing.

Question 32

biological therapies bulimia nervosa/binge eating

Answer 32

SSRI’s appear to reduce binge-eating and purging behaviours, but often they fail to restore the individual to normal eating habits. Antidepressants are often used to treat anorexia nervosa, and they result in a reduction of symptoms in half the studies conducted.