Eating Disorders
Psychology 345 with Niemeier at University of Wisconsin - Whitewater
About this deck
By: Meg Roegner
Textbook:
Abnormal Psychology (14th Edition)
Created: 2011-05-05
Size: 30 flashcards
Views: 28
Textbook:
Abnormal Psychology (14th Edition)Created: 2011-05-05
Size: 30 flashcards
Views: 28
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4 Current Diagnosis
Anorexia Nervosa
Bulimia Nervosa
EDNOS
Binge
AN and BN Commonalities
Intense fear of being fat
Relentless pursuit of thinness
AN Symptoms
Intense fear of weight gain
Refusal to maintain normal BMI above 18.5
Disoriented perception of self
Amenorrhea
Medical Issues with AN
Hypothermia
Lanugo
Low BP
Kidney damage
infertility
death
hair loss
dry skill
loss of bone mass
slow thyroid
Epidmiology of AN
Lifetime prevelnce: .9% w .3% m
Onset @ age 15-19
Comorbid with depression OCD and panic (depression most common)
High risk with athletes, models, actors,
Outcomes of AN patients
high risk of suicide.
-a 21 yr study found that ... 51% fully recover. 21% partially recover. 10% still have AN and 16% die.
Bulimia criteria
-binge eating
-compensatory behavior by purging or non purging
-self evaluation
-binges must occur 2x a week for 3 mo.
Binge for BN
Objectivly large amount of food for over 2 hours. They must feel a lack of control and have unual eating behaviors. Rule of thumb is 2 plates full.
Medical issues with BN
Heart damage
Electrolyte imbalances
Dental damage with purging type.
Swollen salivary glands make a puffy face.
Epidemioglogy
Lifetime prevalence 1.5% w, .5% m
onset 20-24
comorbid with substance abuse, depression and panic disorder.
Personality types tend to be erratic, borderline personalitly disorder.
Outcome of BN
70% recover 12 years later.
Even in remission some side effects still occur.
EDNOS
most prevalent. 60% of treatment seekers.
need functional impairment.
Goal of DSM V wants to decrease this category.
Subthreshold disordered eating symptoms are common.
Bulimic symptoms seen in 20% women.
Poor body image in 40% W. 25% M.
BED criteria
Binge on objectivly large amount of food.
Eating (need 3):
rapid
out of control
large amounts when full
followed by guilt
eat alone
No compenstation- no workout.
Marked distress.
2x week for 6 mo.
Epidemiogolgy
1-5% of general pop.
10% in overweight ppl
30% of those who seek weight loss treatment
most common disorder among males
comorbid with Anxiety, mood and substance disorders
Treatment of BED
Medication is antidepressents and appitite suppressants.
Cog beh therapy focus on weight loss and portion control
Treatment of BN
Medication is antidepressants
Cog beh therapy focusing on nutrition, challenging dysfunctional thoughts about food and teaching them how to eat.
Treatment of AN
Hard because most don't want it and there is competition. Main goal is to get back to normal weight then begin cog beh therapy or family therapy.
Biological risk factors for Eating Disorders
Genes- Runs in families. 11.4 x more likely for AN 3.7x more likely for BN. Chromosome 1 leads to AN chromosome 10 leads to BN.
Set points- weight body wants us to keep. Hunger is an opponent of this.
Saratonin- Patients respond to antidepressents.
Social Risk Factors for Eating Disorders
Peer influence and high socioeconomic background
Family risk factors for E.D.
Dysfunction. Rigid, overprotective parents and family dieting (especially in BN)
Individual Risk factors
Female
Internalizing the ideal
Perfectionists
Body dissatisfaction
Dieting
Negative affect
Abuse
AN Family Causes
Runs in family. Limited tolerance of negative affect. Rigid families. Parental over direction. Emphasis on appearance in the home.
BN Family causes
Critical comments from family. High expectations from parents. Family dieting.
Appetite Awareness Training
For BN.
Help them get in touch with natural appetites.
Food and thought monitoring.
Maudsley Model
Treats AN as a family disorder. 75% recover. Works best with young
Obesity
Body Mass Index: BMI > 25=over <30=obese.
Empirically based cut offs.
Obesity Epidemic
60-65% of americans are fat.
Childhood obesity is growing. 1/3 kids will be overweight. Up 100%.
Kids born after 2000 have a 1/3 chance of type 2 diabetes.
Energy Balance
Calories consumed=calories burned=constant weight.
In USA consumed is rising, burned is dropping.
Health consequences of Obesity
Cardiovascular disease.
Diabetes.
Gall bladder disease.
Respitory disease.
Arthritis.
Cancer.
365,000 obesity deaths/year.
61$ billion in medical costs from being fat a year
Social Impact of Obestiy
Low self esteem. Poor body image. Depression and anxiety.
About this deck
By: Meg Roegner
Textbook: Abnormal Psychology (14th Edition)
Created: 2011-05-05
Size: 30 flashcards
Views: 28
Textbook:
Abnormal Psychology (14th Edition)Created: 2011-05-05
Size: 30 flashcards
Views: 28
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy
Kathy