Anorexia Nervosa Overview
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Questions and Answers

Which sociocultural factor can contribute significantly to the development of eating disorders?

  • Family support
  • Healthy media representation
  • Genetic predisposition
  • Peer influence (correct)
  • What personality trait is commonly associated with individuals at risk for developing eating disorders?

  • Generosity
  • Extroversion
  • Optimism
  • Perfectionism (correct)
  • Which cognitive aspect often characterizes individuals with eating disorders?

  • Dissociation (correct)
  • Flexible thinking
  • Emotional intelligence
  • Conflict resolution skills
  • In a critical family environment, which factor is likely to heighten the risk of developing eating disorders?

    <p>Parental control</p> Signup and view all the answers

    Which of the following is an individual risk factor for eating disorders?

    <p>Body dissatisfaction</p> Signup and view all the answers

    What role does media representation play in the development of eating disorders?

    <p>Propagates idealized slim physiques</p> Signup and view all the answers

    Which factor is not considered a biological aspect influencing eating disorders?

    <p>External validation</p> Signup and view all the answers

    Which interpersonal experience can contribute to the risk of developing an eating disorder?

    <p>Abuse and trauma</p> Signup and view all the answers

    Which of the following is a characteristic of night eating disorder?

    <p>Eating excessive amounts of food occurs after dinner</p> Signup and view all the answers

    What distinguishes atypical anorexia nervosa from typical anorexia nervosa?

    <p>Weight is within or above the normal range</p> Signup and view all the answers

    Which disorder is characterized by binge eating occurring less than once a week?

    <p>Bulimia nervosa of low frequency</p> Signup and view all the answers

    What percentage of heritability for anorexia nervosa (AN) was found in twin studies?

    <p>56%</p> Signup and view all the answers

    Which of the following factors is considered biological in the etiology of eating disorders?

    <p>Hormonal changes during puberty</p> Signup and view all the answers

    In terms of comorbidity, which mental health issues are commonly associated with eating disorders?

    <p>High rates of depression and anxiety</p> Signup and view all the answers

    Which of the following eating disorders is associated with excessive eating primarily at night?

    <p>Night eating disorder</p> Signup and view all the answers

    Genetic risks for eating disorders appear to interact most significantly with which developmental milestone for girls?

    <p>Puberty</p> Signup and view all the answers

    What is a characteristic behavior commonly associated with Anorexia Nervosa?

    <p>Starving themselves and avoiding food for extended periods</p> Signup and view all the answers

    What defines the severity of Anorexia Nervosa in terms of BMI?

    <p>Extreme if BMI &lt; 15 kg/m2</p> Signup and view all the answers

    Which of the following is a common psychological aspect of Anorexia Nervosa?

    <p>Feeling a sense of accomplishment with weight loss</p> Signup and view all the answers

    Which of the following is true regarding the prevalence of Anorexia Nervosa?

    <p>0.9% in adult women is reportedly higher than in adolescent girls</p> Signup and view all the answers

    What is a common physical health consequence associated with Anorexia Nervosa?

    <p>Increased risk of kidney damage</p> Signup and view all the answers

    Which of the following describes a subtype of Anorexia Nervosa?

    <p>Restrictive type, where excessive exercise prevents weight gain</p> Signup and view all the answers

    What aspect is NOT typically considered when determining the severity of Anorexia Nervosa?

    <p>Previous eating habits</p> Signup and view all the answers

    What is the estimated suicide rate increase for individuals with Anorexia Nervosa compared to the general population?

    <p>31 times higher</p> Signup and view all the answers

    Study Notes

    Anorexia Nervosa

    • Characterized by self-starvation, extreme weight loss, and a distorted body image.
    • Individuals remain convinced they need to lose more weight, even with significant weight loss.
    • Amenorrhea (loss of menstrual periods) is often a consequence of extreme weight loss.
    • Individuals often develop rituals around food and are chronically fatigued despite exercising.
    • Subtypes include:
      • Restrictive type: Refusal to eat and/or excessive exercise to prevent weight gain.
      • Binge/purge type: Engage in episodes of binge eating and compensatory behaviors (e.g., vomiting, laxative abuse).

    Level of Severity

    • Severity is determined by Body Mass Index (BMI).
    • Mild: BMI ≥ 17 kg/m2
    • Moderate: BMI = 16-16.99 kg/m2
    • Severe: BMI = 15-15.99 kg/m2
    • Extreme: BMI < 15 kg/m2
    • Severity is not solely based on BMI; clinical symptoms, functional disability, and supervision needs are also considered.

    Prevalence

    • 0.9% in adult women, 0.3% in adolescent girls.
    • Lower rates in men (0.3%).
    • Rates increased to 0.8% by 20, and 4% among women after the DSM-5 revision.

    Comorbidity

    • High mortality rate (5-9%).
    • Cardiovascular complications (bradycardia, arrhythmia, heart failure).
    • Stomach rupture.
    • Bone weakening (in women with amenorrhea).
    • Kidney damage.
    • Impaired immune function.
    • 31 times higher suicide rate compared to general population.

    Bulimia Nervosa

    • Episodes of binge eating followed by compensatory behaviors to prevent weight gain.
    • Mild presentations involve 1-3 binges per week; more extreme presentations involve 14 or more.
    • Binge amounts vary greatly (1,200-4,000 calories).
    • Body image is a significant issue, with individuals often feeling dissatisfied with their body shape and weight.
    • Distortions are less extreme than with AN.
    • Often identified by others due to vomiting or dental problems (frequent vomiting can rot teeth).

    Prevalence

    • Lifetime prevalence is up to 2.6% among women.
    • More prevalent in females and westernized cultures.
    • Increased significantly in the second half of the 20th century.

    Comorbidity

    • Severe cases can lead to electrolyte imbalance (leading to heart failure).
    • 7.5 times higher suicide rate than general population.

    Binge-Eating Disorder

    • Recurrent binges (large amounts of rapid eating when not physically hungry) with a lack of control over eating.
    • Individuals feel disgusted after binges, they may eat in private, rapidly, feeling ashamed afterwards.
    • Often overweight or obese, and might have co-occurring depression/anxiety/other addictive disorders.
    • Binge eating episodes can be planned or happen continuously through the day.

    Prevalence

    • 2-3.5% in the USA.
    • Rates are lower in other countries, but women are slightly more affected.

    Comorbidity

    • High rates of depression and anxiety.
    • Higher incidence of alcohol abuse and personality disorders.

    Other Specified Feeding or Eating Disorders

    • Conditions that don't meet the full criteria of AN or BN.
    • Atypical anorexia nervosa: Meets all AN criteria except for significant weight loss (weight is in a normal or above normal range).
    • Bulimia nervosa of low frequency and/or limited duration: Meets all BN criteria but binges occur less frequently or for a shorter duration.
    • Night Eating Disorder: Excessive eating occurring after dinner or at night, often in the absence of feeling hungry regularly.
    • Individuals are highly distressed by their behavior and often accompanied with insomnia and are typically overweight/obese.

    Treatment

    • Psychotherapy - Cognitive-behavioral therapy (CBT), interpersonal therapy and others.
    • Biological therapies - Medications like SSRIs (selective serotonin reuptake inhibitors) and others.
      • Family therapy is often crucial in AN treatments.

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    Related Documents

    Task 7: The Diet Paradox PDF

    Description

    Explore the critical aspects of Anorexia Nervosa, including its characteristics, severity levels based on Body Mass Index (BMI), and prevalence among populations. This quiz delves into the subtypes of anorexia and the profound impact it has on individuals' physical and mental health.

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