Eating Disorders: Key Statistics and Risks
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Questions and Answers

What is the age group with the highest risk for the onset of eating disorders?

  • Seniors over 65
  • Adolescents and young adults (correct)
  • Children under 12
  • Middle-aged adults

Which eating disorder subtype is most prevalent?

  • Binge Eating Disorder
  • Anorexia Nervosa
  • Atypical eating disorders (correct)
  • Bulimia Nervosa

What percentage increase in hospital admissions for eating disorders was observed in boys and young men from 2015/16 to 2020/21?

  • 128% (correct)
  • 79%
  • 90%
  • 84%

How much higher is the incidence of Anorexia Nervosa in individuals with a family history of the disorder?

<p>11 times higher (B)</p> Signup and view all the answers

Which factor is NOT identified as a risk factor for developing eating disorders?

<p>Frequent physical exercise (C)</p> Signup and view all the answers

What was the overall percentage increase in hospital admissions for eating disorders in adults during 2015/16 to 2020/21?

<p>79% (C)</p> Signup and view all the answers

How does gut health relate to eating disorders?

<p>It regulates appetite and satiety through hormones. (A)</p> Signup and view all the answers

Which group exhibited the highest rate of increase in hospital admissions for eating disorders among children and young people?

<p>Boys and young men (B)</p> Signup and view all the answers

What percentage of elite athletes were found to have clinically significant symptoms of eating disorders?

<p>22.8% (D)</p> Signup and view all the answers

Which group was found to be 2.5 times more likely to have an eating disorder diagnosis?

<p>Women engaged in excessive exercise (B)</p> Signup and view all the answers

What primary factor contributing to eating disorders is emphasized for elite athletes?

<p>Promotion of strict dieting practices (A)</p> Signup and view all the answers

Which psychological model focuses on the impact of societal attitudes towards body image?

<p>Objectification Theory (A)</p> Signup and view all the answers

What type of experiences contribute to the socialization of women and girls into objectifying themselves?

<p>Routine sexual objectification (A)</p> Signup and view all the answers

Which psychological model is NOT mentioned in terms of explaining eating disorders?

<p>Behavioral Model (D)</p> Signup and view all the answers

What is the primary focus of the cognitive-interpersonal maintenance model?

<p>Exploring relational dynamics affecting behavior (A)</p> Signup and view all the answers

Which factor related to elite sports can contribute to the development of eating disorders?

<p>Endorsement of low body fat (B)</p> Signup and view all the answers

What factor related to childhood weight is suggested to be a more powerful predictor of developing an eating disorder than the child's actual weight?

<p>Parental perception of the child being overweight (C)</p> Signup and view all the answers

Which type of abuse has been found to be a significant predictor of binge/purge symptomology in women?

<p>Emotional abuse (C)</p> Signup and view all the answers

Research indicates that in-utero exposure to high levels of which hormone may be associated with later development of eating disorders?

<p>Cortisol (A)</p> Signup and view all the answers

What has recent evidence suggested regarding the socioeconomic status of individuals with eating disorders?

<p>Disordered eating occurs at similar rates across all income levels (D)</p> Signup and view all the answers

Which characteristic of parents is associated with a higher risk of their children developing eating disorders?

<p>Drive for thinness (A)</p> Signup and view all the answers

What aspect of female individuals diagnosed with AN or BN is markedly different compared to their healthy sisters before the onset of the disorder?

<p>Perceived emotional connectedness (C)</p> Signup and view all the answers

What has been observed as a common psychological trait among individuals with eating disorders related to societal influences?

<p>Endorsement of thin ideals (D)</p> Signup and view all the answers

Which factor is suggested as a predictor for disordered eating behaviors in connection to food security?

<p>Low food security (A)</p> Signup and view all the answers

Which of the following criteria distinguishes Binge Eating Disorder (BED) from Bulimia Nervosa?

<p>No compensatory behaviors like vomiting or excessive exercise occur. (A)</p> Signup and view all the answers

What is a defining characteristic of Anorexia Nervosa?

<p>Restriction of energy intake resulting in significantly low weight. (C)</p> Signup and view all the answers

Which of the following is NOT a subtype of Anorexia Nervosa?

<p>Avoidant type (C)</p> Signup and view all the answers

What psychological factors contribute to the maintenance of Anorexia Nervosa (AN) according to the cognitive-interpersonal maintenance model?

<p>Rigidity in thinking and avoidance of emotional processing (D)</p> Signup and view all the answers

Which of the following statements best describes the effects of trying on swimsuits versus sweaters on women in the 1998 study?

<p>Women experienced more body shame and self-objectification when trying on swimsuits (B)</p> Signup and view all the answers

What behavior is commonly associated with Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>Nutritional deficiencies and marked psychosocial interference. (B)</p> Signup and view all the answers

Which statement about Bulimia Nervosa is accurate?

<p>Weight control behaviors include vomiting and laxative misuse. (C)</p> Signup and view all the answers

According to the cognitive model of Bulimia, what role do 'permissive thoughts' play in binge eating?

<p>They facilitate continued binge eating by justifying the behavior (A)</p> Signup and view all the answers

What is a key symptom of Orthorexia Nervosa?

<p>Distress linked to not following a strict healthy eating regimen. (A)</p> Signup and view all the answers

What is a significant focus of the MyBody, MyLife program for adolescent girls?

<p>Discussing body image and eating concerns in a supportive environment (D)</p> Signup and view all the answers

Which statistic is true regarding the prevalence of eating disorders in the UK?

<p>Approximately 725,000 people are affected by eating disorders. (B)</p> Signup and view all the answers

What does the interpersonal model of Binge Eating Disorder (BED) suggest about the relationship between low self-esteem and binge eating?

<p>Difficulties with social functioning precipitate low self-esteem, triggering binge eating (B)</p> Signup and view all the answers

Which intervention method uses a cognitive behavioral approach specifically to treat Bulimia Nervosa (BN)?

<p>Cognitive Behavioral Therapy (CBT) (D)</p> Signup and view all the answers

What distinguishes Orthorexia Nervosa from other eating disorders?

<p>It is characterized by distress regarding perceived unhealthy foods. (C)</p> Signup and view all the answers

In relation to Anorexia Nervosa, what does the term 'significantly low weight' refer to?

<p>Less than minimally normal weight for age and height. (B)</p> Signup and view all the answers

What is one of the goals of cognitive behavioral therapy (CBT) for Bulimia Nervosa?

<p>To enhance motivation and set achievable goals (A)</p> Signup and view all the answers

What kind of environment does the MyBody, MyLife program aim to cultivate during its group sessions?

<p>Supportive and collaborative (B)</p> Signup and view all the answers

Which term defines the eating disorder characterized by lack of interest in food and significant weight loss?

<p>Avoidant/Restrictive Food Intake Disorder (C)</p> Signup and view all the answers

According to the cognitive model of Bulimia, what are negative automatic thoughts associated with?

<p>Negative theories about the self, such as feeling unlovable (D)</p> Signup and view all the answers

Which of the following is NOT a core factor used in therapy based on the cognitive-interpersonal maintenance model for treating Anorexia Nervosa?

<p>High levels of self-compassion (B)</p> Signup and view all the answers

What is a key emphasis of the Maudsley Model of AN Treatment for Adolescents and Young Adults (MANTRa)?

<p>Involvement of parents and loved ones in treatment (D)</p> Signup and view all the answers

According to the content, what behavior can help in challenging negative self-beliefs?

<p>Conducting behavioral 'experiments' (D)</p> Signup and view all the answers

What is a significant factor contributing to eating disorder symptoms according to attachment theory?

<p>Lack of attachment needs being met (D)</p> Signup and view all the answers

Which of the following is NOT identified as a factor contributing to body image concerns related to social media?

<p>Increased self-acceptance (C)</p> Signup and view all the answers

What is the primary approach of the eating disorder-specific model of interpersonal psychotherapy (IPT-ED)?

<p>Creating healthy interactions with the social environment (A)</p> Signup and view all the answers

What role does negative social evaluation play in eating disorders?

<p>It contributes to the disturbance of the self (C)</p> Signup and view all the answers

What moderator can serve as protective against the negative effects of social media on body image?

<p>Body appreciation (B)</p> Signup and view all the answers

What is a common misconception regarding the treatment frequency included in the Maudsley Model?

<p>It includes 20 weekly sessions followed by 4 monthly booster sessions (C)</p> Signup and view all the answers

Flashcards

Anorexia Nervosa

An eating disorder characterized by an intense fear of gaining weight, a distorted body image, and severe calorie restriction, leading to significantly low body weight.

Bulimia Nervosa

An eating disorder characterized by recurrent episodes of binge eating followed by purging behaviors such as self-induced vomiting, misuse of laxatives, or excessive exercise to compensate for the binges.

Binge Eating Disorder

An eating disorder involving recurrent episodes of binge eating, characterized by a feeling of losing control during the binge and eating an excessive amount of food in a short period.

Avoidant/Restrictive Food Intake Disorder (ARFID)

An eating disorder characterized by persistent avoidance or restriction of food intake, leading to significant weight loss, failure to gain weight, nutritional deficiencies, or dependence on supplemental feeding. This avoidance may stem from sensory issues, fear of adverse consequences, or lack of interest.

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Orthorexia Nervosa

A proposed eating disorder characterized by an obsessive focus on healthy eating, often to the exclusion of other aspects of life, and resulting in restrictive diets that can lead to malnutrition.

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Prevalence

Refers to the prevalence of eating disorders in a given population. It helps understand how common these disorders are and identify potential groups at risk.

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Risk Factors

Factors that increase the likelihood of developing an eating disorder. These can include genetic predisposition, cultural pressures, family dynamics, and personal experiences.

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Psychological Theories

Different theoretical perspectives explaining the causes of eating disorders. This includes biological, psychological, social, and cultural factors.

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Interventions

Treatments and interventions aimed at improving the quality of life for individuals with eating disorders. This includes therapy, medication, nutrition counseling, and support groups.

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Future Directions

Future research directions and advancements in understanding and managing eating disorders. This includes exploring new treatments, understanding underlying mechanisms, and promoting prevention strategies.

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Prevalence of Eating Disorders in Young Females

The percentage of young females who have experienced a DSM-5-defined eating disorder by early adulthood in Western countries.

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Prevalence of Eating Disorders in Young Males

The percentage of young males who have experienced a DSM-5-defined eating disorder by early adulthood in Western countries.

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Genetic Risk of Eating Disorders

A strong genetic predisposition has been observed for eating disorders.

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Family History and Eating Disorders

Individuals with a parent who has a history of an eating disorder are over twice as likely to develop an eating disorder themselves.

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Gut Health and Eating Disorders

The gut microbiota and autoimmune reactions can contribute to the development of eating disorders.

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Social and Cultural Factors

Socioeconomic status, gender, ethnicity, body image, and social influence are all risk factors for developing an eating disorder.

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Maternal Stress and EDs

Exposure to high levels of cortisol in the womb due to maternal stress has been linked to the later development of eating disorders.

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Prematurity and EDs

Studies show that individuals born prematurely have a higher risk of developing eating disorders, potentially due to brain alterations related to incomplete development.

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Parental Traits and EDs

Children are more likely to develop eating disorders if their parents exhibit traits associated with EDs, such as a strong desire to be thin and a focus on perfection.

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Emotional Connectedness and EDs

Individuals with anorexia or bulimia often report feeling emotionally distant before the onset of their eating disorder.

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Childhood Weight and EDs

Research suggests that higher weight during childhood can increase the risk of developing an ED in later life, even in culturally diverse populations and males.

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Parental Perception and EDs

A parent's perception of their child as overweight might be a stronger predictor of ED development than the child's actual weight.

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Abuse and EDs

Evidence suggests that emotional abuse is strongly related to binge eating and purging behaviors in women, while sexual abuse and physical neglect are linked to ED symptoms in men.

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Socioeconomic Status and EDs

While many believe EDs are more prevalent among wealthier groups, research shows that disordered eating occurs across all income levels and employment statuses.

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Objectification Theory

The idea that being repeatedly treated as an object, especially in relation to one's body, can contribute to body image issues and eating disorders.

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Female Athlete Triad

A type of eating disorder characterized by excessive exercise and a restrictive diet, often found in athletes.

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Sociocultural Theory

The idea that society often promotes thinness, especially for women, which can contribute to eating disorder development.

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Excessive Exercise as an ED Risk

Excessive exercise may be a sign of an eating disorder, especially in women.

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Increased ED Risk in Women

Women experiencing excessive exercise are 2.5 times more likely to have an eating disorder.

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Thin Ideal Image Impact

Exposure to thin ideal images can have a greater impact on those already at risk for developing eating disorders.

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ED Prevalence in Elite Athletes

Eating disorders can be more prevalent in elite athletes, with a high percentage showing significant symptoms.

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Strict Dieting and EDs

Activities that encourage restrictive diets and low body fat can contribute to the development and maintenance of eating disorder symptoms.

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MANTRa (Maudsley Model of Anorexia Nervosa Treatment for Adolescents and Young Adults)

A model of treatment for Anorexia Nervosa focusing on enhancing motivation for change, challenging negative self-beliefs, and addressing interpersonal maintenance factors.

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IPT-ED (Eating Disorder-Specific Interpersonal Psychotherapy)

A therapy model for eating disorders grounded in attachment theory, addressing the idea that eating disorder symptoms are tied to unmet attachment needs and negative social evaluation.

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Reward Systems for Change

Self-rewarding strategies for positive behavioral changes, aiming to reinforce desired actions and encourage progress toward recovery.

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Challenging Negative Self-Beliefs

Actively challenging negative self-beliefs by questioning their validity and logic, conducting behavioral experiments to test their truthfulness.

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Interpersonal Maintenance Factors in Eating Disorder Recovery

Addressing the influence of family relationships on eating disorder recovery, including identifying unhelpful behaviors and involving loved ones in the therapeutic process.

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Behavioral Experiments

A self-directed method for testing the validity of negative thoughts by carrying out actions that challenge their truthfulness.

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Illness-Maintaining Factors in Eating Disorders

Understanding the factors that contribute to eating disorders, particularly the interplay of psychological, social, cultural, and environmental influences.

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Social Media and Body Image

The negative impact of social media on body image, which can lead to eating disorders and mental health issues, by promoting unrealistic beauty standards and fostering unhealthy comparisons.

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Cognitive Model of Bulimia

A cognitive model explaining the development and maintenance of bulimia nervosa, highlighting negative thoughts, emotional regulation, and maladaptive beliefs about eating.

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Cognitive-Interpersonal Maintenance Model of Anorexia

A model suggesting that predispositions like anxiety and OCD, along with the disorder's impact on relationships, contribute to the maintenance of anorexia nervosa.

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Interpersonal Model of Binge Eating Disorder

A model proposing that social difficulties and low self-esteem lead to negative emotions, which are then coped with through binge eating in binge eating disorder.

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MyBody, MyLife: Body Image Program for Adolescent Girls

A group-based online intervention program designed to help teenage girls improve body image and address eating concerns, including online support and facilitated discussions.

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Cognitive Behavioral Therapy for Bulimia Nervosa

A therapeutic approach using cognitive behavioral techniques to help individuals overcome bulimia nervosa, focusing on identifying and challenging negative thoughts, developing coping strategies, and preventing relapse.

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Cognitive Behavioral Therapy (CBT)

An approach used to treat eating disorders that combines cognitive behavioral therapy with an emphasis on identifying underlying psychological and relational factors contributing to the disorder.

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Interpersonal Therapy (IPT)

A type of psychotherapy that aims to improve interpersonal relationships and social functioning by identifying and addressing problematic patterns of interaction.

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Interpersonal Therapy for Eating Disorders (IPT-ED)

An approach to treating eating disorders that combines aspects of cognitive behavioral therapy and interpersonal therapy, focusing on both thoughts and behaviors as well as relationships and social functioning.

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The Maudsley Model

A therapeutic model that emphasizes the importance of addressing the underlying psychological and relational factors that contribute to the development and maintenance of eating disorders.

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Family-Based Therapy (FBT)

A treatment approach that acknowledges the role of family dynamics and interpersonal relationships in the development and maintenance of eating disorders, involving family members in the treatment process.

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Study Notes

Eating Disorders (ED)

  • EDs are a complex group of conditions with various subtypes
  • Prevalence and risk factors for EDs are discussed
  • Current psychological theories explaining EDs are explored
  • Available interventions for treating EDs, and future directions for research are addressed
  • Diagnostic criteria for different ED subtypes (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Avoidant/Restrictive Food Intake Disorder, and Orthorexia Nervosa) are presented
  • Risk factors for developing EDs, including genetics, early childhood development, socioeconomic status, body image influence, elite sports participation, and abuse/trauma are covered
  • Gut health and its possible role in ED development/maintenance is highlighted
  • Current psychological theories of EDs, encompassing sexual objectification, sociocultural theories, cognitive models, and interpersonal models are discussed
  • Interventions for EDs are reviewed, including body image programs and cognitive behavioral therapy.

Introduction

  • What constitutes an eating disorder? Discussion about clinical identification of traits.

Prevalence and Risk Factors

  • How many people have eating disorders worldwide? Information on how to characterize this population.

Psychological Theories

  • Explanations for clinical levels of disordered eating.

Interventions

  • Improving quality of life for people with EDs.

Future Directions

  • What are the next steps for understanding and treating EDs?

Diagnostic Criteria in the DSM-V

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge Eating Disorder
  • Other Specified Feeding and Eating Disorders
  • Pica.
  • Rumination Disorder
  • Avoidant/Restrictive Food Intake Disorder (ARFID)
  • Unspecified Feeding or Eating Disorder (UFED)
  • Other:
    • Muscle Dysmorphia
    • Orthorexia Nervosa (ON)

Anorexia Nervosa

  • Restriction of energy intake leads to significantly low weight.
  • Intense fear of gaining weight or becoming fat.
  • Interference of behaviour with weight gain.
  • Often co-morbid with Major Depressive Disorder.
  • Subtypes: Restricting type and Binge-eating/purging type.

Bulimia Nervosa

  • Recurring episodes of binge eating.
  • Compensatory behaviors to prevent weight gain, such as vomiting, misuse of laxatives, fasting, or excessive exercise.
  • Self-evaluation is unduly influenced by body weight/shape.

Binge Eating Disorder (BED)

  • Recurring episodes of binge eating.
  • Eating in a short period more food than most similar people would eat in similar circumstances.
  • Negative affect/thoughts related to food intake
  • Sense of lack of control during the eating episode
  • Often associated with a feeling of being disgusted or guilty after eating.

Avoidant/restrictive food intake disorder (ARFID)

  • Eating disturbance characterised by a lack of interest in eating food, based on sensory aspects of food, or concern about adverse consequences.
  • Weight loss/failure to gain growth.
  • Nutritional deficiencies
  • Dependence on enteral feeding or supplements
  • Marked interference with psychosocial functioning

Orthorexia Nervosa (ON)

  • Obsessive focus on healthy eating.
  • Marked distress in relationship to “unhealthy” food.
  • Compulsive behavior and preoccupation regarding healthy restrictive diets.
  • Dietary restrictions may escalate in time, incl. “cleanses”

Key Statistics about Prevalence

  • Over 725,000 people in the UK have eating disorders
  • Eating disorders can develop at any age, but the risk is highest in adolescents and young adults

Risk Factors for Developing EDs

  • In-utero cortisol exposure.
  • Preterm birth.
  • Parental perception, and beliefs about overweight/underweight.

Abuse and Trauma

  • Early childhood emotional abuse predicts binge/purge symptomology in women, while sexual abuse and neglect are associated with symptoms in men.
  • Child abuse/neglect related to binge eating behaviors in women.

Socioeconomic Status

  • Low food security and high parental education are predictors of disordered eating behaviors.

Body Image and Social Influence

  • Endorsement of thin ideals is exacerbated by exposure to stigmatising messages towards individuals who are overweight or obese.
  • Social media exposure and body image concerns/disordered eating.

Elite Sports, Female Athlete Triad, and Excessive Exercise

  • Engagement in strict dieting practices/low body fat is linked with ED development
  • High prevalence of clinically significant ED symptomology among elite athletes (n = 224).
  • This needs to be recognised and assessed. Recognition of and monitoring of excessive physical activity in women in communities is important aspect of ED risk assessment

Psychological Theories of EDs

  • Sexual objectification and sociocultural theories
  • Cognitive models/and interpersonal models are discussed.

Interventions for EDs

  • MyBody, MyLife: Body Image Program for Adolescent Girls
  • Cognitive and Behavioural Therapy
  • Maudsley Model

Interpersonal Psychotherapy for Eating Disorders (IPT-ED)

  • Attachment theory is foundational to the therapy.
  • ED problems develop in relation to unmet attachment needs,
  • Negative social evaluation triggers eating disorder symptoms
  • Treatment aims to improve social interactions.

Cognitive Behavioral Therapy (CBT) for Bulimia Nervosa (BN)

  • Self-help and overcoming difficulties with social functioning to cope with negative feelings is addressed.
  • Goal setting, formulation, identification and challenging of specific thoughts/beliefs/assumptions
  • Behavioral experiments are conducted to gain insight into the reasons for binging, purging behaviours, and obsessive thoughts.

The Maudsley Model of AN Treatment

  • Focuses on illness, and maintaining factors like avoidance and rigid thought.
  • Improving body image, and identity are important for development of health.
  • Addresses interpersonal maintenance factors.
  • Parents and loved ones are involved in treatment.

Future Directions

  • Evidence from several studies suggests that certain exposures on social media (i.e., specific trends, or influencers) are associated with eating disorders and body image concerns
  • The ways in which eating disorders are assessed/treated in males is largely reflective of a female-oriented diagnostic framework, and these need to be evaluated and adjusted.
  • Cultural understanding greatly impacts the development and maintenance of eating disorders.
  • Future research needs to consider relevant cultural insights and flexible diagnostic criteria for non-White individuals to appropriately address eating disorders in diverse populations.

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Test your knowledge on the latest statistics and risk factors associated with eating disorders. This quiz covers prevalence rates, hospital admissions, and the impact of family history on various eating disorder subtypes. Challenge yourself to understand the complexities and health implications of these disorders.

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