Eating Disorders (ps2008 week 4)
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Questions and Answers

What is the primary goal of treatment for individuals with eating disorders?

  • Providing pharmacological solutions to ensure quick recovery
  • Promoting excessive exercise to manage weight
  • Encouraging weight loss through dietary restrictions
  • Reducing the risk of physical complications and normalizing eating habits (correct)

What is a notable phase in the Cognitive Behavioural Therapy for eating disorders?

  • Engaging in self-monitoring through diary writing (correct)
  • Prioritizing weight loss over mental health
  • Emphasizing pharmacological intervention first
  • Focusing solely on group therapy

Why is weight restoration critical for patients with Anorexia Nervosa (AN)?

  • To enhance physical athletic performance
  • To enable engagement in meaningful therapeutic activity (correct)
  • To increase the effectiveness of pharmacological treatments
  • To avoid hospitalization due to underweight conditions

What treatment approach is typically utilized for Bulimia Nervosa (BN) patients?

<p>Establishing regular and structured eating patterns (A)</p> Signup and view all the answers

During the treatment for Anorexia Nervosa, how does control over eating change?

<p>Parents initially assume control, then gradually patients regain it (C)</p> Signup and view all the answers

Which of the following behaviors is NOT associated with binge eating episodes as per the DSM criteria?

<p>Engaging in compulsive exercise (B)</p> Signup and view all the answers

What percentage of individuals is likely to change their eating disorder diagnosis over the span of two years, according to the findings published in 2003?

<p>80% (A)</p> Signup and view all the answers

Which group has been identified as the highest referred ethnic group for eating disorders in the UK?

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

According to current observations, how does the prevalence of eating disorders in males compare to that of females?

<p>The prevalence in males is potentially underestimated and is increasing faster. (A)</p> Signup and view all the answers

What was found to be the strongest predictor of body dissatisfaction according to the evidence?

<p>Initial body dissatisfaction levels (B)</p> Signup and view all the answers

Which factor is emphasized as a reason for the neglect of males in eating disorder assessments?

<p>Assessment tools focusing on behaviors deviating from female ideals (B)</p> Signup and view all the answers

How did unrealistic standards in media contribute to higher rates of body dissatisfaction?

<p>By encouraging individuals to seek validation through appearance (A)</p> Signup and view all the answers

What is the estimated heritability percentage range for the development of eating disorders?

<p>40-60% (C)</p> Signup and view all the answers

During which developmental phase is the risk for developing eating disorders particularly heightened?

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

What genetic risk factor significantly increases the likelihood of developing an eating disorder if a first-degree relative has anorexia nervosa?

<p>10x more likely (C)</p> Signup and view all the answers

Which social factor was found to be the most predictive of eating and weight concerns among adolescents?

<p>Focus on likeability (D)</p> Signup and view all the answers

What is a significant challenge faced in the research of eating disorders?

<p>They are difficult to detect and have unrepresentative samples. (D)</p> Signup and view all the answers

What familial factor has shown a strong correlation with the development of eating disorders in children?

<p>Parents' own eating problems (B)</p> Signup and view all the answers

What part of the brain is hypothesized to be damaged, contributing to the development of eating disorders?

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

According to research, which type of peer behavior most directly influences the development of eating disorders?

<p>Expressions of approval for thinness (B)</p> Signup and view all the answers

What was the impact of increased media exposure on body image dissatisfaction?

<p>It resulted in higher body dissatisfaction (B)</p> Signup and view all the answers

What characteristic primarily defines OSFED?

<p>It is utilized when individuals do not meet specific eating disorder diagnosis criteria. (A)</p> Signup and view all the answers

Which disorder is characterized by ingesting non-edible substances?

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

In which condition do individuals often have a fear of weight gain despite evidence indicating the opposite?

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

What is a common feature of compensatory behaviors in eating disorders?

<p>Pre-emptively vomiting to control body weight. (D)</p> Signup and view all the answers

What distinguishes feeding disorders from eating disorders?

<p>Feeding disorders primarily focus on feeding issues rather than body shape concerns. (C)</p> Signup and view all the answers

Which of the following groups is most affected by Pica?

<p>Children under the age of 6 and pregnant women (B)</p> Signup and view all the answers

What behavior describes Rumination disorder?

<p>Effortlessly regurgitating food without intention (B)</p> Signup and view all the answers

What is a common psychological profile observed in individuals with Anorexia Nervosa?

<p>They often exhibit high achievement and perfectionist traits. (C)</p> Signup and view all the answers

What is considered the core factor in the development of eating disorders?

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

Which of the following factors has been identified as a precursor to the development of eating disorders?

<p>Binge eating (C)</p> Signup and view all the answers

How does the presence of OCD traits in childhood relate to eating disorders?

<p>It serves as a predictor for the onset of anorexia and bulimia. (A)</p> Signup and view all the answers

What psychological mechanism may contribute to the addictive nature of starvation in individuals with anorexia?

<p>Downregulation of pain through endogenous opioids (B)</p> Signup and view all the answers

What has been suggested regarding mood manipulation and body dissatisfaction?

<p>Mood manipulation increases body dissatisfaction and leads to overeating. (C)</p> Signup and view all the answers

In what way does cultural influence affect the prevalence of bulimia compared to anorexia?

<p>Bulimia is predominantly influenced by westernized cultural ideals. (A)</p> Signup and view all the answers

What factor was noted about African American women in relation to the impact of eating disorders?

<p>They are less affected, likely due to differing body ideals. (A)</p> Signup and view all the answers

What is the significance of dieting in the context of developing eating disorders?

<p>It is frequently a precursor to the development of eating disorders. (B)</p> Signup and view all the answers

What is a characteristic feature of Binge Eating Disorder?

<p>A sense of self-worth tied to body shape/weight (C)</p> Signup and view all the answers

Which of the following statements accurately describes the subtypes of Bulimia Nervosa?

<p>Non-purging subtypes engage in driven exercise. (D)</p> Signup and view all the answers

What is the minimum frequency of binge eating episodes required for a diagnosis of Bulimia Nervosa?

<p>Once a week for 3 months (C)</p> Signup and view all the answers

What BMI value is defined as significantly low for the diagnosis of Anorexia Nervosa?

<p>17.5 (D)</p> Signup and view all the answers

In which eating disorder does an individual primarily restrict eating without significant binges or purging?

<p>Restricting type Anorexia Nervosa (C)</p> Signup and view all the answers

How can starvation affect an individual suffering from Anorexia Nervosa?

<p>It causes difficulty concentrating. (B)</p> Signup and view all the answers

What psychological factors are central to both Anorexia Nervosa and Bulimia Nervosa?

<p>Concerns about body weight and shape (A)</p> Signup and view all the answers

What behavior is indicative of the non-purging type of Bulimia Nervosa?

<p>Excessive exercising after binge eating (A)</p> Signup and view all the answers

Flashcards

Eating Disorders

A category of mental health disorders characterized by abnormal eating habits and a distorted body image.

Anorexia Nervosa

A type of eating disorder where individuals restrict their food intake to such a degree that it leads to significant weight loss and nutritional deficiencies.

Bulimia Nervosa

A disorder where individuals engage in binge eating followed by purging behaviors like vomiting or excessive exercise, to compensate for the consumed calories.

Binge Eating Disorder

A disorder characterized by recurrent episodes of binge eating, which are characterized by consuming large amounts of food in a short period of time, with a feeling of lack of control.

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Other Specified Feeding or Eating Disorder (OSFED)

A category used when individuals don't fully meet the criteria for a specific eating disorder, but still exhibit significant eating concerns and behaviors.

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Unspecified Feeding or Eating Disorder (UFED)

A label utilized when the eating disorder diagnosis is unclear, or the presentation is mixed and doesn't clearly resemble a specific ED.

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Eating Disorder: Focus on Body Image

A disorder where individuals experience a strong preoccupation with eating and their body image, often leading to restrictive eating and a sense of control through their consumption.

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Compensatory Behaviors in EDs

The act of engaging in behaviors like vomiting, excessive exercise, or using laxatives to compensate for calorie intake.

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What is the key characteristic of Anorexia Nervosa?

A significant decrease in body weight due to energy restriction, with a BMI of 17.5 or lower, accompanied by a strong fear of gaining weight and a distorted body image.

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What are the main characteristics of the restricting subtype of Anorexia Nervosa?

In Anorexia Nervosa, individuals with a restricting subtype primarily control their weight through excessive dieting or exercise and rarely engage in binge eating or purging behaviors.

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What are the main characteristics of the purging subtype of Anorexia Nervosa?

In Anorexia Nervosa, individuals with a purging subtype might engage in binge eating and then compensate using methods like vomiting, using laxatives, or excessive exercise.

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What are the core behavioral characteristics of Bulimia Nervosa?

Bulimia Nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors (purging or non-purging) aimed at preventing weight gain, occurring at least once a week for three months.

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What are the defining features of binge eating episodes in Bulimia Nervosa?

In Bulimia Nervosa, individuals engage in recurrent episodes of binge eating, defined by consuming an excessive amount of food in a short period and feeling a lack of control during the episode.

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What are the main diagnostic criteria for Bulimia Nervosa?

Bulimia Nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors (purging or non-purging), occurring at least once a week for three months, and a self-evaluation heavily influenced by body shape and weight.

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What defines Binge Eating Disorder?

Binge Eating Disorder involves frequent episodes of binge eating without any compensatory behaviors, often associated with feelings of shame and guilt after the episode.

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How is Binge Eating Disorder related to body weight?

While Binge Eating Disorder is characterized by frequent episodes of binge eating, the disorder is often associated with obesity.

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Cross-sectional Study

A type of study that observes a group of people at a single point in time, examining the relationship between variables without manipulating any.

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Media Influence on Eating Disorders

The idea that media exposure influences the development of eating disorders by promoting unrealistic beauty standards and body dissatisfaction.

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Internalization of Media Ideals

The tendency to internalize media messages about thinness and beauty as essential for social acceptance and self-worth, leading to body dissatisfaction and disordered eating.

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Social Pressure and Eating Disorders

The idea that a focus on likeability and social approval, often fueled by peer pressure and teasing about weight and appearance, can significantly contribute to the development of eating disorders.

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Parental Influence on Eating Disorders

The crucial role of parents' attitudes and behaviors towards food, weight, and body image in shaping their children's eating patterns and potentially influencing the development of eating disorders.

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Adolescence as a Risk Phase

The period of adolescence, marked by rapid physical and social changes, is identified as a crucial time when individuals are at a higher risk for developing eating disorders.

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Need for Approval and Eating Disorders

The tendency to prioritize others' opinions and seeking validation from external sources, often contributing to body dissatisfaction and eating disorders.

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Overprotective Parenting and Eating Disorders

A pattern of behavior characterized by excessive protectiveness, rigidity, and involvement in a child's life, sometimes associated with the development of eating disorders in the child.

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Treatment goals for eating disorders

The primary treatment goals for eating disorders aim to reduce the risk of physical and medical complications, promote healthy eating habits, facilitate recovery from the disorder, address shame and secrecy associated with the disorder, and help individuals re-evaluate their relationship with weight and body image.

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Role of medication in treating eating disorders

Pharmacological treatments are not commonly used for eating disorders because their effectiveness is limited.

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CBT-E for eating disorders

Cognitive Behavioral Therapy-Enhanced (CBT-E) is a therapy used to treat eating disorders that involves understanding the individual's motivations for change, identifying and addressing patterns or features of the eating disorder, and preventing relapse.

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Family therapy for eating disorders

Family-based therapy for eating disorders involves the whole family working together to help the individual recover. Initially, parents take a more active role in managing the individual's eating patterns, and as the individual recovers, they gradually regain control of their eating. The therapy also addresses developmental milestones missed due to the eating disorder.

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Weight restoration in AN

A core aspect of treating anorexia nervosa (AN) is helping the individual regain weight. Severe starvation can negatively impact brain function, making therapeutic engagement difficult.

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Opioid Addiction Theory

A neurochemical theory suggesting that individuals with anorexia nervosa experience a release of endogenous opioids during starvation, which provides a sense of reward and reinforces the starvation behavior. This theory proposes that individuals with anorexia may become addicted to the feeling of starvation.

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Neurotransmitter Imbalance Theory

A theory suggesting that individuals with eating disorders might experience disturbances in neurotransmitters, leading to increased dopamine levels for bulimia nervosa and decreased serotonin and dopamine levels for anorexia nervosa. This imbalance could contribute to cravings, binge eating, and difficulty regulating emotions.

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Body Dissatisfaction

A key factor in the development of eating disorders, characterized by dissatisfaction with one's body and a perceived discrepancy between one's ideal and actual body size and shape. Studies indicate a strong correlation between high body dissatisfaction and the development of eating disorders.

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Perfectionism

A personality trait characterized by a strong desire to achieve perfection and a fear of failure. Individuals with high perfectionism may be more susceptible to developing eating disorders, striving for unattainable body ideals.

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Emotional Regulation Through Eating

A psychological coping mechanism employed by individuals with eating disorders, particularly in cases of binge eating. This response involves shifting focus from emotionally distressing experiences towards eating patterns, temporarily providing a sense of control and regulation.

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Mood Intolerance

A contributing factor to the development of eating disorders, linked to the individual's ability to tolerate and manage emotional fluctuations. Individuals with low mood tolerance may be more likely to develop eating disorders as a way to cope with intense emotional experiences.

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Low Self-Esteem

A psychological state characterized by a negative self-image and a lack of confidence. Low self-esteem can contribute to the development and maintenance of eating disorders, as individuals may attempt to improve their self-worth through physical changes.

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Cultural Influence on Body Image

The cultural influence on body image, particularly in Westernized societies, emphasizing thinness and idealized body shapes. This can contribute to the development of eating disorders, especially in individuals who are highly susceptible to external pressures.

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Binge Eating Disorder (BED): Diagnostic Criteria

A pattern of recurrent binge eating episodes characterized by at least three of the following: rapid eating, eating until uncomfortably full, eating large amounts of food when not hungry, eating alone due to embarrassment, feeling disgusted with oneself (depressed or guilty) . This behavior is accompanied by significant distress and occurs at least once a week for three months without any compensatory behaviors.

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Diagnostic Migration in Eating Disorders

A trend observed in the diagnoses of eating disorders (EDs) over time. Many individuals initially diagnosed with one ED change to a different diagnosis later on.

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Prevalence of EDs in Males

The prevalence of eating disorders among males is likely underreported and may even be increasing at a faster rate than in females. However, there is no significant difference in the severity of eating disorders between genders.

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Assessment Tools and Male EDs

The tools used to assess eating disorders often focus on behaviors that are more prevalent in females (e.g., thinness idealization) leading to underdiagnosis and a lack of understanding of how eating disorders manifest in males.

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Help-Seeking Behavior in Males with EDs

Males with EDs tend to be less likely to seek help compared to females, contributing to the underestimation of ED prevalence among men.

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Methodological Challenges in ED Research

Several challenges make studying eating disorders difficult, including their relatively low prevalence, difficulty in detection, unrepresentative samples, and the complexities of diagnosis.

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Genetic Risk Factors for EDs

Genetic factors play a significant role in the development of eating disorders, with heritability estimated at 40-60%. Research suggests that individuals with first-degree relatives with anorexia nervosa (AN) are ten times more likely to develop an eating disorder, while having a relative with bulimia nervosa (BN) increases the risk by four to nine times.

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Study Notes

Eating Disorders Overview

  • Eating disorders are characterized by concerns and preoccupations with body shape and weight.
  • OSFED (Other Specified Feeding or Eating Disorder) is a diagnosis used when someone doesn't meet the criteria for a specific eating disorder but still has symptoms.
  • UFED (Unspecified Feeding or Eating Disorder) is a diagnosis used when the specific disorder isn't clear.
  • Pica involves eating non-food items.
  • ARFID (Avoidant/Restrictive Food Intake Disorder) is characterized by restricted food intake, often leading to significant weight loss, but not primarily due to body image concerns.
  • Rumination disorder involves regurgitating food, without intention.

Anorexia Nervosa

  • Self-worth is tied to body shape and weight.
  • An intense fear of gaining weight characterizes the condition.
  • Distorted view of body weight/shape.
  • Restriction of energy intake is a key feature.
  • BMI below 17.5 is a diagnostic criterion.
  • Two subtypes exist: restricting and purging.
  • Restricting type involves limited food intake, while the purging type involves vomiting or using laxatives after eating.

Bulimia Nervosa

  • Body image concerns and frequent lapses in control over eating.
  • Eating often happens in secret, with guilt.
  • Episodes of binge eating (eating excessive amounts of food quickly) are followed by compensatory behaviours (like vomiting or excessive exercise).
  • These behaviours must occur at least once per week for three months.

Binge Eating Disorder

  • Associated with a sense of self-worth tied to body shape and weight.
  • Episodes of binge eating without compensatory behaviors frequently occur.
  • Individuals eating large amounts, quickly, even when not hungry, characterizes the condition.
  • Feeling of embarrassment, disgust, or guilt are associated with binges.
  • Binge eating must happen once a week for three or more months.

Comorbidity & Epidemiology

  • Eating disorders are frequently associated with other mental health conditions, such as depression, anxiety, and obsessive-compulsive disorder.
  • The prevalence of eating disorders in males is likely underestimated and is growing at a faster rate than in females.

Biological and Psychological Risk Factors

  • Genetic factors play a role in the development of eating disorders, and there is a higher likelihood of developing an eating disorder if a family member has one.
  • The lateral hypothalamus is important for appetite regulation, and damage to it might result in appetite loss.
  • A theory suggests starvation can result in a release of endogenous opioids, making starvation rewarding.
  • There is likely a complicated interaction of biological, psychological, and social factors in the development of eating disorders.
  • Cultural factors, such as body ideals and implicit messages from media, significantly impact eating disorder development.
  • Body dissatisfaction can significantly predict the development of an eating disorder.

Treatment

  • Treatment goals include addressing medical complications, encouraging healthy eating habits, improving relationships with food, and reducing shame associated with the condition.

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Eating Disorders PDF

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This quiz provides an overview of various eating disorders, emphasizing characteristics, symptoms, and diagnostic criteria. Explore conditions such as OSFED, UFED, Pica, ARFID, and Anorexia Nervosa, including the psychological aspects and specific features associated with each disorder.

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