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25 Cards in this Set
- Front
- Back
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What % of adolescent females of average weight are dissatisfied with their weight?
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50-75%
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What are the 4 main DSM-V criteria for anorexia nervosa?
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1. Restriction of food causing weight to be less than 85% than expected
2. Intense fear of gaining weight 3. Undue influence of bod weight on self-evaluation 4. Absence of 3 consecutive menstrual cycles (amennorhea) |
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What are the 2 subtypes of anorexia nervosa?
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1. Restricting - person has not engaged in binging / purging
2. Binge eating / purging - recurrent episodes of binge eating or purging behavior (30-40%) All during last 3 months |
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The onset of anorexia nervosa frequently follows what?
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A crisis with the family, school, or sexuality
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What is the lifetime prevelance of anorexia?
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2%
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Which NT may play a role in anorexia and bulimia?
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Serotonin because serotonin neural system contributes to the modulation of feeding, mood, and impulse control
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Do anorexia and bulimia respond to anti-depressants?
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ONLY bulimia
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Are pharmacotherapy (antidepressants) useful for weight gain in acute phase and/or long term weight maintenance in anorexia?
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NO
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What are the components of outpatient treatment?
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1. Family Based therapy for younger patients
2. Individual therapy for older patientse |
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What percentage of patients have a good outcome in treatment for anorexia?
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2/3
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What are the 3 phases in the "Maudsley" Family therapy for anorexia?
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1. Phase 1 - put PARENTS in charge of refeeding process
2. Return to independent eating 3. Focus on more general issues of adolescence |
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What type of therapy is used for adults with anorexia?
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CBT
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What are the 4 main diagnostic DSM-V criteria for bulimia nervosa?
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1. Recurrent episodes of binge eating
2. Recurrent, inappropriate compensatory behavior such as vomiting, use of laxitives 3. Bing/compensation both occur 1/wk for 3 months 4. Self evaluation unduly influenced by weight and shape |
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A significant subset of bulimia patients have what?
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Depression
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Neurologically, it was shown the BN patients have a large issue with what?
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Impulsivity control
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BN patients fail to activated what 4 brain regions to the same degree as healthy patients?
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1. Frontolstraital circuits in left inferolateral prefrontal cortex
2. Bilateral inferior frontal gyrus 3. Lenticular and caudate nuclei 4. Anterior cingulate cortex |
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The first occurance of binges in BN is usually in response to what?
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Severe caloric deprivation while dieting
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What percentage of BN patients have a good outcome with treatment?
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75%
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Poor response to treatment of BN is seen in what types of patients?
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Those with long duration of illness
Presence of other disorders |
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What are 2 complications of BN that result from vomiting?
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1. Hypokalemia (low potassium)
2. Erosion of dental enamel |
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What are the 2 main treatments for BN?
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1. Medications - antidepressants
2. CBT |
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What is better, CBT or interpersonal therapy (IPT)?
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CBT
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What are the 3 rationales for using antidepressants in the treatment of BN?
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1. Comorbidity with depression
2. Role of serotonin in satiety 3. Most studies show efficacy |
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What are the 4 main criteria of binge eating disorder?
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1. Recurrent episodes of binge eating
2. Binge eating episodes that are very rapid, cause uncomfortable fullness, etc 3. Marked distress regarding binge eating 4. Occurs 1/wk for 3 months |
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BED is analogous to what other disorder?
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Addiction (shows similar PET scans)
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