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17 Cards in this Set

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  • Back
what is PICA?
-peristent eating of non nutritive substances for more than one month
anorexia nervosa
-refusal to maintain at least 85% of expected body weight
-intense fear of weight gain
-amenorrhea for 3 consecutive months
epidemiology of AN
-1% of adolescent females
-peak onset is 13 and 18 year olds
-95% of cases are females
bulimia nervosa
-recurrent binge eating
-recurrent behavior to prevent weight gain
-self eval is unduly influenced by body shape
epidemiology of BN
-3% of young women
-40% of college females have occasional symptoms
-95% are females
-later onset than AN
epidemiology of PICA
-30% of kids under 6
-10% of kids older than 10
-25% of mentally retarded kids
-both sexes equally affected
what are the two etiological theories of PICA?
-nutritional deficiencies
-parental neglect and deprivation
rumination disorder
-repeated regurgitation of food and rechewing for at least one month
-rare
what are the three etiological theories of rumination in infants?
-pleasurable self stimulation
-tension reliever
-attention getting behavior
how do we treat rumination disorder?
-with operant conditioning
-ex. electric shock or "time out"
what are the three etiological theories of rumination disorder in adults?
-begins in childhood
-genetic component
-occurs in nervous people
how is congnitive behavioral therapy used to treat EDs?
-problem oriented
-plan meals
-record eating habits
-educate patient about disease
is there a genetic component to EDs?
-yes
what are the four psycological theories to eating disorders?
-maladaptive learned responses to dec anxiety (eating too much)
-cognitivie distortions like all or none thinking
-depression
-bad family situation
what are some cultural factors that make EDs more common in females?
-"feminine" ideal
-naturally teen girls have 2X the fat mass of teen boys
-media and societal pressures
pharmacologic treatment of AN
-limited role (usually weight restoration)
-sometimes use antidepressants
pharmacologic treatment of BN
-antidepressants can dec binge eating short term
-if patient has a major derpressive disorder they will not respsond to meds