Psychopathology - Eating Disorders

Front 1

What is the diagnostic criteria for anorexia nervosa?

Back 1

Low weight, dietary restriction
intense fear of gaining weight (*almost a phobic fear) OR (new to DSM 5) behaviors that interfere with gaining weight
disturbed perception of body weight

Front 2

What are the 2 subtypes of AN?

Back 2

1. Restrictive: with absence of regular binging
2. Binge-purge: presence of regular bingeing

Front 3

What is a binge?

Back 3

1. Objective binge (calories, time frame, out of control)
2. Subjective binge

Front 4

True or false: There is a BMI criteria in DSM 5 for AN

Back 4

False. It is up to the therapist's judegement

Front 5

What is bulimia nervosa?

Back 5

Recurrent bingeing, compensation, over evaluation of importance of weight/shape, (don't have to be underweight like AN)

Front 6

How is severity measured for BN in DSM 5?

Back 6

# of compensatory episodes (mild -extreme)

Front 7

True or false: BN is just a problem of overeating and compensation.

Back 7

False, BN can include undereating

Front 8

What is EDNOS? What are some examples?

Back 8

Eating Disorder Not Otherwise Specified
Atypical AN (not low weight)
BN of low frequency ( 1 week - month)
BED of low frequency
purging disorder (normal weight)
night eating syndrome (bingeing at night)

Front 9

What are some features of ED?

Back 9

obsessed with food
phobic like fear of weight gain
eating rituals
gum chewing
body checking
too much exercise
self worth based on weight

Front 10

True or false: ED are the #3 cause of death

Back 10

False. They are the #1 cause of death in mental disorders

Front 11

What are some physical symptoms of ED?

Back 11

Cardiac problems
Gum disease
Sleep problems
Lanugo (AN)

Front 12

What are 2 main sociocultural influences on ED?

Back 12

1. Emphasis on girls to be thin
2. Advocating dieting

Front 13

Why is dieting a major predisposer for ED?

Back 13

Dieters don't pay attention to body hunger signals. Especailly when they "break" their diet, they lose everything and eat too much.

Front 14

What did the "Minnesota Study" find about dieting and ED?

Back 14

Those who were forced to limit their calories developed EDs. (rituals/obsessed/binging)

Front 15

What are some traits predisposing you to AN?

Back 15

Perfectionism
Compulsivity
Introversion
Inhibited

Front 16

What are some traits predisposing you BN?

Back 16

Impulsivity
Extroversion
Novelty seeking

Front 17

True or false: If you grew up in a over protective, secretive, intrusive, but well meaning family you have a vulnerability to ED.

Back 17

True

Front 18

True or false: Binge purge patients usually grew up in more chaotic families.

Back 18

True

Front 19

What are 3 developmental experiences leading to ED?

Back 19

1. Trauma
2. sports/ballet emphasize weight gain
3. Parents with ED or concerned with apperance

Front 20

True or false: Serotonin levels are higher in individuals with ED

Back 20

false. They are lower. They regulate appetite

Front 21

True or false: There is no genetic influence for ED.

Back 21

False. Twin studies show genetic link

Front 22

What is the main causal factor of ED?

Back 22

DIETING

Front 23

How are ED like phobia?

Back 23

Irrational fear of gaining weight
Can treat with "exposure" (eat and realize don't gain as much as they thought)

Front 24

How are ED like OCD?

Back 24

Compulsive behaviour is the compensatory strategies

Front 25

How is shame involved with ED?

Back 25

Think something wrong with you

Front 26

How is control involved with ED?

Back 26

Gives prides, meaning, sense of control

Front 27

What is the "ED Voice"?

Back 27

Not schizo!
But think voice in head, like a "friend"

Front 28

How is emotional regulation in ED?

Back 28

Poor. Eat to reflect feelings (binge shows anger, for example)

Front 29

When is inpatient treatment for ED used?

Back 29

Need to gain weight - serious risk

Front 30

How is ED treated as a phobia or OCD?

Back 30

Target irrational fears and compulsions

Front 31

What is food monitoring?

Back 31

A daily journal of eating habits
Helps to recognize what triggers binges etc

Front 32

How does weight tracking help ED?

Back 32

Expect increase, but then plateau

Front 33

What must ED self esteem be changed to?

Back 33

A healthy balance of where a person's self esteem should come from

Front 34

True or false: You can help a person with an ED even if they don't want to change

Back 34

False, the person needs the motivation and readiness to chagne

Front 35

True or false: It is helpful to do family therapy for people with ED

Back 35

True, ED can cause a lot of family frustrations

Front 36

True or false: AN has the highest mortality rate of all psychiatric disorders

Back 36

True. AN treatment is not effective due to high drop out rate

Front 37

Why is it better to treat BN?

Back 37

Don't like their symptoms, so want to change whereas AN wants to be skinny and feels in control.