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26 Cards in this Set
- Front
- Back
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Dying to Be Thin |
Abnormally Thin & Cultural presures |
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Typical base for Anorexia Nervosa |
Normal to slightly overweight---then they do on a diet Escalation often follows a stressful event |
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Anorexia Nervosa |
Restricted food intake, w/ significantly low body weight intense fear of gaining weight Distorted view of body weight & shape |
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Restricting Type (AN) |
Restrict "bad" (eventually all) foods; no variability in diet |
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Binge-eating/Purging Type (AN) |
Vomit after food, abuse laxatives/diuretics, exercise excessively May have eating binges |
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Anorexia Nervosa Stats |
Mostly woman, ages 14-18. less than 5% of females have this----less common in african americans---causes medical complications----most recover (but 2-6% die as a result) |
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Medical complications |
amernorrhea, low body temp, low blood presssue, body swelling, reduced bone density, slow heart rate, dry skin, lanugo, poor circulation |
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Vicious Cycle of Anorexia |
Fear of obesity, distorted body image, perfectionism----> Starvation---->preoccupation w/ food----> Increased anxiety & depression----> medical problems-----> greater feelings of fear & loss of control----> harder attempts at thinness |
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Bullimia Nervosa |
Recurrent uncontrolled overeating binges----recurrent compensatory behaviors (vomiting, laxatives, fasting)----# of binges range from 2-40----binge in secret |
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Emotional/behavioral cycle of bulimia nervosa |
feelings of tension/powerlessness------binge followed by guilt, depression & fear of weight gain----compensatory behaviors relieve negative feelings----Overtime (purging-->bingeing--->purging) |
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Bulimia Nervosa Stats |
Patients are of normal or over weight, but may also qualify for diagnosis of anorexia----15-21 years of age |
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Similarites |
After a period of dieting--fear----drive to be thin----preoccupation with food weight and apperance----elevated risk of self harm-----anxiety, depression, perfectionism (an)----substance abuse----maladaptive attutudes |
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How bullimia differs |
Motivated more about what people think---more sexually experianced----display fewer obsessive qualities----poor coping skills----controlled emotion---more personality disorders
damages caused by purging (anorexia=starvation complications |
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Societal Pressures |
female attreactiveness Groups at risk----models, actors, dancers prejudice against overweight people (50% of elementary & 61% of middle school girls |
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Family Environments |
Families often amphize thinness, appearance & dieting Mothers more likly to be dieters and perfectionists enmeshed family patterns (overinvolvement in family members) |
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Mood Disorders |
MDD----close relatives have higher rates of mood disorders----possibly abnormal serotonin regulation----antidepressant meds's |
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Biological factors |
Genetic influence 6Xmore likly to have eating disorder identical (MZ) twins with bulimia 23% Faternal 9% |
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Initial Aims of Treatment (AN) |
Restore proper weight & eating habits (Needed for full recovery)-----recover from malnourishment (retrun menstration |
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Longer-Term Treatment (AN) |
focuses on psychological factors---includes family therpy |
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Treatmant Stats (AN) |
Close to 20% remain troubled for years----lingering fear and emotional-----1/3 recure after stress---death rate is declining |
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Eduaction & Therapy (BN) |
eliminate binge-purge patterns & establish good eating habits---eliminate cause |
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Cognitive Therapy (BN) |
Change maladaptive attitudes towaard food, eating, weight, and shape |
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Behavioral Therapy (BN) |
Diaries: Help identify patterns Exposure and response prevention |
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Drugs (BN) |
Sometimes useful |
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Group Therapy |
useful for both |
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Relapse (BN) |
triggured by stress |
