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27 Cards in this Set

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Almost half of people w/ eating d/o also meet criteria for...


Eating disorder definition

persistent disturbance of eating or eating-related behavior => altered consumption or absorption of food; impairs physical health of psychosocial functioning

Psychological factors of eating d/o

low self-esteem, feelings of inadequacy, lack of control, depression, anxiety, anger, isolation

Social/interpersonal factors of eating d/o

hx of being teased, physical/sexual abuse, cultural norms, and pressures

Genetic factors of eating d/o

linkage on chromosome 1, familial predisposition

Diagnostic criteria for anorexia nervosa

[1] persistent restriction of energy intake => low body weight; [2] intense fear of gaining weight; [3] distorted perception of body weight/size

Restricting type anorexia nervosa

excessive dieting, fasting, or exercising; no purging or binge-eating

Binge-eating/purgying type

excessive fasting, dieting, or exercising; binge-eating or purging

Diagnostic criteria of bulimia nervosa

recurrent binge eating, recurrent inappropriate compensatory behavior to prevent weight gain; at least once weekly for >3 months; self-evaluation is unduly influenced by body shape/weight

Purging type of bulimia nervosa

binge-eating; vomiting; misusing laxatives, diuretics, or enemas to avoid weight gain

Non-purging type of bulimia nervosa

binge-eating; excessive fasting or exercise to lose weight or avoid weight gain; no purging

Onset of bulimia nervosa

before puberty; after age 40 is uncommon

What personality d/o is frequently associated w/ bulimia nervosa?

borderline personality d/o

Patients w/ bulimia nervosa have an increased prevalence of...

substance abuse (ETOH, stimulant); elevated risk of suicide

Binge eating in binge eating d/o associated w/ 3+ of...

[1] rapid eating; [2] feeling uncomfortably full; [3] eating large amounts when not feeling physically hungry; [4] eating alone b/c of embarassment; [5] feeling disgusted w/ oneself


[1] eating nonfood substances; [2] inappropriate developmental delay; [3] not part of a culturally supported or socially normative practice

Rumination d/o

repeated regurgitation of food NOT associated w/ GI or other medical condition; doesn't occur during course of another eating d/o; sufficiently severe to warrant clinical attention

Avoidant/restrictive food intake d/o

apparent lack of interest in eating; not better explained by lack of available food; doesn't occur exclusively in anorexia or bulimia nervosa; not attributable to a medical condition or other mental d/o

First priority in behavioral tx of eating d/o

medical stabilization

Therapy for eating d/o

help identify core beliefs, challenge dichotomous and rigid thinking, improve copings skills

3 atypical antipsychotic drugs that have positive effects on anorexia nervosa + co-morbid conditions + increase weight

given in combination w/ antidepressant drugs


helpful for bulimia nervosa symptoms

Tx for patients who don't want to take anything orally

monoamine oxidase inhibitor via path


atypical antipsychotic, added to an antidepressant, is helpful for symptoms of bulimia nervosa


SSRI, significantly decrease binge eating frequency and decrease weight


SNRI, appetite suppressant to decrease binge eating frequency and decrease weight

Zonisamide and topiramate

anticonvulsants for decreasing binge eating frequency and decrease weight