Term
| Three concepts involved in eating disorders |
|
Definition
binge
purge
overvalued belief |
|
|
Term
| How do bulemics feel after purge |
|
Definition
|
|
Term
| Define starvation syndrome |
|
Definition
| hypometabolic state that is the result of severe restriction in the amount of nutrients and energy available to the body |
|
|
Term
| Core features of eating disorders |
|
Definition
- behavioral
- psychological- overvalued belifs
- medical
- starvation synbdrome
- multisystem abnormalities (due to binge and purge cycle)
|
|
|
Term
| Types of eating disorders |
|
Definition
- anorexia nervosa
- restricting type
- binge/purge type
- bulimia
- purging type
- nonpurging type
- disorder not otherwise specified
|
|
|
Term
|
Definition
- genetics (polymorphism)
- sociocultural (abundance of food, idealization of thinness)
- biological (serotonin system)
|
|
|
Term
| Genetic and biological risks |
|
Definition
- genetic
- high in monozygotic twins
- restricting type anorexia in contrast to bulimia
- biological
|
|
|
Term
| DSM criteria for anorexia |
|
Definition
- refusal to maintain body weight at or above a minimally normal weight for age and height
- intense fear of gaining weight or becoming fat, even though underweight
- disturbance in way which one's body weight or shape is experienced, undue influence of body weight or shape on self esteem
- postmenarcheal women amenorreha
|
|
|
Term
| DSM criteria for bulimia nervosa |
|
Definition
- recurrent episodes of binge eating
- recurrent inappropriate compensatory behavior in order to prevent weight gain
- binge eating and inappropriate compensatory behaviors both occuring on average
- at least twice a week for three months
- self evaluation unduly influenced by body shape
- disturbance doesnt occur exclusively during an episode of anorexia nervosa
|
|
|
Term
| Clinical features of eating disorder: SCOFF |
|
Definition
- Sick (make self sick if full)
- Control (think you lost control)
- One (lost "one stone" 14 lbs in three months)
- Fat (think fat when others think your thin)
- Food (food dominates your life)
|
|
|
Term
|
Definition
-
hunger (triggered by physical deprivation)
-
deprivation (severe restriction)
-
stress (use food to deal with negative emotional states)
-
opportunity (if there is a chance to do it in secrecy, they do it)
-
vengeful (fueled by anger to others or self)
-
pleasure (eat for stimulation)
|
|
|
Term
| Why does purging not cause weight loss? |
|
Definition
- predominantly made of water
- body adjusts to conserve the water, so body will hold on to calories even stronger
- your salivary glands start digesting faster
- metabolism slows down
|
|
|
Term
| Most common electrolyte abnormailty with eating disorder |
|
Definition
| hypokalemia (arrhythmias, nephropathy, chronic renal failure) |
|
|
Term
| Cause of amenorhea in anorexia |
|
Definition
| decrease GnRH, then decrease levels of LH and FSH (go back to prepubertal state) |
|
|
Term
| Complication not readily reversible with weight recoverty |
|
Definition
|
|
Term
| General treatment of eating disorder |
|
Definition
- anorexia patients dont respond well to pharmacotherapy
- bulimia- antidepressants moderately affective (BUT cognitive behavior therapy is more effective than medication)
NEED MULTIDISCIPLINARY APPROADCH!!!!!!!!!!!!! |
|
|
