Term
|
Definition
- intense fear of becoming over and appearing "fat"
- Pursuit of thinness |
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|
Term
|
Definition
- Refusal to maintain normal body weight
- Intense fear of gaining wieght or becoming fat
- Distorted perception of body shape and size
- Amenorrhea |
|
|
Term
| Weight percentile of anorexics for normal age and height |
|
Definition
| 85% for normal age and height |
|
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Term
|
Definition
| Absence of at least 3 consecutive menstrual period (post-pubescent females only) |
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| 3 Physiological changes associated with Anorexia Nervosa |
|
Definition
- Hypotension
- Lanugo
- Amenorrhea |
|
|
Term
| Behaviors associated with Anorexia Nervosa |
|
Definition
- Efforts to conceal thinness
- Compulsive exercising
- Misuse of laxative, diuretics and enemas, vomiting |
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Term
|
Definition
- Recurrent episodes of binge eating
- Recurrent and inappropriate compensatory behaviors for binge eating (purging, etc.)
- Self-evaluation excessively influenced by weight and body shape |
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|
Term
| Weight of someone with Bulimia Nervosa |
|
Definition
| Typically normal weight or slightly overweight |
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|
Term
| Lifetime prevalence of Eating Disorders |
|
Definition
AN: 0.9% women, 0.3% men
BN: 1.5% women, 0.5% men |
|
|
Term
| Average age on onset for Eating Disorders |
|
Definition
AN: adolescence (15-19 years old)
BN: young adulthood (20-24 years old) |
|
|
Term
| Gender difference in Eating Disorder prevalence |
|
Definition
Females (90%)
Males (10%) |
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|
Term
| Minor medical complications of Anorexia Nervosa |
|
Definition
- Lanugo
-Loss of bone mass
- Dec body temp
- Dry, scaly skin
- Constipation
-Dec thyroid function
- Dec blood pressure
- Des breathing rate
- Brittle nails
- Brittle hair and hair loss |
|
|
Term
| Percent of mortality among Pts with AN |
|
Definition
|
|
Term
| Chronic imbalance of electrolytes (potassium) lead to |
|
Definition
Kidney damage
Renal failure
Heart arrhythmias
Death |
|
|
Term
| Repeated purging leads to: |
|
Definition
- Damaged heart tissue
-Damaged tooth enamel
- Tooth decay
-Oral ulcers
-Small red dots around eyes (from pressure)
- Swollen salivary glands (puffy cheeks)
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|
|
Term
| 50x greater suicide completion rate than general population |
|
Definition
|
|
Term
| High rate of suicide attempts but suicide completion rate no higher than general population |
|
Definition
|
|
Term
| Heritability for Eating Disorders |
|
Definition
| Higher for AN than for BN |
|
|
Term
| 4 Casual factors for Eating Disorders |
|
Definition
- Heritability
- Disrupted serontonergic functioning
-Sociocultural influences
- Familial influences |
|
|
Term
| Common familial influences for AN |
|
Definition
- Rigidity, parental overprotection, excessive control, martital discord btw parents
- Emphasis on: desirability of thinness, dieting, and physical appearance |
|
|
Term
| Amount of serotonergic functioning |
|
Definition
| Low in some brain areas, high in others |
|
|
Term
| Treatment of choice for AN |
|
Definition
|
|
Term
| 3 Phases of Family Therapy |
|
Definition
Phase 1: Refeeding. Focus on parental support of healthy eating.
Phase 2: Negotiating new relational patterns.
Phase 3: Termination Phase. |
|
|
Term
| Effects of medications for AN |
|
Definition
| no evidence they are helpful |
|
|
Term
| First priority with treating a AN Pt |
|
Definition
Establish a safe weight
-hospitalization
-intavenous feeding
-rigorous control of caloric intake |
|
|
Term
| Emphasis of CBT treatment for AN |
|
Definition
Changing maladaptive cognitions concerning:
-weight
-food
-body image
-self |
|
|
Term
| Treatment of choice for BN |
|
Definition
|
|
Term
| Efficacy of antidepressant treatment for BN |
|
Definition
Some improvement with:
-negative mood
-preoccupation with body shape and weight
-decreased frequency of binges |
|
|
Term
| CBT treatment for BN includes |
|
Definition
Cognitive: challenge dysfunctional thoughts
-foods are not all good or bad
-ingesting a "bad" food is not a failure
Behavioral: focus on normalizing eating patterns, meal planning, nutrional education, practice eating smaller amounts more regularly |
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