Ch. 8 Eating Disorders PDF

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Ch. 8: Eating Disorders Saturday, March 20, 2021

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• Bulimia nervosa: Eating disorder involving recurrent episodes of unc compensatory actions to remove the food (for example, deliberate v ○ One of the most common psychological disorders on college cam ○ Hallmark is eating a larger amount of food than most people wo ○ Another important criterion is that the individual attempts to c via purging techniques: In the eating disorder bulimia nervosa, compensate for excessive food ingestion. § Nonpurging types of bulimics (e.g. exercise and/or fasting) ○ Chronic bulimia with purging has a number of medical consequen enamel, esophageal tears ○ For a number of years, one prominent theory suggested that ea depression. But most evidence indicates that depression follows § Substance abuse common accompanies bulimia • Anorexia nervosa: Eating disorder characterized by recurrent food ○ Less common than bulimia, but there is a great deal of overlap, of anorexia. ○ Decreased body weight is the most notable feature, but it is no fear of obesity and relentlessly pursue thinness ○ Disorder commonly begins in adolescence ○ DSM-5 specifies two subtypes: § Restricting type where individuals diet to limit caloric inta § Binge-eating-purging type, where they rely on purging □ Unlike individuals with bulimia, binge-eating-purging an purge more consistently, in some cases each time they ® Approx. half the individuals who meet criteria fo ○ Anorexics are never satisfied with their weight loss. Staying th weight is likely to cause intense panic anxiety and depression

ntrolled excessive (binge) eating followed by miting, laxative abuse, and excessive exercise). uses d eat under similar circumstances mpensate for the binge eating & potential weight gain, he self-induced vomiting or laxative abuse used to are quite rare es, such as electrolyte imbalance, erosion on the dental ing disorders are simply a way of expressing bulimia and may be a reaction to it refusal, leading to dangerously low body weight. uch as many individuals that have bulimia had a history the core of the disorder. Anorexics have an intense

e orexics binge on relatively small amounts of food and eat. anorexia engage in binge eating & purging same weight from one day to the next or gaining any

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weight is likely to cause intense panic, anxiety, and depression. The chief characteristic of these two related disorders is an overw Presently, drug treatments have not been found to be effective in th that drugs may be useful for some bulimics, particularly during the b ○ Drugs generally considered the most effective for bulimia are t disorders & anxiety disorders ○ Effectiveness is usually measured by reductions in the frequenc patients who stop binge eating and purging altogether, at least f ○ Current expert opinions suggest that drugs do not have substan useful in conjunction with psychological treatments In anorexia, the most important initial goal is to restore the patient range ○ Weight restoration is comparably the easiest part of the treat term outcome in anorexia § Without attention to the patient's underlying dysfunctiona disruptions in her life, she will almost always relapse. § For restricting anorexics, the focus of treatment must shi losing control of eating, as well as to their undue emphasis and success. □ In this regard, effective treatments for restricting a nervosa There are two forms of maladaptive eating patterns in people who ar ○ Binge eating ○ Night eating syndrome: Consuming a third or more of daily foo at least once during the night to have a high-calorie snack. In th syndrome are not hungry and do not usually eat breakfast. Thes seldom purge.

elming, all-encompassing drive to be thin. e treatment of anorexia. But there is some evidence ngeing and purging cycle e same antidepressant meds proven effective for mood y of binge eating, as well as by the percentage of or awhile. ial long-lasting effects on bulimia, and are most likely s weight to a point that is at least within the low-normal ent, as initial weight gain is a poor predictor of longattitudes about body shape, as well as interpersonal t to their marked anxiety over becoming obese and n thinness as a determinant of self-worth, happiness, orexics are similar to those for patients with bulimia e obese intake after the evening meal and getting out of bed e morning, however, individuals with night eating individuals do not binge during their night eating and...