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Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Chapter 10: Eating Disorders Chapter 10 Multiple Choice Questions 1. With the publication of DSM-5, binge eating disorder has been: A) included as a subtype of bulimia nervosa. B) included as a residual eating disorders diagnosis. C) added to the "Not Otherwise Specified" diagnoses. D) included as a standalone eating disorder. E) has been moved to the appendix of the manual. Difficulty: 2 QuestionID: 10-1-01 Page-Reference: 230 Skill: Factual Answer: D) included as a standalone eating disorder. 2. An objective food binge is defined by the DSM-5 as eating a A) small amount of food and feeling not in control. B) small amount of food in a specific time period. C) large amount of food in a specific time period. D) normal amount of food in a specific time period. E) large amount of food but feeling in control. Difficulty: 1 QuestionID: 10-1-02 Page-Reference: 231 Skill: Conceptual Answer: C) large amount of food in a specific time period. 3. Which of the following is not an example of a purging behaviour? A) self-induced vomiting. B) laxative abuse. C) abuse of diuretics. D) abuse of enemas. E) abuse of diet soft-drinks. Difficulty: 2 QuestionID: 10-1-03 Page-Reference: 231 Skill: Factual Answer: E) abuse of diet soft-drinks. 4. The "escape from self-awareness model" of Bulimia Nervosa posits that ___________ offers an escape from __________. A) self-induced vomiting; thoughts and feelings of guilt regarding binge-eating B) binge-eating; thoughts and feelings about perceived failures C) caloric restriction; self-awareness D) use of laxatives; feelings of guilt about over-eating E) binge-eating; guilt regarding purging behaviours Copyright © 2019 Pearson Canada Inc. 10-1

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Difficulty: 2 QuestionID: 10-1-04 Page-Reference: 232 Skill: Conceptual Answer: B) binge-eating; thoughts and feelings about perceived failures 5. Unlike people with anorexia, individuals with bulimia nervosa A) suffer from social isolation and depression. B) engage in compensatory behaviours designed to prevent weight gain. C) use weight and shape information as their primary method of self-evaluation. D) have low self-esteem. E) are typically within the normal weight range. Difficulty: 2 QuestionID: 10-1-05 Page-Reference: 232 Skill: Factual Answer: E) are typically within the normal weight range. 6. Unlike bulimia nervosa, binge eating disorder is characterized by: A) Regular binge eating episodes. B) Excessive exercise to compensate for eating binges. C) Excessive use of enemas to compensate for eating binges. D) Higher functioning and higher self-esteem. E) An absence of inappropriate compensatory behaviours after eating binges. Difficulty: 2 QuestionID: 10-1-06 Page-Reference: 233 Skill: Conceptual, Factual Answer: E) An absence of inappropriate compensatory behaviours after eating binges. 7. Recent research suggests that since the 1970s, the prevalence of eating disorders: A) has increased for all types of eating disorders. B) has increased, but only for the 20-30-year-olds. C) has decreased among women but increased among men. D) has decreased among men but increased among women. E) has increased and stabilized, most clearly for anorexia nervosa. Difficulty: 2 QuestionID: 10-1-07 Page-Reference: 234 Skill: Factual, Conceptual Answer: E) has increased and stabilized, most clearly for anorexia nervosa. 8. The incidence of a disorder, such as anorexia nervosa, refers to whereas the prevalence refers to ___________ the __________. A) number of new cases in a given year; number of people who have the condition B) number of people who have the condition; number of new cases in a given year C) number of people who are treated for a condition; number of people believed to have the disorder D) number of people believed to have the disorder; number of people who are treated for a condition Copyright © 2019 Pearson Canada Inc. 10-2

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

E) number of people treated and cured; number of people afflicted by a disorder Difficulty: 2 QuestionID: 10-1-08 Page-Reference: 233 Skill: Application Answer: A) number of new cases in a given year; number of people who have the condition 9. With regard to the prognosis of eating disorders: A) About 95% of adults with bulimia nervosa are able to stop binge eating and purging with evidence-based treatment. B) About half of adults with bulimia nervosa are able to stop binge eating and purging with evidence-based treatment. C) All people with bulimia nervosa exhibit some improvement with evidence-based treatment; it is just a question of how much improvement. D) When individuals with eating disorders receive treatment, this eliminates their risk of death. E) About 10% of people who receive an evidence-based treatment for an eating disorder, relapse. Difficulty: 2 QuestionID: 10-1-09 Page-Reference: 234 Skill: Factual Answer: B) About half of adults with bulimia nervosa are able to stop binge eating and purging with evidence-based treatment. 10. ___________ disorders have the highest mortality rates of all of the psychiatric disorders. A) Anxiety B) Substance-related C) Eating D) Psychophysiological E) Mood Difficulty: 1 QuestionID: 10-1-10 Page-Reference: 234 Skill: Factual Answer: C) Eating 11. A study that followed women treated for eating disorders for 9 years found relapse rates of about: A) one third B) 25% C) 11% for anorexia and 25% for bulimia D) one half E) 65% Difficulty: 2 QuestionID: 10-1-11 Page-Reference: 234 Skill: Factual Answer: A) one third 12. In the DSM-5, one feature of anorexia nervosa is A) refusal to maintain at least 15% of expected body weight. Copyright © 2019 Pearson Canada Inc. 10-3

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

B) refusal to maintain at least 35% of expected body weight. C) refusal to maintain at least 90% of expected body weight. D) refusal to maintain at least 25% of expected body weight. E) Restriction of energy intake relative to requirements leading to a significantly low body weight. Difficulty: 2 QuestionID: 10-1-12 Page-Reference: 235 Skill: Factual Answer: E) Restriction of energy intake relative to requirements leading to a significantly low body weight. 13. Susan is 16 years old and she is afraid of gaining weight and getting fat. Susan is very dissatisfied with her body and she often tries to lose weight through fad diets and exercise. It would be difficult to determine her diagnosis because A) it is hard to determine whether she meets the DSM-5 criterion for restriction of energy intake leading to low body weight. B) Susan could have any one of a number of eating disorders. C) Susan is still too young to have an eating disorder. D) Susan's symptoms are not extreme. E) it is difficult to determine whether she is successful at losing weight. Difficulty: 2 QuestionID: 10-1-13 Page-Reference: 235 Skill: Application Answer: A) it is hard to determine whether she meets the DSM-5 criterion for restriction of energy intake leading to low body weight. 14. A person with anorexia nervosa who counts calories and carefully controls what she eats would be considered as having what subtype of anorexia nervosa? A) rigid type B) caloric type C) binge/purge type D) controlling type E) restricting type Difficulty: 2 QuestionID: 10-1-14 Page-Reference: 235 Skill: Factual Answer: E) restricting type 15. What difference is found in the binge/purge type and the restricting type of anorexia nervosa? A) binge eating or purging behaviour B) rigidly controlled diet C) use of laxatives to get rid of unwanted calories D) excessive exercise to burn off calories E) there is no difference between the two subtypes Difficulty: 1 QuestionID: 10-1-15 Page-Reference: 235 Copyright © 2019 Pearson Canada Inc. 10-4

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Skill: Factual Answer: A) binge eating or purging behaviour 16. Why is the distinction between the two subtypes of anorexia nervosa so important? A) different causes of the two types are known to researchers B) different psychological consequences are associated with the binge/purge type C) the binge/purge subtype is associated with more impulsive behaviour D) poorer long-term prognosis for the binge/purge subtype E) one type tends to affect younger women, and one affects older women Difficulty: 1 QuestionID: 10-1-16 Page-Reference: 236 Skill: Factual Answer: C) the binge/purge subtype is associated with more impulsive behaviour 17. The self-evaluation of individuals with bulimia nervosa is overly influenced by? A) body shape B) peers C) social media D) parents E) romantic partners Difficulty: 2 QuestionID: 10-1-17 Page-Reference: 236 Skill: Factual, Conceptual Answer: A) body shape 18. What does it mean to say that individuals with bulimia nervosa engage in recurrent compensatory behaviour? A) They diet a lot. B) They engage in self-induced vomiting. C) They misuse laxatives, diuretics, or enemas. D) All of the above are recurrent compensatory behaviours. E) Only B and C are recurrent compensatory behaviours. Difficulty: 2 QuestionID: 10-1-18 Page-Reference: 236 Skill: Factual Answer: E) Only B and C are recurrent compensatory behaviours. 19. The main difference between binge eating disorder and bulimia nervosa is A) men are generally diagnosed with binge eating disorder and women are diagnosed with bulimia nervosa. B) those suffering from binge eating disorder binge more often. C) binge eating disorder does not involve a sense of lack of control. D) the number of calories consumed per binge is higher in bulimia nervosa. E) sufferers of binge eating disorder do not engage in compensatory behaviours. Difficulty: 1 QuestionID: 10-1-19 Copyright © 2019 Pearson Canada Inc. 10-5

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Page-Reference: 236 Skill: Factual Answer: E) sufferers of binge eating disorder do not engage in compensatory behaviours. 20. In the publication of DSM-5, changes were made to reduce Other Specified and Unspecified disorders. Which of the following is not one of those changes? A) Addition of binge eating disorder as a standalone diagnosis. B) A decrease in the threshold needed to meet criteria for bulimia nervosa. C) Removal of the amenorrhea criterion for the diagnosis of anorexia nervosa. D) Inclusion of some borderline personality disorder symptoms in the diagnostic criteria for bulimia nervosa. E) All of these changes were made to the eating and feeding disorders. Difficulty: 3 QuestionID: 10-1-20 Page-Reference: 237 Skill: Factual Answer: D) Inclusion of some borderline personality disorder symptoms in the diagnostic criteria for bulimia nervosa. 21. One example of a structured interview used to evaluate features and issues related to eating disorders is A) Symptom Checklist 90. B) Beck Depression Inventory. C) Eating Disorder Examination. D) Eating Disorder Inventory. E) Anorexia and Bulimia Checklist. Difficulty: 2 QuestionID: 10-1-21 Page-Reference: 239 Skill: Factual Answer: C) Eating Disorder Examination. 22. Lanugo refers to A) the lack of sexual desire among patients with anorexia nervosa. B) the fine body hair on people with anorexia nervosa. C) the confusion experienced by people with anorexia nervosa as a result of starvation. D) electrolyte imbalance. E) the yellowish skin tone of patients with anorexia nervosa. Difficulty: 1 QuestionID: 10-1-22 Page-Reference: 240 Skill: Factual Answer: B) the fine body hair on people with anorexia nervosa. 23. Self-induced vomiting may also produce A) heightened sensitivity to cold. B) dry hair and hair loss. C) Russell's sign. D) lanugo. E) dry skin. Copyright © 2019 Pearson Canada Inc. 10-6

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Difficulty: 1 QuestionID: 10-1-23 Page-Reference: 240 Skill: Factual Answer: C) Russell's sign. 24. There is a relatively high rate of comorbidity in eating disorders, particularly with A) dissociative amnesia B) mild psychotic disorders C) substance, mood, anxiety and personality disorders D) dissociative and somatoform disorders E) post-traumatic stress disorder Difficulty: 1 QuestionID: 10-1-24 Page-Reference: 240 Skill: Factual Answer: C) substance, mood, anxiety and personality disorders 25. One complication of studying the symptoms of eating disorders is that they can sometimes overlap with ___________ disorders. A) personality B) dissociative C) arousal and physiological D) somatoform E) psychotic Difficulty: 1 QuestionID: 10-1-25 Page-Reference: 240 Skill: Factual Answer: A) personality 26. Individuals with anorexia and bulimia demonstrate signs of ___________ dysregulation, supporting the role of dysfunctional neurotransmitter activity in eating disorders. A) serotonin B) GABA C) dopamine D) ACH E) melatonin Difficulty: 2 QuestionID: 10-1-26 Page-Reference: 241 Skill: Factual Answer: A) serotonin 27. Evidence suggests that dieting can A) alter brain serotonin function. B) increase GABA levels. C) diminish norepinephrine. Copyright © 2019 Pearson Canada Inc. 10-7

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

D) alter brain dopamine function. E) alter overall brain activity. Difficulty: 2 QuestionID: 10-1-27 Page-Reference: 241 Skill: Factual Answer: A) alter brain serotonin function. 28. Although the ideal woman, as depicted by the media, is getting ___________, women are becoming __________. A) thinner; heavier B) thinner; even more thin C) thinner; thinner D) heavier; thinner E) heavier; heavier Difficulty: 1 QuestionID: 10-1-28 Page-Reference: 243 Skill: Factual Answer: A) thinner; heavier 29. Which of the following is true regarding gender and body dissatisfaction? A) There appears to be an increasing discrepancy between the average man and the "ideal man" as depicted in the media. B) Pressure to obtain the ideal body is now about the same in females and males. C) Males are generally not susceptible or sensitive to the effects of media images. D) Males feel worse about themselves after viewing images of thin men. E) The average male is becoming leaner over time, consistent with media images. Difficulty: 2 QuestionID: 10-1-29 Page-Reference: 244 Skill: Conceptual Answer: A) There appears to be an increasing discrepancy between the average man and the "ideal man" as depicted in the media. 30. It has been found that mothers with eating disorders A) are more likely to use food for nutritive purposes than non-disordered mothers. B) are more likely to try to prevent the disorder from occurring in their children. C) discourage dieting among their daughters. D) do not seem as interested in their daughters' weight as non-disordered mothers. E) do not feed their children as regularly as non-disordered mothers do. Difficulty: 2 QuestionID: 10-1-30 Page-Reference: 244 Skill: Factual Answer: E) do not feed their children as regularly as non-disordered mothers do. Copyright © 2019 Pearson Canada Inc. 10-8

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

31. That certain personality traits seem to contribute to the development of an eating disorder is supported by the fact that A) these traits tend to disappear following recovery of the eating disorder. B) these traits tend to persist before and after an eating disorder has been diagnosed. C) these traits are very common in women who suffer from eating disorders. D) these traits are very present before the onset of an eating disorder but are not shown after an eating disorder is diagnosed. E) these traits are found exclusively in people suffering from an eating disorder. Difficulty: 2 QuestionID: 10-1-31 Page-Reference: 245 Skill: Factual Answer: B) these traits tend to persist before and after an eating disorder has been diagnosed. 32. A study of eating-disordered patients found that ___________ percent of the patients reported being sexually abused. A) 1 B) 10 C) 15 D) 20 E) 59 Difficulty: 3 QuestionID: 10-1-32 Page-Reference: 246 Skill: Factual Answer: E) 59 33. Research evidence suggests that history of exposure to trauma is more frequently associated with development of an eating disorder that involves: A) binge eating B) purging C) caloric restriction only D) control methods only, including caloric restriction and exercise E) binge eating and purging Difficulty: 1 QuestionID: 10-1-33 Page-Reference: 246 Skill: Factual Answer: E) binge eating and purging 34. According to Stice's review of the literature on risk factors for eating disorders, which of the following is not a vulnerability factor for eating pathology? A) precocious sexual development B) increased body mass C) internalization of the thin ideal D) sociocultural pressure to be thin E) body dissatisfaction Difficulty: 2 Copyright © 2019 Pearson Canada Inc. 10-9

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

QuestionID: 10-1-34 Page-Reference: 246 Skill: Conceptual Answer: A) precocious sexual development 35. Estimates are that for every male who is diagnosed with an eating disorder, there are ___________ females with these disorders A) 4-5 B) 20-25 C) 10-15 D) 8-10 E) 2-3 Difficulty: 2 QuestionID: 10-1-35 Page-Reference: 246 Skill: Factual Answer: C) 10-15 36. Which of the following is NOT true concerning gender and eating disorders? A) The main features of anorexia and bulimia are similar in males and females. B) Male patients are treated more effectively if separated from female patients. C) It does not appear as though the symptomatology of eating disorders differs across genders. D) Males with eating disorders exhibit much more psychiatric comorbidity than do females. E) The treatment response of males is similar to that of female patients. Difficulty: 2 QuestionID: 10-1-36 Page-Reference: 247 Skill: Factual Answer: B) Male patients are treated more effectively if separated from female patients. 37. Within non-clinical populations, there is evidence that A) males are more likely to perceive themselves as overweight. B) males are more likely to be on diets. C) females are more satisfied with their weight than are males. D) males are disproportionately affected by weight and shape concerns. E) males would like to increase their weight, whereas females would like to lose weight. Difficulty: 2 QuestionID: 10-1-37 Page-Reference: 247 Skill: Conceptual Answer: E) males would like to increase their weight, whereas females would like to lose weight. 38. Which of the following statements is true? A) Heterosexual men are more likely than gay men to be preoccupied with their body size and shape. B) Lesbian women are more likely than heterosexual women to be preoccupied with their body size and shape. C) Lesbian women are more likely than gay men to be preoccupied with their body size and shape. D) Heterosexual women are more likely than lesbian women to be preoccupied with their body size and shape. E) Gay men are more likely than heterosexual men to be preoccupied with their body size and shape. Copyright © 2019 Pearson Canada Inc. 10-10

Test Item File to accompany Abnormal Psychology: Perspectives, 6e

Difficulty: 3 QuestionID: 10-1-38 Page-Reference: 247 Skill: Factual Answer: E) Gay men are more likely than heterosexual men to be preoccupied with their body size and shape. 39. Bulimia nervosa has been treated with ___________ medication with some success. A) antipsychotic B) antidepressant C) bicyclic D) antianxiety E) St. John's Wort Difficulty: 1 QuestionID: 10-1-39 Page-Reference: 248 Skill: Factual Answer: B) antidepressant 40. Which of the following is true with respect to biological treatments for anorexia nervosa? A) No medication for treating anorexia nervosa has been successful B) Anti-anxiety medication is successful in treating many of the symptoms C) Antipsychotic medication is successful in treating many of the symptoms D) Herbal remedies are mildly effective at treating the symptoms E) Antidepressant medication is successful in treating many of the symptoms Difficulty: 3 QuestionID: 10-1-40 Page-Reference: 248 Skill: Factual Answer: A) No medication for treating anorexia nervosa has been successful...