Eating Disorders
-
anorexia nervosa
(AN)
o anorexia = “without appetite”
§
interested in
food
§
compulsive
rituals
§
hide eating
habits
o 4 symptoms
§
refuse/unable to
maintain normal weight
·
less than 85%
§
intense fear of
gaining weight
§
distorted body
perception
§
amenorrhea
o Eating Attitudes Test
o consequences of starvation
§
physical
abnormalities
§
death
·
4.4%
§
suicide
·
15%
o other info
§
prevelance
·
0.5 – 3.7%
§
comorbidity
§
long-term
duration
·
may decrease with
age
·
body image
problems
-
bulimia nervosa
(BN)
o binges
§
overeating
·
2 hour period
·
lack of control
over intake
o prevent weight gain
§
purging type
·
vomit, laxatives
§
nonpurging type
·
fast, exercise
o AN vs. BN
§
body image
§
amount of weight
loss
o complications
§
associated with
purging
o other info
§
1-2% female
§
many show
symptoms
·
binge at 16,
purge at 18
§
males
·
0.2%
·
sexual
orientation
·
comordidity
·
core disturbance
same
Theories
-
biological
factors
o dopamine
o serotonin
-
psychological
factors
o inner turmoil
o child abuse
o cognitive factors
§
pathological
patterns in thinking
o personality traits
-
scociocultural
factors
o family disturbances
o social attitudes
§
adolescence
·
social self
-
at risk
o white
o highly
acculturated ethnic minorities
Treatment
-
medication
o Prozac
-
psychotherapy
o cognitive-behavioral
§
positive
therapeutic relationship
§
12 element
o interpersonal
§
coping skills
o family therapy
§
group