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27 Cards in this Set
- Front
- Back
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Almost half of people w/ eating d/o also meet criteria for... |
depression |
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Eating disorder definition |
persistent disturbance of eating or eating-related behavior => altered consumption or absorption of food; impairs physical health of psychosocial functioning |
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Psychological factors of eating d/o |
low self-esteem, feelings of inadequacy, lack of control, depression, anxiety, anger, isolation |
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Social/interpersonal factors of eating d/o |
hx of being teased, physical/sexual abuse, cultural norms, and pressures |
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Genetic factors of eating d/o |
linkage on chromosome 1, familial predisposition |
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Diagnostic criteria for anorexia nervosa |
[1] persistent restriction of energy intake => low body weight; [2] intense fear of gaining weight; [3] distorted perception of body weight/size |
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Restricting type anorexia nervosa |
excessive dieting, fasting, or exercising; no purging or binge-eating |
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Binge-eating/purgying type |
excessive fasting, dieting, or exercising; binge-eating or purging |
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Diagnostic criteria of bulimia nervosa |
recurrent binge eating, recurrent inappropriate compensatory behavior to prevent weight gain; at least once weekly for >3 months; self-evaluation is unduly influenced by body shape/weight |
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Purging type of bulimia nervosa |
binge-eating; vomiting; misusing laxatives, diuretics, or enemas to avoid weight gain |
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Non-purging type of bulimia nervosa |
binge-eating; excessive fasting or exercise to lose weight or avoid weight gain; no purging |
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Onset of bulimia nervosa |
before puberty; after age 40 is uncommon |
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What personality d/o is frequently associated w/ bulimia nervosa? |
borderline personality d/o |
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Patients w/ bulimia nervosa have an increased prevalence of... |
substance abuse (ETOH, stimulant); elevated risk of suicide |
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Binge eating in binge eating d/o associated w/ 3+ of... |
[1] rapid eating; [2] feeling uncomfortably full; [3] eating large amounts when not feeling physically hungry; [4] eating alone b/c of embarassment; [5] feeling disgusted w/ oneself
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Pica |
[1] eating nonfood substances; [2] inappropriate developmental delay; [3] not part of a culturally supported or socially normative practice |
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Rumination d/o |
repeated regurgitation of food NOT associated w/ GI or other medical condition; doesn't occur during course of another eating d/o; sufficiently severe to warrant clinical attention |
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Avoidant/restrictive food intake d/o |
apparent lack of interest in eating; not better explained by lack of available food; doesn't occur exclusively in anorexia or bulimia nervosa; not attributable to a medical condition or other mental d/o |
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First priority in behavioral tx of eating d/o |
medical stabilization |
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Therapy for eating d/o |
help identify core beliefs, challenge dichotomous and rigid thinking, improve copings skills |
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3 atypical antipsychotic drugs that have positive effects on anorexia nervosa + co-morbid conditions + increase weight |
given in combination w/ antidepressant drugs |
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SSRI's |
helpful for bulimia nervosa symptoms |
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Tx for patients who don't want to take anything orally |
monoamine oxidase inhibitor via path |
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Aripiprazole |
atypical antipsychotic, added to an antidepressant, is helpful for symptoms of bulimia nervosa |
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Escitalopram |
SSRI, significantly decrease binge eating frequency and decrease weight |
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Atomoxetine |
SNRI, appetite suppressant to decrease binge eating frequency and decrease weight |
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Zonisamide and topiramate |
anticonvulsants for decreasing binge eating frequency and decrease weight |
