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Lecture 6

psyc 320 lecture 62.doc

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PSYC 320
Sunaina Assanand

psyc 320 lecture 62 By the end of today’s class you should be able to: 1. List the diagnostic criteria for anorexia nervosa and bulimia nervosa 2. Discuss sex differences in rates of anorexia and bulimia 3. Identify risk factors for eating disorders From last class: agency (negative masculinity) is negatively correlated with depression; the negative corelation has bee attributed to the better contributes to lower depression as a result of enhanced problem solving unmittigated communion (negative femininity) is positively correlated with depression (extremely high predictor); who explanations have been offered for this corelation (on slide 19 of last class) Mental health Are there sex differences in eating disorders? The DSM-IV-TR distinguishes between two eating disorders: anorexia nervosa and bulimia nervosa. Athird category is included in the DSM-IV-TR: “Eating Disorder Not Otherwise Specified.” Anorexia nervosa and bulima nervose show largest sex differences Anorexia nervose: symptoms associated with diagnosis: unable or unwilling to maintain a normal or healthy body weight, fear serving as a preoccupation, body shape and weight are critical to their well being and self esteem, in females amenorrhea (absence of menstral cycle for 3 months as a consequence of self starvation) .5% of females over the lifespan in contrast of .05% of males 90% of those diagnosed with anorexia are female Onset: early to late adolescence adverse long term health consequences: treatment is only moderately effective (only a third will overcome it, a third will overcome it to some degree, and a third will never overcome it); muscle weakness due to lack of nutrient intake, heart problems (slow, irregular heart beat, cardiac arrest), kidney disease or stones, intestines (bloating, constipation, diahrea), irreversable brain damage (reduces grey matter in the brain, excess cerebro-spinal fluid) it may be fatal in nature; mortality may be a product of heart and kidney; however it is often a result of suicide Anorexia Nervosa: Characterized by: (a) refusal to maintain body weight at or above a minimally normal weight for age and height (i.e., less than 85% of what is expected). (b) intense fear of gaining weight or becoming fat (c) disturbance in the way one experiences one’s weight or shape, undue influence of weight or shape on self-evaluation, or denial of seriousness of low weight (d) amenorrhea Anorexia afflicts .5% of females and .05% of males Typical onset 14-18 Results in damage to the bones muscles heart kidneys intestines and brain Mortality rate 5-15% Bulimia nervosa: preoccupation with weight marked by binge eating and purging (typically observed in people who are normal weight or slightly over weight) after engaging in binge eating purging occurs: laxitives, vomiting, fasting, excessive exercise these strategies often arent successful as these strategies do not rid the person of the calories they consumed and
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