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Lecture 6

Lecture 6

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PSYC 3140
Gerry Goldberg

[ABNORMAL LEC #6] February 11, 2014 Midterm:  Ch. 6,7,8,9,10  50 Questions multiple choice  Know people in textbook Eating Disorders and Mood Disorders  3% of women will have an eating disorder in their lifetime  Prevalence among female athletes is even higher  70% of women on diets  80-90 % of women dislike the shape or size of their bodies  50% of HS girls and 20% of HS boys are on a diet or want to lose weight  80% of 10 year olds are on a diet; 50% of 9 year olds are on a diet  Some young girls report being more afraid of becoming fat than they are of cancer BMI – Body mass index  Body mass index is a score that is calculated based on a person’s weight and height. It is used to estimate body fat  Cut off score 17.5 – underweight Anorexia Nervosa (AN)  Definition – Anorexia –physiological – decrease appetite Nervosa – psychological – causation  Loss of appetite  DSM-5 Criteria o Refusal to maintain body weight (previously defined as <85% of expected weight or BMI<17.5). Now specified restrictions of intake that results in significantly low body weight o Psychological aspect: Intense fear of gaining weight or becoming fat, even thought underweight o Disturbance in the way which one’s weight/shape is experienced; OR undue influence of weight/ shape oneself evaluation; OR lacks recognition of seriousness of low body weight  Restricting subtype (AN-R) o Basic anorexia o The person has not regularly engaged in binge – eating or purging behaviour  Binge – eating/ purging type (AN-B/P) o The person has regularly engaged in binge- eating Bulimia Nervosa (BN)  DSM 5 Criteria o Recurrent episodic of binge eating o Recurrent inappropriate compensatory behaviour in order to prevent weight gain [ABNORMAL LEC #6] February 11, 2014 o The binge eating and compensatory behaviours both occur, on average, at least once per week for 3 months (previously was twice per week) o Self- evaluation is unduly influenced by body shape and weight Eating Disorder (Eliminated from DSM 5) (ED – NOS) Binge eating Disorder  This category was added to the DSM 5 o Individuals are typically overweight o Have eating binges but NOT the inappropriate compensatory behaviour ( i.e. they do not do self- induced vomiting) Eating Disorder – Causes and Risk factors  Age (mid adolescent to young adulthood)  Sex: women  Adverse life events: abuse, trauma  Weight concerns, dieting and body dissatisfaction  Family dynamics  Personality: perfectionism, impulsivity  Sociocultural Sociocultural  Higher prevalence of EDs in westernized society  Case: fiji o 1995 there was no TV in Fiji o Effects of TV on various of factors o 3 years after tv was introduced they found effects to eating  Being dissatisfied with weight  Purging behaviour Functional significance of Eating Disorder  Maintain control  Deal with strong emotions  Sense of pride, accomplishment  Self-soothing  Communicating distress/anger  Safeguard against failure  Avoidance of memories and feelings Get attention  Get attention  Avoidance of sexuality/fears of maturity  Self punishment [ABNORMAL LEC #6] February 11, 2014 Case Study: Linda  34 years old women  Caucasian  Protestant  Divorced  2 children (13-girl and 15- boy)  Unemployed, o  n disability  Resides in small town  Sexually abused by relative and Family friend  College education  Resides in small town  Anorexia Nervosa Intervention – Case of Sonia nad Julia  Twins diagnosed with eating disorder  Daughters of holocaust survivors  Do things identical  Received treatment Mood Disorders – Unipolar Depression  Major Depression : not just the kind of sad emotional state that everyone feels from time to time  Serious enough to cause interference in daily functioning  Emotional aspects, thinking aspects, physiological aspects  Beck Depression Inventory emphasizes cognitive symptoms  Hamilton Rating Scale of Depression (HRSD) emphasizes physiological symptoms  Dysthymia (old term)- is a milder than major depression but more chronic. The new DSM 5 term is Persistent Depressive Disorder  It lasts for at least two years  People with persistent depressive disorder may also experience episodes of major depression (double depression) Bipolar Disorders  Bipolar 1 Disorder- episodes of mania – mood is
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