01:830:340 Lecture Notes - Lecture 6: Anorexia Nervosa, Cognitive Behavioral Therapy, Binge Eating
Document Summary
Spread of modernization: inactive, sedentary lifestyle & high fat foods. Initiation & maintenance of eating: endogenous opiates, serotonin & dopamine. Psychological factors: impulse control, affect regulation, attitudes. Size grow feel bad negative emotions turn to food for comfort binge overeat size grow. Features: many are obese, more psychopathology vs. non-binging obesity, concerned about shape & weight. Belief that popularity & self-esteem are determined by weight & body shape. Sense of lack of control over eating during the episode. Recurrent inappropriate compensatory behavior in order to prevent weight gain. At least 2x a week for 3 months. Subtypes: purging (most common)- ineffective, non-purging (6-8%)- ex. Exercise: most are within 10% of normal weight. Associated psychological disorders: anxiety, mood disorders, substance abuse. Medical consequences: salivary gland enlargement, erosion of dental enamel, electrolyte imbalance, kidney failure, cardiac arrhythmia, seizures, intestinal problems, permanent colon damage.