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Midterm

Lecture Notes - After Midterm.docx

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Department
Psychology
Course
PSYC 412
Professor
All Professors
Semester
Spring

Description
Lecture16031312EatingDisordersII04142012EtiologyandMaintenanceBiologicalfactorsThereisevidencethateatingpathologyrunsinfamiliesRateofEDinrelativesofAN13BN11control2ANheritability5876BNheritability3083SerotoninsystemsomeevidencethattheresaspecificgenotypeassociatedwithanorexiaAAvsAGorGG5HTserotonintransporterpolymorphismsgenotypesCognitivefactorsPaymoreattentiontobodysizethanaffectwhenlookingatfacesIllusorycorrelationperceptionthattwothingscovaryoccurtogetherLikevaccinesandautismAseatingsymptomsincreaseparticipantsweremorelikelytoperceiveacorrelationbetweenweightandhappinessheavywomenarelesshappyFamilyandPeerfactorsParentseatingandattitudestowardseatingencouragementofchildtodietContagioneffectsLookedatbingeeatinginsororitiesFallnocorrelationofbingeeatingwithinsororitycliquesSpringmoderatecorrelationEatingbecamemoresimilarastimewentonMediaVERYhardtostudyTheadventofTVinFijiBeforeonereportedcaseofANGotWesternTVin19951monthafter863haddisorderedeating3years1965haddisorderedeating765werevomitingtocontrolweight77saidTVhadinfluencetheirbodyimageTreatmentCBTforbulimiaPhase1primarilybehaviouralFoodrecordsbodycheckingmealplanexposuretoforbiddenfoodsreplacebingingwithotheralternativesPhase2cognitionsIdentifymaladaptivecognitionscognitiverestructuringOutcome50ceasebingingandpurgingfollowing1620weeksofCBTBestprognosislargeinitialreductionsinbingingandpurgingWorstprognosisBPDandsubstanceabuseBPDaffectsaffectregulationanimportantpartofEDsandtreatmentLimitedevidenceforeffectivetreatmentsforanorexiaEthicalissuesforrandomassignmentbythetimetheymeetcriteriafordiagnosistheyredyingCanthaveanotreatmentgroupVeryrarehardtorecruitenoughparticipantsBecauseoftheamenorrhearequirementEDsareegosyntonicEnhancingmotivationtochangeiskeytoanytreatmentFamilytherapyforANIfANisasymptomofafamilyproblemitsadevelopmentalsetbackthepatientcannotcontroltheirsymptomsParentsmuststepintosavechildPhase1parentalrefeedingHighcaloriedieteatallmealsasafamilycontinuesuntilpatientbeginstogainweightregularlyEveryoneinthefamilymusteatthehighcaloriedietPhase2cognitivedistortionsandfamilystructureTargetpatientsdistortedbodyimageandbeliefsaboutfoodTargetproblematicfamilypatternsPhase3adolescentissuesReturnresponsibilityforeatingtoadolescentFosteradolescentautonomyTeachproblemsolvingskillsOutcomes3968showmoderateorgoodoutcomeAppropriatecandidates18ylivingwithparentsParentalcriticismpoorprognosis
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