PSY 436 Study Guide - Quiz Guide: Anorexia Nervosa, Binge Eating Disorder, Binge Eating

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PSY 436 Exam 3 Review
1
Chapter 8: (51)
Body dissatisfaction:
o Dissatisfaction or distress with one’s appearance, an overinvestment in the way
one appears, and avoidance of certain situations or things because they elicit body
concerns.
Key components of an eating disorder: (3)
o Weight concerns
o Body dissatisfaction
o Eating problems
Eating problems involve: (3)
o Restricted eating
o Excessive dieting
o Lack of control of eating
Restricted eating
o Refers to deliberate attempts to limit food intake or change types of foods that are
eaten.
Anorexia nervosa:
o An eating disorder characterized by self-starvation
Anorexia nervosa facts: (5)
o Cannot have more than 15% body fat
o Person has intense fear of gaining weight
o Person has distorted sense of body
o In females, anorexia nervosa may lead to loss of menstrual period
o 10 times more frequent in women than men
Subtypes of Anorexia: (2)
o Restricting
o Bingeing purging
Restricting: (2)
o Gradually eliminating more and more foods
o Increasingly skipping meals
Bingeing/Purging:
o Refers to ridding one-self of food or bodily fluids by self-induced vomiting,
misusing laxatives or diuretics, or performing enemas.
Difference between restricting and bingeing:
o Restricting is cutting back on eating
o Bingeing is eating, but vomiting the food back up
Medical Complications of Anorexia:
o Anemia
o Lanugo
o Skin abnormalities
o Heart irregularities
o Low BP
o Gastrointestinal problems
o Amenorrhea
o Muscular weakness
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PSY 436 Exam 3 Review
2
o Osteoporosis
o Death
Bulimia Nervosa:
o Episodes of rapid overeating followed by purging or other compensatory behavior
Binge:
o Eating an excessive amount of food within two hours AND there has to be a sense
of lack of control
Purging Compensatory Behaviors:
o Vomiting
o Misuse of laxatives
o Diuretic
o Enemas
Nonpurging compensatory behaviors:
o Fasting for several days
o Exercising excessively
Bulimia involves
o Fear of gaining weight or undue influence by body shape
Bulimia Nervosa facts: (2)
o Both bingeing and compensation at least once a week for 3 months
o No current anorexia diagnosis
Medical Complications of Bulimia:
o Damage to esophagus
o Tooth decay
o Abdominal pain
o Hiatal hernia
o Amenorrhea
o Laxative dependency
o Electrolyte imbalance
o Muscular weakness
o Heart Irregularities
o Convulsions
o Sudden death
Difference between Anorexia Nervosa and Bulimia Nervosa:
o People with anorexia nervosa are characterized by excessively low weight
o People with bulimia nervosa may not be normal weight or overweight
Anorexia Nervosa vs Bulimia Nervosa (weight)
o AN: Extreme diet; very low weight
o BN: Normal weight; bingeing and compensating
Anorexia Nervosa vs Bulimia Nervosa (acknowledgement)
o AN: Denial; proud of diet success
o BN: Aware; secretive and ashamed
Anorexia Nervosa vs Bulimia Nervosa (Control)
o AN: Comforted by rigid control (obsessive)
o BN: Distressed by lack of control (labile)
Binge-Eating disorder:
o Lack of control over eating during a certain period that leads to discomfort
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PSY 436 Exam 3 Review
3
o Twice a week for at least 6 months
Binge-eating disorder does NOT involve:
o Loss of weight
o Compensatory behaviors
Other features of binge eating episodes:
o Eating more rapidly than normal
o Eating despite feeling uncomfortably full
o Eating large amounts even when not hungry
o Eating alone because of embarrassment over quantity of food consumed
o Feeling disgusted, depressed, or guilty after over eating
Peak age onset for anorexia:
o 19-20
Mortality is:
o Associated with anorexia in many countries
Highest death rate of any major mental disorder:
o Eating disorder
Peak age for bulimia:
o 16-20
Peak age for binge-eating:
o 18-20
Sociocultural factors of anorexia and bulimia: (3)
o Thin ideal
o Feminist perspective of male dominance
o Western cultures only
Psychological Factors: (5)
o Learning
o Cognitive distortions
o Interpersonal
o History of Abuse
o Psychoanalytic
Learning psychological factor:
o Weight phobia
o Reward from dieting
o Negative reinforcement for avoiding feared weight
o Hunger overwhelms (binge)
o Anxiety spike (purge)
o Start again
Cognitive distortions:
o Body dissatisfaction
o Body image
o Perfectionism
o Dichotomous thinking
o Low SE
Interpersonal psychological factor:
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