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

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PSY 436 Exam 3 Review
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
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
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
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
o Osteoporosis
o Death
Bulimia Nervosa:
o Episodes of rapid overeating followed by purging or other compensatory behavior
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
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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