Textbook Notes (368,125)
Canada (161,663)
Psychology (9,695)
PSYB32H3 (1,174)
Chapter 10

Chapter 10

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Konstantine Zakzanis

Chapter 10 Eating Disorder Intro Lifetime prevalence for anorexia Almost 1 in women 1 in menBulimia is more common than anorexia 15 women 5 men Binge eating even more common 35 in women 2 in menOnly a small proportion of people requiring treatment actually got help Women are more likely than men to report an eating disorder 08 vs02There is a great deal in heterogeneity Most common diagnosis eating disorder not specified Eating disorders can cause longterm psychological social health problems Hospitalization rates are highest among young women in the 1525 range Rates are also high among those ages 1014 and 2024Clinical Description The most common diagnosis 4070 of patients is eating disorder not otherwise specified EDNOS EDNOS Does not fit the description of other eating disorders It has been seen as a residual catchall category that underscores problems inherent in the current diagnostic systemReflects great heterogeneity among individuals all deemed to have an eating disorder of some sort but it also suggests that the categories themselves need refinement Purging disorder form of bulimia that involves selfinduced vomiting on laxatives use at least once a week for a minimum of six months Patients have levels of disturbed eating and associated forms of psychopathology that are comparable with patients with other eating disorders but purging disorder patients have certain distinguishing features High impulsivity key factor that distinguishes among the various eating disorders Impulsivity for some becomes so extreme that it manifests as an impulse control disorder The onset for the impulse control disorder preceded the eating disorder rather than vice versa Most common impulse control disorder is buying disorder and kleptomania The feat of fat criterion included in anorexia nervosa may not apply to anorexic females in certain cultures The diagnosis of AN and BN share several clinical features the most important being the intense feat of being overweight May not be distinct diagnoses but may be two variants of a single disorder Cotwins of patients diagnosed with anorexia nervosa for example are themselves more likely than average to have bulimia nervosa Anorexia Nervosa Anorexia loss of appetite nervosa personal issues However they dont lose their appetite or interest in food Most patients with the disorder become preoccupied with food 4 criteria that need to be met Refusal to maintain a normal body weight person must weigh less than 85 of what is considered normal for the persons age and height They use all different sorts of method
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