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Jewel Abnl Psych Ch. 7 pp. 239-253

AB
perfectionism, obsessionality, neuroticismpersonallity traits in people with anorexia
80% of people with anorexia who will suffer major depression
75up to this % of people with anorexia will suffere from anxiety
adolescencetypical age to develop anorexia
bulimia nervosabing eating in combination with recurrent inappropriate compensatory behaviors to prevent wt. gain
sense of lack of control over eatinghallmark feature of a binge
1000number of calories usually considered minimum for a binge
subjective bingeeating a typical or sm. amt of food coupled with the feeling that eating is out of control
objective bingeeating lg. amt. of food and feeling out of control
3bulimiia is binging at least ONCE a week for ___ months
normal or overweightpeople who binge tend to be either
dehydration, electrolyte imbalances, acid reflux, ruptures of esophagus, loss of tooth enamel, constipationsome physical features of bulimia
depression, low self-esteem, ritualistic behaviors, perfrectionism, alcohol/drug abuse, irritability, impulsive spending, shopliftingpsych features of bulimia
1-3prevalance of bulimia in women
.1-.5% prevalence of bulimia in men
modernbulimia is considered a more _____ phenomenon than anorexia
middle to late adolescence or early adulthoodbulimia starts in
callusesdevelop on back of hands in pts. who force themselves to vomit
edema, fluid loss, dehydration, electrolyte abnormalities, permanent loss of normal bowel functionlaxative abuse can lead to
3.9mortality rate for bulimia is
1/2 - 2/3this number of patients with bulimia achieve full or partial remission with bulimia
impulsivepeople with bulimia, as compared to anorexia, tend to be more
novelty-seekingpeople with bulimia tend to have more bheaviors like
rigid & obsessionalpeople with restricting subtype of anorexia have personalities that are more
80percent of patients with bulimia will have antoehr psych disorder
anxiety, depression, subtance abuse, personality disordersmost common disorders in pt. with bulimia
BEDbinge eating WITHOUT the compensatory bheaviors of bulimia nervosa
3.5percent of women with BED
2percent of men with BED
oncebinging for ____ a week for 3 months necessary for dx of BED
will become the most common eating disorder with DSM 5BED
harm avoidancehigher in people with BED
sensitivity to reward and to punishmne, harm avoidance, impulsivity & addictive personalitymay be higher in people with BED
atypical ANall features of anorexia but nl or above nl wieght
night eating disorderperson eats after waking up during the night or eats excessively after the evening meal
picaeating non food substances
cultural picacan occur in countries
fertilityEAst African women consume clay for
pregnancyINdian womeon eat clay during
iron or zincdeficiencies in this may cause pica
stressful life eventsmay lead to pica
rumination disorderregurgitating food into the mouth & reswallowing it
diaphragmatic breathingmay help in rumination disorder
ARFID children oftenare labeled "picky" eaters and may eat only a very narrow range of foods
black womenbing eating in absence of purging more common in
white womenpurging in absence of binging more common in
hypothalmuscentral to weight and appetite regulation


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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