Chapter 10-Eating Disorders %28compass%29

Chapter 10-Eating Disorders %28compass%29 - CHAPTER TEN...

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Eating Disorders CHAPTER   TEN
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Eating Disorders Bulimia-nervosa: Description and classification Anorexia-nervosa: Description and classification Onset and epidemiology Etiology of eating disorders Treatment
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Bulimia Nervosa: Diagnostic Criteria Binge eating occurring, on  average, at least twice a  week (for 3 months) Recurrent, inappropriate  compensatory behavior (also  for 3 months) Self-evaluation is unduly  influenced by body shape  and weight
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Binge Eating: Definition Eating a greater amount of food in a fixed period of time (e.g.,  2 hours) than what most people would eat in the same time  period and circumstances AND                      Accompanied by a sense of  lack of control  over what and how  much one is eating  Other characteristics:   May be planned or spontaneous   Usually done in secret   Often triggered by unhappy moods   Often people eat until they are uncomfortably  full and  feel ashamed
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Bulimia: Types Purging type Characterized elimination of consumed food   (not  effective in reducing caloric intake)   self-induced vomiting  (90%) misuse of laxatives, diuretics, or enemas     (less  common) Non-purging type Characterized by fasting or excessive exercise Less common Both Types are similar in terms of onset, course,  outcome and other variables
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Bulimia Nervosa: Associated Features Self-esteem and much of daily routine center on  weight, diet, and appearance Very sensitive to others’ comments about their  weight or appearance Anxiety and Depression  are the most common  comorbid conditions, and may precede or follow  bulimic symptoms Personality disorders (especially borderline), and  substance abuse may also co-occur
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Refusal to maintain a normal body weight Weight is less than 85% of what is considered normal for  height An intense fear of gaining weight, which is not  reduced by weight loss. Amenorrhea (in females): the loss or irregularity of  the menstrual period. Distorted sense of body shape 
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Chapter 10-Eating Disorders %28compass%29 - CHAPTER TEN...

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