Study Guide for Pysch 134 - WHAT WE NEED TO KNOW Diagnostic Criteria Anorexia(restricting\/binge-purging A Lowered Weight through methods of food

Study Guide for Pysch 134 - WHAT WE NEED TO KNOW Diagnostic...

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WHAT WE NEED TO KNOW: Diagnostic Criteria: Anorexia (restricting/binge-purging) A. Lowered Weight through methods of food restriction, purging, hyper-exercising B. Fear and prevention of weight gain (significant weight loss does not decrease the fear) C. Body Image distortion, importance of weight or shape, lack of recognition of low weight. RESTRICTING TYPE (in a time span of 3 months) Weight loss mostly due to food restriction (dieting, fasting, hyper-exercise) No regular binge eating or purging behavior No self-induced vomiting, misuse of laxatives, diuretics, or enemas BINGE-EATING/PURGING TYPE Regular binge-eating or purging behavior Purging (if someone is not eating much and then they are purging, this is anorexia with purging behaviors and it is one of the most serious forms of anorexia) Hyper exercise, laxatives Prevalence: More in adolescents than general female population o 1-2% of adolescent/ young adult females o 0.3-0.5% female pop (whereas it is 1~4% bulimia) o Starts early (12-13 or 16-17) o Mortality rate 4-5% Anorexia: The least out of all the Eating Disorders Anorexia: Female to male (10:1) Changes from DSM-4 to DSM-5 Category change: feeding and eating disorders Anorexia o “Refusal” removed o 85% if body weight removed o Amenorrhea removed Bulimia (purging/non-purging) A1. Binge Eating Episode Eating more food than most would in a similar situation within a 2-hour period Food amount matters more than food type Usually foods that are avoided: high calorie, sweet, carbs Start at one place and continue in another (start at restaurant, continue at home) Binging occurs in secret because ashamed A2. Loss of control over eating Feel like they cannot stop, feels driven to continue eating May or may not be planned Fast-paced eating B. Inappropriate Compensatory Behavior
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Self-induced vomiting Laxatives Diuretics PURGING TAKES AWAY THE GUILT OF THE BINGE THAT JUST OCCURRED AND THE FEAR OF WEIGHT GAIN C. Binging and Inappropriate Compensatory Behaviors 2x per week for 3 months D. Self Evaluation is unduly influenced by body shape and weight (like in anorexia) Wants to lose weight/fear of weight gain Think they are fat E. Binging and Purging is not happening in the Context of Anorexia (if the person meets criteria for Anorexia and Bulimia, Anorexia should be the diagnosis because this is the more serious diagnosis because there is a higher level of mortality) Prevalence Women: 1-4% Men: .1-.3% Usually develops in late adolescence/early adulthood o Slightly older onset than people with AN 30% of people with bulimia have had a history of AN Binge Eating Disorder A: Binge Eating Episodes Large amount of food in short periods of time Loss of control: feeling unable to stop eating B: Episodes include at least 3 of these Eating faster, feeling uncomfortably full, eating when not hungry, eating alone due to embarrassment Feeling disgusted, depressed, or guilty about binging
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