Many young women with eating disorders have a diminished sense of personal

Many young women with eating disorders have a

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Many young women with eating disorders have a diminished sense of personal control and confidence in their own abilities and talents, are perfectionists, and/or are intensely preoccupied with how they appear to others. Textbook example: Phoebe ate beer and chicken and wanted to purge but she couldn't. So she began to have suicidal thoughts Social dimensions Cultural factors Dietary restraint Family influences Parents with distorted perception of food and eating may restrict children’s intake too (e.g., put chubby toddlers on unnecessary diets) Families of individuals with anorexia often High achieving Concerned with external appearances Overly motivated to maintain harmony > leads to poor communication and denial of problems Disordered eating also strains family relationships
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Causes parental guilt and frustration Treatments for Eating Disorders Pharmacological treatment Primarily antidepressants Generally ineffective for anorexia nervosa Psychological treatment Usually CBT Emphasis on Core pathological mechanism: Distorted body image Core clinical features of Sleep-Wake Disorders Just a few hours of sleep deprivation decreases immune functioning Sleep deprivation affects all aspects of daily functioning Energy Mood Memory Concentration Attention Sleep loss may bring on feelings of depression in non-depressed individuals Paradoxically, can have antidepressant effects in depressed individuals Methods to evaluate sleep Polysomnographic (PSG) evaluation of sleep: Electroencephalograph (EEG) - brain waves Electrooculography (EOG) - eye movements Electromyography (EMG) - muscle movements Detailed history, assessment of sleep hygiene and sleep efficiency Actigraph Portable wearable device sensitive to movement - can detect different stages of wakefulness/sleep Dyssomnias vs. Parasomnias (two major categories of sleep - wake disorders) Dyssomnias difficulty in getting enough sleep and problems when sleeping when you want. Disturbances in timing, amount or quality of sleep Parasomnias is the abnormal behavior or physiological events that occur DURING sleep, such as nightmares and sleepwalking C auses of Sleep-Wake Disorders Dyssomnia: Insomnia Causes: pain physical discomfort. Light, noise and temperature determines the ability to sleep. Stress and anxiety
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Treatments for Sleep-Wake Disorders Dyssomnia: Insomnia Treatment: benzodiazepines and over the counter sleep medications: short term solution. Hypersomnia and Narcolepsy Stimulants (Ritalin) Cataplexy usually treated with antidepressants CBT Relaxation and stress reduction Stimulus control procedures REM vs non-REM Parasomnias Non-REM Sleep Terrors Sleepwalking REM Repeated episodes of arousal during sleep associated with vocalization and/or complex motor behaviors Sleep terrors and walking facts and statistics Sleep terrors More common in children (~6%) than adults
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  • Fall '09
  • zalava
  • Professor Navarro

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