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CSU - PSY 320 - Study Guide - Final

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CSU - PSY 320 - Study Guide - Final

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background image Exam 4 Study Guide 
Eating Disorders 
- Demographics  ● At least 10 million females and 1 million males in the United States are dealing  with an eating disorder  ● 95% are between 12 and 26 
● Female Prevalence Rates 
○ 0.9% will struggle with anorexia 
○ 1.5% will struggle with bulimia 
○ 3.5% will struggle with binge eating 
● Male Prevalence Rates  ○ 0.3% will struggle with anorexia 
○ 0.5% will struggle with bulimia 
○ 2% will struggle with binge eating 
● Prevalence Rates in Adolescents (13-18)  ○ 2.7% struggle with eating disorder (diagnosable) 
○ 50% of teen girls and 30% of teen boys engage in unhealthy weight 
control behaviors (skipping meals, fasting, smoking cigarettes, vomiting 
and taking laxatives) 
● Prevalence Rates in College age   ○ 13% prevalence 
○ 25% of college age women engage in bingeing and purging 
● A Few More Eating Disorder Stats  ○ 46% of 9-11 year olds are on diets 
○ 80% of families are on diets 
○ 80% of 10 year olds are afraid of being fat 
○ 40% of 1st-3rd grade girls want to be thinner 
○ Anorexia nervosa has the highest mortality rate of any psychiatric 
disorder  - Anorexia Nervosa Restricting Type  ● Significantly underweight 
● Lose weight by not eating 
● Body image - severely disturbed, see themselves as heavier than they are 
- Anorexia Nervosa Binge/Purge Type  ● Significantly underweight 
● Lose weight by purging 
● Body image - severely disturbed, see themselves as heavier than they are 
- Bulimia Nervosa  ● Often normal weight or overweight 
● Can maintain normal diet, but purge 
● Body image - Overconcerned with weight and shape 
- Binge-eating Disorder 
background image ● Often significantly overweight 
● Binge, but do not purge 
● Body image - distressed about being overweight 
Anorexia Nervosa  - Extreme food restriction  ● Very low, unhealthy body weight  - Distorted body perception and fear of gaining weight  - Amenorrhea - stop having menstrual periods  - Restricting type -  Refusing to eat and/or engaging in excessive exercise  - Binge/purge type -  Engage in binge eating or purging behaviors (vomiting, excessive  exercise, laxatives)  Bulimia   - Bingeing - uncontrollable eating  - Normal or above normal weight  - Behaviors to prevent weight gain  ● Self-induced vomiting 
● Abuse of laxatives, diuretics, or other purging medications 
● Fasting 
● Excessive exercise 
- Feel lack of control of eating    Other Specific Feeding or Eating Disorders  - Partial syndrome eating disorders  ● Syndromes that don’t meet the full criteria for anorexia nervosa or bulimia  nervosa  - Atypical anorexia nervosa  ● Criteria for anorexia nervosa met, but weight AT THIS POINT is within or above  the normal range  ● If this continues, they will become underweight  - Bulimia nervosa of low frequency and/or limited duration  ● Meet criteria for bulimia nervosa, except binge eating and compensatory  behaviors occur less than once a week and/or for less than 3 months  ● If this continues it will become bulimia nervosa  - Night eating syndrome  ● Eating regular excessive amounts of food into the night after dinner  - Eating Disorders in Athletes  ● Aesthetic sports (figure skating, gymnastics)     35% 
● Weight-dependent sports (judo, wrestling)         29% 
● Endurance sports (cycling, running, swimming) 20% 
● Technical Sports (golf, high jumping)                  14% 
● Ball game sports (volleyball, soccer)                  12% 
- Etiology of Eating Disorders  ● Genetic 
background image ○ Anorexia and bulimia run in families 
○ Twin studies show genetic contribution to anorexia and bulimia 
○ With anorexia, evidence for linkage on chromosome 1 
● Hypothalamus - and neurotransmitter imbalances   ● Serotonin may be deficient in bulimia  ○ People with bulimia have less serotonin metabolites 
○ People with bulimia are less responsive to serotonin agonists 
○ Serotonergic drugs are often effective for bulimia 
- Environmental Factors  ● Social Factors  ○ Cultural glorification of “thinness” and obtaining the “perfect body”  ■ Narrow definitions of beauty 
■ Basis of physical appearance 
● People pursuing professions or activities that emphasize thinness are more  susceptible  ○ Modeling, dancing, gymnastics, wrestling, long distance running, acting  ● Media and Perception  ○ Media ideal female body possessed naturally by less than 5% of  American females  ■ Average 18-30 US woman is 5’4” and weighs 140 pounds 
■ Average US model is 5’11” and weighs 117 pounds 
■ Average 18-30 US man is 5’9 1/2” and weighs 180 pounds 
■ Average male model is 6’ and weighs 160 pounds 
○ Almost ½ of 5th-12th grade girls want to lose weight because of magazine  pictures  ● Family Problems  ○ Parent obsession with weight 
○ Comments from family about weight 
○ Eating problems can develop because person may feel that it is one of 
the few things in their life they can control  ○ Trauma - sexual, physical, mental abuse  ■ 60-75% of all bulimia nervosa patients have a history of physical  and/or sexual abuse  - Personality Factors  ● Personality studies indicate  ○ Starvation alters our personality 
○ Developing an eating disorder is associated with personality variables 
such as perfectionism, low self-esteem, propensity to experience negative 
- Treatment for Anorexia  ● Hospitalization/treatment facility (inpatient)  ○ Extreme cases are admitted for severe weight loss 
○ Feeding plans are used for nutritional needs 
background image ● Cognitive-behavioral therapy  ○ Client’s overvaluation of thinness is confronted 
○ Rewards made contingent on gaining weight 
● Family therapy  ○ Person with anorexia and family treated as a unit  - Treatment for Eating Disorders: Psychotherapy for Bulimia Nervosa and Binge-Eating 
● Cognitive-behavioral therapy  ○ Monitor the cognitions that accompany eating  ● Interpersonal therapy  ○ Discuss interpersonal problems related to eating disorder 
○ Develop strategies to solve these problems 
● Supportive-expressive psychodynamic therapy    Treatments for Eating Disorders: Psychotherapy for Bulimia Nervosa and Binge-Eating Disorder  - Cognitive-behavioral therapy  ● Monitor the cognitions that accompany eating  - Interpersonal therapy  ● Discuss interpersonal problems related to eating disorder 
● Develop strategies to solve these problems 
- Supportive-expressive psychodynamic therapy  ● Talk about problems related to the eating disorder but in a highly non directive  manner  - Behavioral therapy  ● Taught to monitor food intake, introducing avoided foods, coping techniques for  bingeing  - Biological therapies  ● Selective serotonin reuptake inhibitors  ○ Reduce binge-eating and purging behaviors 
○ Fail to restore the individual to normal eating habits 
● Antidepressants  ○ Used to treat anorexia nervosa - result in reduction of symptoms  ● Antipsychotics  ○ Can increase weight in people with anorexia nervosa  Obesity  - Body mass index (BMI) of 30 or over  ● Over ⅓ of American adults and 17% of children are obese according to this  measure  - Obesity associated with an increased risk of  ● Coronary heart disease, hypertension and stroke 
● Type 2 diabetes and cancer 
● Low quality of life and emotional problems 
- Cause 

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School: Colorado State University
Department: Psychology
Course: Abnormal Psychology
Professor: Martha Amberg
Term: Fall 2016
Tags: PSY320, abnormalspychology, Amberg, and Psychology
Name: PSY 320 Exam 4 Study Guide
Description: Study Guide for final exam Prof Amberg
Uploaded: 12/12/2016
20 Pages 83 Views 66 Unlocks
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