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Chapter 8 - Outline

The document discusses eating disorders including anorexia nervosa, bulimia nervosa, and binge eating disorder. It covers their DSM-5 diagnoses, symptoms, medical complications, prevalence, onset, course, contributing social, biological and psychological factors, and treatments including medication and psychotherapy.

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Brittaney Wilson
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52 views5 pages

Chapter 8 - Outline

The document discusses eating disorders including anorexia nervosa, bulimia nervosa, and binge eating disorder. It covers their DSM-5 diagnoses, symptoms, medical complications, prevalence, onset, course, contributing social, biological and psychological factors, and treatments including medication and psychotherapy.

Uploaded by

Brittaney Wilson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Eating disorders

Chapter 8

Which are DSM-5 Diagnoses?

 Bulimia Nervosa
 Binge Eating Disorder
 Obesity
 Anorexia Nervosa

Bulimia Nervosa
 Recurrent binging
 Eating much more food in a certain period of time than

 Sense of
 Recurrent
 Over-concern with body shape and weight

1
Anorexia Nervosa
 Refusal to
* Restricting Type
* Binge-Eating/Purging Type
 Intense fear of gaining weight or
getting fat
 Or

 Distorted view of

Medical Complications
 Enlarged
 Erosion of dental enamel

 problems
 Dry skin, brittle hair & nails, intolerance to cold (AN)

Binge-Eating Disorder
 Now an official diagnosis, in DSM-5
 Recurrent
 Marked distress about
 Lack of

2
Onset, Prevalence, & Course
 Onset,
 More common in females than males
 Prevalence rates
 Anorexia:
 0.5% to 1% lifetime for females
 ~0.1% for males
 Bulimia:
 ~2% for females
 ~0.2% for males
 Course,

Social Factors
 Society’s messages about
 Differences between
 Differences among
 Peers’ concern with weight and dieting

 Family influences

 Mothers who are dieting and overly concerned with


own and daughters’ weight

Biological Factors
 There seems to be some genetic component
 EDs run in families
 Higher concordance for MZ twins

 Some neurobiological abnormalities are often


present
 Cause or effect?

3
Psychological Factors
 Low sense of
 Low self-confidence and self-esteem
 (when combined with dissatisfaction
with one’s weight)
 Distorted perceptions of their own body

 Intolerance of

Medication to Treat EDs


 AN
 BN
 better than placebo
 Associated
with reduced binging and purging
 Not adequate on their own, effects are

Psychological Treatments for BN


 Cognitive Behavioral Therapy
 Psychoeducation

 Scheduled

 Cognitive

 Coping strategies
 Interpersonal Psychotherapy
 Improving interpersonal relationships and reducing
conflict

4
Psychological Treatments for AN
 CBT (as with BN)
 Increase
 Family-focused therapy re: messages and
communication about eating and weight

Preventing Eating Disorders


 Based on

 Primary prevention programs showed

 Only those who showed pre-treatment

 Targeted prevention programs seem

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