Beh Medicine Final
Terms
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- Types of anorexia nervosa?
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- Restricting
- Binge-Eating/Purging - Signs of anorexia?
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- Body weight less than 85% of that expected.
- Intense fear of gaining weight or becoming fat
-Denial of the problem of low body weight
- Amenorrhea - Types of bulimia nervosa?
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- Purging Type
- Nonpurging type - Signs of bulimia?
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- Recurrent episodes of binge eating.
- Recurrent inappropriate compensatory behavior in order to prevent weight gain
**Both occur at least twice a week for 3 months - What is the difference between anorexia and bulimia?
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*Anorexia - low body weight, amenorrhea
* Bulimia - binge eating, compensatory behavior - Eating Disorder NOS
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* e.g. Anorexia but with regular menses
* Significant weight loss but weight is in normal range
* Bulimia sx less frequent
* Inappropriate compensatory behavior after eating small amounts of food
* Chewing and spitting out food
* Binge eating without compensatory behaviors -
Multidimensional Model
Psychological factors - Stress, family dynamics, impulsivity, constrained affect, oc qualities
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Multidimensional Model
Biological factors - Adverse physio. effects, preexisting bio vulnerability, dysfunction in neuromodulators, also opioids and cholecystokinin. Related to hypothalamic regulation and the connection between gi tract and cns
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Multidimensional Model
Sociocultural factors - Dieting is a precipitant, cultural ideals
- Treatment for eating disorders?
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- Group treatment**
- Nutritional rehabilitation
- Once more stabilized can do CBT or interpersonal therapy(thinking is off, won’t benefit from tx until that is improved)
- Medications - Behavior Chain
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A=Anticeedents, when did event occur(alone, by myself, fight with parent, etc⬦thinking, doing, feeling)?
B=Behavior=binging, purging
C=cosequence, problem solve, journal keep, etc⬦ - What is the tool to determine obesity?
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Body Mass Index
1) Obesity = BMI of 25 or more
2) Morbid obesity = BMI of 40 0r more (aprox 100 lbs more than ideal weight) - What are health impacts of obesity?
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- Increased risk of illness and death
- Type 2 diabetes
- Higher risk of impaired mobility - Age/Gender Statistics
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- The prevalence of overweight is higher for men (67%) than women (62%)
- The prevalence of obesity is higher for women (34%) then men (27.7%) as is severe obesity - Health effects of mrbid obesity?
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- Type 2 diabetes
- Gallbladder disease
- Osteoarthritis
- Premature death
20-year shorter lifespan
- Depression - I LOVE YOU
- YOU CAN DO IT!