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Flashcards in Eating Disorders Deck (24)
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1
Q

What is the adaptation to fleeing famine hypothesis?

A

Proposed that abilities to ignore hunger and deny starvation helped some in starving hunter-gatherer bands

2
Q

What are the types of eating disorders in DSM5?

A

Anorexia nervosa, bulimia nervosa, other specified feeding and eating disorder, binge eating disorder, orthorexia, obesity

3
Q

What is involved in anorexia nervosa?

A

Restriction of energy intake. Fear of gaining weight. Disturbance in way shape is experienced

4
Q

What percent below normal weight do you need to be to be anorexic?

A

15% below normal weight

5
Q

What is amenorrhoea (symptom of anorexia)?

A

Absense of menstrual period

6
Q

What is bulimia nervosa?

A

Episodes of binge eating (in 2 hours) and purging at least once a week for 3 months

7
Q

What is counted in OSFED?

A

Atypical anorexia nervosa, bulimia nervosa of low frequency of limited duration, binge eating disorder of low frequency of limited duration, night eating syndrome

8
Q

What are effective treatments for anorexia nervosa?

A

food, family-based interactions (but no NICE approved mthod)

9
Q

What is an effective treatment for bulimia nervosa?

A

cognitive behavioural therapy extended

10
Q

What are the risk factors of eating disorders?

A

Birth, childhood, adolescents,

11
Q

Why is birth a risk factor?

A

because of obstetric complications

12
Q

Why is childhood a risk factor?

A

Childhood obesity and anxiety and neglect

13
Q

Why is adolescence a risk factor?

A

exercise, dieting

14
Q

What are the five P’s of formulation?

A

Predisposing, precipitating, presenting, perpetuating, protective

15
Q

What are the neurobiological abnormalities associated with eating disorders?

A

The insula is a vulnerable network. Lack of activity in the left hemisphere months after recovery

16
Q

What are the neuropsychological processing styles?

A

Visual spatial processing, cognitive flexibility, central coherence, risk processing, emotion processing

VCCRE

17
Q

What is visual spatial procesing?

A

Processing visual info.

Impaired in AN

18
Q

What is cognitive flexibility?

A

Shift between ways of thinking.

Impaired in AN and BN

19
Q

What is central coherence?

A

Integrate detail and global perspectives.

Impaired in AN and BN

20
Q

What is risk/reward processing?

A

identifying risky choices

impaired in BN

21
Q

What is emtion processing?

A

Interpret what the body is telling us

Impaired in AN

could be linked to alexithymia (lack words for feelings)

22
Q

What are two treatments for eating disorders?

A

Cognitive remediation therapy and neurobiofeedback?

23
Q

What is cognitive remediation?

A

Targets processes of thinking. 10 individual sessions for 45 mins twice a week

24
Q

What is neurobiofeedback

A

meditation. real time fMRI shows changing blood flow to insula