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Beh Medicine Final


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Types of anorexia nervosa?
- Restricting
- Binge-Eating/Purging
Signs of anorexia?
- 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?
- Purging Type
- Nonpurging type
Signs of bulimia?
- 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?
*Anorexia - low body weight, amenorrhea

* Bulimia - binge eating, compensatory behavior
Eating Disorder NOS
* 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
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
Multidimensional Model
Sociocultural factors
Dieting is a precipitant, cultural ideals
Treatment for eating disorders?
- 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
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?
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?
- Increased risk of illness and death
- Type 2 diabetes
- Higher risk of impaired mobility
Age/Gender Statistics
- 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?
- Type 2 diabetes
- Gallbladder disease
- Osteoarthritis
- Premature death
20-year shorter lifespan
- Depression

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