PSYC 210 Chapter Notes - Chapter 11.1: Anorexia Nervosa, Binge Eating Disorder, Binge Eating
30 Apr 2018
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11.1#Clinical#Descriptions#of#Eating#Disorders#
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!"#$%&'()*%$+#,(!
!"#$%&'()"%$+#,(:!a!disorder!in!which!a!person!refuses!to!maintain!normal!weight,!has!an!intense!fear!
of!becoming!obese,!and!feels!fat!even!when!emaciated!
• Anorexia!refers!to!loss!of!appetite!and!nervosa!indicates!that!the!loss!is!due!to!emotional!reasons!
o Most!people!actually!do!NOT!lose!their!appetite!or!interest!in!food!
o Most!people!with!the!disorder!become!preoccupied!with!food!
• Features:!
o Restriction!of!behaviors!that!promote!healthy!body!weight!
• The!person!weighs!much!less!than!is!considered!normal!
§ BMI!less!than!18.5!for!adults!
§ -#./)0(,,)'".%&)1-234:!measure!body!fat!calculated!by!dividing!weight!in!
kilograms!by!height!in!meters!squared;!considered!a!more!valid!estimate!of!
body!fat!than!many!others!
• Weight!loss!is!typically!achieved!through!dieting,!but!can!also!include!purging!and!
excessive!exercise!
o Intense!fear!of!gaining!weight!and!being!fat!or!behavior!that!interferes!with!gaining!weight!
• This!fear!is!not!reduced!by!weight!loss!
• No!such!thing!as!being!"too!thin"!
o Distorted!body!image!or!sense!of!body!shape!
• Even!when!emaciated,!think!they!are!overweight!
• Frequently!weigh/measure!themselves!
• Self-esteem!closely!linked!to!maintaining!thinness!
• Diagnosis!used!to!include!amenorrhea!(loss!of!menstrual!period),!but!there!are!lots!of!reasons!
people!stop!having!a!period!
• Severity!of!disorder!based!on!BMI!
o Not!always!an!accurate!scale!
• Muscular!people!have!a!higher!BMI!–!inaccurately!called!overweight!
• Runners!have!lower!BMI!–!inaccurately!called!underweight!
• Two!subtypes!of!anorexia!nervosa:!
o 5%,6$'76'"8)6/9%:!subtype!of!anorexia!where!weight!loss!is!achieved!by!severely!limiting!food!
intake!
o -'"8%:%(6'"8;9<$8'"8)6/9%:!subtype!of!anorexia!where!the!person!has!also!regulatory!
engaged!in!binge!eating!and!purging!
• Lots!of!physical!consequences!
• Stats:!
o 10x!more!common!in!women!than!men!
o Frequently!comorbid!with!depression,!OCD,!phobias,!panic!disorder,!and!PDs!
o High!suicide!rates!(20%!attempt,!5%!completing)!
o Prognosis:!50-70%!eventually!recover!and!it!often!takes!6-7!years!!
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DSM-5!Criteria!for!!*=5>?3!)*>5@=A!!
BC 5%,6$'76'#")#D)D##.!that!leads!to!very!E#F)G#./)F%'8H6;!body!weight!is!significantly!below!normal)
IC Intense!D%($)#D)F%'8H6)8('"!or!$%9%(6%.)G%H(+'#$,!that!interfere!with!weight!gain)
JC -#./)'0(8%).',6<$G("7%)
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