Ch8eatingdis

Weight Concerns, Body Dissatisfaction, & Eating Disorders

Eating Disorders: Causes & Prevention

Eating Disorders: Assessment & Treatment

Weight Concerns, Body Dissatisfaction, &Eating Disorders

Eating Disorders:Causes & Prevention

Eating Disorders:Assessment & Treatment




• Refuse to maintain minimum body weight

• Intense fear of gaining weight

• Disturbed body image• Amenorrhea• Subtypes:

– Restricting– Binge/purging




Misuse of laxatives

Misuse of enemas

Excessive exercise

Misuse of diuretics

Behaviors used to prevent weight gain after binge eating are called

compensatory behaviors. They include:

Fasting

Self-induced vomiting




Recurrent episodes of binge eating. A binge eating episode involves both:

Symptoms of Binge-Eating Disorder

Eating, in a specified period of time, an amount of food that is larger than what most would eat in the same period of time and in similar circumstances

Feeling a lack of control over one’s eating (inability to stop eating or control how much is eaten)




Eating Disorder Women Men

Anorexia nervosa 0.050.5-3.7

Bulimia nervosa 0.1-0.41.1-4.2

Binge eating disorder 0.5-2.70.7-4.0

Sources: American Psychiatric Association (2000, 2006).




Statement Eating Disorders Alcoholism

19981998

Danger to others 657

Unpredictable

Depression

1998

23

2003

7

2003

64

2003

19

Hard to talk to

Feel different from us

0.7-4.0They are to blame

Could pull themselves together

Treatment wouldn’t help

Will never fully recover

7129 5627 70 53

5938 6233 55 56

3549 4333 25 30

6034 1333 54 11

5238 1935 50 17

119 1610 12 15

2411 2315 29 25




Amygdala

Prefrontal cortex

Nucleus accumbens

Thalamus

Somatosensory cortex

Hypothalamus







Biological factors

Restriction of eating

Excessive weight loss Retain weight

Anorexia nervosa Bulimia nervosa

Genetic

Neurobiology

Mood regulation

Stress reactivity

Impulse regulation

Psychological factors

Low self esteem

Body dissatisfaction

Distorted body image

Perfectionism

Sociocultural factors

Family conflict

Abuse or trauma

Family emphasis on thinness

Cultural pressures to be thin

Media exposure













Low self esteem

Negative affect

Diet to feel better about self

Restrict food intake too much

Diet brokenBinge

Compensatorybehaviors(e.g., vomiting to reduce fear of weight gain)




Are you constantly thinking about your weight and food?

Are you dieting strictly and/or have you lost a lot of weight?

Are you more than 10% below your healthy weight?

Are people concerned about your weight?

Sample Screening Questions for Eating Disorders

Is your energy level down?

Do you constantly feel cold?

Education

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