Eating Disorders

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Eating Disorders

• PSY 436
• Instructor Emily E. Bullock, Ph.D.

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DSM-IV-TRAnorexia Nervosa Diagnostic Criteria

• Refusal to maintain body weight at or above a
  minimally normal weight for age and height
• Intense fear of gaining weight, even through
  underweight
• Disturbance in the way in which ones body weight
  or shape is experienced, undue influence of body
  weight or shape on self-evaluation, or denial of
  the seriousness of the current low body weight
• The absence of at least three consecutive
  menstrual cycles

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DSM-IV-TRAnorexia Nervosa Diagnostic Criteria

• Specifiers
• Restricting Type person not regularly engaged in
  binge-eating or purging behavior
• Bing-Eating/Purging Type person has regularly
  engaged in binge-eating or purging behavior

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Medical Complications of Anorexia

• Anemia
• Dermatological problems
• Cardiovascular complications
• Gastrointestinal problems
• Menstrual irregularities
• Muscular weakness
• Abnormal bone growth
• Death

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DSM-IV-TRBulimia Nervosa Diagnostic Criteria

• Recurrent episodes of binge eating that is
  characterized by both of the following
• Eating, in a discrete period of time and amount
  of food that is definitely larger than most
  people would eat during a similar period of time
  and under similar circumstances
• A sense of lack of control over eating during the
  episodes
• Recurrent inappropriate compensatory behavior in
  order to prevent weight gain (vomiting,
  laxatives, diuretics, enemas, exercise, fasting)

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DSM-IV-TRBulimia Nervosa Diagnostic Criteria

• Bing eating and inappropriate compensatory
  behaviors both occur at least twice a week for 3
  months
• Self evaluation is unduly influenced by body
  shape and weight
• The disturbance does not occur exclusively during
  episodes of anorexia
• Specifiers
• Purging type
• Nonpurging type

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Medical complications of Bulimia

• Due to repeated vomiting
• Skin irritation
• Blockage of salivary ducts
• Decay of tooth enamel
• Dental cavities
• Damage to taste receptors
• Abdominal pain
• Hiatal hernia
• Pancreatitis
• Disturbance in menstrual functioning
• Laxative dependency
• Convulsions and swelling
• death

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A Multifactorial Model of Eating Disorders
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Thinner and Thinner
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Treatment of Eating Disorders

• Biomedical Treatment
• Psychotherapy
• Cognitive-behavioral therapy
• Family therapy

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Obesity A National Epidemic

• Are You Obese?
• What Causes Obesity?
• Genetic Factors
• Metabolic Factors
• Fat Cells
• Lifestyle Factors
• Psychological Factors

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Obesity A National Epidemic

• Facing the Challenge of Obesity
• Changing the As, Bs, Cs of overeating