characterized by a persistent disturbance in eating behavior.
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anorexia nervosa
pursuit of thinness that is relentless and that involves behaviors that result in a significantly low body weight.
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anorexia nervosa restricting type
every effort is made to limit the quantity of food consumed. caloric intake is tightly controlled.
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anorexia nervosa binge-eating/purging type
in addition to restrictive eating, they also either binge eat, purge, or binge eat and purge.
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binge
involves an out-of-control consumption of an amount of food that is far greater than what most people would eat in the same amount of time and under the same circumstances.
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purge
remove the food they have eaten from their bodies,
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bulimia nervosa
uncontrollable binge eating and efforts to prevent resulting weight gain by using inappropriate behaviors such as self-induced vomiting and excessive exercise.
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binge-eating disorder (BED)
a binge, the person does not engage in any form of inappropriate “compensatory” behavior such as purging, using laxatives, or even exercising to limit weight gain.
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16 to 20 years old
when is anorexia nervosa most likely to develop
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21 to 24 years old
when is bulimia nervosa most likely to develop
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30 to 50 years old
when is binge eating disorder most likely to develop
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lanugo
downy hair associated with anorexia nervosa
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meta analysis
statistical method used to combine the results of a number of similar research studies.
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set point
weight that our individual bodies try to “defend”
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negative affect
feeling bad; causal risk factor for body dissatisfaction
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cognitive behavioral therapy (cbt)
changing behavior and maladaptive styles of thinking, has proved to be very effective in treating bulimia nervosa.
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underweight bmi
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18.5 to 24.9
normal weight bmi
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25.0 to 29.9
overweight bmi
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>30
obesity bmi
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>40 or 100lbs
morbid obesity
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leptin
produced by fat cells; informs the central nervous system about the state of the body’s fat reserves.
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ghrelin
hormone that is produced by the stomach; it is a powerful appetite stimulator.
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obesity
which condition accounts for the highest morbidity and mortality totals in the usa?
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the stigma associated with this disorder will end
major impacts of having binge eating disorder listed in the dsm-5 are NOT
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lack of appetite induced by nervousness
what does anorexia nervosa mean?
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mild anorexia nervosa
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16-17
moderate anorexia nervosa
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severe anorexia nervosa
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extreme anorexia nervosa
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heart attack is the most common. suicide is second most common
what is the most common and second most common cause of death from anorexia nervosa?
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3:1
ratio of females: males that have anorexia nervosa and bulimia nervosa
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to eat like an ox
what does bulimia mean?
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normal or slightly overweight
what is the weight for people with bulimia nervosa?
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dsm-5 criteria for bulimia nervosa
1. recurrent episodes of binge eating 2. lack of control over eating 3. inappropriate compensatory behaviors to prevent weight gain 4. occur at least once a week for three months 5. self evaluation influenced by body shape/weight
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patient is usually older
what is unique about binge-eating disorder?
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same sex attraction
what is a risk factor for eating disorders in men?
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5
people with anorexia nervosa are __ x more likely to die
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depression and cognitive changes
what can a thiamin deficiency lead to
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amenorrhea
no period
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ocd and personality disorders
comorbid diagnoses of those with anorexia and bulimia nervosa
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66
weight discrimination increased by ___% over past decade
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the amount of critical comments a family makes about appearance
strongest predictor for developing bulimic symptoms?
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lack of ambivalence of treatment
hillary's dentist comments on damage due to vomiting and she is diagnosed with anorexia, binge-eating subtype. she immediately entered a treatment program. what is unique about her case?
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10 years
what is the average length of time people wait before seeking treatment for eating disorders?
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yes
can aggressive treatment backfire for those with anorexia nervosa?
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family therapy
what is the most effective treatment for adolescent patients with anorexia nervosa?
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interpersonal psychotherapy
ginger is a 30 year old black women with BED. what is the best approach to treatment?
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bmi
measure of person's weight to height
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5-20
people with obesity have a life expectancy reduced by ___ years
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minorities
obesity is more common in ___ (except asians)
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undisciplined, annoying, and noncompliant
how are obese patients seen by healthcare providers?
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increased considerably
weight discrimination in our culture has...
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genie; a heavier female
who is most likely to be found guilty?
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culture of supersizing
providing easy access to high fat junk foods
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having an obese parent
the characteristic in a finnish study was greatest predictor of childhood obesity?
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prevention
best treatment for obesity
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lifestyle modifications, medications, bariatric surgery
3 treatments for obesity
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96
what restrictive crash dieting, ___% regain weight they lose within one year