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anorexia nervosa kenmerken
restriction of energy intake
intense fear of gaining weight or becoming fat
disturbance in ones experience of body weight of shape
2 soorten: restricting of binge-eating/purging
Bulimia nervosa kenmerken
recurrent episodes of binge eating characterised by:
eating discrede period of time, larger than average + sense of lack of control over eating
Recurrent inappropriate compensatory behaviors to prevent weight gain
At least for 3 months
Weight adnd shape disproportionate influence on judgement persons self
Binge eating disorder kenmerken
recurrent episodes of binge eating characterised by:
eating discrede period of time, larger than average + sense of lack of control over eating
episodes associated with 3 or more: eating more rapidly, large amounts when not hungry, until feeling uncomfortably full, alone, feeling disgusted, depressed or guilty after
Marked distress
Positive aspects of an eating disorder
Staying small (not having to grow uppsychically and emotionally)
sense of identity
stability and predictability
idea of control
disctraction problems
a clear purpose
Transdiagnostic cognitive behavioral theory
alle eetstoornissen dezelfde kernmechanismen: overevaluation of shape and weight. Factoren die probleem versterken:
perfectionisme
lage zelfwaardering
stemmingsproblemen
interpersoonlijke problemen
Gevolgen blootstelling drugs adolescentie
Verstoorde normale rijping dopamine receptoren
Permanente behoefte drugs om plezier te ervaren
Beschadigde hippocampus (geheugen) en prefrontale cortex (zelfbeheersing)
Problemen met meten active vs passive smu
ambiious aspects (vb. liking other people’s post)
doesnt account for valence of content/activity
Transformation via Social Media Features
sociale media veranderen de manier waarop deze klassieke processen werken via specifieke kenmerken:
Asynchronicity → je hoeft niet direct te reageren
Availability → je bent altijd bereikbaar
Permanence → berichten blijven bestaan
Cue absence → minder non-verbale signalen
Publicness → interacties zijn zichtbaar voor anderen
Quantifiability → likes, views, volgers zijn meetbaar
Visualness → sterke focus op beelden
Transformed Peer Experiences
Frequency / immediacy → more frequent and faster interactions
Amplification → experiences become more intense (e.g., popularity is highly visible)
Qualitative changes → interactions feel different (e.g., more ambiguity)
New compensatory behaviors → seeking support online when offline is difficult
New experiences → entirely new social behaviors (e.g., posting, streaks)
Application to Dyadic Friendship Experiences
🔹 Positive effects
Immediate social support
Maintaining long-distance friendships
More opportunities to connect
🔹 Negative / risk effects
Co-rumination (excessive discussion of problems)
Pressure to be constantly available
Miscommunication due to lack of cues
Increased social comparison (likes, status)
🔹 New social dynamics
Public display of friendships
Visibility of “top friends” or closeness
Online-exclusive friendships
phubbing
= ceasing to pay attention in an in-person converstation due to going online
Gevolgen:
Lower friendship satisfaction/ quality and social connectedness
may not interfere if going online is intefrated with the in-person interaction
social displacement hypothesis
SMU displaces time spent with pre-excisting offline friends, reducing friendship quality
Social stimulation hypothesis
smu enhances quality of offline frienships. Increased opportunities to connnect en receive support, ease of disclosing information.
Who is at risk for PSMU?
adolescence (socio-emotional drive to use, lower self regulation)
lower social support or competencies
possibly reciprocal effects (loneliness + psmu)
Wanneer ADHD
B. Several inattentive or hyperactive-impulsive symptoms that caused impairment were present before age 12 years.
C. Several inattentive or hyperactive-impulsive symptoms are present in two or more settings (e.g. at home, school, or work; with friends or relatives; in other activities).
D. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
E. The symptoms do not occur exclusively during the course of Schizophrenia or another Psychotic Disorder and are not better explained by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, Personality Disorder, substance intoxication or withdrawal
prevalence ADHD
Affects 3-7% of children (APA, 2000)
More common in boys (3:1)
Persistence of symptoms & impairment in 50-65% of children
Adults: 4.4% in US
Adults: 2.5% - 5% Worldwide
Associated problems with adhd
risk for injury
delinquent behavior
substance use
traffic accidents
komt door delay discounting
adult impairment in adhd
less likely to graduate from college
more likely to be un/under empoyed
lower SES
higher rates of divorce
Dual pathway model of adhd
ADHD-symptomen (zoals impulsiviteit en aandachtsproblemen) kunnen voortkomen uit:
Problemen met cognitieve controle (executive dysfunction)
Wat gaat hier mis?
Zwakke executieve functies:
Inhibitie (impulsen remmen)
Werkgeheugen
Planning en organisatie
Gevolg:
Moeite met focussen
Impulsief gedrag
Slechte taakcontrole
Problemen met motivatie/beloning (delay aversion
Wat gaat hier mis?
Sterke aversie tegen uitgestelde beloning
Voorkeur voor kleine, directe beloningen boven grotere, latere beloningen
Gevolg:
Ongeduldig gedrag
Taken vermijden die lang duren
Snel afhaken
difference adhd and adolescence
systems can independently lead do symptoms
limbic system qualitatively different instead of hyperresponsive
risky and impulsive decision making increased in adhd, and not only in adolescence