MDU4850 Exam 2 (Quiz Qs)

Demonic possession

An act of God

A nervous condition

A medical condition

A psychological condition

Restricted diet Vigorous exercise Self-induced vomiting Ingestion of non-nutritive substances

Anorexia nervosa

ALL. Ellen West struggled with both an eating disorder and depression. Ellen West serves as a cautionary tale regarding the prevalence of suicide among individuals with eating disorders. Ellen West demonstrates the difficulty in treating eating disorders, a difficulty that is still apparent today. As you have previously learned, depressive disorders are often comorbid with eating disorders, and individuals with eating disorders are at a higher rate for suicide. Ellen's difficulty in responding to treatment also closely shadows the current issues in treatment today.

In some cases, individuals exhibit all other symptoms and signs of anorexia nervosa but still report some menstrual activity. The requirement for amenorrhea was removed from the DSM-5 because it the criterion could not be applied to males, pre-menarchal females, females taking oral contraceptives and post-menopausal females. It was also removed because in some cases, individuals exhibit all other symptoms and signs of anorexia nervosa but still report some menstrual activity.

ALL. Fed, regardless of their own desires. Given food in increasing amounts as emancipation and exhaustion decreases. Given a "dessert-spoonful" of brandy every 3 hours. Unlike the administration of brandy, individuals who are hospitalized for being below weight are fed, sometimes via a feeding tube in severe cases. They are also given food in increasing amounts to avoid re-feeding syndrome.

Obese and overweight individuals who are fit have similar mortality rates as normal-weight fit individuals.

Discrimination due to their size on planes

Increased Stayed stable Decreased From "Trends in Obesity Prevalence Among Children and Adolescents in the United States, 1988-1994 Through 2013-2014:" "During an approximately 25-year period (1988-1994 through 2013-2014), the prevalence increased until 2003-2004 but then decreased among children aged 2 to 5 years. Among children aged 6 to 11 years, the prevalence increased until 2007-2008 and then leveled off. Among adolescents aged 12 to 19 years, obesity prevalence increased between 1988-1994 and 2013-2014."

Laziness

BMI Excess weight Weight

ALL. Less healthy Poor at self-care Less disciplined

Behavioral Surgical Major depressive disorder

True

Motivational interviewing

Overweight Class 1 Obesity Class 2 Obesity Class 3 Obesity

Minority stress

Use diet pills Participate in fasting Practice purging

Men with eating disorders face increased stigma and shame. Men with eating disorders have been underrepresented in research. Men with eating disorders have been neglected in diagnosis and treatment research. Approximately one million males struggle with eating disorders. Men are more likely to have disordered eating behaviors that promote masculine norms and focus on muscles as opposed to body fat dissatisfaction or thinness-oriented behaviors.

Less More

False

Early adolescence Early adulthood or late adolescence

30% Underreported

Predicted eating disorder onset Did not predict eating disorders at any age

College-aged

Significantly higher

The correlation between body dissatisfaction and media images is largely demonstrated in population with preexisting concerns about body dissatisfaction.

Stable Increasing Increasing

Cultural competence is a technical skill that is not currently being taught. The authors note that cultural competency is not a technical skill that can be learned.

ALL. It attempts to place importance on understanding the native's point of view, rather than making observations as an outsider. It does not consider culture simply to be a set of traits or factors that are broadly applicable. It tries to examine how religion, moral values and everyday practices may interact for the individual patient.

Obesity Weight

Some Protective No significant

Poverty Abuse Sexism Discrimination Acculturative stress Racism

Greatest Chinese American

Type 1 Diabetes

Diabulimia Insulin restriction among those with diabulimia can lead to diabetic ketoacidosis, a potentially fatal condition that develops when the body lacks insulin and starts to break down fat, producing ketones that can poison the body. It also increases the risk of serious long-term complications of diabetes, including kidney disease, blindness, nerve damage, amputations and heart disease.

Orthorexia

Anorexia

BOTH orthorexia and anorexia

Healthism

True In some respects orthorexia nervosa is more similar to the newly introduced Avoidant Restrictive Food Intake Disorder or ARFID where there is also an absence of body image concern (DSM-5, 2013). Orthorexia does not include the most characteristic symptoms of anorexia nervosa and bulimia nervosa (Brytek-Matera et al., 2015).

False Diabulimia occurs when patients manipulate their insulin in order to purge calories, much as someone with bulimia might induce vomiting to lose weight.

Binge eating Study results show that alcohol use mediated the association between binge eating and drunkorexia, which suggests that individuals may be engaging in binge eating while under the influence of alcohol (Hunt & Forbush, 2016).

Impulsivity

False Results showed that drunkorexia was related to both disordered eating and alcohol use in men and women; however, disordered eating was more strongly related to drunkorexia in women (Hunt & Forbush, 2016).

Compulsive exercise Research has found that athletic-ideal internalization predicted increases in compulsive exercise, but not body dissatisfaction or dieting, over a seven-month period (Homan, 2010).

Increase in dietary supplements Decreased life satisfaction Increased disordered eating behavior Low self-esteem Increased body preoccupations Higher levels of depression

Body dissatisfaction Athletic-ideal internalization was found to directly predict dieting, compulsive exercise and bulimic symptom. Athletic-ideal internalization was not found to be associated with body dissatisfaction (Bell et al., 2016).

False Athletic ideal internalization does have deleterious consequences in terms of disordered eating and exercise behaviors, but does not have its effect through body dissatisfaction (Bell et al., 2016).

Anorexia nervosa Past research suggests that excessive exercise is more common in individuals with anorexia nervosa (both restricting-type and binge/purge-type) than in those with bulimia nervosa (Garner et al., 2014).

Smaller Reported binge episodes in those who exercise excessively tend to be smaller and contain less calories in individuals with anorexia nervosa (Burd et al, 2009).

Objective binge eating Restraint and subjective binge eating (but not OBEs) were found to be significant predictors of compensatory exercise (Garner et al., 2014).

True

ALL. Binge eating Onset and severity of disordered eating behaviors Purging TE have been shown to predict the rate of onset and severity of binge- eating and purging among adolescent girls (Smith et al., 2007).

Medications While clinical dietitians generally have significant medical knowledge, they are not physicians and do not prescribe medicine. They may, however, suggest supplements if they find a nutritional gap in the patient's diet.

False Changes in weight might be due to a hormone imbalance or kidney malfunction.

ALL. Psychiatrist Physician Nurse

Therapist Psychiatrist Dietician Physician

Therapist (PhD)

False Undergraduates and therapist with their Master's degree can be apart of ED research teams too!

Psychologist A psychologist attends graduate school to obtain a PhD.

False Psychologist may either have a PhD (Doctor of Philosophy in Psychology) or PsyD (Doctor of Psychology).

False Many therapist serve multiple populations in a given public or private setting, although usually they can specialize in one disorder or condition.

False