_disorders warren wilson college进食障碍沃伦威尔逊学院课件

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1、EatingDisordersTwoMainTypesAnorexiaNervosaBulimiaNervosaShareStrongDrivetobeThinLargelyaWesternized,FemaleProblemLargelyanUpperSESProblemAnOverviewofEatingDisordersInterviewObservationReportsfromfamily/friendsObjectivePsychologicalTests(e.g.,EatingDisorderInventory)Asse

2、ssmentofEatingDisordersBingeingEatLargeAmountsofFoodEatingisOutofControlCompensatoryBehaviorsPurgingviaSelf-InducedVomiting,EnemasLaxatives,Diuretics,Exercise,FastingBinge-Purgeoccur,onaverage,atleast2Xwkfor3monthsSelf-evaluationisundulyinfluencedbybodyshapeandweightBul

3、imiaNervosaTheNatureofBulimiaNervosaMedicalConsequencesSalivaryGlandEnlargementErodedDentalEnamelElectrolyteImbalanceIntestinalProblemsCallusesonFingersandHandsTheNatureofBulimiaNervosaFactsandStatistics90-95%areWomenOnset16-19YearsofAge6-8%ofcollegewomenAbout2.8%Popula

4、tionOverallChronicifLeftUntreatedTheNatureofAnorexiaNervosaClinicalDescriptionIntensefearofGainingweightBecomingfatRefusaltomaintainbodyweight15%BelowExpectedNormalDistortedbodyimageAmenorrhea(infemales)TheNatureofAnorexiaNervosaTwoSubtypesRestrictingTypeExcessiveDietin

5、gBinge-Eating/PurgingTypeRelyonPurgingAboutHalfofAllCasesTheNatureofAnorexiaNervosaMedicalConsequencesDrySkin,BrittleHairorNailsSensitivitytoCold(Lanugo)Riskofdeath(suicide,starvation,electrolyteimbalance,heartproblems)TheNatureofAnorexiaNervosaAssociatedFeaturesandFact

6、sBeginsinadolescence(onsetoftenassociatedwithastressfullifeevent)PerfectionisticHigh-AchieversAll-or-NoneThinkingObsessiveandOrderlyComorbidDSMDisordersObsessive-CompulsiveDisorderSubstanceAbuseTheNatureofEatingDisordersCausesSocialandCulturalFactors-examples?MediaSetsI

7、mpossibleIdealizedImagesTheNatureofEatingDisordersCausesBiologicalInfluencesRunsinFamiliesUnclearWhatisInheritedTheSerotonin-Hypothesis:BNrepresentsanunderlyinghyposerotonergicconditionTheNatureofEatingDisordersCausesDieting:Whenfoodisrestricted,webecomepreoccupiedwithi

8、t!(ThePsychoBiologicalImpasse)FamilyInfluences(esp.inAN)SuccessfulandDrivenConcernedAboutAppearancesEagertoMai