1. Eating Disorders Two Main Types  Anorexia Nervosa  Bulimia Nervosa Largely a Caucasian Problem Largely a Female Problem Largely a Westernized Problem Largely an Upper SES Problem Serious Medical Problems, Including Death!

2. Bulimia Nervosa Bingeing Sense of Lack of Control Compensatory Behavior Subtypes  Purging  Nonpurging

3. Anorexia Nervosa Fear of Gaining Weight and/or Losing Control of Eating Deliberate Weight Loss  85% of Normal Body Weight Life-Threatening Consequences Two Subtypes  Restricting  Bingeing-Purging

4. Bulimia and Anorexia Social and Cultural Factors  Thinness Equals Success  Distorted View Has Increased Over Time Media  Sets Impossible Idealized Images

5. Bulimia and Anorexia Psychological and behavioral factors  Perfectionistic attitudes  Distorted body image  Preoccupation with food  Mood intolerance  Diminished Sense of Control  Low Self-Esteem

6. Bulimia and Anorexia Familial  Successful and Driven  Concerned about Appearances  Eager to Maintain Harmony  Deny or Ignore Conflicts  Lack of Open Communication

8. Treatment of Eating Disorders Medical Treatments  Bulimia Antidepressants can help reduce bingeing and purging behavior Antidepressants are not efficacious in the long-term  Anorexia There are none with demonstrated efficacy

9. Treatment of Bulimia Nervosa Psychosocial treatments  Cognitive-behavioral therapy (CBT) Is the treatment of choice Basic components of CBT  Interpersonal psychotherapy Results in long-term gains similar to CBT

11. Treatment of Anorexia Nervosa Goals and Strategies  Weight restoration First and easiest goal to achieve  Psychoeducation  Behavioral and cognitive interventions Target food, weight, body image, thought and emotion  Treatment often involves the family  Long-term prognosis for anorexia is poorer than for bulimia

12. Binge-Eating Disorder Experimental diagnostic category Engage in food binges, but do not engage in compensatory behaviors Associated Features  Many individuals with binge-eating disorder are obese  Most are older than bulimic and anorexic people  Show more psychopathology than obese people who do not binge  Share similar concerns as anorexic and bulimic people regarding body shape and weight

13. Other Eating Disorders Rumination Disorder Pica Feeding Disorder  “Failure to Thrive Syndrome” Obesity – Not an eating disorder, but a major health problem, especially in the US (could be in previous chapter)