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Eating Disorders


Eating Disorders Do you think you might have an eating disorder? Do you know someone who you think has an eating disorder? Eating Disorders For those of you who know ... – PowerPoint PPT presentation

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Title: Eating Disorders

Eating Disorders
Do you think you might have an eating disorder?
All Students 9.5
Males 5.0
Females 11.6
Do you know someone who you think has an eating
All Students 68.3
Males 70.0
Females 67.4
90 are female
Eating Disorders
  • For those of you who know someone with an eating
  • What makes you think he or she has one? What do
    they do?
  • Why do they do it?

Eating Disorders
  • Eating disorders involve serious disturbances in
    eating behaviors, such as extreme and unhealthy
    reduction of food intake or severe overeating, as
    well as feelings of distress or extreme concern
    about body shape or weight
  • - National Institute of Mental Health, 2004

Symptoms of Anorexia Nervosa
  • Resistance to maintaining body weight at or above
    normal for height and age
  • Intense fear of gaining weight or becoming fat,
    even though underweight
  • Disturbance in body image, undue influence of
    weight and shape on self-esteem, denial of
    seriousness of low body weight
  • Lifetime prevalence among females 0.5-3.7

Anorexia Related Behaviors
  • Obsessed with the process of eating
  • Repeatedly checking body weight
  • Exercising compulsively
  • May involve compensatory behaviors (purging)

Symptoms of Bulimia Nervosa
  • Recurrent episodes of binge eating and a sense of
    lack of control during binge episodes
  • Recurrent compensatory behavior to prevent weight
    gain (purging, fasting, or excessive exercise)
  • Binging and compensatory behaviors both occur at
    least 2x/week for 3 months
  • Lifetime prevalence among females 1.1-4.2

Symptoms of Binge Eating
  • Do at least 3 of the following 5 things
  • Eat much faster than normal
  • Eat until uncomfortably full
  • Eat large amounts when not hungry
  • Eat alone due to embarrassment over amount
  • Feel depressed or guilty after eating
  • Binge eating bulimia without the purging
  • 2-5 of Americans in a 6 month period

Body Weight Patterns
  • Anorexia nervosa underweight
  • Bulimia Nervosa normal weight
  • Binge eating over weight

Associated Factors
  • Beauty standards
  • 76 of women who diet do so for cosmetic rather
    than health reasons

Conformity or Deviance?
  • Are people with anorexia conforming to, or
    deviating from cultural expectations?
  • How about binge eaters and bulimics?

Do you suffer from depression?
All Students 27.0
Males 15.0
Females 32.6
Do you suffer from anxiety?
All Students 46.0
Males 25.0
Females 55.8
Statistically Significant
Eating Disorders Depression
of class who think they have an eating disorder
Depression-Yes 29.4
Depression-No 2.2
very statistically significant
Eating Disorders Anxiety
of class who think they have an eating disorder
Anxiety Yes 20.7
Anxiety No 0.0
very statistically significant
Primary and Secondary Deviance
  • Primary deviance
  • Multiple causes
  • Often excused without lasting consequence
  • Secondary Deviance deviance that results from
    having been labeled deviant
  • Internalization
  • Reduced opportunities

Becoming Anorexic/Bulimic
  • When the desire to be thin co-occurs with initial
    failure at dieting, experimentation with extreme
    dieting methods is likely
  • When weight loss from extreme dieting is approved
    by others, the dieting is reinforced

Labeling the Behavior
  • Extreme dieting is initially excused as primary
  • How?
  • Over time, weight loss and/or binge eating bring
    negative public attention
  • People become concerned, stop praising
    appearance, and eating behaviors
  • The secret is out - the labeling process begins

Labeling and Help Seeking
  • People with eating disorders often do not
    recognize or admit that they are ill. As a
    result they may strongly resist getting and
    staying in treatment NIMH, 2004
  • Labeling can facilitate help-seeking
  • Accepting the problem (self-labeling) legitimizes
    the need for help treatment
  • Help-seeking is most likely if the problem is
    viewed in medical rather than judgmental terms

Treatment for Eating Disorders
  • Medical Intervention
  • For anorexics, restore weight to normal range
  • Cognitive-Behavioral Therapy
  • Psychological disturbances (distorted body image,
    low self-esteem), may include families
  • Medication Therapy
  • Anti-depressants, anti-anxiety