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Eating Disorders

Eating Disorders. Range of Eating Disorders. Early Childhood Feeding disorder of infancy/early childhood Pica Failure to thrive Later Childhood/Adolescence Anorexia Bulimia Obesity – medical condition. Eating and Normal Development.

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Eating Disorders

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  1. Eating Disorders

  2. Range of Eating Disorders • Early Childhood • Feeding disorder of infancy/early childhood • Pica • Failure to thrive • Later Childhood/Adolescence • Anorexia • Bulimia • Obesity – medical condition

  3. Eating and Normal Development • Problematic eating common in early childhood- 1/3 picky eaters • Societal norms affect girls more

  4. Developmental Risk Factors • Drive for thinness • Motivates dieting • refers to the belief that losing more weight is the answer to overcoming problems

  5. Developmental Risk Factors (cont.) • Risk factors for later eating problems : • early problematic eating behaviors • early pubertal maturation • high percentages of body fat • concurrent psychological problems • poor body image • Chronic dieting

  6. Developmental Risk Factors • Drive for thinness • Disturbed eating patterns • High body fat/being overweight • Chronic dieting

  7. Anorexia Nervosa • Refusal to maintain body weight • Intense fear of gaining weight • Disturbance in body image • Amenorrhea in women • 2 types • Restricting • Binge eating/purging

  8. Associated Features • Malnutrition • Depression • Anxiety • OCD (anorexia)

  9. Developmental Course • 25% full recovery • 50% partial recovery • Early onset may be assoc. w/ less negative prognosis • Protective factors: early intervention, good family functioning

  10. Bulimia Nervosa • Recurrent episodes of binge eating • Some compensatory behavior • Self-evaluation overly influenced by body shape & weight

  11. Interventions/Treatment • Anorexia • Family treatment • Increase ego strength & autonomy • Bulimia • CBT: self-monitoring of food/eating, modify distorted cognitions, • Interpersonal therapy

  12. Binge Eating Disorder • Binge eating without compensatory behavior

  13. General Comments • .5 to 3% of young females • Highly culturally specific

  14. Etiology • No single factor • Biological Context: • Genetics • Neurochemistry • Brain-imaging • Individual Context: • Body image • Personality characteristics • Family Context: • Overly involved/intrusive • Overprotective • Rigid • Indirect conflict resolution • Cultural Context

  15. Pica • eating inedible, non-nutritive substances for one month • very young children and those with MR • Causes: • poor stimulation • poor supervision • genetic factors in some cases of MR • treatments based on operant conditioning

  16. Obesity • Obesity • chronic medical condition characterized by excessive body fat BMI above the 95th%) • affects children’s psychological and physical health • increasing- as of 1990’s, 15% of children were overweight • Childhood obesity likely to persist into adolescence and adulthood

  17. Figure 13.2 Bigger meals, bigger kids. Sources: Centers for Disease Control and Prevention, McDonald’s, and Newsweek.

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