1 / 13

Chapter 25

Chapter 25. Eating Regulation Responses and Eating Disorders. Figure 25-2 The overlapping relationships among eating disorders. Figure 25-3 Major factors influencing food intake. Figure 25-4 The Stuart Stress Adaptation Model as related to eating regulation responses.

selia
Download Presentation

Chapter 25

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 25 Eating Regulation Responses and Eating Disorders

  2. Figure 25-2 The overlapping relationships among eating disorders.

  3. Figure 25-3 Major factors influencing food intake.

  4. Figure 25-4 The Stuart Stress Adaptation Model as related to eating regulation responses.

  5. Primary Nursing Diagnoses Related to Eating Regulation Reponses • Anxiety • Disturbed body image • Imbalanced nutrition: less than body requirements • Imbalanced nutrition: more than body requirements • Powerlessness • Chronic low self-esteem • Situational low self-esteem • Risk for self-mutilation

  6. Primary Medical Diagnoses Related to Eating Regulation Reponses • Anorexia nervosa • Bulimia nervosa • Binge eating disorder

  7. Key Features of Anorexia Nervosa (without bingeing or purging) • Rare vomiting or diuretic/laxative abuse • More severe weight loss • Slightly youngera • More introverted • Hunger denied • Eating behavior may be considered normal and source of esteem • Sexually inactive • Obsessional and perfectionist features predominate • Death from starvation (or suicide, in chronically ill) • Amenorrhea • Fewer behavioral problems (these increase with level of severity)

  8. Key Features of Bulimia Nervosa • Frequent vomiting or diuretic/laxative abuse • Less weight loss • Slightly older • More extroverted • Hunger experienced • Eating behavior considered foreign and source of distress • More sexually active • Avoidant, dependent, or borderline features as well as obsessional features • Death from hypokalemia or suicide • Menses irregular or absent • Drug and alcohol abuse, self-mutilation, and other behavior problems

  9. Evidence-Based Treatments for Bulimia Nervosa Disorder: Bulimia nervosa (BN) Treatment: • Several different classes of antidepressant drugs produce significant, short-term reductions in binge eating and purging. • Manual-based cognitive-behavioral therapy (CBT) is most effective in eliminating the core features of BN; roughly half the patients receiving CBT reduce binge eating and purging; long-term maintenance of improvement was good.

  10. Cognitive Distortions in Maladaptive Eating Regulation Responses • Magnification—Overestimation of the significance of undesirable events • Superstitious thinking—Believing in the cause-effect relationship of noncontingent events • Dichotomous or all-or-none thinking—Thinking in extreme or absolute terms such as that events can only be black or white, right or wrong, good or bad

  11. Cognitive Distortions in Maladaptive Eating Regulation Responses (Cont.) • Overgeneralization—Extracting a rule on the basis of one event and applying it to other dissimilar situations • Selective abstraction—Basing a conclusion on isolated details while ignoring contradictory and more important evidence • Personalization and self-reference—Egocentric interpretations of impersonal events or overinterpretation of events related to the self

  12. Figure 25-5 The perception of body shape and size.

More Related