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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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range of 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
Eating and Normal Development
  • Problematic eating common in early childhood- 1/3 picky eaters
  • Societal norms affect girls more
developmental risk factors
Developmental Risk Factors
  • Drive for thinness
    • Motivates dieting
    • refers to the belief that losing more weight is the answer to overcoming problems
developmental risk factors cont
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
developmental risk factors6
Developmental Risk Factors
  • Drive for thinness
  • Disturbed eating patterns
  • High body fat/being overweight
  • Chronic dieting
anorexia nervosa
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
associated features
Associated Features
  • Malnutrition
  • Depression
  • Anxiety
  • OCD (anorexia)
developmental course
Developmental Course
  • 25% full recovery
  • 50% partial recovery
  • Early onset may be assoc. w/ less negative prognosis
  • Protective factors: early intervention, good family functioning
bulimia nervosa
Bulimia Nervosa
  • Recurrent episodes of binge eating
  • Some compensatory behavior
  • Self-evaluation overly influenced by body shape & weight
interventions treatment
Interventions/Treatment
  • Anorexia
    • Family treatment
    • Increase ego strength & autonomy
  • Bulimia
    • CBT: self-monitoring of food/eating, modify distorted cognitions,
    • Interpersonal therapy
binge eating disorder
Binge Eating Disorder
  • Binge eating without compensatory behavior
general comments
General Comments
  • .5 to 3% of young females
  • Highly culturally specific
etiology
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
slide15
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
obesity
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
slide17

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