Eating Disor.ppt

1、Eating Disorders Lana Crosbie,1,Eating Disorders,A. Incidence in world vs. fitness population 19/20 are women 1% of population 3% of fitness population,Eating Disorders Lana Crosbie,2,Anorexia Nervosa,Eating Disorders,Define An eating disorder characterized by self imposed starvation to lose Middle-

2、to-Upper Middle Class Onset 16-19 Years of Age 6-8% College Women; some studies = 20% About 1-2% Population Overall Chronic if Left Untreated,Eating Disorders Lana Crosbie,8,MALES ATTRACTIVE,Distorted Body Image,Females Ideal,Females Attractive,Females Current,Anorexia Nervosa cont.,Eating Disorders

3、 Lana Crosbie,9,Cognitive-Behavioural Theory of Bulimia Nervosa,Eating Disorders Lana Crosbie,10,Causes of Eating Disorders,. Social and Cultural Factors Thinness Equals Success Has Increased Over Time “Scarlett OHara Effect” 2. Media Sets Impossible Idealised Images Examples: playboy centerfolds, B

4、arbie, models,Eating Disorders Lana Crosbie,11,Biological Influences A. Genetics Runs in Families (4-5x more likely) Monozygotic Twins have higher concordance rates (23%) for eating disorders than dizygotic twins (9%) Unclear What is Inherited B. Other Biological Influences Cause vs. Starvation? Exa

5、mple: low serotonin levels in patients with Bulimia,Causes of Eating Disorders cont.,Eating Disorders Lana Crosbie,12,Causes of Eating Disorders cont.,Dieting? Dieting has increased considerably 1950: 7% men, 14 % women 1999: 29% men, 44% women Women are more dissatisfied with current weight, more l

6、ikely to be dieting, more likely to place importance on appearance than men Normal weight women perceive themselves as fat Dieting often precedes eating disorders,Eating Disorders Lana Crosbie,13,Biological Treatments Antidepressants Bulimia Decrease depression Decrease purging High drop out rates H

7、igh relapse Anorexia Generally not effective,Treatment of Eating Disorders,Eating Disorders Lana Crosbie,14,Example Behavioural Family Systems Therapy for Anorexia I. Assessment Need for Hospitalization Weight, Menstruation, Eating habits, Exercise, mood, medical changes, development, school, family

8、 interaction, peer relationships II. Control Rationale Parents are responsible for all aspects of the childs eating (buying, preparing, etc.),Treatment of Eating Disorders cont.,Eating Disorders Lana Crosbie,15,Example Behavioural Family Systems Therapy for Anorexia cont. III. Weight Gain Parent con

9、tinues control of eating Ensures adolescent gains weight Other issues may be explored cognitive distortions, family problems IV. Weight Maintenance Enter this stage once normal weight has been achieved Control of eating is shifted to adolescent,Treatment of Eating Disorders cont.,Eating Disorders La

10、na Crosbie,16,Strategies to prevent,. Be a good role model 2. Focus on healthy eating habits rather than weight loss Establish foundation of self esteem that includes other areas besides weight Support eating regularly Focus on bringing out the attributes and beauty of EACH INDIVIDUALS BODY.,Eating Disorders Lana Crosbie,1