Deck 10: Eating Disorders

Question 1

What criteria does the diad-5 use to define a binge?

A)consumption of more food than most people would consume at one time; feeling out of control
B)consumption of at least 1000 Calories at one sitting
C)consumption of over 1000 Calories at one time; majority from sweets or carbohydrates
D)a sense of lack of control over thoughts of eating more food than most people would consume at one time
E)consumption of more food than most people would consume within a one-month period

Answer 1

consumption of more food than most people would consume at one time; feeling out of control

Question 2

One example of a structured interview used to evaluate features and issues related to eating disorders is

A)Symptom Checklist 90.
B)Beck Depression Inventory.
C)Eating Disorder Examination.
D)Eating Disorder Inventory.
E)Anorexia and Bulimia Checklist.

Answer 2

Eating Disorder Examination.

Question 3

What difference is found in the binge/purge type and the restricting type of anorexia nervosa?

A)binge eating or purging behaviour
B)rigidly controlled diet
C)use of laxatives to get rid of unwanted calories
D)excessive exercise to burn off calories
E)there is no difference between the two subtypes

Answer 3

binge eating or purging behaviour

Question 4

disorders have the highest mortality rates of all of the psychiatric disorders.

A)Anxiety
B)Substance-related
C)Eating
D)Psychophysiological
E)Mood

Question 5

What does it mean to say that bulimics engage in recurrent compensatory behavior?

A)Bulimics fast or exercise to excess.
B)Bulimics engage in self-induced vomiting.
C)Bulimics misuse laxatives,diuretics,or enemas.
D)All of the above are recurrent compensatory behaviors.
E)Only B and C are recurrent compensatory behaviors.

Question 6

When studies of persons treated and untreated for existing bulimia are combined,it appears that:

A)many patients recover with no treatment
B)more patients recover after receiving treatment that exhibit spontaneous recovery without treatment
C)treatment does not appear to be necessary or even useful for some people
D)for some subgroups,recovery rates are quite low for both treated and untreated groups
E)most women do not cross diagnostic categories of eating disorder

Question 7

Recent research suggests that since the 1970s,the prevalence of eating disorders:

A)has increased for all types of eating disorders.
B)has increased,but only for 20-30 year olds.
C)has decreased among women but increased among men.
D)has decreased among men but increased among women.
E)has increased and stabilized,most clearly for anorexia nervosa.

Question 8

The "escape from self-awareness model" of Bulimia Nervosa posits that
Offer an escape from.

A)self-induced vomiting behaviors; thoughts and feelings of guilt regarding binge-eating
B)binge-eating episodes; thoughts and feelings about perceived failures
C)caloric restriction and exercise; self-awareness
D)use of laxatives; feelings of guilt about over-eating
E)binge-eating episodes; guilt regarding purging behaviors

Question 9

It has been found thathas the highest prevalence,followed by
And)

A)Eating Disorder - NOS; Anorexia; Bulimia
B)Eating Disorder - NOS; Bulimia Nervosa; Anorexia
C)Bulimia; Anorexia; ED-NOS
D)Bulimia; ED-NOS; Anorexia
E)Anorexia; Bulimia; ED-NOS

Question 10

Susan is 16 years old and she is afraid of gaining weight and getting fat.Susan is very dissatisfied with her body and she often tries to lose weight through fad diets and exercise.It would be difficult to determine her diagnosis because

A)it is hard to determine whether she meets the DSM-5 criteria.
B)Susan could have any one of a number of eating disorders.
C)Susan is still too young to have an eating disorder.
D)Susan's symptoms are not extreme.
E)it is difficult to determine whether she is successful at losing weight.

Question 11

An anorexic who counts calories and carefully controls what she eats would be considered what subtype of anorexia nervosa?

A)rigid type
B)caloric type
C)binge/purge type
D)controlling type
E)restricting type

Question 12

Unlike anorexics,bulimics

A)suffer from social isolation and depression.
B)engage in compensatory behaviours designed to prevent weight gain.
C)use weight and shape information as their primary method of self-evaluation.
D)have low self-esteem.
E)are typically within the normal weight range.

Question 13

The incidence of a disorder,such as anorexia nervosa,refers to whereas the prevalence refers to the.

A)number of new cases in a given year; number of people who have the condition
B)number of people who have the condition; number of new cases in a given year
C)number of people who are treated for a condition; number of people believed to have the disorder
D)number of people believed to have the disorder; number of people who are treated for a condition
E)number of people treated and cured; number of people afflicted by a disorder

Question 14

Why is the distinction between the two subtypes of anorexia nervosa so important?

A)different causes of the two types are known to researchers
B)different psychological consequences associated with the binge/purge type
C)the binge/purge subtype is associated with fewer impulsive behaviours
D)poorer long-term prognosis for the binge/purge subtype
E)one type tends to affect younger women,and one older women

Question 15

A study that followed women treated for eating disorders 9 years found relapse rates of about:

A)11% for anorexia and 25% for bulimia
B)one third
C)25%
D)one half
E)65%

Question 16

With regard to treatment of eating disorders,research has found that:

A)less than 10% of persons affected receive treatment
B)one third of persons with anorexia and 10% of persons with bulimia receive mental health care
C)most persons affected are receiving adequate mental health care
D)about half of persons affected by eating disorders receive treatment

Question 17

An objective food binge is defined by the DSM-5 as eating a

A)small amount of food and feeling not in control.
B)small amount of food in a specific time period.
C)large amount of food in a specific time period.
D)normal amount of food in a specific time period.
E)large amount of food but feeling in control.

Question 18

In the DSM-5,one feature of anorexia nervosa is refusal to maintain at least
Of expected body weight.

A)15%
B)35%
C)85%
D)25%
E)50%

Question 19

The main difference between binge eating disorder and bulimia is

A)men are generally diagnosed with binge eating disorder and women are diagnosed with bulimia.
B)those suffering from binge eating disorder binge more often.
C)binge eating disorder does not involve a sense of lack of control.
D)the amount of calories consumed per binge is higher in bulimia.
E)sufferers of binge eating disorder do not engage in compensatory behaviours.

Question 20

The most common eating disorder is

A)bulimia nervosa.
B)bulimia nervosa,purging type.
C)eating disorder not otherwise specified.
D)anorexia nervosa,restricting type.
E)anorexia nervosa.

Question 21

Self-induced vomiting may also produce

A)heightened sensitivity to cold.
B)dry hair and hair loss.
C)Russell's sign.
D)Lanugo.
E)dry skin.

Question 22

Estimates are that for every male who diagnosed with an eating disorder,there are
Females with these disorders

A)4-5
B)20-25
C)10-15
D)8-10
E)2-3

Question 23

Within non-clinical populations,there is evidence that

A)males are more likely to perceive themselves as overweight.
B)males are more likely to be on diets.
C)females are more satisfied with their weight than males.
D)males are disproportionately affected by weight and shape concerns.
E)males would like to increase their weight,whereas females would like to lose weight.

Question 24

Individuals who binge eat are more likely to exhibit comorbid

A)depressive disorder.
B)conversion disorder.
C)dissociative disorder.
D)substance abuse.
E)anxiety disorder.

Question 25

In Garner and Garfinkel's (1980)model of eating disorders,a precipitating factor would be

A)complications due to purging.
B)depression.
C)dieting.
D)a biological predisposition.
E)reduced basal metabolic rate.

Question 26

Which of the following is NOT true concerning gender and eating disorders.

A)The main features of anorexia and bulimia are similar in males and females.
B)Male patients are treated more effectively if separated from female patients.
C)It does not appear as though the symptomatology of eating disorders differs across genders.
D)Males with eating disorders exhibit much more psychiatric comorbidity than females.
E)The treatment response of males is similar to that of female patients.

Question 27

There is a relatively high rate of comorbidity in eating disorders,particularly with

A)dissociative amnesia
B)mild psychotic disorders
C)substance,mood,anxiety and personality disorders
D)dissociative and somatoform disorders
E)post-traumatic stress disorder

Question 28

Why is the prevalence of eating disorders among men lower,according to the sociocultural model?

A)there is already a match between the ideal man as portrayed by the media and the average man
B)woman themselves prefer the look of the ideal woman as portrayed in the media
C)media does not target young men
D)men feel less pressure to conform to the sociocultural ideal body
E)culture does not have a view of the 'ideal' man

Question 29

Evidence suggests that dieting can

A)alter brain serotonin function in women,but not in men.
B)increase GABA levels in men,but not in women.
C)diminish norepinephrine levels in women.
D)alter brain dopamine function in men and women.
E)alter overall brain activity in women.

Question 30

Eating disorders are sometimes referred to asdisorders.

A)not-eating
B)the hunger
C)food
D)bizarre
E)dieting

Question 31

It has been found that eating-disordered mothers

A)are more likely to use food for nutritive purposes than non-disordered mothers.
B)are more likely to try to prevent the disorder from occurring in their children.
C)discourage dieting among their daughters.
D)do not seem as interested in their daughters' weights as non-disordered mothers.
E)do not feed their children as regularly as non-disordered mothers do.

Question 32

In Garner and Garfinkel's (1980)model of eating disorders,a perpetuating factor would be

A)social isolation.
B)transition into puberty.
C)the death of a loved one.
D)a defective gene.
E)a critical mother.

Question 33

Individuals with anorexia and bulimia demonstrate signs of dysregulation,supporting the role of dysfunctional neurotransmitter activity in eating disorders.

A)serotonin
B)GABA
C)dopamine
D)ACH
E)melatonin

Question 34

The integrative or biopsychosocial model is illustrated by the finding that persons who are dieting and suffer fromandare most susceptible to an eating disorder,particularly following stress or failure.

A)unstable self-esteem; precocious sexual development
B)low self-esteem; affective instability
C)late psycho-sexual development; pubertal complications
D)unstable self-esteem; peer rejection
E)peer rejection; pubertal complications

Question 35

Research evidence suggests that history of exposure to trauma is more frequently associated with development of an eating disorder that involves:

A)binging
B)purging
C)caloric restriction only
D)control methods only,including caloric restriction and exercise
E)binging and purging

Question 36

Although the ideal woman,as depicted by the media,is getting,women are becoming.

A)thinner; heavier
B)thinner; even more thin
C)thinner; thinner
D)heavier; thinner
E)heavier; heavier

Question 37

That certain personality traits seem to contribute to the development of an eating disorder is supported by the fact that

A)these traits tend to disappear following recovery of the eating disorder.
B)these traits tend to persist before and after an eating disorder has been diagnosed.
C)these traits are very common in women who suffer from eating disorders.
D)these traits are very present before the onset of an eating disorder but are not shown after an eating disorder is diagnosed.
E)these traits are found exclusively in people suffering from an eating disorder.

Question 38

Lanugo refers to

A)the lack of sexual desire among anorexic patients.
B)the fine body hair on anorexics.
C)the confusion experienced by anorexics as a result of starvation.
D)electrolyte imbalance.
E)the yellowish skin tone of anorexic patients.

Question 39

A study of eating-disordered patients in Toronto found thatpercent of the patients reported being sexually abused.

A)1
B)10
C)15
D)20
E)25

Question 40

One complication of studying the symptoms of eating disorders is that they can sometimes overlap withdisorders.

A)personality
B)dissociative
C)arousal and physiological
D)somatoform
E)psychotic

Question 41

The Maudsley approach initially attempts to focus on:

A)disorted body image
B)overcontrolling mothers
C)excessive exercise
D)weight gain and eating
E)binging and purging

Question 42

andboth include low self-esteem,use of weight and shape as a primary source of self-evaluation,and some type of behavior aimed at controlling weight

A)Anorexia and Eating Disorder - NOS
B)Bulimia and Eating Disorder - NOS
C)Bulimia and Anorexia
D)Anorexia and Binge Eating Disorder
E)Bulimia and Binge Eating Disorder

Question 43

Probably the most important first step in the treatment of anorexia nervosa is

A)family therapy.
B)nutritional management.
C)interpersonal therapy.
D)individual psychotherapy.
E)forced feeding.

Question 44

Anorexics do not engage in purging behaviour to maintain weight-loss.

Question 45

In the Middle Ages,refusal to eat and fear of gaining weight were looked down upon and associated with witchcraft.

Question 46

In studies that have compared interpersonal therapy with CBT,it has been found that

A)interpersonal therapy produced effects equal to CBT at follow up,but CBT was better at the conclusion of treatment.
B)interpersonal therapy produced long term effects equal to CBT,and was as equally good at the conclusion of treatment.
C)interpersonal therapy works much more quickly than CBT.
D)interpersonal therapy produced effects inferior to CBT,but was better at the conclusion of treatment.
E)interpersonal therapy produced effects inferior to CBT.

Question 47

Bulimia nervosa was first identified and named in the 1970s.

Question 48

Bulimics are typically within the normal weight range.

Question 49

Research has shown that the most effective type of treatment for bulimia nervosa is

A)SSRIs.
B)interpersonal therapy.
C)group therapy.
D)cognitive-behavioural therapy.
E)supportive psychotherapy.

Question 50

The goal of the first stage of cognitive-behaviour therapy for bulimia involves which of the following?

A)convincing the patient to accept medication as the primary treatment so that therapy can follow
B)focusing on strategies for maintaining change and preventing relapse
C)a continued focus on establishing normalized eating
D)identifying and modifying dysfunctional thoughts and beliefs
E)establishing some degree of control over eating

Question 51

Which of the following is true with respect to biological treatments for anorexia?

A)No medication for treating anorexia nervosa have been successful
B)Anti-anxiety medication is successful in treating many of the symptoms
C)Antipsychotic medication is successful in treating many of the symptoms
D)Medications with CBT are effective at treating the symptoms
E)Antidepressant medication is successful in treating many of the symptoms

Question 52

The anorexic disturbance in body image is often linked to low self-esteem.

Question 53

Bulimia nervosa has been treated withmedication with some success

A)antipsychotic
B)antidepressant
C)bicyclic
D)antianxiety
E)over the counter

Question 54

People with anorexia usually develop a list of "feared" foods.

Question 55

Which of the following statements is true?

A)Heterosexual males are more likely than homosexual males to be preoccupied with their body size and shape.
B)Homosexual females are more likely than heterosexual females to be preoccupied with their body size and shape.
C)Homosexual females are more likely than homosexual males to be preoccupied with their body size and shape.
D)Heterosexual females are more likely than homosexual females to be preoccupied with their body size and shape.
E)Homosexual males are more likely than heterosexual males to be preoccupied with their body size and shape.

Question 56

One therapy that has received some empirical support in the treatment of anorexia nervosa istherapy

A)cognitive-behavioural
B)interpersonal
C)pharmacological
D)family
E)nutritional

Question 57

Interpersonal therapy for eating disorders differs from cognitive-behaviour therapy in which of the following ways?

A)It does not directly target eating-disordered attitudes and behaviours.
B)It focuses on identifying and modifying dysfunctional thoughts and beliefs.
C)It encourages that patient to use self-monitoring to help patients normalize their eating.
D)It uses psychoeducation about normalized eating.
E)It teaches problem-solving skills.

Question 58

Prevention programs aim to reduce the incidence of eating disorders primarily by:

A)behaviorally reinforcing healthy eating practices
B)reducing the incidence of depressogenic cognitions in high risk populations
C)providing counseling support for incidents that could trigger ED-related behaviors
D)educating children about the dangers of purging
E)decreasing internalization of the cultural ideal

Question 59

Findings that only small distinctions often separate individuals in different diagnostic categories and that many people move from one diagnostic category to another support theview and approach to diagnosing eating disorders

A)categorical
B)dynamic
C)spectrum
D)inter-dependent
E)multiple assessment

Question 60

Family therapy for eating disorders appears to have greater effectiveness for:

A)adults
B)adolescents
C)males
D)females
E)all patients

Question 61

Impulsivity is associated with anorexia and bulimia.

Question 62

Few sufferers of eating disorders have reported early sexual abuse.

Question 63

Regardless of the type of treatment used,relapse is common in the case of anorexia nervosa.

Question 64

Perfectionism is a personality trait found in patients with eating disorders.

Question 65

Social withdrawal,irritability,preoccupation with food and depression appear to be effects rather than causes of anorexia.

Question 66

Individuals who binge eat are less likely to exhibit comorbid substance abuse.

Question 67

Depressive disorder can involve severe weight loss or over-eating but will NOT include over-concern regarding weight or inappropriate compensatory behaviors.

Question 68

Chronic dieters are at significant risk of developing an eating disorder.

Question 69

Some researchers believe that binge eating disorder is really a subtype of bulimia.

Question 70

Men are more likely than women to be affected by media images of the ideal body type.

Question 71

The Eating Disorder Examination has been found to have poor reliability and validity.

Question 72

Homosexual men and women are at a greater risk for developing eating disorders.

Question 73

Persons with anorexia fear weight gain for aesthetic reasons resulting from media transmission of the "thin ideal" body type.

Question 74

Women who otherwise meet criteria for anorexia but who are menstruating and/or who have body weight above 85% of expected appear to constitute a distinctly different group in terms of demographics,illness history,psychopathology and treatment response.

Question 75

Reduced serotonin transporter density has been associated with BOTH anorexia and bulimia.

Question 76

Anorexia and bulimia are similar in that both involve weight and shape as a primary source of self-evaluation,have low self-esteem,and involve some type of behavior aimed at affecting or controlling weight.

Question 77

Body dissatisfaction is more central to the diagnosis of bulimia than anorexia.

Question 78

Purging behavior in anorexia or bulimia is believed to constitute more severe pathology than other forms of these eating disorders.

Question 79

The restricting type of anorexia nervosa is associated with a poorer long-term prognosis.

Question 80

The neurotransmitter dopamine has been shown to be related to eating disorders.