Behavioral Psychology courseware-eating disorder

Food Intake disorder
Eating Disorder
I. Overview
Eating disorders (including anorexia neurology and greedy food)
Anorexia noversa
Anorexia bulimia
Some people described the symptoms of anorexia as early as 1689.
In 1874, some people described anorexia and anorexia.
Does anorexia lack appetite?
Is it not full?
Secondary anorexia features:
(1) Consciously keep the minimum weight lower than the standard weight
Limited, the first weight is often lower than 85% of the standard weight.
(2) worry about increasing weight even if the weight is already
Less than the standard weight is still worried. Always worried
Fear and worry about getting fat.
.
(3) The patient has an image perception disorder and
Perceived errors, although obviously thin, and even some customers
Evidence shows that the weight is already below the standard weight, patient
Still think you are too fat.
(4) Symptoms related only to female, mainly referred to as closed
The loss occurred three consecutive months.
(5) Common women. 15 ~ Women aged 40 are ill
The average onset age is 17 years. Men and women
The ratio of incidence is less than, which is interesting
Most diseases occur in the upper and middle classes. In the last 20
This gap gradually disappears in the middle of the year.
Fear fat and diet
Abnormal diet:
Specific recipe list
Typical anorexia, often excessively reducing the total amount of food
Excessive exercise to reduce the body weight.
Self-induced vomiting, laxative diarrhea, diuretic
Urine and other methods, when the weight is reduced to a very low level
Physical complications may occur.
Symptoms are often caused by extreme hunger.
Treatment is often recoverable.
Most patients were discovered when their weight loss was obvious.
Medical treatment: physical symptoms and
Signs: such as low temperature (up to 35 ℃), amenorrhea,
Limb edema, tachycardia, low blood pressure, amenorrhea
To appear before the loss of weight, low-blood potassium, alkali
Poisoning, changes in blood osmotic pressure, serious cases can cause
Death ..
Medical complications of neurological anorexia
Evil disease: extreme weight loss, obvious subcutaneous fat reduction
Less, muscle disappears, low metabolism (low T3 Synthesis
Disease), cold, difficult to maintain normal temperature;
Heart: heartbeats, reduced heart, and lost heart rate
Common, atrial and ventricular premature contractions, Bundle Branch Conduction Resistance
Stagnant, outdoor heart support too fast, can suddenly die;
Gastrointestinal symptoms: delayed gastric emptying, bloating
Secret, abdominal pain
Reproductive System: Menopause, low LH, and HCG
Skin: can be full of baby-like fine hair
Blood system: reduced white blood cells
Mental aspect: Depression
Complications related to vomiting and laxatives
Metabolism: electrolyte disorders, especially hypopotassium emia,
Low-chlorine alkali poisoning, hypomagnesium emia
Gastrointestinal: can be accompanied by pancreatitis, pancreatic enlargement with serum
Increase in amylase, food and stomach corruption, intestinal function
Yes
Oral: the teeth are subject to stomach acid erosion due to repeated vomiting.
Front Teeth
Neurology: fatigue, weakness, and mild organic
Brain syndrome
Characteristics of trionic greedy:
(1) Forced overeating
(2) vomiting and cleaning
(3) symptoms of Gastrointestinal Dysfunction
(4) Recurrence
(5) regret and conflict after greedy food
Medical complications of neural greedy food
Acute Gastroenteritis
Acute Pancreatitis
Course of disease and Prognosis
The disease course changes a lot and can be manifested as untreated
Treatment and spontaneous relief, recovery after various treatments, and repetition
The course of relief and aggravation can gradually decline.
Concurrent physical complications and death. Generally
The prognosis is poor.
Some patients still have persistent effects on food and weight.
Prejudice, social relations are often very poor, many people are accompanied
Obviously depressed, the patient's recent effect on various treatments
It is generally good, but it is prone to recurrence. It is reported that the mortality rate is
5-18%.
Four causes
(1) Psychology
Cause and family spear, social pressure, adolescent confusion,
Role Conflicts are related to women's mental stress.
.
Genetic theory holds that genetic and biochemical Factors
Dual-action causes the occurrence of anorexia, Shen
Anorexia among first-level female relatives in patients with anorexia
The incidence of disease and bulb is high. Further research
We found that the consistency rate between single-egg twins and anorexia
It is significantly higher than that of an abnormal twins.
(2) Neurochemistry
Neurotransmitter ne, HT
(3) psychological and social factors
Family problems
Burch's Family System Theory in 1973
Yes, the root cause of anorexia is poor home
The court environment, poor family functions, and possible storage of parents
In some cases, mental physical characteristics. Anorexia patients
The symptoms indicate the pathology of the entire family.
Rosmam and Baker (1978) Thought: annoying
Family members of food patients suffer from physical and mental diseases,
This family has the following characteristics: ① family disputes
Many, family relationships are tense. ② Excessive love, child
Lack of independence. ③ Rigid family structure, authoritarian,
Lack of flexibility. ④ Lack of conflict resolution skills,
Conflicts are often avoided. Although the miunchin theory is
It is considered to be the theoretical model of anorexia neurology.
When you are sitting in the university classroom in Angola (Angela)
It is difficult to see what she exists from her appearance.
What's the problem? Except her 1 ~ Two close friends.
The confidentiality of all users. On the surface, she seems very positive.
Often, energetic, and diligent, is a very
Young and beautiful girl. She is very active at school and
I have a spare time job to volunteer for a crisis in a region
Intervention center work. Clean when she is dressed properly
Net, weight, and height.
But if you have lived with Angola for one week
You will find that she has a behavior pattern indicating that she has her own
The main obstacle of body image perception is uncontrollable.
Then, she vomited herself to recognize the food.
For excess food intake, there are five or six times a week.
In most overeating situations, she consumes about 4,000 million calories.
But many times it consumes 10,000
Daughter calories, usually the food she eats is not healthy
Kang, she might eat a lot of nutritious
Ice cream, accompanied by a whole bag of cookies and a few drinks.
(4) social and cultural factors
Midea culture Definition
Pathological adaptation
Sexual competition
5 diagnosis in DSM-IV diagnostic criteria of neurological greed
There are five main characteristics of food:
1. Recurrence of overeating, a large amount of food can be consumed at a time
.
2. Usually cited vomit, diarrhea, diuretic, diet or excessive
Exercise and other methods to eliminate the fat caused by overeating.
3. This type of overeating and elimination occurs at least twice a week.
Times, and has lasted for at least three months (severity level mark
).
4. Worry about your own shape and weight.
5. It appears only during the onset of anorexia neurology.
ICD diagnostic criteria. The following entries are required for the diagnosis:
(A) Keep your weight at least below the expected value of 15%
The above levels (or drop in weight or never reach
Expected Value), or ouetelet's body mass index is
17.5 or lower than this value. (Ouetelet's weight refers
Count = weight (kg) Middle [height m] 2) before puberty
The patient can show weight during growth
The growth was not up to the expected standard.
(B) weight loss is self-caused, including rejection.
"Fat food" and one or more of the following means:
I'm spitting out, resulting in laxity and excessive exercise,
Take the food Inhibitor and/or diuretic.
(C) Physical Torsion with a specific mental physical form
Qu, which shows that there is a kind of endless fear of getting fat
The hyperprice concept of legal resistance, imposed by the patient on her/her
You have a low weight.
Including the wide range of the pituitary-gonal axis
Endocrine disorders, manifested in women as amenorrhea, in
Men are characterized by decreased sexual desire and impotence (a significant
The exception is hormone replacement for women with anorexia.
Treatment, the most common is the continuous occurrence of oral contraception.
Sex vaginal bleeding ). The following situations can also occur:
Elevated levels of growth hormone and baicalin, non-thyroid
Abnormal weekly metabolism and insulin secretion.
E) if the disease develops before puberty
Slow down or even stagnate (growth stops, girl breasts don't
Developing and primary amenorrhea; male genital
In a naive State ). With the recovery of illness, adolescence
More can be normally spent, but the delay of the menarche.
(6) Treatment
(1) medication: Objective:
(1) treatment of anorexia neurology should be achieved as soon as possible
The objective is to restore the nutritional status of patients and correct various
Medical complications to prevent dehydration, electrolyte disorder, Camp
Failure and death caused by lack of care
(2) Correct the patient's mental and behavioral course, usually
Hospitalization is necessary to achieve the above objectives.
Special medication: Selective 5-zh-tp-3-inhibition
SSRI has good curative effect on this disease.
Users do not advocate using SSRI because it is appetizing
But some clinical studies have found that appetite
Early stage, with the progress of treatment and treatment
And increase appetite. FuXi
Ting, parostin, and sertrin are optional.
(2) Psychotherapy
Principles:
1. Establish a good therapeutic relationship
2. Cognitive factors: misinterpretation of body images, multi-level
Dependent on the body image
3. Deep Psychological Conflicts, fear of Growth and Responsibility