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8.9: Eating Disorders

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    Although eating disorders can occur in children and adults, they frequently appear during the teen years or young adulthood (National Institute of Mental Health (NIMH), 2016). Eating disorders affect both genders, although rates among women are 2 1⁄2 times greater than among men. Similar to women who have eating disorders, men also have a distorted sense of body image, including body dysmorphia or an extreme concern with becoming more muscular. (Hudson, Hiripi, Pope, & Kessler, 2007; Wade, Keski-Rahkonen, & Hudson, 2011).

    Young very underweight girl looking at herself in mirror, and the reflection is much heavier
    Figure \(\PageIndex{1}\): This image portrays anorexia. No matter how thin she is, she will perceive herself being heavier.[1]

    Risk Factors for Eating Disorders

    Researchers are finding that eating disorders are caused by a complex interaction of genetic, biological, behavioral, psychological, and social factors (NIMH, 2016). Eating disorders appear to run in families, and researchers are working to identify DNA variations that are linked to the increased risk of developing eating disorders. Researchers have also found differences in patterns of brain activity in women with eating disorders in comparison with healthy women.

    The main criteria for the most common eating disorders: Anorexia nervosa, bulimia nervosa, and binge-eating disorder are described in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5)(American Psychiatric Association, 2013) and listed in the following table

    Table \(\PageIndex{1}\): DSM-5 Eating Disorders [2]

    Eating Disorder

    Description

    Anorexia Nervosa

    • Restriction of energy intake leading to a significantly low body weight
    • Intense fear of gaining weight
    • Disturbance in one’s self-evaluation regarding body weight

    Bulimia Nervosa

    • Recurrent episodes of binge eating
    • Recurrent inappropriate compensatory behaviors to prevent weight gain, including purging, laxatives, fasting or excessive exercise
    • Self-evaluation is unduly affected by body shape and weight

    Binge-Eating Disorder

    • Recurrent episodes of binge eating
    • Marked distress regarding binge eating
    • The binge eating is not associated with the recurrent use of inappropriate compensatory behavior

    Health Consequences of Eating Disorders

    For those suffering from anorexia, health consequences include an abnormally slow heart rate and low blood pressure, which increases the risk for heart failure. Additionally, there is a reduction in bone density (osteoporosis), muscle loss and weakness, severe dehydration, fainting, fatigue, and overall weakness. Individuals with this disorder may die from complications associated with Anorexia nervosa, which has the highest mortality rate of any psychiatric disorder.

    The binge and purging cycle of bulimia can affect the digestives system and lead to electrolyte and chemical imbalances that can affect the heart and other major organs. Frequent vomiting can cause inflammation and possible rupture of the esophagus, as well as tooth decay and staining from stomach acids. Lastly, binge eating disorder results in similar health risks to obesity, including high blood pressure, high cholesterol levels, heart disease, Type II diabetes, and gall bladder disease (National Eating Disorders Association, 2016).

    Eating Disorders Treatment

    People sitting in a circle - no faces visible
    Figure \(\PageIndex{2}\): Counseling, including group therapy, is often a form of treatment for eating disorders.[4]

    Attributions:

    Child Growth and Development by Jennifer Paris, Antoinette Ricardo, and Dawn Rymond, 2019, is licensed under CC BY 4.0

    [1] Image by Flebilis Roxa is licensed under CC BY-NC-SA 2.0

    [2] Lifespan Development: A Psychological Perspective by Martha Lally and Suzanne Valentine-French is licensed under CC BY-NC-SA 3.0

    [3] Lifespan Development: A Psychological Perspective by Martha Lally and Suzanne Valentine-French is licensed under CC BY-NC-SA 3.0

    [4] Image is licensed under CC0


    8.9: Eating Disorders is shared under a CC BY-NC-SA license and was authored, remixed, and/or curated by LibreTexts.

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