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A model of eating disorders

Biological Stress vulnerability. Psychological Anxiety about appearance. Social Cultural & family pressures. A model of eating disorders. Restriction of eating. Bulimia Bingeing Purging Maintain weight. Anorexia Continued restriction Reduced anxiety Excessive weight loss.

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A model of eating disorders

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  1. Biological Stress vulnerability Psychological Anxiety about appearance Social Cultural & family pressures A model of eating disorders Restriction of eating Bulimia Bingeing Purging Maintain weight Anorexia Continued restriction Reduced anxiety Excessive weight loss psychlotron.org.uk Based on Barlow & Durand (1995)

  2. Treatments for EDs • Behaviour therapy • Cognitive behaviour therapy • Weight restoration (anorexia only) psychlotron.org.uk

  3. Weight restoration • Weight gain is a medical priority with anorexia patients • If 30% below expected weight, inpatient care is recommended psychlotron.org.uk

  4. Weight restoration • Requirements (Hsu, 1990): • Patent to trust treatment team, believe she will not become overweight • Focus on weight gain, not amount eaten • Confrontation & control of self-defeating behaviour (e.g. purging) • Effective use of reinforcement psychlotron.org.uk

  5. Weight restoration • 85% of patients return to ‘low-normal’ weight on inpatient programmes • Weight gain alone is a poor predictor of long-term outcome • Treatment must also address the patient’s dysfunctional attitudes towards food, eating and the body psychlotron.org.uk

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