Researchers study eating disorders to try to understand their many complexities. “Eating disorders are complicated psychiatric illnesses in which food is used to deal with unsettling emotions and difficult life issues” (Michel & Willard, 2003, p. 2). To help those with eating disorders, one must understand the causes, effects and treatments associated with the disorders. Anorexia Nervosa, Bulimia Nervosa and Compulsive Overeating are three common eating disorders found in society today. “No one knows exactly what causes eating disorders. However, all socioeconomic, ethnic and cultural groups are at risk” (Matthews, 2001, p.3). Eating disorders are difficult to diagnose but can be deadly if left untreated.
Background
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5-6). Anorexics will deny hunger and make excuses to avoid eating or will often hide food they claim to have eaten. “Most people who diet stop when their goal is reached. Anorexics will not stop dieting” (Kirkpatrick and Caldwell, 2001, p. 21).
Bulimia is an eating disorder that differs from anorexia in that sufferers continually binge and then purge themselves afterwards. Most often, large amounts of food are eaten very rapidly and the consumption takes place secretly (Levine and Maine, 2004). Sufferers of bulimia binge and purge for various reasons. For some, binging and purging occurs to let out feelings of anger, depression, stress or anxiety. For others the binge/purge syndrome occurs in response to overwhelming hunger brought on by dieting. Once the bulimic sees they can eat more food than they even want and not gain weight, they become a victim of the cycle of binging and purging (Michel and Willard, 2003, p. 13).
In many ways, compulsive overeating resembles bulimia, but the compulsive overeater tends not to purge. Most compulsive overeaters have tried many diets without success. They avoid social and physical activities because of embarrassment about weight and size. Matthews (2001) asserts compulsive overeaters, like bulimics, use food to cope with emotional distress. Body weight varies in compulsive overeaters from normal body weight to severe obesity (p. 78).
Causes
Many people are unaware of the background of eating disorders. Women are more likely than men to develop an eating disorder and they usually develop in childhood before the age of 20 (Ross-Flanigan 1). Women as well as men can develop an eating disorder; it is just more likely for a woman to develop one. Eating disorders are usually developed in adolescent or childhood years when a person is influenced the most. Also “Eating disorders are psychological conditions that involve overeating, voluntary starvation, or both. Anorexia nervosa, anorexic bulimia, and binge eating are the most well-known types of eating disorders” (Ross-Flanigan 1). Many people assume that an eating disorder is when a person staves themselves; they do not realize that it can involve overeating as well. Some eating disorders also involve purging, but not all. People with an eating disorder fear gaining weight even when they are severely underweight. They do not lack an appetite (Ross-Flanigan 1). These people are
“During an average binge, you may consume from 3,000 to 5,000 calories in one short hour. After it ends, panic sets in and you turn to drastic measures to “undo” the binge, such as taking ex-lax, inducing vomiting, or going for a ten-mile run. And all the while, you feel increasingly out of control” (Smith, Melinda. Bulimia). The final eating disorder discussed in this paper is binge eating. Binge eating disorder is known as overeating or a period of uncontrollable eating. Binge eating is becoming more and more common here in america because of the large quantities of food sold daily. Although, binge eaters do not purge after eating, they still feel shame or guilt after eating like a bulimic (Anorexia, Nervosa).
A major setback I have faced is suffering with an eating disorder. For five years I have struggled with this illness. I have been hospitalized, and I have been in program at The Center For Change twice Finally, I told myself that I had to get better, or I was going to die. A year ago, I chose recovery. It is quite possibly the toughest challenge I will ever face, but the grueling process of recovery has allowed me to take back my life. Fortunately, I did not go through this on my own. I have been truly blessed with the best support team which includes my family, my friends, therapists, and my Stake President and doctor, Pres. Vance. I have grown into a more confident and compassionate person by helping others with eating disorders and other
Bulimia nervosa is an eating disorder characterized by binge eating as well as by self-induced vomiting and/or laxative abuse (Mitchell, 1986). Episodes of overeating typically alternate with attempts to diet, although the eating habits of bulimics and their methods of weight control vary (Fairburn et al., 1986). The majority of bulimics have a body weight within the normal range for their height, build, and age, and yet possess intense and prominent concerns about their shape and weight (Fairburn et al., 1986). Individuals with bulimia nervosa are aware that they have an eating problem, and therefore are often eager to receive help. The most common approach to
In my research, I explored the world of eating disorders. I wanted to see if there was anything specifically encouraging eating disorders and if there was a way to stop it. Eating disorders affect the community greatly because often times, they go unchecked or unrecognized. As a recovered anorexic, I feel it’s very important to address this issue. It’s a very big problem that is often not addressed at all, or is seen as normal, like counting calories. I hoped to find a way to improve the way that eating disorders are viewed and explain to people about what defines an eating disorder, because many people will never know if it is not explicitly explained to them. My study’s purpose is to bring light into the dark world of eating disorders
People who have Anorexia Nervosa have this fear of gaining weight so they result by not eating regularly or eat little amounts of food or not eating at all. People see themselves as being fat but instead they are skinny. “Anorexics usually strive for perfection” (www.mirror-mirror.org 1). So in doing this they feel like not eating anything can make them look perfect and have the body they want. “The lack of food can cause a person to become very thin, develop brittle hair and nails, dry skin, and a low pulse, become not able to stand the cold, and suffer from constipation and sometimes diarrhea” (Hendrick 3).
According to the DSM-5, eating disorders are characterized by a persistent disturbance of eating–related behavior that results in non-normative eating patterns which leads to impaired physical and psychosocial functioning, (American Psychiatric Association, 2013). Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating with inappropriate compensatory behaviors to prevent weight gain. Binge eating is described as eating an amount of food definitely larger than normal with a sense of lack of control. Compensatory behaviors include misuse of laxatives, self-induced vomiting, diuretics, fasting and excessive exercise, (Comer, 2014) . Another key feature is
It is now defined as “Recurring episodes of eating significantly more food in a short period of time than most people would eat under similar circumstances, with episodes marked by feelings of lack of control.… The person may have feelings of guilt, embarrassment, or disgust and may binge eat alone to hide the behavior”. It is important to note that there is a difference between over-eating and binge-eating, while over-eating is a recognizable problem for many people, “binge-eating is much less common, far more severe, and associated with significant physiological and psychological problems” (DSM 5). Binge Eating Disorder is similar to Bulimia Nervosa in that we see episodes of eating large amounts of food, the difference being that there is no purging after the binging episode. It is seen highly among obese patients, but, perhaps due to a reluctance to relate obesity with an eating disorder, it was not recognized as distinct from Bulimia Nervosa until the early 1990s (Gordon, 2000).
Binge eating disorder (BED) is a “severe, life-threatening and treatable eating disorder characterized by recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; experiencing shame, distress, or guilt afterwards; and not regularly using unhealthy compensatory measures (purging) to counter the binge eating” (NEDA 1). This disorder effects people of all genders, races, and ages. This disorder also happens to be the most common eating disorder among the people of the United States. Often times people get this disorder mixed up with another eating disorder called Bulimia. The difference is that with bulimia people purge after every meal they eat (by means of vomiting, excessive exercising or with the use of laxatives). But people with BED usually do not do unhealthy things, such as purging. Instead they feel guilty about the amount of food they ate and will not eat for an extended period of time, which can cause more binges to occur.
Studies have shown that three percent of males and eight percent of females who were in high school said that they have either purged or took laxatives to lose weight (3). The symptoms of bulimia are tooth erosion, swallowing problems, esophagus problems, and acute stomach distress (“Eating Disorders”). However, binge eating disorder is completely opposite from anorexia and bulimia. Binge eating is when a person over eats in a short period of time. According to Susan Frissell and Paula Harney, two percent of the population suffers from binge eating disorder (27). Studies show that depression, anxiety, high blood pressure, and stomach pain is found in many people who suffer from binge eating disorder (Elkins 45; Kittleson 4). Many people will develop binge eating disorder because they want to distract themselves from a painful event that has happened in their life (Frissell and Harney 27).
The correlation between eating disorders and other psychological disorders is very important for our understanding of the causes and possible treatments for eating disorders. It is known that many people with eating disorders also fit the criteria for several DSM-IV psychological disorders. If researchers can find patterns of comorbidity between these two types of disorders they may be able to better diagnose and treat patients with both of these disorders. The question that I pose it what is the relationship between eating disorders and personality disorders(axis 11 disorders in DSM-IV)? It is important to look for comorbidity between the two disorders to determine the impact they have on each
It is normal to overeat from time to time, but when it comes to binge eating, the urge is persistent and seemingly uncontrollable, and is usually accompanied by feelings of shame and guilt. Binge eating disorder, just like other mental disorders, is strongly linked to depression, low self-esteem, anxiety and stress. Persistent overeating leads to obesity and other serious health conditions.
Bulimics usually weigh themselves frequently, even several times daily. Bulimics also suffer from an emotional cycle of guilt, pain, depression, and "highs." They feel pride when they succeed in starving themselves; guilt, pain, and depression when they eat; and the "high" usually follows a purge. The cycle becomes an emotional outlet. Bulimics are often perfectionists, those who feel they have severe standards to live up to. Those who feel that they cannot control their lives may turn to eating disorders as a means to feel in control of some aspect of themselves. They tend to have an intense fear of becoming a failure, and letting others down. Many doctors and members of society feel that society, with its media-fed images of beauty and perfection, is responsible for the disease. Food becomes a night-and-day obsession, causing them to withdraw from their families, as well as school and social lives. Bulimics will often refuse to eat in front of other people, and will find any sort of excuse to avoid meals in groups. They may sneak food for bingeing when no one else is around. Bulimics may sometimes run to the bathroom following any form of food intake. The disease is habit-forming.
Bulimia Nervosa is the diet-binge-purge cycle. It is an illness that is mostly found in young females. This cycle involves a strict diet, uncontrollable eating and then unhealthy strategies to get rid of the food and therefore the guilt. This addictive eating disorder is based on guilt. The individual tends to under-consume and thereby becoming very hungry. Once the individual gives in and allows one’s self to eat, the person begins to over-eat. After finishing the large quantities of food, the individual begins to feel immense
attractive and the media reinforces this statement." Young adolescent girls buy into this sensation and through doing so, set themselves up for failure. When these predisposing factors are combined with stressors and pressures, the cycle is begun and an eating disorder is formed.