Assignment: Gender Role Expectations
Women Athletes and Eating Disorders (Insel & Roth, 2016)
Female Athlete Triad (Insel & Roth, 2016)
• Premature Osteoporosis – Amenorrhea has been found to cause bone
densities equivalent to females in their 60s – Young amenorrheic women may lose as much as
2% to 6% of bone mass each year. – Over time, an athlete in her twenties could lose
as much as 25% of her bone density
Treating Eating Disorders
Treating Eating Disorders (APA, 2006)
• Treatment is considered multimodal and multidimensional – Individual, group, and/or family counseling – Possible in-patient hospitalization – Behavioral and/or cognitive therapy
• Medications e.g. anti-depressants or appetite stimulators have NOT been shown to be successful in initial treatment
Recovery from AN (APA, 2006) • Goal of recovery: to restore patient to normal
weight: BMI >17.5 kg/m2 – Immediate weight gain either through outpatient care or
hospitalization • Restore Normal menstruation • Treat physical complications.
– Medications, calcium and vitamin D effectively reverse the degree of osteoporosis in patients with anorexia nervosa
• Prevent relapse. • After patients have gained weight and when the psychological effects
of malnutrition are resolving, preliminary evidence suggests that antidepressants may be helpful with weight maintenance.
• Minimize food restrictions. • Encourage healthy but not excessive exercise.
Recovery from AN (APA, 2006) • Method of recovery
– Enhance the patient’s motivation to cooperate and participate in treatment. – Provide education about healthy nutrition and eating patterns. – Psychotherapy for underlying psychosocial factors
• Treat associated psychiatric conditions, including defects in mood regulation, self- esteem, and behavior.
• Correct core maladaptive thoughts and attitudes. • Enlist family support and provide family counseling and therapy where appropriate.
• Recovery is considered stable when: – BMI >17.5 kg/m2 for at least one year
• Early onset of medical care = good prognosis • Delayed or insufficient medical care = poor prognosis
Recovery from BN (APA, 2006)
1. Reduce binging and purging behavior.
Goals of recovery: 2. Address underlying themes: – Developmental issues – Identity formation – Body image concerns – Self-esteem in areas outside
weight and shape – Difficulties with sexual issues
and aggression – Affect regulation – Gender role expectations – Family dysfunction – Coping styles
AN: The current picture of recovery (UMMC, 2015)
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