Deck 14: Feeding-And-Eating-Disorders-
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Deck 14: Feeding-And-Eating-Disorders-
1
Pica in the first and second years of life among otherwise normally developing infants and toddlers is likely due to ____.
A)undiagnosed learning disorders
B)hunger
C)exploration
D)underlying depression
A)undiagnosed learning disorders
B)hunger
C)exploration
D)underlying depression
exploration
2
Failure to thrive is more common among ____.
A)girls
B)children from disadvantaged environments
C)adolescents
D)individuals with mental retardation
A)girls
B)children from disadvantaged environments
C)adolescents
D)individuals with mental retardation
children from disadvantaged environments
3
A large-scale survey of students in grades 5 through 8 found that approximately ___ had tried to lose weight in the past 7 days.
A)10%
B)25%
C)60%
D)90%
A)10%
B)25%
C)60%
D)90%
60%
4
Unlike most of the disorders of childhood and adolescence,the causes of eating disorders are disproportionately related to ____ influences.
A)sociocultural
B)biological
C)familial
D)psychological
A)sociocultural
B)biological
C)familial
D)psychological
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5
Though similar in their concerns about eating and gaining weight,individuals with bulimia differ from individuals with anorexia in that they _____,while those with anorexia do/are not.
A)do not eat
B)are within 10% of their normal weight
C)are driven to thinness
D)are secretive about their disorder
A)do not eat
B)are within 10% of their normal weight
C)are driven to thinness
D)are secretive about their disorder
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6
If fat levels decrease below our body's normal range,the hypothalamus ____.
A)produces less insulin
B)triggers the proliferation of fat cells
C)slows metabolism
D)releases growth hormone
A)produces less insulin
B)triggers the proliferation of fat cells
C)slows metabolism
D)releases growth hormone
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7
Which factor is least characteristic of teens who develop eating problems (Graber et al.,1994)?
A)higher percentage of body fat
B)early pubertal maturation
C)poor academic achievement
D)concurrent psychological problems
A)higher percentage of body fat
B)early pubertal maturation
C)poor academic achievement
D)concurrent psychological problems
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8
Failure to thrive is characterized by ____.
A)serious digestion problems
B)growth and eating problems
C)overeating problems
D)fear of getting fat
A)serious digestion problems
B)growth and eating problems
C)overeating problems
D)fear of getting fat
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9
Early onset of feeding disorder is often associated with ____.
A)intellectual disability
B)parental overemphasis on food
C)inadequate care giving
D)poor metabolic control
A)intellectual disability
B)parental overemphasis on food
C)inadequate care giving
D)poor metabolic control
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10
Pica is often seen in individuals with ____.
A)intellectual disability
B)ADHD
C)depression
D)bulimia
A)intellectual disability
B)ADHD
C)depression
D)bulimia
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11
Which statement about picky eating in young childhood is true?
A)Over a third of young children are described as picky eaters.
B)Picky eating is more common among boys than girls.
C)Picky eating in young childhood is clearly connected to the later emergence of eating disorders.
D)Picky eating always leads to eating disorders.
A)Over a third of young children are described as picky eaters.
B)Picky eating is more common among boys than girls.
C)Picky eating in young childhood is clearly connected to the later emergence of eating disorders.
D)Picky eating always leads to eating disorders.
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12
Approximately 50% to 75% of growth hormone production occurs ____.
A)prenatally
B)after the onset of deep sleep
C)during adolescence
D)when eating
A)prenatally
B)after the onset of deep sleep
C)during adolescence
D)when eating
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13
Pica among young children (without intellectual disability)often remits ____.
A)when the child starts teething
B)after the child experiences a bout of sickness due to eating something inedible
C)when the child experiences increased stimulation
D)once the child has the cognitive capacity to understand that certain substances are not edible
A)when the child starts teething
B)after the child experiences a bout of sickness due to eating something inedible
C)when the child experiences increased stimulation
D)once the child has the cognitive capacity to understand that certain substances are not edible
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14
Which of the following effects is least likely to occur when an individual is malnourished?
A)a loss of circadian rhythm
B)a decrease in the release of growth hormone
C)dermatological changes
D)lethargy,apathy,and depression
A)a loss of circadian rhythm
B)a decrease in the release of growth hormone
C)dermatological changes
D)lethargy,apathy,and depression
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15
Mothers of infants with failure to thrive have been found to be ____ than mothers of infants without failure to thrive.
A)more insecurely attached
B)lower in self-esteem
C)older
D)less intelligent
A)more insecurely attached
B)lower in self-esteem
C)older
D)less intelligent
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16
Avoidant/restrictive food intake disorders in childhood are most characterized by ____.
A)the eating of nonnutritive substances
B)bingeing and purging to lose weight
C)significant weight loss
D)purposeful regurgitation of food
A)the eating of nonnutritive substances
B)bingeing and purging to lose weight
C)significant weight loss
D)purposeful regurgitation of food
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17
A child who eats insects and wood chips is likely to be diagnosed with ____.
A)feeding disorder of childhood
B)rumination disorder
C)failure to thrive
D)pica
A)feeding disorder of childhood
B)rumination disorder
C)failure to thrive
D)pica
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18
An individual's balance of energy expenditure is referred to as their ____.
A)setpoint
B)metabolic rate
C)circadian rhythm
D)net caloric intake
A)setpoint
B)metabolic rate
C)circadian rhythm
D)net caloric intake
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19
Eating disorders are the ____ most common illness in adolescent females.
A)second
B)third
C)fifth
D)tenth
A)second
B)third
C)fifth
D)tenth
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20
____ has/have been identified as a specific risk factor for an infant's eating or feeding disorder.
A)Difficult temperament
B)Poor metabolic control
C)Parental psychopathology
D)Maternal eating disorders
A)Difficult temperament
B)Poor metabolic control
C)Parental psychopathology
D)Maternal eating disorders
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21
Obesity ____ is strongly related to obesity in ____.
A)in infancy; later childhood
B)in infancy; adolescence
C)in childhood; adulthood
D)at any time during the course of development; adulthood
A)in infancy; later childhood
B)in infancy; adolescence
C)in childhood; adulthood
D)at any time during the course of development; adulthood
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22
The relationship between preadolescent obesity and the later emergence of eating disorders is likely due to ____.
A)biological abnormalities that underlie both conditions
B)the teasing that obese children experience from their peers
C)an underlying psychiatric condition
D)an urge to stop eating
A)biological abnormalities that underlie both conditions
B)the teasing that obese children experience from their peers
C)an underlying psychiatric condition
D)an urge to stop eating
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23
Which of the following statements relating to bulimia is true?
A)Anorexia is more common than bulimia.
B)The DSM-5 subdivides bulimia into two types: purging type and restrictive type.
C)Approximately,one-third of individuals with bulimia engage in purging.
D)No specific quantity of food constitutes a binge.
A)Anorexia is more common than bulimia.
B)The DSM-5 subdivides bulimia into two types: purging type and restrictive type.
C)Approximately,one-third of individuals with bulimia engage in purging.
D)No specific quantity of food constitutes a binge.
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24
Approximately ____ of American children are obese.
A)1 in 4
B)1 in 5
C)1 in 6
D)1 in 7
A)1 in 4
B)1 in 5
C)1 in 6
D)1 in 7
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25
In comparison to the binge-eating/purging type,individuals with restricting anorexia tend to ____.
A)be more impulsive
B)have stronger family histories of obesity
C)have more labile moods
D)lose weight through diet
A)be more impulsive
B)have stronger family histories of obesity
C)have more labile moods
D)lose weight through diet
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26
In comparison to persons with bulimia,those with binge-eating/purging type of anorexia ____.
A)eat the same amount of food but purge more thoroughly
B)eat relatively small amounts of food and purge more consistently
C)binge only on healthy foods
D)purge more inconsistently
A)eat the same amount of food but purge more thoroughly
B)eat relatively small amounts of food and purge more consistently
C)binge only on healthy foods
D)purge more inconsistently
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27
Binge eating typically follows changes in _______.
A)school routines
B)weight gain
C)interpersonal stress
D)family eating patterns
A)school routines
B)weight gain
C)interpersonal stress
D)family eating patterns
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28
In the early 1900s,the treatment for anorexia was ____.
A)psychodynamic psychotherapy
B)hypnotherapy
C)removal from home and forced feeding
D)family therapy
A)psychodynamic psychotherapy
B)hypnotherapy
C)removal from home and forced feeding
D)family therapy
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29
A protein that plays a major role in some genetic cases of obesity is called ____.
A)lutein
B)peptin
C)leptin
D)tyrosine
A)lutein
B)peptin
C)leptin
D)tyrosine
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30
The most common compensatory technique after an episode of binge eating among clinical samples is ____.
A)fasting
B)vomiting
C)exercise
D)laxatives
A)fasting
B)vomiting
C)exercise
D)laxatives
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31
Obesity is a ____.
A)chronic medical condition
B)disorder of weight regulation
C)failure of willpower
D)childhood-onset mental disorder
A)chronic medical condition
B)disorder of weight regulation
C)failure of willpower
D)childhood-onset mental disorder
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32
For some teens,particularly girls,excessive efforts to control eating may be a misguided effort to ____.
A)punish parents
B)manage the stress and physical changes
C)punish themselves
D)regress back to the oral stage of development
A)punish parents
B)manage the stress and physical changes
C)punish themselves
D)regress back to the oral stage of development
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33
Treatment methods to help children who are obese to lose weight should emphasize ____.
A)demanding exercise regimens
B)strict caloric reduction/restriction
C)avoidance of food cues
D)active,less sedentary routines
A)demanding exercise regimens
B)strict caloric reduction/restriction
C)avoidance of food cues
D)active,less sedentary routines
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34
Obese children are a risk factor for later ____ disorders.
A)mood
B)anxiety
C)eating
D)substance
A)mood
B)anxiety
C)eating
D)substance
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35
In comparison to the restricting type,individuals with the binge-eating/purging type of anorexia tend to ____.
A)be more controlled and rigid
B)be more obsessive
C)have less mood problems
D)eliminate the food quicker
A)be more controlled and rigid
B)be more obsessive
C)have less mood problems
D)eliminate the food quicker
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36
The DSM-5 specifies two subtypes of anorexia based on ____.
A)percentage of weight loss
B)methods used to limit caloric intake
C)presence or absence of co-morbid depression
D)family dynamics
A)percentage of weight loss
B)methods used to limit caloric intake
C)presence or absence of co-morbid depression
D)family dynamics
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37
Studies have found that failure to thrive may affect physical growth in childhood,but does not affect future ____.
A)psychological health
B)physical growth
C)eating patterns
D)cognitive functioning
A)psychological health
B)physical growth
C)eating patterns
D)cognitive functioning
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38
Obesity is usually defined in terms of a body mass index above the _____ percentile.
A)60th
B)70th
C)80th
D)95th
A)60th
B)70th
C)80th
D)95th
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39
Vomiting is used by people with bulimia to ____.
A)prevent weight gain
B)avoid bacteria
C)gain attention
D)act independently
A)prevent weight gain
B)avoid bacteria
C)gain attention
D)act independently
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40
Which of the following is not a characteristic of anorexia?
A)loss of appetite
B)fear of gaining weight
C)denial of being too thin
D)refusal to maintain minimal normal body weight
A)loss of appetite
B)fear of gaining weight
C)denial of being too thin
D)refusal to maintain minimal normal body weight
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41
Follow-up studies of patients with bulimia indicate that between ____ of patients show full recovery over several years.
A)10% and 15%
B)20% and 25%
C)30% and 45%
D)50% and 75%
A)10% and 15%
B)20% and 25%
C)30% and 45%
D)50% and 75%
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42
____ is the initial treatment of choice for children and adolescents with anorexia who are living at home.
A)Temporary removal from the home
B)Family-based therapy
C)Psychopharmacology
D)Individual psychotherapy
A)Temporary removal from the home
B)Family-based therapy
C)Psychopharmacology
D)Individual psychotherapy
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43
Hilda Bruch,a pioneer investigator of psychological processes involved in eating disorders,proposed that the self-starvation of individuals with anorexia was ____.
A)related to their struggle for autonomy,competence,control and self-respect
B)an effort to punish their cold and controlling parents
C)an effort to prevent physical maturation
D)related to disturbed thought patterns arising from exposure to environmental toxins
A)related to their struggle for autonomy,competence,control and self-respect
B)an effort to punish their cold and controlling parents
C)an effort to prevent physical maturation
D)related to disturbed thought patterns arising from exposure to environmental toxins
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44
A common link between depression and eating disorders may be ____.
A)high impulsivity
B)poor emotion regulation
C)excessive anger
D)inability to focus
A)high impulsivity
B)poor emotion regulation
C)excessive anger
D)inability to focus
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45
The onset of bulimia ____.
A)typically occurs in late-adolescence
B)typically occurs in mid-adolescence to late-adolescence
C)typically occurs in adulthood
D)may occur at any time after the onset of puberty (no particular time is more likely than others)
A)typically occurs in late-adolescence
B)typically occurs in mid-adolescence to late-adolescence
C)typically occurs in adulthood
D)may occur at any time after the onset of puberty (no particular time is more likely than others)
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46
Most commonly,individuals with anorexia ____.
A)die from starvation
B)overcome their disorder completely
C)become overweight in their late twenties
D)restore to a normal weight,but then relapse
A)die from starvation
B)overcome their disorder completely
C)become overweight in their late twenties
D)restore to a normal weight,but then relapse
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47
Scientists have found biochemical similarities between people with eating disorders and those with ____.
A)ADHD
B)social phobia
C)schizophrenia
D)obsessive-compulsive disorder
A)ADHD
B)social phobia
C)schizophrenia
D)obsessive-compulsive disorder
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48
Arthur Crisp,a pioneer in the understanding and treatment of eating disorders,considered anorexia to be a type of ____ disorder.
A)phobic avoidance
B)depressive
C)addiction
D)personality
A)phobic avoidance
B)depressive
C)addiction
D)personality
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49
Binge eating disorder (BED)differs from bulimia in that individuals with BED ____.
A)do not feel a loss of control while binge eating
B)eat over 1000 calories in one sitting
C)do not have compensatory behaviors
D)have lower self-esteem
A)do not feel a loss of control while binge eating
B)eat over 1000 calories in one sitting
C)do not have compensatory behaviors
D)have lower self-esteem
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50
The neurotransmitter that has been most focused on as a possible cause of eating disorders is ____.
A)dopamine
B)GABA
C)serotonin
D) norepinephrine
A)dopamine
B)GABA
C)serotonin
D) norepinephrine
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51
Which statement about gender differences in relation to eating disorders is true?
A)Young men with eating disorders generally have different clinical features than young women.
B)Men show more of a drive for thinness than women.
C)Men show less of a preoccupation with food than women.
D)Men place more emphasis on personal attractiveness than women.
A)Young men with eating disorders generally have different clinical features than young women.
B)Men show more of a drive for thinness than women.
C)Men show less of a preoccupation with food than women.
D)Men place more emphasis on personal attractiveness than women.
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52
Young women who have dietary-depressive pattern of bulimia differ from women with only the dietary pattern,as those with the dietary-depressive subtype display ____.
A)less eating pathology
B)more social impairment
C)less psychiatric comorbidity
D)more anorexic symptoms
A)less eating pathology
B)more social impairment
C)less psychiatric comorbidity
D)more anorexic symptoms
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53
The most effective current treatment for bulimia is ____.
A)insight-oriented psychotherapy
B)family therapy
C)psychopharmacology
D)cognitive-behavior therapy
A)insight-oriented psychotherapy
B)family therapy
C)psychopharmacology
D)cognitive-behavior therapy
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54
Which factor has been linked to the development of eating disorders?
A)parental supervision
B)sexual abuse
C)single-parent family
D)low socioeconomic status
A)parental supervision
B)sexual abuse
C)single-parent family
D)low socioeconomic status
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55
Body dissatisfaction and distortion in individuals with eating disorders are less likely to be associated with ____.
A)biases in attention
B)biases in memory
C)selective interpretation
D)problems in perceptual ability
A)biases in attention
B)biases in memory
C)selective interpretation
D)problems in perceptual ability
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56
Studies have estimated the prevalence of anorexia among adolescents at ____.
A)0.2%
B)0.3%
C)7%
D)14%
A)0.2%
B)0.3%
C)7%
D)14%
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57
Which of the following disorders is least likely to co-occur with eating disorders?
A)depression
B)anxiety
C)obsessive-compulsive disorder
D)ADHD
A)depression
B)anxiety
C)obsessive-compulsive disorder
D)ADHD
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58
Which of the following is a predictor of full recovery for individuals with bulimia?
A)higher social class
B)older age at onset
C)family history of alcohol abuse
D)less weight gain
A)higher social class
B)older age at onset
C)family history of alcohol abuse
D)less weight gain
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59
Which of the following is least likely to characterize an adolescent with anorexia?
A)rigidity and obsessiveness
B)lack of emotional restraint
C)preference for the familiar
D)high need for approval
A)rigidity and obsessiveness
B)lack of emotional restraint
C)preference for the familiar
D)high need for approval
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60
Which disorder has become increasingly widespread during this age of abundant fast food and obesity?
A)reduced eating disorder
B)bulimia
C)anorexia
D)binge eating disorder
A)reduced eating disorder
B)bulimia
C)anorexia
D)binge eating disorder
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61
Discuss three risks that are associated with infant and early childhood feeding disorders.
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62
Twelve-month old Dean has been diagnosed with failure to thrive.You have been asked to formulate a general treatment plan.What might you include in your treatment plan and why?
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63
Describe how cognitive-behavioral therapy might be used to treat an individual with an eating disorder.
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64
Distinguish between the restricting type and the bingeing/purging type of anorexia.What has recent research suggested about the pertinence of these subcategories?
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65
Distinguish between anorexia and bulimia,both in terms of their major features as well as their associated characteristics.In what ways are these two eating disorders similar?
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66
In what ways may family members contribute to the development of an eating disorder?
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67
What are both the commonalities among males and females who have eating disorders,as well as the differences each have regarding body ideals?
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68
Discuss what is meant in the recent research which indicated that anorexia may not be a culture-bound syndrome and that bulimia may be considered a culture-bound syndrome.
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69
Why does dieting sometimes lead to overeating?
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70
How may present-day societal messages regarding females' roles contribute to the development of eating disorders?
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71
What role do biological factors play in the development of eating disorders?
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72
Why is it often difficult to lose weight?
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73
Why are eating disorders in infants and young children often considered symptomatic of a problem in the mother-child relationship?
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74
What interventions are used for bulimia,and are they successful?
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75
What are some of the danger signals that an individual may have anorexia?
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