Professional Documents
Culture Documents
Question
Topic Factual Conceptual Applied
Type
Overview Multiple 1, 3, 4, 5, 6, 8, 9 7 2
pp. 263-265 Choice
Short Answer 86
Essay
Symptoms of Multiple 10, 11, 12, 14, 15, 13, 18, 23, 24, 27 16, 20, 21, 22,
Anorexia Choice 17, 19, 25 26
pp. 265-267 Short Answer
Essay 99, 100*
Symptoms of Multiple 28, 30, 31, 33, 36 32, 34, 35 29, 37, 38
Bulimia Choice
pp. 267-269 Short Answer 87, 88, 89
Essay 100*
Diagnosis of Multiple 42, 44, 45 39, 41, 43 40
Feeding and Choice
Eating Disorders Short Answer 90
pp. 269-271 Essay 101
Frequency of Multiple 46, 48, 53 49, 51 47, 50, 52
Anorexia and Choice
Bulimia Short Answer 91, 92
pp. 271-274 Essay 102
Causes of Multiple 54, 56, 57, 70, 73 58, 59, 61, 62, 63, 55, 60, 66, 68,
Anorexia and Choice 64, 65, 67, 71, 72 69
Bulimia Short Answer 93, 94, 95
pp. 274-277 Essay 103, 104
Treatment of Multiple 76 77, 78 74, 75
Anorexia Choice
pp. 278-279 Short Answer 96
Essay 105
Treatment of Multiple 82, 83 80 79, 81
Bulimia Choice
pp. 279-280 Short Answer 97
Essay 106
Prevention of Multiple 85 84
Eating Disorders Choice
pp. 280-282 Short Answer 98
Essay
*This question covers more than one topic.
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396
Chapter 10: Feeding and Eating Disorders
Multiple Choice
a. self-induced vomiting
b. eating non-nutrient substances
c. repeated episodes of binge eating
d. starving oneself
Answer: d.
Difficulty: 1
Question ID: 10.1.1
Page Reference: 263
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.2. During a lecture on eating disorders, the lecturer tells the audience, "Let's be candid, anorexia is a
misnomer." Most of the people around you are puzzled until the expert explains. What does she say?
Answer: d.
Difficulty: 2
Question ID: 10.1.2
Page Reference: 263
Topic: Overview
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.3. Individuals who are attempting to become extremely thin by refusing to eat suffer from
a. obesity phobia.
b. bulimia nervosa.
c. anorexia nervosa.
d. anti-obesity obsession.
Answer: c.
Difficulty: 1
Question ID: 10.1.3
Page Reference: 263
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.4. Some experts suggest that a better term than “eating” disorder would be “___________” disorder.
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397
a. nutrition
b. food avoidant
c. starvation
d. dieting
Answer: d.
Difficulty: 2
Question ID: 10.1.4
Page Reference: 263
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
a. self-induced vomiting.
b. binge eating.
c. self-starvation.
d. a preoccupation with food.
Answer: b.
Difficulty: 1
Question ID: 10.1.5
Page Reference: 263
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.6. For both anorexia and bulimia, the rate of occurrence in females compared to in males is about
a. 2 to 1.
b. 5 to 1.
c. 10 to 1.
d. equal.
Answer: c.
Difficulty: 1
Question ID: 10.1.6
Page Reference: 264
Topic: Overview
Skill: Factual
LO 10.3 Do men suffer from eating disorders?
10.1.7. According to the National Centers for Disease Control and Prevention, at any point in time ___
percent of high school females are attempting to lose weight, as compared with ___ percent of males.
a. 44 / 15
b. 15 / 44
c. 10 / 2
d. 2 / 10
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398
Answer: a.
Difficulty: 2
Question ID: 10.1.7
Page Reference: 264
Topic: Overview
Skill: Conceptual
LO 10.3 Do men suffer from eating disorders?
10.1.8. A national survey found that almost _____ percent of American women have a negative body
image, particularly concerning their waists, hips, and/or thighs.
a. 1
b. 25
c. 50
d. 75
Answer: c.
Difficulty: 2
Question ID: 10.1.8
Page Reference: 264
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.9. According to the textbook, European American and Latina women report higher rates of body
dissatisfaction than
a. Asian women.
b. African American women.
c. Middle Eastern women.
d. Australian women.
Answer: b.
Difficulty: 2
Question ID: 10.1.9
Page Reference: 264
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.10. DSM-5 does not contain a formal cutoff as to how thin is too thin. What does it suggest as a
useful indicator in adults?
Answer: c
Difficulty: 1
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399
Question ID: 10.1.10
Page Reference: 265
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.11. In the case of Serrita, whose struggle with anorexia is described in your textbook, what was her
attitude about her condition that is common to many diagnosed with anorexia?
a. She admitted to being too thin and acknowledged her need to gain weight.
b. She admitted to being too thin but denied that she needed to gain weight.
c. She denied that she was too thin.
d. She admitted to being too thin but blamed it on a biochemical deficiency.
Answer: c.
Difficulty: 1
Question ID: 10.1.11
Page Reference: 265
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.12. The average victim of anorexia nervosa is ____ percent below normal body weight.
a. 10
b. 15
c. 25
d. 35
Answer: c.
Difficulty: 1
Question ID: 10.1.12
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
a. amenorrhea
b. fear of gaining weight
c. binge eating
d. depression
Answer: b.
Difficulty: 2
Question ID: 10.1.13
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
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400
10.1.14. An inaccurate perception of body size and shape is known as
a. anorexia.
b. distorted self image.
c. distorted body image.
d. bulimia.
Answer: c.
Difficulty: 1
Question ID: 10.1.14
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.15. About _____ percent of people with anorexia nervosa are estimated to die of starvation, suicide,
or medical complications stemming from their extreme weight loss.
a. 1
b. 5
c. 15
d. 45
Answer: b.
Difficulty: 1
Question ID: 10.1.15
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.16. One early study found that young women with anorexia nervosa ____________ the size of
various body parts in comparison to a normal control group.
a. overestimate
b. underestimate
c. accurately estimate
d. avoid considering
Answer: a.
Difficulty: 2
Question ID: 10.1.16
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.17. One reason why individuals with anorexia steadfastly deny problems with their weight seems to
be because they
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401
a. don't trust others enough to admit the truth.
b. have a distorted body image and do not perceive their appearances accurately.
c. never feel hungry.
d. are often at or near normal weight.
Answer: b.
Difficulty: 1
Question ID: 10.1.17
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.18. Agnes, who suffers from anorexia, is dangerously thin but has been steadfastly refusing to eat
enough to gain weight. If Agnes could honestly explain to you why she doesn't eat, what would she
probably say?
Answer: c.
Difficulty: 1
Question ID: 10.1.18
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
Answer: b.
Difficulty: 1
Question ID: 10.1.19
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.20. A patient's medical chart includes the word lanugo. You can tell from the chart that the patient
has anorexia nervosa. What will you expect to observe when the patient is examined?
a. brittle bones
b. a wide eyed stare
c. irregular heart beat
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402
d. fine, downy hair on her face and trunk
Answer: d.
Difficulty: 1
Question ID: 10.1.20
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.21. Priya's physician is distressed by her anorexia nervosa. Her weight loss is bad enough, but her
medical tests show clear signs of an electrolyte imbalance. What is the physician's major concern?
Answer: a.
Difficulty: 1
Question ID: 10.1.21
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.22. A film producer wants to make a movie describing several cases of young women who have been
diagnosed as suffering from anorexia nervosa. He is especially interested in exploring some of the
psychological dynamics related to the disorder. Which of the following titles might be the best choice for
the film?
Answer: a.
Difficulty: 2
Question ID: 10.1.22
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.23. Janice suffers from anorexia and is extremely careful about how much she eats. How does she
probably feel about this?
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403
d. Since she doesn't believe she has a problem, she has no strong feelings about this one way or the
other.
Answer: a.
Difficulty: 1
Question ID: 10.1.23
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.24. People diagnosed with anorexia who do not also binge eat or purge are generally less
__________, when compared to those who exhibit these symptoms.
a. comorbid
b. depressed
c. anxious
d. self-obsessed
Answer: b.
Difficulty: 2
Question ID: 10.1.24
Page Reference: 267
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
Answer: b.
Difficulty: 1
Question ID: 10.1.25
Page Reference: 266-267
Topic: Symptoms of Anorexia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.26. Terrell will do almost anything for extra credit. He sees a sign recruiting participants for research
on eating. When he inquires, he is told the study involves semi-starvation. He is a bit leery now, so he
heads over to the library to read up on the topic. What he finds persuades him to look for other ways to
earn extra credit. What did he find?
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404
d. Participants are likely to develop obsessions and compulsions concerning food that continue after
they return to their normal weight.
Answer: d.
Difficulty: 2
Question ID: 10.1.26
Page Reference: 266
Topic: Symptoms of Anorexia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.27. In the two cases of eating disorders presented in your textbook—Serrita with anorexia and
Michelle with bulimia—there was a very clear difference in their emotional reactions to their behavior.
Serrita felt _________ while Michelle felt _________.
a. shame / pride
b. pride / shame
c. out of control / in control
d. depressed / euphoric
Answer: b.
Difficulty: 2
Question ID: 10.1.27
Page Reference: 265, 267
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.28. What types of food are individuals with bulimia nervosa most likely to consume during an
episode of binge eating?
Answer b.
Difficulty: 1
Question ID: 10.1.28
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.29. Assume that each of the following individuals has a diagnosis of bulimia nervosa. Which one of
them is most likely to engage in an episode of binge eating at this point?
a. Penelope, who is upset over failing two exams and just had an argument with her parents
b. Farrah, who is wondering what will happen to her town now that a major employer has cut back
on jobs
c. Diane, who is watching television and feels sleepy as she listens to the reports of political polls
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405
d. Suchira, who just won a scholarship to the college she wanted to attend and is going out to
celebrate
Answer: a.
Difficulty: 1
Question ID: 10.1.29
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.30. In the middle of an episode of binge eating, how is a woman likely to describe how she feels?
a. delusional
b. lacking control
c. in a hypnotic trance
d. invigorated and energetic
Answer: b.
Difficulty: 1
Question ID: 10.1.30
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
Answer: c.
Difficulty: 1
Question ID: 10.1.31
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.32. The DSM-5 criteria for bulimia nervosa refer to compensatory behavior. Which of the following
represents this type of behavior?
Answer: b.
Difficulty: 2
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406
Question ID: 10.1.32
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.33. Bulimia nervosa almost always involves purging. This means that individuals with bulimia
nervosa
Answer: c.
Difficulty: 1
Question ID: 10.1.33
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.34. Although bulimia nervosa is often referred to as the "binge-purge" disorder, this is misleading
because
Answer: b.
Difficulty: 1
Question ID: 10.1.34
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.35. Which of the following symptoms is a diagnostic criteria for both anorexia nervosa and bulimia
nervosa?
a. fasting
b. bingeing
c. excessive emphasis on body shape and weight
d. intense fear of becoming pregnant
Answer: c.
Difficulty: 1
Question ID: 10.1.35
Page Reference: 268
Topic: Symptoms of Bulimia
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407
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
a. depression
b. gender identity disorder
c. antisocial personality disorder
d. histrionic personality disorder
Answer: a.
Difficulty: 1
Question ID: 10.1.36
Page Reference: 269
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.37. When thinking about comorbid conditions in regard to a client just diagnosed with bulimia
nervosa, you are most concerned about the possibility of
a. bipolar disorder.
b. psychopathy.
c. depression .
d. borderline personality disorder.
Answer: c.
Difficulty: 2
Question ID: 10.1.37
Page Reference: 269
Topic: Symptoms of Bulimia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.38. Janet is making her annual visit to the dentist. As he is examining her mouth, she senses some
concern. She asks if he has found cavities, and he says no. He finally comes right out and asks if she has
bulimia. What clue suggested this possible diagnosis?
Answer: a.
Difficulty: 1
Question ID: 10.1.38
Page Reference: 269
Topic: Symptoms of Bulimia
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
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408
10.1.39. Seiko suffers from an eating disorder characterized by frequent binges. We can be reasonably
certain that she
Answer: a.
Difficulty: 2
Question ID: 10.1.39
Page Reference: 269-270
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.40. Ann has the diagnosis of anorexia nervosa, the restricting type. What does this diagnosis mean to
the team of professionals that is going to treat her?
Answer: a.
Difficulty: 2
Question ID: 10.1.40
Page Reference: 269-270
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Applied
LO 10.1 How can you tell if someone has an eating disorder?
10.1.41. The validity of the distinction between the restricting type and the binge eating/purging type of
anorexia nervosa is questioned mainly because
Answer: b.
Difficulty: 2
Question ID: 10.1.41
Page Reference: 270
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
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409
a. binge-eating disorder
b. pica
c. rumination disorder
d. bulimia nervosa
Answer: a.
Difficulty: 1
Question ID: 10.1.42
Page Reference: 269
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Factual
LO 10.4: What is binge-eating disorder?
10.1.43. Which is most accurate with regard to why the purging and nonpurging subtypes of bulimia
nervosa were removed from DSM-5?
Answer: a.
Difficulty: 1
Question ID: 10.1.43
Page Reference: 270-271
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.1.44. Which of the following individuals would meet the common criteria for defining obesity?
Answer: b.
Difficulty: 1
Question ID: 10.1.44
Page Reference: 269
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Factual
LO 10.4: What is binge-eating disorder?
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410
Answer: b.
Difficulty: 2
Question ID: 10.1.45
Page Reference: 269
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Factual
LO 10.4: What is binge-eating disorder?
10.1.46. Which of the following statements about the prevalence of eating disorders is most accurate?
Answer: b.
Difficulty: 1
Question ID: 10.1.46
Page Reference: 271
Topic: Frequency of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.47. A researcher discussing the prevalence of eating disorders makes reference to what she says is a
cohort effect for these disorders. What does this mean?
Answer: b.
Difficulty: 2
Question ID: 10.1.47
Page Reference: 271
Topic: Frequency of Anorexia and Bulimia
Skill: Applied
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.48. What have epidemiologists found concerning the frequency of eating disorders?
Answer: a.
Difficulty: 1
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411
Question ID: 10.1.48
Page Reference: 271-272
Topic: Frequency of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.49. Which of the following is a reason frequently given by scientists to explain the much higher rate
of eating disorders among females?
a. Women are much more likely than men to base self-image on body image.
b. Men are not concerned about appearance.
c. Men do not have to be concerned about the cultural image of good looks.
d. Women do not tend to judge men based on appearance.
Answer: a.
Difficulty: 2
Question ID: 10.1.49
Page Reference: 272
Topic: Frequency of Anorexia and Bulimia
Skill: Conceptual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.50. Although it is certainly an unusual source of data for researchers, some have looked at Playboy
centerfolds and Miss America Beauty pageant contestants. How is this research relevant to eating
disorders?
Answer: c.
Difficulty: 2
Question ID: 10.1.50
Page Reference: 272
Topic: Frequency of Anorexia and Bulimia
Skill: Applied
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.51. A cross-cultural researcher is investigating the relationship between body weight and wealth in
Third World countries. Which of the following is most likely to summarize the relationship?
Answer: b.
Difficulty: 2
Question ID: 10.1.51
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412
Page Reference: 273
Topic: Frequency of Anorexia and Bulimia
Skill: Conceptual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.52. Your friend is a whiz when it comes to maps. He decides to create a computerized map showing
the countries where eating disorders are likely to occur. He asks you for assistance in creating this visual
image. What will you tell him?
Answer: d.
Difficulty: 2
Question ID: 10.1.52
Page Reference: 272-273
Topic: Frequency of Anorexia and Bulimia
Skill: Applied
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.53. Which of the following falls within the typical range for the onset of eating disorders?
a. early childhood
b. adolescence
c. middle adulthood
d. late adulthood
Answer: c.
Difficulty: 1
Question ID: 10.1.53
Page Reference: 273
Topic: Frequency of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.1.54. Which of the following occupations is associated with an elevated risk for developing eating
disorders?
a. nurse
b. singer
c. secretary
d. gymnast
Answer: d.
Difficulty: 1
Question ID: 10.1.54
Page Reference: 274
Topic: Causes of Anorexia and Bulimia
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413
Skill: Factual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.55. You have been asked to design a targeted prevention program of eating disorders. Which group
would receive the most focus in your program design?
Answer: d.
Difficulty: 3
Question ID: 10.1.55
Page Reference: 274
Topic: Causes of Anorexia and Bulimia
Skill: Applied
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.56. The tendency to develop eating disorders seems related to which of the following variables?
Answer: c.
Difficulty: 1
Question ID: 10.1.56
Page Reference: 274
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.57. Compared to families of individuals with anorexia nervosa, which of the following are you more
likely to find in families of individuals with bulimia nervosa?
Answer: b.
Difficulty: 1
Question ID: 10.1.57
Page Reference: 274-275
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
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414
10.1.58. Which of the following characterizes the concept proposed by Minuchin of the enmeshed
family?
Answer: b.
Difficulty: 2
Question ID: 10.1.58
Page Reference: 275
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.59. What have researchers found concerning the relationship between eating disorders and an
individual's report of sexual abuse?
a. Sexual abuse is reported much more frequently by those with eating disorders than other
pathologies.
b. The rate of reports of sexual abuse among those with eating disorders is lower than in the general
population.
c. Sexual abuse is reported by those with anorexia at higher rates than those with other pathologies,
but not those with bulimia.
d. The rate of reports of sexual abuse among those with eating disorders is similar to that found in
other pathologies.
Answer: d.
Difficulty: 1
Question ID: 10.1.59
Page Reference: 275
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.60. The A&E cable channel is presenting the biography of Dr. Hilde Bruch. The presentation
includes interviews with Dr. Bruch, who is asked to explain her theory of the development of eating
disorders. What does she say?
a. Impulsive, out of control young women use eating disorders as a means of rebelling.
b. Overly compliant young women use dieting as a means to wrest some control from their parents.
c. A fear of sexual dysfunction motivates some young adolescents to try to stop the maturation
process cold in its tracks.
d. The scapegoating of a young adolescent female leaves her with no other means to deal with the
stress of living in a dysfunctional family.
Answer: b.
Difficulty: 2
Question ID: 10.1.60
Page Reference: 275
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415
Topic: Causes of Anorexia and Bulimia
Skill: Applied
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.61. Which of the following findings seems to support Hilde Bruch's view of the etiology of eating
disorders?
Answer: d.
Difficulty: 2
Question ID: 10.1.61
Page Reference: 275
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.62. An expert on eating disorders describes those with such disorders as "lacking interoceptive
awareness." Which of the following characterizes this lack?
a. People with eating disorders do not recognize internal cues, including emotional states and
hunger.
b. Those with eating disorders do not understand how other people are trying to influence their
behavior in subtle ways.
c. People with eating disorders do not pay attention to the nonverbal behavior of individuals during
conversations.
d. Those with eating disorders often confuse hunger pangs with signs of deeper psychological
significance.
Answer: a.
Difficulty: 2
Question ID: 10.1.62
Page Reference: 275
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.63. Researchers are finding an increased rate of which mental disorder in both victims of eating
disorders and their family members?
Answer: c.
Difficulty: 2
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
416
Question ID: 10.1.63
Page Reference: 275-276
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.64. An expert on eating disorders is giving a talk about the relationship between eating disorders and
depression. Which of the following would be an appropriate title for this talk?
Answer: b.
Difficulty: 2
Question ID: 10.1.64
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.65. Efforts to understand the relationship between depression and eating disorders have focused on
which of the following depressive symptoms?
a. psychomotor retardation
b. sleep disturbances
c. low self-esteem
d. generalized anxiety
Answer: c.
Difficulty: 2
Question ID: 10.1.65
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.66. Research participants have been asked to identify with a figure within a series of schematic
figures of women ranging from very thin to very obese. What is the subject of this research?
Answer: c.
Difficulty: 2
Question ID: 10.1.66
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
417
Skill: Applied
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.67. ___________ ,or a negative mood state, commonly triggers episodes of binge eating according to
Vogele and Gibson.
a. Anapraxsis
b. Hysteria
c. Anhedonia
d. Dysphoria
Answer: d.
Difficulty: 2
Question ID: 10.1.67
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.68. Ann suffers from bulimia and has been gaining weight. Her parents are concerned and have been
encouraging her to go on a diet. What would you tell her and her parents?
Answer: d.
Difficulty: 3
Question ID: 10.1.68
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Skill: Applied
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.69.A medical technician looks up from the microscope and says to his supervisor, "I think we have a
case of hyperlipogenesis here. " What would this information tell the physician about the patient whose
tests the technician just analyzed?
Answer: b.
Difficulty: 2
Question ID: 10.1.69
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
418
Skill: Applied
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.70. A weight level the body seems to defend by adjusting its rate of energy use is called the
Answer: a.
Difficulty: 1
Question ID: 10.1.70
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.71. With respect to the role of genetics in eating disorders, it is most likely that
Answer: c.
Difficulty: 2
Question ID: 10.1.71
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.72.The etiology of eating disorders underscores the importance of equifinality, which is the idea that
Answer: b.
Difficulty: 2
Question ID: 10.1.72
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.1.73. Although extremely rare, eating disorders have been linked to lesions in the
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
419
a. striatum.
b. cerebellum.
c. hippocampus.
d. hypothalamus.
Answer: d.
Difficulty: 1
Question ID: 10.1.73
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
Answer: a.
Difficulty: 1
Question ID: 10.1.74
Page Reference: 278
Topic: Treatment of Anorexia
Skill: Applied
LO 10.6 What treatments work for anorexia and bulimia?
10.1.75. In establishing an eating disorder clinic, your group of professionals is keen to include all of the
therapies that are currently being used to treat these disorders. You will likely include several different
therapies, including
a. token economies.
b. Bruch's psychodynamic therapy.
c. hypnosis.
d. role playing.
Answer: b.
Difficulty: 2
Question ID: 10.1.75
Page Reference: 278
Topic: Treatment of Anorexia
Skill: Applied
LO 10.6 What treatments work for anorexia and bulimia?
10.1.76. The most widely studied form of family therapy for eating disorders involves parents initially
taking complete control over the child’s eating. Age-appropriate autonomy is returned to the child as
eating improves. This system is called the
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
420
c. Montreux method.
d. Maudsley method.
Answer: d.
Difficulty: 2
Question ID: 10.1.76
Page Reference: 278
Topic: Treatment of Anorexia
Skill: Factual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.77. In one study, ___________ lead to a 70 to 80 percent reduction in binge eating and purging.
a. psychodynamic therapy
b. aversive conditioning
c. client centered therapy
d. cognitive behavior therapy
Answer: d.
Difficulty: 2
Question ID: 10.1.77
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.78. Frances suffers from bulimia nervosa and is seeing a therapist who is focusing on normalizing
her eating patterns and addressing her dysfunctional attitudes. Which form of therapy is her therapist
providing?
a. psychodynamic therapy
b. aversive conditioning
c. interpersonal therapy
d. cognitive behavior therapy
Answer: d.
Difficulty: 1
Question ID: 10.1.78
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.79. Paula suffers from bulimia nervosa and is considering treatment with an antidepressant
medication. Knowing that you have been studying this issue, she asks your opinion. What should you tell
her?
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
421
d. "Because antidepressants make you feel better, you will be less motivated to deal with your
eating disorder."
Answer: c.
Difficulty: 2
Question ID: 10.1.79
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Applied
LO 10.6 What treatments work for anorexia and bulimia?
10.1.80. Which form of therapy is emerging as an effective treatment for bulimia nervosa because patients
continue to improve after the end of therapy?
a. psychodynamic therapy
b. behavior therapy
c. interpersonal therapy
d. selective serotonin reuptake inhibitors
Answer: c.
Difficulty: 2
Question ID: 10.1.80
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.81. A cognitive psychologist is proposing a study of the effectiveness of several forms of therapy for
treating anorexia nervosa. She sends her proposal to the ethics committee for review. Although the
committee approves the proposal from an ethics standpoint, one of the committee members writes her a
note saying, "Be aware of the allegiance effect." What will this note mean to the psychologist in regard to
her proposal?
a. Clients will show greater recovery when they are treated by the same therapists across time.
b. Clients will work hard to recover to demonstrate that their choice of therapist is indeed the best.
c. Because she is a cognitive therapist she is more likely to find that form of therapy to be the most
successful.
d. Funding agencies will be more likely to give grants to researchers who are responsive to the
needs of the granting agency.
Answer: c.
Difficulty: 3
Question ID: 10.1.81
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Applied
LO 10.6 What treatments work for anorexia and bulimia?
10.1.82.__________ is a form of treatment that does not address eating disorders directly and was
actually used as the placebo treatment in several early studies. Still, this form of treatment has been found
to be more effective after 12 months than therapies that are directed at eating disorders.
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
422
a. Interpersonal therapy
b. Antianxiety medications
c. Antidepressant medications
d. Education about nutrition and health
Answer: a.
Difficulty: 2
Question ID: 10.1.82
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Factual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.83. How do long-term outcomes for the treatment of anorexia nervosa compare to long-term
outcomes for the treatment of bulimia nervosa?
Answer: a.
Difficulty: 2
Question ID: 10.1.83
Page Reference: 280
Topic: Treatment of Bulimia
Skill: Factual
LO 10.6 What treatments work for anorexia and bulimia?
10.1.84. A third generation of more successful prevention efforts for eating disorders does not directly
focus on body image or disordered eating. These efforts attack the thinness ideal indirectly, or focus on
Answer: b.
Difficulty: 2
Question ID: 8.1.84
Page Reference: 281
Topic: Prevention of Eating Disorders
Skill: Conceptual
LO 10.7 Can eating disorders be prevented?
10.1.85. A __________ study is a research study in which neither the patient nor the therapist knows if
the patient is receiving the treatment in question or the placebo.
a. double blind
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
423
b. double control
c. dependent control
d. post hoc
Answer: a.
Difficulty: 1
Question ID: 10.1.85
Page Reference: 280
Topic: Prevention of Eating Disorders
Skill: Factual
LO 10.7 Can eating disorders be prevented?
Short Answer
10.2.86. An eating disorder is a severe disturbance in eating behavior that results from an obsessive fear
of gaining weight. Some experts have suggested that __________ disorder would be a more accurate term
to describe this disturbance.
Answer: dieting
Difficulty: 2
Question ID: 10.2.86
Page Reference: 263
Topic: Overview
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
Answer: dieting
10.2.87. ____________ eating is defined as eating an amount of food that is clearly larger than most
people would eat under similar circumstances in a fixed period of time, for example, less than 2 hours.
Answer: Binge
Difficulty: 2
Question ID: 10.2.87
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.2.88. ____________ involves behaviors designed to eliminate consumed food from the body.
Answer: Purging
Difficulty: 1
Question ID: 10.2.88
Page Reference: 268
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.2.89. ____________ is often comorbid with bulimia, especially in bulimic patients who self induce
vomiting.
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
424
Answer: Depression
Difficulty: 1
Question ID: 10.2.89
Page Reference: 269
Topic: Symptoms of Bulimia
Skill: Factual
LO 10.1 How can you tell if someone has an eating disorder?
10.2.90. ____________ includes two subtypes; the restricting type and the binge eating/purging type.
10.2.91. A __________ is a group that shares some feature in common, for example, year of birth.
Answer: cohort
Difficulty: 1
Question ID: 10.2.91
Page Reference: 271
Topic: Frequency of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.2.92. Psychological studies repeatedly show that exposure to images of super-thin women increases
body image __________ among girls and young women.
Answer: dissatisfaction
Difficulty: 1
Question ID: 10.2.92
Page Reference: 273
Topic: Frequency of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.2.93. Some experts argue that pressures to be strong and muscular have created a new eating disorder
among males sometimes called “reverse anorexia,” which is characterized by excessive emphasis on
extreme muscularity and often accompanied by the abuse of anabolic steroids. This disorder is referred to
by some as the __________ complex.
Answer: Adonis
Difficulty: 2
Question ID: 10.2.93
Page Reference: 264
Topic: Overview
Skill: Factual
LO 10.3 Do men suffer from eating disorders?
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
425
10.2.94. Recognition of internal cues, including hunger and various emotional states, is called
__________ awareness.
Answer: interoceptive
Difficulty: 2
Question ID: 10.2.94
Page Reference: 275
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.2.95. A __________ body image is a highly critical evaluation of one’s weight and shape that is
thought, by clinicians, to contribute to the development of eating disorders.
Answer: negative
Difficulty: 1
Question ID: 10.2.95
Page Reference: 276
Topic: Causes of Anorexia and Bulimia
Skill: Factual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.2.96. Predictors of a better prognosis for eating disorders include an early age of onset, conflict-free
parent–child relationships, early treatment, less weight loss, and the absence of binge eating and
__________ .
Answer: purging
Difficulty: 1
Question ID: 10.2.96
Page Reference: 278
Topic: Treatment of Anorexia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
10.2.97. In the long run, viewed in a timeframe longer than 12 months, the most effective form of
psychotherapy for the treatment of bulimia nervosa seems to be __________ .
Answer: interpersonal
Difficulty: 2
Question ID: 10.2.97
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
10.2.98. Third generation eating disorder prevention programs that have had the most success in reducing
binge eating are ones that focus on __________ weight or eating programs.
Answer: healthy
Difficulty: 2
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426
Question ID: 10.2.98
Page Reference: 281
Topic: Prevention of Eating Disorders
Skill: Factual
LO 10.7 Can eating disorders be prevented?
Essay
Answer: The most obvious and most dangerous symptom is significantly low weight. While
DSM-5 has no formal cutoff, the average victim is 25 to 30 percent below normal body weight.
The second defining characteristic is an intense fear of gaining weight. This fear is not assuaged
by weight loss. In fact, the fear may grow more intense as the individual loses more weight. The
final defining symptom is a disturbance in how weight or shape is experienced. Many individuals
with eating disorders tend to deny that they have any problem at all with weight. Other
symptoms, including amenorrhea, medical complications, and comorbid psychological disorders
may be present in an individual suffering from anorexia as well.
Difficulty: 3
Question ID: 10.3.99
Page Reference: 265-266
Topic: Symptoms of Anorexia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
10.3.100. Explain why bulimia nervosa and anorexia nervosa are both considered to be characterized by a
struggle for control.
Answer: People with bulimia feel out of control and ashamed of their lack of control, and their
disorder is an attempt to regain a sense of control. People with anorexia pride themselves in self-
control, and their disorder is typified by excessive self-control.
Difficulty: 3
Question ID: 10.3.100
Page Reference: 266, 268
Topic: Symptoms of Bulimia
Skill: Conceptual
LO 10.1 How can you tell if someone has an eating disorder?
Answer: Binge-eating disorder, a new diagnosis that has been added to DSM-5, is defined by
episodes of binge eating without compensatory behavior. Binge eating is associated with a
number of psychological and physical difficulties, including obesity. Obesity, which is typically
defined as having a BMI greater than 30, was also considered for inclusion into DSM-5.
Ultimately, obesity was not included. Calling obesity a "mental disorder" is controversial,
especially given the high prevalence of overweight individuals in the United States.
Difficulty: 2
Question ID: 10.3.101
Page Reference: 269-270
Topic: Diagnosis of Feeding and Eating Disorders
Skill: Conceptual
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
427
LO 10.4 What is binge-eating disorder?
10.3.102. What patterns in the epidemiology of eating disorders suggest sociocultural influences on their
development?
Answer: The prevalence of eating disorders is higher in industrialized societies such as North
America, Europe, and industrialized Asian countries. In the United States, the prevalence is
higher in whites than blacks, those in higher socioeconomic groups, and women in jobs where
slimness is valued. Eating disorders are also more frequent among groups who move into new
areas where eating disorders exist, such as among Arabs and Asians who move to Western
countries. Finally, in the United States, there are an increasing number of eating disorder cases
among well-to-do African Americans.
Difficulty: 2
Question ID: 10.3.102
Page Reference: 272-274
Topic: Frequency of Anorexia and Bulimia
Skill: Conceptual
LO 10.2 How do images of women in the media contribute to eating disorders?
10.3.103. Summarize the research on the biological factors involved in eating and weight regulation.
Answer: Physiologically, weight is maintained around weight set points, which are fixed or small
ranges in weight. Weight regulation around set points results from the interplay between
behavior, peripheral physiological activity, and central physiological activity. The process works
like a thermostat to regulate the heating and cooling of air temperature near a given setting. If
weight declines, hunger increases and food consumption goes up. There is a slowing of the
metabolic rate and movement toward hyperlipogenesis. These reactions have obvious survival
value and are likely products of evolution. The body does not distinguish between intentional
attempts to lose weight and potential starvation.
Difficulty: 2
Question ID: 10.3.103
Page Reference: 277
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.3.104. Summarize what is currently know about the role of genetics and neurophysiology in eating
disorders.
Answer: Concordance rates for bulimia are higher for monozygotic twins than for dizygotic
twins. However, the difference can be explained by several different heritable mechanisms.
Eating disorders are unlikely to be directly inherited. Genetics may influence personality
characteristic that lead to bulimia, or a certain body type or weight set point may be inherited.
Genes clearly affect weight and body type, but we cannot mindlessly conclude that eating
disorders are genetic without carefully considering genetic mechanisms and gene-environment
interactions. In rare instances, a hormonal disturbance or a lesion in the hypothalamus has been
linked to eating disorders.
Difficulty: 2
Question ID: 10.3.104
Page Reference: 277
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
428
Topic: Causes of Anorexia and Bulimia
Skill: Conceptual
LO 10.5 Why do some girls and women develop eating disorders when others do not?
10.3.105. As a clinical psychologist who specializes in the treatment of bulimia nervosa, you have been
asked to design a program based on the successful work of Fairburn, who utilized a variety of cognitive-
behavioral techniques. Discuss the program you will design.
10.3.106. Describe the research on the effectiveness of different forms of therapy for treating bulimia
nervosa.
Answer: Although interpersonal therapy does not directly address eating disorders, it has emerged
as a very successful form of treatment. This therapy focuses on difficulties in close relationships.
Interpersonal therapy was studied in an investigation of the effectiveness of cognitive behavior
therapy. The researchers used interpersonal therapy as a placebo control group in their study.
They were interested in studying the effectiveness of cognitive behavior therapy and needed a
credible placebo. At the end of the study, cognitive therapy was more effective than interpersonal
therapy. However, at the 12-month follow-up, the interpersonal therapy group continued to
improve. They equaled those of the cognitive behavior therapy group and outdistanced those in
the behavior therapy alone group.
Difficulty: 2
Question ID: 10.3.106
Page Reference: 279
Topic: Treatment of Bulimia
Skill: Conceptual
LO 10.6 What treatments work for anorexia and bulimia?
Copyright © 2015, 2012, 2010 Pearson Education, Inc. All rights reserved.
429
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avaient pour roi Wisimar[72], de la race des
Asdingues, la plus noble et la plus belliqueuse de Euseb. vit.
leur nation. Les Goths vinrent les attaquer sur les Const. l. 4, c. 6.
bords du fleuve Marisch [Marisia][73] et les succès
furent balancés pendant assez long-temps. Enfin Anony. Vales.
Wisimar ayant été tué dans une bataille avec la
plus grande partie de ses soldats, la victoire Hieron. Chron.
demeura à Gébéric. Les vaincus réduits à un trop
petit nombre, pour résister à de si puissants
ennemis, prirent le parti de donner des armes aux [Idat. chron.]
Limigantes; c'est ainsi qu'ils appelaient leurs
esclaves; les maîtres se nommaient Arcaragantes. Ces nouveaux
soldats vainquirent les Goths; mais ils n'eurent pas plutôt senti leur
force, qu'ils la tournèrent contre leurs maîtres et les chassèrent du
pays. Les Sarmates, au nombre de plus de trois cent mille de tout
âge et de tout sexe, passèrent le Danube et vinrent se jeter entre les
bras de Constantin, qui s'avança jusqu'en Mésie pour les recevoir. Il
incorpora dans ses troupes ceux qui étaient propres à la guerre;
mélange mal entendu, qui contribua à corrompre la discipline des
légions et à les abâtardir. Il donna aux autres des terres en Thrace,
dans la petite Scythie, en Macédoine, en Pannonie, même en Italie;
et ces Barbares eurent à se féliciter d'un malheur, qui les avait fait
passer d'un état libre, mais turbulent et périlleux, à un doux
assujettissement où ils trouvaient le repos et la sûreté[74]. Un autre
corps de Sarmates se retira chez les Victohales, qui sont peut-être
les mêmes que les Quades Ultramontains, dans la partie occidentale
de la haute Hongrie. Ceux-ci furent vingt-quatre ans après rétablis
dans leur pays par les Romains qui en chassèrent les Limigantes.
[72] C'est des Vandales que Wisimar était roi, selon Jornandès, qui est à
proprement parler le seul qui nous ait conservé le souvenir de cette guerre. Il se
fonde sur le témoignage de Dexippe, auteur du troisième siècle, qui avait écrit une
Histoire des Goths dont il ne nous reste plus rien. Il ajoute qu'en moins d'un an, les
Vandales étaient venus des bords de l'Océan, s'établir sur les frontières de
l'empire, malgré le grand éloignement; qui ab Oceano ad nostrum limitem vix in
anni spatio pervenisse testatur prœ nimiâ terrarum immensitate. C'est sans doute
des bords de la Baltique que les Vandales vinrent à cette époque.—S.-M.
[73] Selon Jornandès, les Vandales occupaient alors le pays possédé de son
temps par les Gépides, et arrosé par les fleuves Marisia, Miliare, Gilfil et Grissia
plus fort que les trois autres. Ils avaient à l'orient les Goths, à l'occident les
Marcomans, au nord les Hermundures et au sud le Danube. Ils occupaient donc le
Bannat de Temeswar et une partie de la Hongrie.—S.-M.
[74] Jornandès ne parle que des Vandales seuls. Réduits à un petit nombre, ils
quittèrent le pays qu'ils occupaient et obtinrent de Constantin de nouvelles
habitations dans la Pannonie. C'est de ces Vandales que descendaient ceux qui, à
l'instigation de Stilichon, se répandirent plus tard sur la Gaule et sur d'autres
parties de l'empire.—S.-M.