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Protocol - Eating Disorders Examination- Questionnaire

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Description

The Eating Disorders Examination Questionnaire © (EDE-Q) is a self-report questionnaire based on the Eating Disorders Examination Interview. The questionnaire based on the Eating Disorders Examination Interview. The questionnaire includes twenty-eight questions related to the respondent behaviors over the past 4 weeks (28 days) which may be indicative of an eating disorder and with height and weight.

Specific Instructions

The Eating Disorders Examination Questionnaire © (EDE-Q) is under copyright. It is freely available for non-commercial research use only. For commercial use contact credo@medsci.ox.ac.uk (website: www.credo-oxford.com/6.2.html)

Question 19: Question 19 asks participants to report on the number of days they have eaten in secret. Even if they had multiple episodes of secretive eating in one day, it should be recorded as 1 day.

Although this measure was developed for individuals 18 and older, the Working Group (WG) believes it is appropriate for use in individuals aged 16 and 17 as well.

The WG would also like to note that The Eating Pathology Symptoms Inventory (EPSI) (see Supplmental Information for Mental Health Research Collections) can be used to screen large populations for the presence of eating disorders.

Availability

Available

Protocol

Eating Disorder Examination Questionnaire © (EDE-Q 6.0) Instructions: The following questions are concerned with the past four weeks (28 days) only. Please read each question carefully. Please answer all the questions. Thank you.

Questions 1 to 12: Please circle the appropriate number on the right. Remember that the questions only refer to the past four weeks (28 days) only.

On how many of the past 28 days…

No days

1—5 days

6—12 days

13—15 days

16—22 days

23—27 days

Every day

1. Have you been deliberately trying to limit the amount of food you eat to influence your shape or weight (whether or not you have succeeded)?

0

1

2

3

4

5

6

2. Have you gone for long periods of time (8 waking hours or more) without eating anything at all in order to influence your shape or weight?

0

1

2

3

4

5

6

3. Have you tried to exclude from your diet any foods that you like in order to influence your shape or weight (whether or not you have succeeded)?

0

1

2

3

4

5

6

4. Have you tried to follow definite rules regarding your eating (for example, a calorie limit) in order to influence your shape or weight (whether or not you have succeeded)?

0

1

2

3

4

5

6

5. Have you had a definite desire to have any empty stomach with the aim of influencing your shape or weight?

0

1

2

3

4

5

6

6. Have you had a definite desire to have a totally flat stomach?

0

1

2

3

4

5

6

7. Has thinking about food, eating, or calories made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)?

0

1

2

3

4

5

6

8. Has thinking about shape or weight made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)?

0

1

2

3

4

5

6

9. Have you had a definite fear of losing control over eating?

0

1

2

3

4

5

6

10. Have you had a definite fear that you might gain weight?

0

1

2

3

4

5

6

11. Have you felt fat?

0

1

2

3

4

5

6

12. Have you had a strong desire to lose weight?

0

1

2

3

4

5

6

Questions 13—18: Please fill in the appropriate number in the boxes on the right. Remember that the questions only refer to the past four weeks (28 days).

Over the past four weeks (28 days)….

13. Over the past 28 days, how many times have you eaten what other people would regard as an unusually large amount of food (given the circumstances)?

____________

14. On how many of these times did you have a sense of having lost control over your eating (at the time that you were eating)?

____________

15. Over the past 28 days, how many DAYS have such episodes of overeating occurred (i.e., you have eaten an unusually large amount of food and have had a sense of loss of control at the time)?

____________

16. Over the past 28 days, how many times have you made yourself sick (vomit) as a means of controlling your shape or weight?

____________

17. Over the past 28 days, how many times have you taken laxatives as a means of controlling your shape or weight?

____________

18. Over the past 28 days, how many times have you exercised in a "driven" or "compulsive" way as a means of controlling your weight, shape, or amount of fat, or to burn off calories?

Questions 19 to 21: please circle the appropriate number. Please note that the questions the term "binge eating" means eating what others would regard as an unusually large amount of food for the circumstances, accompanied by a sense of having lost control over eating.

19. Over the past 28 days, on how many days have you eaten in secret (i.e., furtively)?

……Do not count episodes of binge eating

No days

1—5 days

6—12 days

13—15 days

16—22 days

23—27 days

Every day

0

1

2

3

4

5

6

20. On what proportion of the times that you have eaten have you felt guilty (felt that you’ve done wrong) because of its effect on your shape or weight?

……Do not count episodes of binge eating

None of the times

A few of the times

Less than half

Half of the times

More than half

Most of the time

Every day

0

1

2

3

4

5

6

21. Over the past 28 days, how concerned have you been about other people seeing you eat?

……Do not count episodes of binge eating

Not at All

Slightly

Moderately

Markedly

0

1

2

3

4

5

6

Questions 22 to 28: Please circle the appropriate number on the right. Remember that the questions only refer to the past four weeks (28 days).

Over the past 28 days…………

Not at all

Slightly

Moderately

Markedly

22. Has your weight influenced how you think about (judge) yourself as a person?

0

1

2

3

4

5

6

23. Has your shape influenced how you think about (judge) yourself as a person?

0

1

2

3

4

5

6

24. How much would it have upset you if you had been asked to weigh yourself once a week (no more, or less, often) for the next four weeks?

0

1

2

3

4

5

6

25. How dissatisfied have you been with your weight?

0

1

2

3

4

5

6

26. How dissatisfied have you been with your shape?

0

1

2

3

4

5

6

27. How uncomfortable have you felt seeing your body (for example, seeing your shape in the mirror, in a shop window reflection, while undressing or taking a bath or shower)?

0

1

2

3

4

5

6

28. How uncomfortable have you felt about others seeing your shape or figure (for example, in communal changing rooms, when swimming, or wearing tight clothes?

0

1

2

3

4

5

6

What is your weight at present? (please give your best estimate) ________________

What is your height? (Please give your best estimate) _____________

If female: Over the past three-to-four months have you missed any menstrual periods? _____

If so, how many? ______________

Have you been taking the "pill"? ________

THANK YOU

Scoring: The EDE, and its self-reported versions, EDE-Q, generate two types of data. First they provide frequency data on key behavioral features of eating disorders in terms of number of episodes of the behavior and in some instances number of days on which the behavior has occurred. Second, they provide subscale scores reflecting the severity of aspects of the psychopathology of eating disorders. The subscales are Restraint, Eating Concern, Shape Concern and Weight Concern. To obtain a particular subscale score, the ratings for the relevant items (listed below) are added together and the sum divided by the total number of items forming the subscales. If ratings are only available on some items, a score may nevertheless be obtained by dividing the resulting total by the number of rated items so long as more than half the items have been rated. To obtain an overall or "global" score, the four subscales scores are summed and the resulting total divided by the number of subscales (i.e. four). Subscales score are reported as means and standard deviations.

Subscale Items

Restraint

1 Restraint over eating

2 Avoidance of eating

3 Food avoidance

4 Dietary Rules

5 Empty stomach

Eating Concern

7 Preoccupation with food, eating or calories

9 Fear of losing control over eating

19 Eating in secret

21 Social eating

20 Guilt about eating

Shape Concern

6 Flat stomach

8 Preoccupation with shape or weight

23 Importance of shape

10 Fear of weight gain

26 Dissatisfaction with shape

27 Discomfort seeing body

28 Avoidance of exposure

11 Feelings of fatness

Weight Concern

22 Importance of weight

24 Reaction to prescribed weighing

8 Preoccupation with shape or weight

25 Dissatisfaction with weight

12 Desire to lose weight

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

adults 18 years and older

Selection Rationale

The Eating Disorders Examination © (EDE)is widely viewed as the gold standard measure of eating disorder psychopathology and the questionnaire format is most often used when it is impracticable or undesirable to employ the interview due to time or resource limitations or compliance is an issue. The exam is widely published and validated.

Language

English

Standards
StandardNameIDSource
Human Phenotype Ontology Abnormal eating behavior HP:0100738 HPO
caDSR Form PhenX PX230104 - Eating Disorders Examination Questionnaire 6204518 caDSR Form
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

Eating Disorders Examination Questionnaire © (EDE-Q)

Source

Appendix in Fairburn C.G. Cognitive Behavior Therapy and Eating Disorders Guilford Press, New York, 2008.

General References

Carter JC, Stewart DA & Fairburn CG. Eating Disorders Examination Questionnaire: Norms for adolescent girls/. Behaviour Research and Therapy 2001;39; 625-632.

Fairburn CG & Beglin SJ. Assessment of eating disorder psychopathology: interview or self-report questionnaire? International Journal of Eating Disorders 1994; 16: 363-370

Fairburn CG, Beglin SJ. Eating Disorder Examination Questionnaire (6.0). In Fairburn CG. Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press, 2008.

Mond JM, Hay PH, Rodgers B & Owen C. Eating Disorder Examination Questionnaire (EDE-Q): Norms for young adult women. Behaviour Research and Therapy 2006; 44:53-62

Peterson CB & Mitchell JE. Self-report measures. In JE Mitchell & CB Peterson (eds.), Assessment of eating disorders (pp. 120-128). New York: Guilford Press,2005

Protocol ID

230104

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX230104_PsychopathologyQuestionnaire_Control_WeightShape_Exercise
PX230104180000 Over the past four weeks (28 days), how many more
times have you exercised in a "driven" or "compulsive" way as a means of controlling your weight, shape, or amount of fat, or to burn off calories? show less
N/A
PX230104_PsychopathologyQuestionnaire_Control_WeightShape_Laxatives
PX230104170000 Over the past four weeks (28 days), how many more
times have you taken laxatives as a means of controlling your shape or weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_Control_WeightShape_Vomit
PX230104160000 Over the past four weeks (28 days), how many more
times have you made yourself sick (vomit) as a means of controlling your shape or weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_Desire_Flat_Stomach
PX230104060000 On how many of the past 28 days, have you more
had a definite desire to have a totally flat stomach? show less
N/A
PX230104_PsychopathologyQuestionnaire_Desire_Lose_Weight
PX230104120000 On how many of the past 28 days, have you more
had a strong desire to lose weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_DietaryRestrictions_Influence_WeightShape
PX230104030000 On how many of the past 28 days, have you more
tried to exclude from your diet any foods that you like in order to influence your shape or weight (whether or not you have succeeded)? show less
N/A
PX230104_PsychopathologyQuestionnaire_DietaryRules_Influence_WeightShape
PX230104040000 On how many of the past 28 days, have you more
tried to follow definite rules regarding your eating (for example, a calorie limit) in order to influence your shape or weight (whether or not you have succeeded)? show less
N/A
PX230104_PsychopathologyQuestionnaire_Dissatisfaction_Shape
PX230104260000 Over the past 28 days, how dissatisfied have more
you been with your shape? show less
N/A
PX230104_PsychopathologyQuestionnaire_Dissatisfaction_Weight
PX230104250000 Over the past 28 days, how dissatisfied have more
you been with your weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_Eat_Guilty
PX230104200000 On what proportion of the times that you more
have eaten have you felt guilty (felt that you've done wrong) because of its effect on your shape or weight? Do not count episodes of binge eating show less
N/A
PX230104_PsychopathologyQuestionnaire_Eat_Secretly
PX230104190000 Over the past 28 days, on how many days have more
you eaten in secret (i.e., furtively)? Do not count episodes of binge eating show less
N/A
PX230104_PsychopathologyQuestionnaire_EmptyStomach_Influence_WeightShape
PX230104050000 On how many of the past 28 days, have you more
had a definite desire to have any empty stomach with the aim of influencing your shape or weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_Fear_GainWeight
PX230104100000 On how many of the past 28 days, have you more
had a definite fear that you might gain weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_Fear_LosingControl_Eating
PX230104090000 On how many of the past 28 days, have you more
had a definite fear of losing control over eating? show less
N/A
PX230104_PsychopathologyQuestionnaire_Felt_Fat
PX230104110000 On how many of the past 28 days, have you more
felt fat? show less
N/A
PX230104_PsychopathologyQuestionnaire_Female
PX230104320000 If female: Over the past three-to-four more
months have you missed any menstrual periods? show less
N/A
PX230104_PsychopathologyQuestionnaire_Gender
PX230104310000 What is your sex? N/A
PX230104_PsychopathologyQuestionnaire_JudgeYourself_Influence_Shape
PX230104230000 Over the past 28 days, has your shape more
influenced how you think about (judge) yourself as a person? show less
N/A
PX230104_PsychopathologyQuestionnaire_JudgeYourself_Influence_Weight
PX230104220000 Over the past 28 days, has your weight more
influenced how you think about (judge) yourself as a person? show less
N/A
PX230104_PsychopathologyQuestionnaire_Limit_FoodInstake_Influence_WeightShape
PX230104010000 On how many of the past 28 days, have you more
been deliberately trying to limit the amount of food you eat to influence your shape or weight (whether or not you have succeeded)? show less
N/A
PX230104_PsychopathologyQuestionnaire_LongPeriods_Fasting_Influence_WeightShape
PX230104020000 On how many of the past 28 days, have you more
gone for long periods of time (8 waking hours or more) without eating anything at all in order to influence your shape or weight? show less
N/A
PX230104_PsychopathologyQuestionnaire_LossOfControl_Eating
PX230104140000 Over the past four weeks (28 days), on how more
many of these times did you have a sense of having lost control over your eating (at the time that you were eating)? show less
N/A
PX230104_PsychopathologyQuestionnaire_LossOfControl_Episodes
PX230104150000 Over the past four weeks (28 days), how many more
DAYS have such episodes of overeating occurred (i.e., you have eaten an unusually large amount of food and have had a sense of loss of control at the time)? show less
N/A
PX230104_PsychopathologyQuestionnaire_Missed_Menstrual_Periods
PX230104330000 If so, how many? N/A
PX230104_PsychopathologyQuestionnaire_Others_Seeing_You_Eat
PX230104210000 Over the past 28 days, how concerned have more
you been about other people seeing you eat? Do not count episodes of binge eating show less
N/A
PX230104_PsychopathologyQuestionnaire_Pill
PX230104340000 Have you been taking the pill? N/A
PX230104_PsychopathologyQuestionnaire_Present_Height
PX230104300000 What is your height? (Please give your best more
estimate) show less
N/A
PX230104_PsychopathologyQuestionnaire_Present_Weight
PX230104290000 What is your weight at present? (please give more
your best estimate) show less
N/A
PX230104_PsychopathologyQuestionnaire_ThinkingFoodEating_Distraction
PX230104070000 On how many of the past 28 days, has more
thinking about food, eating, or calories made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)? show less
N/A
PX230104_PsychopathologyQuestionnaire_ThinkingWeightShape_Distraction
PX230104080000 On how many of the past 28 days, has more
thinking about shape or weight made it very difficult to concentrate on things you are interested in (for example, working, following a conversation, or reading)? show less
N/A
PX230104_PsychopathologyQuestionnaire_Uncomfortable_Others_Seeing_Body
PX230104280000 Over the past 28 days, how uncomfortable more
have you felt about others seeing your shape or figure (for example, in communal changing rooms, when swimming, or wearing tight clothes? show less
N/A
PX230104_PsychopathologyQuestionnaire_Uncomfortable_Seeing_Body
PX230104270000 Over the past 28 days, how uncomfortable more
have you felt seeing your body (for example, seeing your shape in the mirror, in a shop window reflection, while undressing or taking a bath or shower)? show less
N/A
PX230104_PsychopathologyQuestionnaire_UnusualAmount
PX230104130000 Over the past four weeks (28 days), how many more
times have you eaten what other people would regard as an unusually large amount of food (given the circumstances)? show less
N/A
PX230104_PsychopathologyQuestionnaire_Upset_Weigh_Yourself
PX230104240000 Over the past 28 days, how much would it more
have upset you if you had been asked to weigh yourself once a week (no more, or less, often) for the next four weeks? show less
N/A
Obesity
Measure Name

Psychopathology of Eating Disorders

Release Date

August 7, 2015

Definition

A questionnaire to assess eating disorders pathology and behavior.

Purpose

This measure can be used to assess the symptoms and risk factors associated with eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder. It can also be used in longitudinal studies to assess efficacy of treatment interventions.

Keywords

Eating disorders, abnormal eating, eating habits, eating behaviors, body dissatisfaction, binge eating, cognitive restraint, purging, restricting, excessive exercise, negative attitudes toward obesity, muscle building, anorexia nervosa, bulimia nervosa, binge-eating disorder, other specified feeding or eating disorder, OSFED, unspecified feeding and eating disorder, USFED, Bariatric surgery, gastric bypass, EDE, EDE-BSV, personal history, disordered eating, weight gain, weight loss

Measure Protocols
Protocol ID Protocol Name
230101 Eating Disorders Examination - Child Interview
230102 Eating Disorders Examination - Adult Interview
230103 Eating Disorders Examination - Bariatric Surgery Interview
230104 Eating Disorders Examination- Questionnaire
Publications

Eck, K. M. and C. Byrd-Bredbenner (2021) Disordered eating concerns, behaviors, and severity in young adults clustered by anxiety and depression. Brain & Behavior. 2021 December; 11(12): e2367. doi: 10.1002/brb3.2367