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Protocol - Eating Disorder Screener for DSM-5

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Description:

This protocol is a revised version of the Eating Disorder Diagnostic Scale (EDDS) that is updated for diagnostic changes in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). The EDDS-5 is a 23-item self-report scale that simultaneously assesses anorexia nervosa, bulimia nervosa, and binge eating disorder by asking the respondent about body image, eating habits, and compensatory behaviors over the last 3-6 months. The EDDS-5 does not include pica (persistent eating of substances with no nutrition, such as dirt or paint), rumination disorder, or avoidant/restrictive food intake disorder (ARFID).

Protocol:

Eating Disorder Diagnostic Scale (EDDS) - DSM-5 VERSION

Please carefully complete all questions, choosing NO or 0 for questions that do not apply.

Over the past 3 months

Not at all

Slightly

Moderately

Extremely

1. Have you felt fat?

0

1

2

3

4

5

6

2. Have you had a definite fear that you might gain weight or become fat?

0

1

2

3

4

5

6

3. Has your weight or shape influenced how you judge yourself as a person?

0

1

2

3

4

5

6

4. During the past 3 months have there been times when you have eaten what other people would regard as an unusually large amount of food (e.g., a pint of ice cream) given the circumstances?

[ ] YES

[ ] NO

5. During the times when you ate an unusually large amount of food, did you experience a loss of control (e.g., felt you couldn’t stop eating or control what or how much you were eating?)

[ ] YES

[ ] NO

6. How many times per month on average over the past 3 months have you eaten an unusually large amount of food and experienced a loss of control?

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

During episodes of overeating with a loss of control, did you…

7. Eat much more rapidly than normal?

[ ] YES

[ ] NO

8. Eat until you felt uncomfortably full?

[ ] YES

[ ] NO

9. Eat large amounts of food when you didn’t feel physically hungry?

[ ] YES

[ ] NO

10. Eat alone because you were embarrassed by how much you were eating?

[ ] YES

[ ] NO

11. Feel disgusted with yourself, depressed, or very guilty after overeating?

[ ] YES

[ ] NO

12. If you have episodes of uncontrollable overeating, does it make you very upset?

[ ] YES

[ ] NO

________________________________________________________________________

In order to prevent weight gain or counteract the effects of eating, how many times per month on average over the past 3 months have you:

13. Made yourself vomit?

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

14. Used laxatives or diuretics?

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

15. Fasted (skipped at least 2 meals in a row)?

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

16. Engaged in more intense exercise specifically to counteract the effects of overeating

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

_______________________________________________________________________

17. How many times per month on average over the past 3 months have you eaten after awakening from sleep or eaten an unusually large amount of food after your evening meal and felt distressed by the night eating?

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16+

18. How much do eating or body image problems impact your relationships with friends and family, work performance, and school performance?

Not at all

Slightly

Moderately

Extremely

1

2

3

4

5

6

19. How much do you weigh? If uncertain, please give your best estimate.

_____ lbs. -or- ___ kg.

20. How tall are you? _____ ft. _____ in. -or- _______ cm.

21. What is your highest weight at your current height? _______ lbs. -or- kg

22. What is your sex?

[ ] MALE

[ ] FEMALE

23. What is your age? _____

Protocol Name from Source:

The Eating Disorder Diagnostic Scale for the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (EDDS-5)

Availability:

Publicly available

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

Life Stage:

Adolescent, Adult

Participants:

Adolescents and adults, ages 13-65 years old

Specific Instructions:

None

Selection Rationale

The Eating Disorder Diagnostic Scale (EDDS-5) for the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) is based on the Eating Disorder Diagnostic Scale (EDDS-IV) for the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV), which is a validated, brief, self-report instrument that is low burden for investigators and respondents.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Eating Disorder Assessment Score 3075447 CDE Browser
Derived Variables

None

Process and Review

Expert Review Panel 4 (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

  • No changes

Source

The Eating Disorder Diagnostic Scale (EDDS-5) for the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5), is available for download from [slink[ori.org">http://www.ori.org/sticemeasures/

General References

Froreich, F. V., Vartanian, L. R., Grisham, J. R., & Touyz, S. W. (2016). Dimensions of control and their relation to disordered eating behaviours and obsessive-compulsive symptoms. Journal of Eating Disorders, 4, 14.

Perez, M., Van Diest, A. K., & Cutts, S. (2014). Preliminary examination of a mentor-based program for eating disorders. Journal of Eating Disorders, 2(1), 24.

Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(2), 123-131.

Protocol ID:

120602

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX120602_EDDS5_Age PX120602230000 What is your age? 4 N/A
PX120602_EDDS5_Eating_Impact_On_Relationships PX120602180000 How much do eating or body image problems impact your relationships with friends and family, work performance, and school performance? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_EatAlone PX120602100000 During episodes of overeating with a loss of control, did you eat alone because you were embarrassed by how much you were eating? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_EatRapidly PX120602070000 During episodes of overeating with a loss of control, did you eat much more rapidly than normal? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_FeelDisgustedDepressed PX120602110000 During episodes of overeating with a loss of control, did you feel disgusted with yourself, depressed, or very guilty after overeating? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_FeelUpset PX120602120000 If you have episodes of uncontrollable overeating, does it make you very upset? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_NotHungry PX120602090000 During episodes of overeating with a loss of control, did you eat large amounts of food when you didn't feel physically hungry? 4 N/A
PX120602_EDDS5_Episodes_LossOfControl_UncomfortablyFull PX120602080000 During episodes of overeating with a loss of control, did you eat until you felt uncomfortably full? 4 N/A
PX120602_EDDS5_Heaviest_AtHeight PX120602210000 What is your highest weight at your current height? 4 N/A
PX120602_EDDS5_Height PX120602200000 How tall are you? 4 N/A
PX120602_EDDS5_Sex PX120602220000 What is your sex? 4 N/A
PX120602_EDDS5_ThreeMonths_Fear_GainWeight PX120602020000 Over the past 3 months, have you had a definite fear that you might gain weight or become fat? 4 N/A
PX120602_EDDS5_ThreeMonths_Felt_Fat PX120602010000 Over the past 3 months, have you felt fat? 4 N/A
PX120602_EDDS5_ThreeMonths_Frequency_Exercise PX120602160000 How many times per month on average over the past 3 months have you engaged in more intense exercise specifically to counteract the effects of overeating? 4 N/A
PX120602_EDDS5_ThreeMonths_Frequency_Fasting PX120602150000 How many times per month on average over the past 3 months have you fasted (skipped at least 2 meals in a row)? 4 N/A
PX120602_EDDS5_ThreeMonths_Frequency_LateNight PX120602170000 How many times per month on average over the past 3 months have you eaten after awakening from sleep or eaten an unusually large amount of food after your evening meal and felt distressed by the night eating? 4 N/A
PX120602_EDDS5_ThreeMonths_Frequency_Laxatives PX120602140000 How many times per month on average over the past 3 months have you used laxatives or diuretics? 4 N/A
PX120602_EDDS5_ThreeMonths_Frequency_Vomit PX120602130000 How many times per month on average over the past 3 months have you made yourself vomit? 4 N/A
PX120602_EDDS5_ThreeMonths_UnusualAmount PX120602040000 During the past 3 months have there been times when you have eaten what other people would regard as an unusually large amount of food (e.g., a pint of ice cream) given the circumstances? 4 N/A
PX120602_EDDS5_ThreeMonths_UnusualAmount_Frequency PX120602060000 How many times per month on average over the past 3 months have you eaten an unusually large amount of food and experienced a loss of control? 4 N/A
PX120602_EDDS5_ThreeMonths_UnusualAmount_LossOfControl PX120602050000 During the times when you ate an unusually large amount of food, did you experience a loss of control (e.g., felt you couldn't stop eating or control what or how much you were eating? 4 N/A
PX120602_EDDS5_ThreeMonths_WeightShape_Influence PX120602030000 Over the past 3 months, has your weight or shape influenced how you judge yourself as a person? 4 N/A
PX120602_EDDS5_Weight PX120602190000 How much do you weigh? If uncertain, please give your best estimate. 4 N/A
Research Domain Information
Measure Name:

Eating Disorders Screener

Release Date:

August 7, 2015

Definition

A questionnaire to assess eating disorders, including anorexia nervosa, which is a refusal to maintain normal weight, and bulimia nervosa, which is characterized by episodes of binge eating followed by vomiting, use of laxatives, or fasting (APA, 2000).

Purpose

This measure is used to screen an individual for the presence of an eating disorder. Eating disorders are more prevalent among women in industrialized nations and range from 0.5% for anorexia nervosa to 3.0% for bulimia nervosa. Eating disorders are accompanied by unhealthy attitudes about body shape and weight and co-occur with a number of other disorders, including depression, obsessive-compulsive disorders, anxiety disorders, and personality disorders. Nutritional deficiencies associated with eating disorders can lead to renal failure, cardiovascular disease, and menstrual problems (APA, 2000).

Keywords

Psychiatric, bulimia nervosa, anorexia nervosa, binge eating, fasting, laxatives, diuretics, body mass index, BMI, body image