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Protocol - Eating Disorders Examination - Child Interview

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Description:

The Eating Disorder Examination (EDE) interview for children is a clinical interview assessment of eating disorder psychopathology (including anorexia nervosa, bulimia nervosa, and binge-eating disorder) based on the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The interview includes items related to the respondent behaviors that are potentially indicative of an eating disorder over the past 4 weeks (28 days).

Protocol:

THE EATING DISORDERS EXAMINATION

Proposed version for use with subjects aged 8-13

Revised August 15, 2014

INTERVIEW SCHEDULE

1. INTRODUCTION

The idea is to get a general picture of the subjects eating habits.

It is very difficult for children to get a clear grasp of the time span being discussed. Hopefully, we will have an agenda for the last three months that has been completed by the child’s parent. At this point, ask the child if they think that the agenda is accurate, and if there were any other significant events that occurred over the last three months that they would like to add to the agenda. The child then keeps this agenda on which all this information is written throughout the interview and should be encouraged to refer to it.

Having used this agenda to orient the child to the specific time period being assessed, use the following questions as guidelines to ascertain the child’s general eating habits.

*To start with I’d like to get an idea of how your eating has been over the last four weeks.

*Has your eating been very different from one day to the next?

*Has your eating on weekends been different to days during the week?

*Have there been any days when you haven’t eaten anything at all? Recent sick days or vacation days during which you’re eating might have been different?

*What about during the past two months? (NB at this point you will almost certainly have to use the agenda to aid recall.)

THE KEY PROBLEM

Occasionally children will say that they "don’t know" why it is they are avoiding certain foods etc. and therefore can’t answer the key part of the item - is it to influence your weight or shape? Thus, on these items, they cannot be marked for these behaviors. However, when it becomes clearer later on that these are their main concerns and therefore prime motivation for engaging in a particular behavior - Fairburn suggests that you can go back and re-rate, although he may not have had such core concepts in mind.

SCORING DECISIONS

a) It has been decided to rate child’s answers as what they would do if they were allowed to by their parents. For example, for social eating children are made to do this but would almost certainly avoid it if they could, and therefore this should be rated as avoiding.

b) A lot of children put their answer under a cover of "I used to ... but now I feel differently". In the pilot study, this was often not convincing (although not exactly lying) but had to be rated as child answered, and hence some scores may be consistently underrating the child’s psychopathology.

2. PATTERN OF EATING

Essence of question: To get a clear picture of child’s eating habits over the last 7 days.

Questions to ask:

*I would like to ask about your pattern of eating: Over the past 7 days (not including today), which of these meals or snacks have you eaten regularly? (Check understanding of regularly).

Guidelines

• Ask about weekdays and weekends separately
• Meals or snacks should be rated even if they lead on to a "binge"
• "Brunch" should generally be classified as lunch

Rating

Rate each meal and snack separately, usually accepting the subject’s classification.

Rate up (i.e., give a higher rating) if it is difficult to choose between two ratings.

Rate 8 if means or snacks are difficult to classify.

Rate each meal according to the rating table below.

If a usual week, ask about a typical week in the past month.

Scoring: Fill in the brackets after each meal with the most appropriate score from the table below.

SCORE

Breakfast

[ ]

Mid-morning snack

[ ]

Lunch

[ ]

Mid-afternoon snack

[ ]

Evening meal

[ ]

Nocturnal snack (i.e., after having been asleep)

[ ]

 

Rating table:

0 - meal or snack not taken

1 -

2 - meal or snack eaten on less than half the days

3 -

4 - meal or snack eaten on more than half the days

5 -

6 - meal or snack eaten every day

3. RESTRAINT OVER EATING (Restraint subscale)

Essence of question: To ascertain whether the child has consciously been attempting to restrict what he/she eats, regardless of whether their attempts have been successful.

Questions to ask:

*Over the past four weeks have you deliberately been trying to cut down on what you eat, even if you haven’t managed to do this?

*How often?

*What is the purpose of cutting down?

*Have you done this to try to change your shape or weight?

Guidelines

• The restraint should have been intended to influence shape, weight or body composition, although this may not be the sole of main reason.
• It should have consisted of planned attempts at restriction, rather than spur of the moment attempts such as the decision to resist a second helping.

Rating

Rate the number of days on which the subject has consciously attempted to restrict his/her food intake, whether or not he/she has succeeded.

Scoring: Circle the most appropriate score.

[ ] 0 - No attempt at restraint

[ ] 1 -

[ ] 2 -Attempted to exercise restraint on less than half the days

[ ] 3 -

[ ] 3 - Attempted to exercise restraint on more than half the days

[ ] 5 -

[ ] 6 - Attempted to exercise restraint every day

[ ]

4. AVOIDANCE OF EATING (Restraint subscale)

Essence of question: To ascertain whether the child has gone for periods of 8 hours or more without eating, and if not, would they, were they allowed. In either instance, determine how often this occurred over the past four weeks.

Questions to ask:

*Over the past four weeks have you even not eaten anything for most of the day? (Expand by asking about skipping meals, usual times for breakfast, supper, etc., to clarify whether the eight hour criterion is satisfied.)

How often has this happened?

Why have you done this?

Have you done this to try and change your shape and weight?

Guidelines

• It may be helpful to illustrate the length of time (e.g., 9am to 5pm).
• The abstinence must have been at least partly self-imposed, rather than being due to force of circumstance.
• It should have been intended to influence shape, weight or body composition, although this may not have been the sole or main reason.
• Check that avoidance has not been to annoy a parent.

Rating

Rate the number of days on which there has been at least eight hours abstinence from eating food (soup and milk-shakes count as food, whereas drinks in general do not) during waking hours.

Scoring: Circle the most appropriate score.

[ ] 0 - No such days

[ ] 1 -

[ ] 2 -Avoidance on less than half the days

[ ] 3 -

[ ] 4 - Avoidance on more than half the days

[ ] 5 -

[ ] 6 - Avoidance every day

[ ]

5. EMPTY STOMACH (Restraint subscale)

Essence of question: To ascertain whether the child has a definite desire to have an empty stomach and if so, how often. It is important to differentiate between the desire to have an empty stomach and the desire for the stomach to feel empty or be flat.

Questions to ask:

*Over the past four weeks have you wanted your tummy to BE empty - I mean not to have anything in it at all?

*Why have you wanted to have an empty stomach?

*Is it because you like to feel hungry?

*How often have you wanted this?

Guidelines

• This item must be differentiated from a desire for the stomach to FEEL empty or to be flat.

Rating

Rate the number of days on which the subject has a definite desire to have a completely empty stomach for reasons to do with dieting, shape or weight.

Scoring: Circle the most appropriate score.

[ ] 0 - No definite desire to have an empty stomach

[ ] 1 -

[ ] 2 -Definite desire to have an empty stomach on less than half the days

[ ] 3 -

[ ] 4 - Definite desire to have an empty stomach on more than half the days

[ ] 5 -

[ ] 6 - Definite desire to have an empty stomach every day

[ ]

6. FOOD AVOIDANCE (Restraint subscale)

Essence of question: To ascertain whether, and how often, the child has been attempting to avoid liked foods, whether successful in those attempts or not.

Questions to ask:

*What foods do you really like / did you like before?

*Over the past four weeks have you tried to not eat any foods that you especially like, even if you haven’t managed this? (It may be easier to elicit liked foods first, then as the question).

*How often?

*Why have you stopped eating those foods?

*Have you done this to try to change your shape or weight?

Guidelines

• The goal should have been to avoid the foods altogether and not merely to restrict their consumption.
• Drinks do not count as food.
• The avoidance should have been intended to influence shape, weight or body composition, although this may not have been the sole or main reason.
• It should be a strong desire, not a passing thought.

Rating

Rate the number of days on which the subject has actively attempted to avoid eating specific foods (which he/she likes) whether or not he/she has succeeded.

Scoring: Circle the most appropriate score.

[ ] 0 - No attempts to avoid food

[ ] 1 -

[ ] 2 -Attempted to avoid food on less than half the days

[ ] 3 -

[ ] 4 - Attempted to avoid food on more than half the days

[ ] 5 -

[ ] 6 - Attempted to avoid food every day

[ ]

7. DIETARY RULES. (Restraint Subscale)

Essence of question: To ascertain whether the child has any dietary rules as opposed to general eating principles, and if so, how often the child attempts to obey these rules.

Questions to ask:

*Over the past four weeks have you tried to stick to certain definite rules about your eating; for example, only allowing yourself a certain number of calories, or a certain amount of food, or rules about what you should eat or when you should eat?

*Have there been times when you know you have broken one of your own rules about eating?

*Would you keep to them if you were not made to break them by your parents?

*How have you felt about breaking them?

*How would have felt if you had broken one of your eating rules?

*What are your rules?

*Why have you tried to stick to them?

*Did you make them to try to change your shape or weight?

*Do you try to stick to them every day (how often …)?

*Tell me more about your rules. Are they about certain foods or are they more general? (You will need to give some examples at this point. Examples of definite rules would be "I must not eat eggs" or "I must not eat cake", whereas a general principle would be "I should try to eat healthy food".

Guidelines

• Dietary rules should be rated as present if the subject has been attempting to follow "definite" (i.e., specific) dietary rules regarding his/her food intake.
• The rules should have been self-imposed, although originally they may have been prescribed.
• They should have been concerned with what the subject should have eaten or when eating should have taken place. They might consist of a calorie limit (e.g., below 1,200 calories a day), not eating before a certain time of day, not eating certain kinds of food, or not eating at all.
• There should have been specific rules and not general guidelines, and there may have been distress should they have been broken.
• If the subject is aware that she has occasionally broken a personal dietary rule, this suggests that one or more specific rules has been present. In such cases the interviewer should ask in detain about the transgression in an attempt to identify the underlying rule.
• The rules should have been intended to influence shape, weight or body composition, although this may not have been the sole or main reason.
• Ensure that the dietary rules are not purely, for example, obsessive compulsive or control related.
• It should be noted that "dietary rules" are regarded as having been present if there have been clear attempts to obey specific dietary rules.

Rating

Rate 0 if no dietary rule can be identified.

If there has been more than one rule straddling different time periods within the four weeks, these periods should be summated to make the ratings.

Scoring: Circle the most appropriate score.

[ ] 0 - Has not attempted to obey such rules

[ ] 1 -

[ ] 2 -Attempted to obey such rules on less than half the days

[ ] 3 -

[ ] 4 - Attempted to obey such rules on more than half the days

[ ] 5 -

[ ] 6 - Attempted to obey such rules every day

[ ]

8. PREOCCUPATION WITH FOOD, EATING OR CALORIES (Eating Concern subscale)

Essence of question: To ascertain whether thinking about food, etc. has at any time impaired concentration, and if so, how often.

Questions to ask:

*Over the past four weeks have you spent much time between meals thinking about food, eating or calories (not because you were hungry)?

*How often?

*Has thinking about food, eating or calories made it hard for you to concentrate on or pay attention to what you are doing?

*How about concentrating on things that you like doing, like watching television, reading, playing computer games (etc.)?

Guidelines

• Concentration is regarded as impaired if there have been intrusive thoughts about food, eating or calories which have interfered with activities.
• Ask if the child could stop thinking about food if they tried, in order to ascertain whether the thoughts are intrusive or not.

Rating

Rate the number of days on which concentration has been impaired due to preoccupation with food, eating or calories, whether or not bulimic episodes have occurred.

Scoring: Circle the most appropriate score.

[ ] 0 - No concentration impairment.

[ ] 1 -

[ ] 2 -Concentration impairment on less than half the days

[ ] 3 -

[ ] 4 - Concentration impairment on more than half the days

[ ] 5 -

[ ] 6 - Concentration impairment every day

[ ]

9. FEAR OF LOSING CONTROL OVER EATING (Eating concern subscale)

Essence of question: To ascertain how often a fear of losing control over eating has occurred, regardless of whether the child felt in control of his/her eating behaviors.

Questions to ask:

*Over the past four weeks have you been frightened of losing control over eating?

Have you been afraid that you won’t be able to stop eating? (That is, once you’ve started eating, have you been scared that you won’t be able to stop, or have you avoided starting to eat because of fears that you won’t be able to stop eating when you wanted to?)

How often have you felt like this?

Guidelines

• You are looking to identify instances of fear of losing control as opposed to instances of loss of control.

• "Loss of control" involves a sense that one will not be able to resist or stop eating.

Rating

Rate the number of days on which definite fear has been present, irrespective of whether the subject feels he/she has been in control.

If the subject feels unable to answer this question because he/she has already lost control, rate 9.

Scoring: Circle the most appropriate score.

[ ] 0 - No fear of losing control.

[ ] 1 -

[ ] 2 -Fear of losing control present on less than half the days

[ ] 3 -

[ ] 4 - Fear of losing control present on more than half the days

[ ] 5 -

[ ] 6 - Fear of losing control present every day

[ ]

10. BULIMIC EPISODES AND OTHER EPISODES OF OVEREATING (Diagnostic item)

Essence of question: To determine how many episodes of each of four different types of overeating have occurred (if any) in the specified period.

Guidelines for interviewers: Four forms of overeating are distinguished. The distinction is based upon the presence or absence of two characteristics:

i) Loss of control (required for both types of "bulimic episode")
ii) The consumption of what would generally be regarded as large amounts of food (required for both types of "objective" episodes).

To facilitate the decision of what kind of overeating episode has occurred, use this table:

"Large"(EDE definition)

Not "large", but viewed by subject as excessive.

"Loss of control"

Objective
Bulimic
Episode

Subjective
Bulimic
Episode

No "loss of control"

Objective

Overeating

Subjective

Overeating

The interviewer should ask about each form of overeating. It is important to note that the forms of overeating are not mutually exclusive: it is possible for subjects to have had several different forms of overeating episodes over the preceding month.

Definition of key terms:

Loss of control: The interviewer should ask the subject whether he or she experienced a loss of control over eating at the time that the episode of overeating occurred.

• If this is clearly described, loss of control should be rated as present.
• Loss of control may be rated positively even if the episode has been planned.
• If the subject uses terms such as "driven to eat" etc., loss of control should be rated as present.

For chronic cases only:

• If the subject reports no sense of loss of control, yet describes having not been able to stop eating once eating had started, or having not been able to prevent the episode from occurring, loss of control should be rated as present.
• If the subjects report that they are no longer trying to control their eating because overeating is inevitable, loss of control should be rated as present.

If the interviewer is in doubt, loss of control should be rated as absent.

Large amount of food. The decision whether or not the amount eaten was "large" should be made by the interviewer and should not require the agreement of the subject.

• "Large" may be used to refer to the amount of any particular types or the overall quantity of food consumed.
• The interviewer should take into account what would be the usual amount eaten under the circumstances. This required some knowledge of the eating habits of the subject’s general (but not necessarily immediate) social group.
• What else was eaten and whether or not the subject subsequently spits or vomits the food.

If the interviewer is in doubt, the amount should not be classified as large.

The number of episodes of overeating. When calculating the number of episodes of overeating, the subject’s definition of separate episodes should be accepted unless there was an hour or more within a period of eating when the subject was not eating.

• In this case, the initial episode should be regarded as having been completed.
• When estimating the length of any gap, do not count the time spent vomiting.
• Note that purging (self induced vomiting or laxative misuse) is not used to define the end of an individual episode of overeating.

Guidelines for rating the overeating section.

1. Ask the asterisked questions in order to identify the episodes of perceived or true overeating have occurred over the previous 28 days. Note down all the forms of overeating.
2. Obtain detailed information about each form of overeating to decide whether it involved eating "large" amounts of food and whether or not there was a "loss of control".
3. Then establish, for each form of overeating, the number of days on which it occurred and the total number of occasions. It is advisable to make comprehensive notes.
4. Finally, check with the subject to ensure that no misunderstandings have arisen.

Questions for rating items:

*I’d like to ask you about any times you have really eaten too much during the past four weeks.

*Different people mean different things by eating too much, or overeating. Can you tell me about any times when you have felt that you have eaten too much in one go?

(To assess amount eaten):

What have you usually eaten at times like this?
What was the rest of your family/friends eating when it happened?

(To assess loss of control):

Did you feel out of control, or that you just couldn’t stop when it happened?

(Chronic case only):

Could you have made yourself stop eating once you had started?
Could you have somehow stopped yourself from starting to overeat in the first place?

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Scoring: For objective bulimic episodes, subjective bulimic episodes and episodes of objective overeating, make the following ratings:

In general, it is best to calculate the number of days first, and then number of episodes.
Rate 9 if you do not ask about the preceding two months.
Episodes of subjective overeating are not rated.

1) Objective Bulimic Episodes:

i. Number of days on which one or more episodes have occurred in the last 28 days (rate 00 if none):

[ ] [ ]

ii. Total number of episodes that have occurred in the last 28 days (rate 000 if none):

[ ] [ ]

iii. Number of days - Month 2

[ ] [ ]

iv. Number of episodes - Month 2

[ ] [ ]

v. Number of days - Month 3

[ ] [ ]

vi. Number of episodes - Month 3

[ ] [ ]

2) Subjective Bulimic Episodes:

i. Number of days on which one or more episodes have occurred in the last 28 days (rate 00 if none):

[ ] [ ]

ii. Total number of episodes that have occurred in the last 28 days (rate 000 if none):

[ ] [ ]

iii. Number of days - Month 2

[ ] [ ]

iv. Number of episodes - Month 2

[ ] [ ]

v. Number of days - Month 3

[ ] [ ]

vi. Number of episodes - Month 3

[ ] [ ]

3) Objective Overeating:

i. Number of days on which one or more episodes have occurred in the last 28 days (rate 00 if none):

[ ] [ ]

ii. Total number of episodes that have occurred in the last 28 days (rate 000 if none):

[ ] [ ]

iii. Number of days - Month 2

[ ] [ ]

iv. Number of episodes - Month 2

[ ] [ ]

v. Number of days - Month 3

[ ] [ ]

vi. Number of episodes - Month 3

[ ] [ ]

DSM-5 BINGE EATING DISORDER MODULE

[These questions need not be asked of patients who have regularly "purged" (i.e., vomited or misused laxatives or diuretics) defined as at least 24 episodes of one of these forms of behaviour over the past three months.]

1) If a participant has 2+ OBEs on average each month for the past 3 months (regardless of # of SBEs), just ask the BED module questions about OBEs.

2) If a participant has 2+ LOC (OBEs and SBEs together) on average each month for the past 3 months, ask BED module questions about LOC in general.

3) If a participant has 2+SBEs on average each month for the past 3 months and no OBEs, ask the BED module questions about SBEs.

Three-month Frequency of Loss of Control Eating

[In line with the DSM-5 criteria for binge eating disorder, the focus of the three-month assessment is on the number of days on which objective and/or subjective bulimic episodes have occurred rather than on the number of individual episodes.

Since it is difficult for subjects to provide a three-month average, it is best to focus initially on the preceding two months (months 2 and 3) The goal is to arrive at a three-month figure.]

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

* What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?

....... Did you have any episodes like ....... (describe a representative objective and/or subjective bulimic episode)?

Did you have any other equivalent episodes ....... (refer, if applicable, to other types of objective and/or subjective bulimic episode that the subject reported)?

Did they occur more or less often than in the past 28 days?

[Finally, estimate the average number of days per week on which the representative objective and/or subjective bulimic episodes have occurred over the past three months.]

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

[Also rate the longest continuous period in weeks free (not due to force of circumstances, such as illness) from objective and/or subjective bulimic episodes over the past three months. Rate 99 if not asked.]

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

LOC SEVERITY INDEX

[Complete the LOC Severity Index only if a participant has reported 1+ LOC (subjective and/or objective bulimic episodes) in the past three months.

1) If the BED module has been completed, refer to the same representative objective and/or subjective bulimic episodes.

2) If a participant has 1+ OBE in the past 3 months (regardless of SBEs), ask the LOC Severity Index questions about OBE(s).

3) If a participant has 1+ SBE in the past 3 months and no OBEs, ask the LOC Severity Index questions about SBE(s).]

Features Associated with Loss of Control Eating (DSM-5 Appendix; LOC Severity Index)

[Only rate these items if, over the past three months, there has been at least one episode of loss of control eating that occurred. Otherwise rate 9.]

[Rate each feature individually using the binary scheme below.]

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

[Rate each feature individually using the dimensional scheme below.]

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

During these episodes (refer to typical loss of control episodes), have you typically ........

..... Eaten much more rapidly than normal?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Eaten until you have felt uncomfortably full?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Eaten large amounts of food when you haven’t felt physically hungry?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Eaten large amounts of food when you haven’t felt physically hungry?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Eaten alone because you have felt embarrassed about how much you were eating?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Felt disgusted with yourself, depressed, or very guilty?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

..... Zoned out, numbed out, or dissociated while you were eating?

Yes or No: [ ]
Rating 1(not at all) to 5 (extremely): [ ]

Distress About Loss of Control Eating (DSM-IV Appendix; LOC Severity Index)

In general, over the past three months how distressed or upset have you felt about these episodes (refer to the objective and/or subjective bulimic episodes)?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

Severity of Loss of Control During Binge Episodes (LOC Severity Index)

[Complete severity ratings for a typical loss of control episode over the past three months.]

In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how would you rate the intensity (or degree) of loss of control?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how would you rate how much you felt like you were able to stop eating?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how much did you feel driven and compelled to eat (like you just "had to" eat)?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

[Complete severity ratings for the most severe, or most "out of control," loss of control episode(s) over the past three months.]

Using the scale (1 [not very intense] to 5 [extremely intense]), in the past three months, what was the maximum intensity of loss of control that you felt?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

Using the scale (1 [not at all] to 5 [extremely]), how would you rate how much you felt like you were able to stop eating during (refer to times when you had the maximum intensity of loss of control in the past three months, score from above item)?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

Using the same scale (1 [not at all] to 5 [extremely]), how much did you feel driven and compelled to eat (like you just "had to" eat) during (refer to times when you had the maximum intensity of loss of control in the past three months, score from two items above)?

[ ] 1 - Not at all

[ ] 2 - Slightly

[ ] 3 - Moderately

[ ] 4 - Greatly

[ ] 5 - Extremely

[ ]

[Complete Age of Onset section]

AGE OF ONSET SECTION

[Code -99 if a question was not asked or if it was deemed not applicable.

Do not code a range like 4-5 or 40-50 (ex: for age of LOC onset or for number of diets ever). If the participant is not able to give an exact number, take the average (4.5 or 45). You can then confirm with the participant that the average seems like the best number.

Rate 777 if the number is so great that it cannot be calculated.]

Ever experienced LOC ________Yes ________No

If yes, age of onset: ________Grade________Age

Age of onset of overweight (started to gain a lot of weight): ________Grade________Age

Ever dieted or tried dieting (defined as any deliberate change to the amount or type of food eaten to influence shape or weight, regardless of how effective the changes were) ______Yes ______No

Briefly note reason for dieting or trying to diet:

Number of times dieted or tried________

Age of onset of dieting or trying to diet: ________Grade________Age

Length of the longest time dieted or tried________Days________Months________Years

Describe behavior(s) of all diet(s):

Currently dieting________Yes________No

Which came first (check one for each category):

[To rate the "which came first" items, check to see whether their answer is consistent with the ages of onset that the participant reported. If the answers are inconsistent, bring up the ages of onset previously reported by the participant and work collaboratively to establish the most accurate timeline.]

________Dieted/tried to diet first OR ________Overweight first
________Dieted/tried to diet first OR ________LOC eating first
________ LOC eating/eating disordered behavior first OR ________Overweight first

11. DIETARY RESTRICTION OUTSIDE BULIMIC EPISODES

(Diagnostic item)

Only ask this question if at least 12 objective and/or subjective bulimic episodes have occurred over the last three months.

Essence of question: To ascertain to what degree the subject cuts down on the amount he/she eats (outside of bulimic episodes) in order to change his/her shape or weight. Essentially, this is an overview of the periods that the subject has been in control over the last three months.

Questions to ask:

*Apart from these times when you have been out of control with your eating, how much have you been cutting down on the amount you eat?

*What have you usually been eating in a day?

*Have you done this to try to change your shape or weight?

Guidelines

• Ask about actual food intake outside the objective and subjective bulimic episodes.
• Any dietary restriction should have been intended to influence shape, weight or body composition, although this may not have been the sole or main reason.

Rating

Rate the average degree of dietary restriction.
Rate each of the past three months separately.
Rate 9 if not asked.

Scoring: Circle the most appropriate score.

Month 1

[ ] 0 - No extreme restriction outside objective bulimic episodes

[ ] 1 - Extreme restrictions outside objective bulimic episodes (i.e., low energy intake (>1,200 kcals) due to infrequent eating and/or consumption of low calories foods)

[ ] 2 - No eating outside objective bulimic episodes (i.e., "fasting")

[ ] 9 - Not applicable, since no objective bulimic episodes during the month in question.

Month 2

Month 3

0 -

0 -

1 -

1 -

2 -

2 -

9 -

9 -

12. SOCIAL EATING (Eating concern subscale)

Essence of question: To ascertain whether the child has belt concerned about other people seeing them eat, and also whether they have avoided eating in front of others.

Questions to ask:

*Over the past four weeks have you been worried about other people seeing you eat?

*Have you tried putting off (or getting out of) eating with other people?

*Would you avoid eating in front of others if you were allowed to by your parents?

*Why were you concerned about others seeing you eat?

Guidelines

• DO NOT CONSIDER objective or subjective bulimic episodes. In other words this item is to do with concern and avoidance of eating normal or less than normal amounts of food in front of others.
• Make sure you find out the reasons or concern/avoidance. The reasons should be to do with, for example, the amount they are eating or for shape and weight reasons, NOT because they are afraid they may dribble their food!

Rating

Rate the degree of concern about eating normal or less than normal amounts of food in front of others (e.g., family) and whether this has led to avoidance.

This rating should represent the average for the month.

If the possibility of eating with others has not arisen, rate 9.

A child may feel a definite concern, but not be able to avoid eating in public, due to parental pressure. If this is the case, rate 8.

Scoring: Circle the most appropriate score.

[ ] 0 - No concern about being seen eating by others and no avoidance of such occasions.

[ ] 1 -

[ ] 2 -Has felt slight concern about being seen, but no avoidance.

[ ] 3 -

[ ] 4 - Has felt definite concern, and have avoided some such occasions.

[ ] 5 -

[ ] 6 - Has felt definite concern, and has avoided all such occasions.

[ ] 7 -

[ ] 8 - Has felt definite concern, but was unable to avoid such occasions.

[ ] 9 - The possibility of eating with others has not arisen.

13. EATING IN SECRET (Eating concern subscale)

Essence of question: To ascertain whether and how often the child has eaten in secret.

Questions to ask:

*Over the past four weeks, have you eaten in secret?

*How often?

Guidelines

• DO NOT CONSIDER Objective or subjective bulimic episodes.
• Secret eating refers to eating which is furtive and which the subject wishes to conceal.
• Avoidance of eating in front of others should rated under "Social Eating".

Rating

Rate the number of days on which there has been at least one episode of secret eating.

If the possibility of eating with others has not arisen, rate 9.

Scoring: Circle the most appropriate score

[ ] 0 - Has not eaten in secret.

[ ] 1 -

[ ] 2 -Has eaten in secret on less than half the days.

[ ] 3 -

[ ] 4 - Has eaten in secret on more than half the days.

[ ] 5 -

[ ] 6 - Has eaten in secret every day.

[ ] 9 - The possibility of eating with others has not occurred.

14. GUILT ABOUT EATING (Eating concern subscale)

Essence of question: To ascertain whether, and how often the child, has felt as if he/she was doing something wrong by eating.

Questions to ask:

*Over the past four weeks, have you felt that you have done something wrong during or after eating?

*Have you felt guilty about eating? By that I mean, have you felt bad about eating and felt that you shouldn’t have done it?

*Why?

*How often when you have eaten, have you felt it was wrong or that you shouldn’t have?

Guidelines

• DO NOT CONSIDER Objective or subjective bulimic episodes.

• The feelings of guilt should relate to the effects of eating on shape, weight or body composition.

• Distinguish guilt from regret: guilt refers to a feeling that one has done wrong; regret is a desire not to have done something. The child may have guilt coupled with regret, but ensure that following eating, the child felt as if he/she had been bad or done wrong.

Rating

Rate the proportion of times on which feelings of guilt has followed eating.

NB This rating is based on number of occasions, NOT days.

Scoring: Circle the most appropriate score

[ ] 0 - No guilt after eating

[ ] 1 -

[ ] 2 -Has felt guilty after eating on less than half the occasions

[ ] 3 -

[ ] 4 - Has felt guilty after eating on more than half the occasions

[ ] 5 -

[ ] 6 - Has felt guilty after eating on every occasion

15. SELF-INDUCED VOMITING (Diagnostic item)

Essence of question: To ascertain whether, and how often, the child is using self-induced vomiting as a means of controlling his/her shape or weight.

Questions to ask:

*(For ethical reasons). When was the last time you were physically sick/vomited?

*What happened then?

(If necessary ...)

*Have there been times when you have eaten more than you have been happy with and felt that you have had to do something about it?

*Some people feel so desperate sometimes that they even try to make themselves sick. Have you ever done this?

*If so, was this during the last four weeks?

*Did you do this to try to keep you weight down / to stop you from getting fat / putting on weight?

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• Ensure that the main reason is in order to control shape or weight.

Rating

Rate the number of days and the number of discrete episodes on which there has been self- induced vomiting.

Rate 00 if no vomiting

Rate 777 if the number of discrete episodes of self-induced vomiting is so great that it cannot be calculated.

Scoring: Mark the number of days and episodes in the brackets.

Month 1

Month 2

Month 3

Number of days

[ ] [ ]

[ ] [ ]

[ ] [ ]

Number of episodes

[ ] [ ] [ ]

[ ] [ ] [ ]

[ ] [ ] [ ]

16. LAXATIVE MISUSE (Diagnostic item)

Essence of question: To ascertain whether, and how often, the child is misusing laxatives as a means of controlling his/her shape or weight.

Questions to ask:

*There are medicines around that make you go to the toilet?

*Have you ever taken any of these (over the last four weeks)? Why?

*Was this to make sure that you didn’t put any weight on or get too fat?

*What and how much did you take?

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• If the child has taken pills or medicine, ensure that you are talking about laxatives, not diuretics or any other form of medication
• To be classed as misuse, laxatives must have been taken at a dose of at least twice the recommended amount.

Rating

Rate the number of days and discrete episodes on which laxatives have been taken as a means of controlling shape, weight or body composition.

Rate 00 if no such laxative misuse.

Rate 777 if the number of discrete episodes of laxative misuse is so great that it cannot be calculated.

Rate the average number of laxatives taken on each occasion.

Note the type of laxative taken.

Rate 999 if the question is not asked or is not applicable.

Scoring: Fill in the brackets:

Month 1

Month 2

Month 3

Number of days

[ ] [ ]

[ ] [ ]

[ ] [ ]

Number of episodes

[ ] [ ] [ ]

[ ] [ ] [ ]

[ ] [ ] [ ]

Average number of laxatives taken on each occasion

Type of laxative taken

________________

17. DIURETIC MISUSE (Diagnostic item)

Essence of question: To ascertain whether, and how often, the child is misusing diuretics as a means of controlling his/her shape or weight.

Code if determined that diuretic misuse is present, based on prior question.

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• Ensure that you are talking about diuretics.
• To be classed as misuse, diuretics must have been taken at a dose of at least twice the recommended amount.

Rating

Rate the number of days and episodes on which diuretics have been taken as a means of controlling shape, weight or body composition.

Rate 00 if no such diuretic misuse.

Rate 777 if the number of discrete episodes of diuretic misuse is so great that it cannot be calculated.

Rate the average number of diuretics taken on each occasion.

Note the type of diuretic taken.

Rate 999 if the question is not asked, or is not applicable.

Scoring: Fill in the brackets:

Month 1

Month 2

Month 3

Number of days

[ ] [ ]

[ ] [ ]

[ ] [ ]

Number of episodes

[ ] [ ] [ ]

[ ] [ ] [ ]

[ ] [ ] [ ]

Average number of diuretics taken on each occasion

Type of diuretic taken

________________

18. INTENSE EXERCISE TO CONTROL SHAPE OR WEIGHT (UNREVISED) (Diagnostic item)

Essence of question: To ascertain how much (if any) exercise the child does in order to control his/her shape or weight.

[Start this item with a review of the difference between shape, or how your body looks in the mirror, image on left, versus weight, or the number on the scale, image on right side]

Questions to ask:

*What sort of exercise does you usually do? Which sports? How often?

*Over the past four weeks, have you exercised / done sport / worked out in order to keep your weight down?

Have you exercised to change your shape?

Which parts of you were you trying to change?

Have you exercised to try to burn off calories / use up the food that you have eaten?

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• Find out whether the exercise is for fun, or predominantly to do with shape or weight. The exercise must be intense and predominantly intended to burn off calories or change shape, weight or body composition.
• The decision whether the exercise was "intense" should be made by the interviewer.
• If in doubt, the exercising should not be classified as intense
• Discount any exercise that was done purely for enjoyment.

• Watch out for children who abuse the group activity, for example, running around fare more than is necessary, and far more than others in a "fun" setting such as a football team.

Rating

Rate the number of days that the subject has engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition.

Rate the average amount of time, in minutes, per day spent exercising in this way. Only consider days on which the subject exercised.

If you do not ask about the preceding two months, rate 99.

Scoring: Fill in the brackets:

Month 1

Month 2

Month 3

Number of days

[ ] [ ]

[ ] [ ]

[ ] [ ]

Number of episodes

[ ] [ ] [ ]

[ ] [ ] [ ]

[ ] [ ] [ ]

19. OTHER EXTREME METHODS FOR CONTROLLING SHAPE OR WEIGHT

(Diagnostic item)

Essence of question: To ascertain whether the child has engaged in any other forms of extreme weight/shape control behavior.

Questions to ask:

*Over the past four weeks, have you done anything else to try to change your shape or weight? (Specify the nature of these acts).

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• Examples of other forms of extreme weight/shape control behavior include misusing appetite suppressants, spitting out food, and under-using insulin in those subjects weight insulin-dependent diabetes mellitus.
• Different acts should be combined to derive a total for the past four weeks.
• The behavior does not have to have been effective in controlling weight, shape or body composition, merely present.

Rating

Rate the number of days and the number of occasions that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective.

Rate 00 if no such acts.

When rating occasions, rate 000 if no such acts, and 777 if the number of occasions is so great that it cannot be calculated.

If the question is not asked, rate 999.

Scoring: Fill in the brackets:

Month 1

Month 2

Month 3

Number of days

[ ] [ ]

[ ] [ ]

[ ] [ ]

Number of episodes

[ ] [ ] [ ]

[ ] [ ] [ ]

[ ] [ ] [ ]

20. ABSTINENCE FROM EXTREME WEIGHT CONTROL BEHAVIOR

(Diagnostic item)

ONLY ASK THIS QUESTION IF AT LEAST ONE OF THE KEY FORMS OF WEIGHT CONTROL BEHAVIOR HAS BEEN RATED POSITIVELY AT THE SPECIFIED SEVERITY LEVEL OVER THE PAST THREE MONTHS.

Essence of question: To ascertain whether the child has abstained from any particular form of weight controlling behavior over the last three months.

The five forms of behavior is as follows:

• Fasting
• Self-induced vomiting
• Laxative misuse
• Diuretic misuse
• Excessive exercise

Questions to ask:

*Over the past three months has there been a period of two or more weeks when you have not ... (ask for each individual form of behavior that has been practiced by the child).

Guidelines

• Ascertain the number of consecutive weeks over the past three months "free" (i.e., not above threshold levels) from all five forms of extreme weight control behavior.
• Ascertain whether abstinence was due to force of circumstance (e.g., being in hospital).

Rating

Rate the number of consecutive weeks over the past three months free from all five forms of extreme weight control behavior.

Do not rate abstinence due to force of circumstance.

Rate 99 if not applicable.

Scoring: Fill in the brackets:

Number of consecutive weeks over the past three months free of all five forms of extreme weight control behavior.

[ ] [ ] [ ]

21. DISSATISFACTION WITH WEIGHT (Weight concern subscale)

Essence of question: To ascertain whether the child has felt dissatisfied and distressed about his/her WEIGHT.

Questions to ask:

*Over the past four weeks, how have you felt about your weight?

*Have you felt dissatisfied with your weight?

*Has this made you really miserable or unhappy?

Guidelines

• Dissatisfaction should only be taken into account if it is due to weight being too high.
• When asking about the level of distress felt due to dissatisfaction with weight, do not prompt the child with the terms "slight", "moderate" or "marked".
• The child’s attitude towards his/her weight should be assessed by the interviewer.
• Ensure that you are talking about WEIGHT dissatisfaction and not shape dissatisfaction.
• Try to find out how much dissatisfaction surrounds the child’s weight, e.g., two days per month, 28 days per month, and rate on severity.

Rating

Rate the child’s attitude to his/her weight. This should represent the average for the entire month.

Only rate 4, 5 or 6 if there has been distress.

Rate 9 if the subject is unaware of his/her weight.

Scoring: Circle the most appropriate score.

[ ] 0 - No dissatisfaction

[ ] 1 -

[ ] 2 -Slight dissatisfaction (no associated distress)

[ ] 3 -

[ ] 4 - Moderate dissatisfaction (some associated distress)

[ ] 5 -

[ ] 6 - Marked dissatisfaction (extreme concern and distress; weight totally unacceptable)

[ ] 9 - Subject unaware of his/her weight.

22. DESIRE TO LOSE WEIGHT (Weight concern subscale)

Essence of question: To ascertain if, and how often, the child has a strong desire to lose weight.

Questions to ask:

*Over the last four weeks, have you wanted to lose weight?

*Have you had a very strong wish to lose weight?

Guidelines

• Remember that this item is concerned with WEIGHT and not shape.

Rating

Rate the number of days on which there has been a strong desire to lose weight.

Scoring: Circle the most appropriate score.

[ ] 0 - No strong desire to lose weight

[ ] 1 -

[ ] 2 -Strong desire present on less than half the days

[ ] 3 -

[ ] 4 - Strong desire present on more than half the days

[ ] 5 -

[ ] 6 - Strong desire present every day

23. DESIRED WEIGHT (Weight concern subscale)

*What weight would you like to be?

Rating

Rate weight in kilograms.

Rate 888 if the subject is not interested in his/her weight.

Rate 777 if no specific weight would be low enough.

Rate 666 if the subject is primarily interested in his/her shape, but has some concern about weight (but not a specific weight).

Scoring: Fill in the brackets:

Child’s desired weight (gather a specific number) [ ] [ ] [ ]

24. REACTION TO PRESCRIBED WEIGHING (Weight concern subscale)

Essence of question: To assess the child’s reaction to having to be weighed.

Questions to ask:

*How would you feel if you were told to weight yourself once a week for the next four weeks?

*How would you feel if you were told that you could only weigh yourself once a week and not more often?

Guidelines

• Check whether other aspects of the child’s life would be influenced by prescribed weighing.
• Ask the subject to describe in detail how he/she would react.
• Try to find out if it would make the child feel tense - this is a difficult item to ask children, as they generally have no choice as to whether they get on the scales or not.
• A child may also be distressed through only being able to weigh themselves one a week, rather than, e.g., every day. This reaction should also be rated.
• Do not prompt the child with the terms "slight", "moderate" or "marked".

Rating

Rate the strength of the reaction.

Positive reactions should not be rated.

Ask the child to explain in detail how he/she would react and rate accordingly.

If the child would not comply with prescribed weighing because it would be extremely disturbing, rate 6.

Scoring: Circle the most appropriate score:

[ ] 0 - No reaction

[ ] 1 -

[ ] 2 -Slight reaction

[ ] 3 -

[ ] 4 - Moderate reaction (definite reaction, but manageable)

[ ] 5 -

[ ] 6 - Marked reaction (pronounced reaction which would affect other aspects of the child’s life).

25. DISSATISFACTION WITH SHAPE (Shape concern subscale)

Essence of question: To ascertain whether the child has felt dissatisfied and distressed about his/her SHAPE.

Questions to ask:

*Over the past four weeks, how have you felt about your shape?

*Have you felt dissatisfied with your shape?

*Has this made you really miserable or unhappy?

Guidelines

• Can ask child if he/she "could have felt worse" and "how long did the feeling last?"
• Ensure that you are talking about SHAPE dissatisfaction and not weight dissatisfaction.
• Try to find out how much dissatisfaction surrounds the child’s shape and rate on severity.
• [Only rate dissatisfaction with overall shape or figure because it is viewed as too large. This dissatisfaction may include concerns about relative proportions of the body but not dissatisfaction restricted to specific body parts. Do not rate concerns about body tone. Assess the child’s attitude to his or her shape and rate accordingly. In common with all severity items, the rating should represent the average for the entire month. Only rate 4, 5, or 6, if there has been associated distress. When asking about the level of distress felt due to dissatisfaction with shape, do not prompt the child with terms such as "slight", "moderate" or "marked". Reports of disgust or revulsion should be rated 6.]

Rating

Rate the child’s attitude to his/her shape. This should represent the average for the entire month.

Only rate 4, 5 or 6 if there has been distress.

Scoring: Circle the most appropriate score.

[ ] 0 - No dissatisfaction with shape

[ ] 1 -

[ ] 2 -Slight dissatisfaction with shape (no associated distress)

[ ] 3 -

[ ] 4 - Moderate dissatisfaction with shape (some associated distress)

[ ] 5 -

[ ] 6 - Marked dissatisfaction with shape (extreme concern and distress; shape totally unacceptable)

26. PREOCCUPATION WITH SHAPE OR WEIGHT (Shape and weight concern subscale)

Essence of question: To ascertain whether thinking about his/her shape or weight has impaired the child’s ability to concentrate on things that he/she enjoys doing.

Questions to ask:

*Over the last four weeks, have you spend much time thinking about your shape or weight? (Check that the child has grasped these concepts).

*Has thinking about your shape or weight made it hard for you to pay attention to what you are doing?

*What about when you are doing things that you enjoy, for instance, watching television, reading, playing computer games (etc.)?

*How often does this happen?

Guidelines

• Concentration is regarded as impaired if there have been intrusive thoughts about shape and weight which have interfered with activities.

Rating

The interviewer must be convinced that intrusive thoughts about shape and weight are leading to an inability to concentrate on things that the child enjoys doing, in order to rate concentration impairment is present.

Rate the number of days on which this has happened.

Scoring: Circle the most appropriate score.

[ ] 0 - No concentration impairment

[ ] 1 -

[ ] 2 -Concentration impairment on less than half the days

[ ] 3 -

[ ] 4 - Concentration impairment on less than half the days

[ ] 5 -

[ ] 6 - Concentration impairment every day

27./28. IMPORTANCE OF SHAPE AND IMPORTANCE OF WEIGHT

(2 Diagnostic items and weight concern subscale/shape concern subscale)

Essence of question: To ascertain how important the child’s shape and weight are in influencing how they evaluate themselves as a person.

Introduction:

*People have different ways that they feel about (judge, think, evaluate) themselves. I want to ask you about how you evaluate yourself."

*Let me give you an example. When your teacher gives you a grade, he or she uses several things to evaluate you as a student, such as: attendance, how you do on tests, class participation, homework, being on time to school, etc."

*I want to know what you use to evaluate yourself as a person. I’d like to make a list with you of four or five things that you use to evaluate yourself. I will write each one of these things on a card."

Most children completely understand the question at this point, and offer up several examples of what they use to evaluate themselves. However, if they do not, use the ensuing probe.

*For some people, they use doing well at school to evaluate themselves; for others, being kind to animals, how they get along with their friends or family, playing sports, involvement in clubs or other activities, etc.

(Give the child loads of examples, or else they may just repeat your two or three - by giving lots, they have to think about it a little bit more.)

For each you should clarify its status by saying:

"So being nice to your brother is one of the things you use to evaluate yourself?"

When you have a list of four or five things written on cards, if they haven’t said their "shape" or "weight," introduce these to the list and write them on the cards also.

Ask:

*Do you use your shape to evaluate yourself?
*Do you use your weight to evaluate yourself?

Continue the sort task as designed by Bryant-Waugh and colleagues and code as a severity rating (average) for the past month (and then month 2 and month 3).

29. FEAR OF WEIGHT GAIN (Diagnostic item)

Essence of question: To ascertain whether the child has a definite fear of gaining weight.

Questions to ask:

*Over the past four weeks, have you been scared that you might put on weight or get fat?

Ask about the frequency of this fear, both over the last four weeks and over the preceding two months.

Guidelines

• Exclude reactions to actual weight gain.
• Anorectics are in control and can’t perceive ever gaining weight. Whilst in control, it is unlikely that they will have fear of gaining weight.

Rating

Rate the number of days on which a definite fear has been present.

Rate 9 if not asked about the preceding two months.

Scoring: Circle the most appropriate score.

Month 2

Month 3

0 - No definite fear of fatness or weight gain

0

0

1 -

1

1

2 - Definite fear of fatness or weight gain on less than half the days

2

2

3 -

3

3

4 - Definite fear of fatness or weight gain on more than half the days

4

4

6 - Definite fear of fatness or weight gain present every day

6

6

9 - Not asked

9

9

Note the rating of the importance of shape and importance of weight items.

Rate 9 if not asked about the preceding two months.

Scoring: Fill in the brackets:

Month 1

Month 2

Month 3

Importance of shape

[ ]

[ ]

[ ]

Importance of weight

[ ]

[ ]

[ ]

30. DISCOMFORT SEEING BODY (Shape concern subscale)

Essence of question: To ascertain whether, and to what degree, the subject feels any discomfort when seeing their body.

Questions to ask:

*Over the past four weeks, have you felt awkward or embarrassed seeing your own body, for example, in the mirror, reflected in a shop window, getting undressed, having a bath or shower?

*Have you tried not looking at your body? Why?

Guidelines

• The discomfort should be due to the child’s sensitivity about the overall appearance of his/her shape or figure.
• It should not stem from sensitivity about specific aspects of appearance (e.g., acne, big nose).
• It should not stem from modesty - stress to the child that it does not include other people seeing their body.

Rating

Rate the level of discomfort felt by the child, averaged out over the past four weeks.

Scoring: Circle the most appropriate score.

[ ] 0 - No discomfort about seeing body

[ ] 1 -

[ ] 2 -Some discomfort about seeing body

[ ] 3 -

[ ] 4 - Definite discomfort about seeing body

[ ] 5 -

[ ] 6 - Definite discomfort about seeing body and has attempted to avoid all such occasions (i.e., the child has attempted not to see his/her body at all, even when washing).

31. AVOIDANCE OF EXPOSURE (Shape concern subscale)

Essence of question: To ascertain whether, and to what degree, the child feels any discomfort when other people see his/her body.

Questions to ask:

*Over the past four weeks, have you felt awkward or embarrassed when other people see your body, for instance, getting changed for swimming, in the swimming pool, if you are wearing shorts or a short skirt?

*What about when your parents / brother(s) / sister(s) / friends (male and female) can see your body?

*Have you tried not to let other people see your body? Why?

Guidelines

• The discomfort should be due to the child’s sensitivity about the overall appearance of his/her shape or figure.
• It should not stem from sensitivity about specific aspects of appearance (e.g., acne, big nose).
• The discomfort should not stem from modesty.

Rating

Rate the level of discomfort felt by the child, averaged out over the past four weeks.

If the possibility of exposure has not arisen, rate 9.

Scoring: Circle the most appropriate score.

[ ] 0 - No discomfort about others seeing body

[ ] 1 -

[ ] 2 -Some discomfort about others seeing body

[ ] 3 -

[ ] 4 - Definite discomfort about others seeing body

[ ] 5 -

[ ] 6 - Definite discomfort about others seeing body and has attempted to avoid all such occasions

[ ] 9 - Possibility of exposure has not arisen.

32. FEELINGS OF FATNESS (Diagnostic item and shape concern subscale)

Essence of question: To ascertain whether, and how often, the subject has felt fat over the last four weeks.

Questions to ask:

*Over the past four weeks, have you felt fat?

Ask about the frequency of episodes, both over the last four weeks, and over the preceding two months.

Guidelines

• Distinguish "feeling fat" from feeling bloated premenstrual, unless this is experienced as feeling fat
• Accept the child’s use of the expression "feeling fat".

Rating

Rate the number of days on which the subject has felt fat.

Scoring: Circle the most appropriate score.

Month 2

Month 3

0 - Has not felt fat

0

0

1 -

1

1

2 - Has felt fat on less than half the days

2

2

3 -

3

3

4 - Has felt fat on more than half the days

4

4

6 - Has felt fat every day

6

6

9 - Child obviously overweight, so question not asked.

9

9

33. FLAT STOMACH (Shape concern subscale)

Essence of question: To ascertain whether, and how often, the child has the desire for a flat stomach.

Questions to ask:

*Over the past four weeks, have you ever wished / wanted to have a really flat tummy / stomach?

*How often?

Guidelines

• The desire must be to have a flat or concave stomach, not simply a "flatter" stomach.
• The child may want a flat stomach all the time, but you are looking for the number of days that the child actually thinks about his/her desire for a flat stomach.

Rating

Rate the number of days on which the child has a definite desire to have a flat or concave stomach.

Scoring: Circle the most appropriate score.

[ ] 0 - No definite desire to have a flat stomach

[ ] 1 -

[ ] 2 -Definite desire to have a flat stomach on less than half the days

[ ] 3 -

[ ] 4 - Definite desire to have a flat stomach on more than half the days

[ ] 5 -

[ ] 6 - Definite desire to have a flat stomach every day

[ ] 7 - Child obviously overweight, so question not asked

34. WEIGHT AND HEIGHT

Obtain this data from the child’s file.

Weight in kgs [ ] [ ] [ ]

Height in cms [ ] [ ] [ ]

35, MAINTAINED LOW WEIGHT (Diagnostic item)

Essence of question: To ascertain whether a child of low weight is trying to lose weight, or at least not gain weight.

Questions to ask:

*Over the past three months, have you been trying to lose weight?

*If not, have you been trying to make sure that you do not put on any weight?

Guidelines

• If weight is low, take into account presence of attempts either to lose weight or to avoid weight gain.
• Ascertain as to whether any attempts to lose/maintain weight were for reasons concerning shape or weight.

Scoring: Circle the most appropriate score.

[ ] 0 - No attempts either to lose weight or to avoid weight gain over the last three months.

[ ] 1 -Attempts either to lose weight or to avoid weight gain over the last three months for reasons concerning shape or weight.

[ ] 2 -Attempts either to lose weight or to avoid weight gain over the last three months for other reasons.

36. MENSTRUATION (Diagnostic item)

Essence of question: To ascertain menstrual status.

Questions to ask:

*Have your periods started yet?

*What has happened to your periods?

*Do you get one every month?

(In a few cases). *Are you on the pill?

Guidelines

• Determine whether a regular cycle has been established.
• If the girl does not get one every month, get details of any periods.
• Make sure the girl is not talking about isolated days: a period should last at least a few days.

Rating

Rate the number of menstrual periods over the past three expected menstrual cycles.

Rate -99 if the child is premenarchal, or has been taking oral contraceptives.

Rate -77 if child is male.

Scoring: Fill in the bracket.

Number of menstrual periods in the last three months. [ ]

*Ask the following questions on the most pathological eating episode (from OBE to SBE to OO to NE/typical meal) within the past month

Coding notes

  • One form per child
  • Circle each child’s responses
  • If more than 1 response to a query, circle all responses and note all codes (numbers) on the summary form
  • If a response does not fit into a category, write in the new response and be sure to include the response on the summary form
  • If you are unclear on how to code a response, contact the team so that we can make a collaborative decision

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

3 Restraint over eating

4 Avoidance of eating

5 Empty stomach

6 Food avoidance

7 Dietary Rules

Eating Concern

8 Preoccupation with food, eating or calories

9 Fear of losing control over eating

12 Social eating

13 Eating in secret

14 Guilt about eating

Shape Concern

25 Dissatisfaction with shape

26 Preoccupation with shape or weight

27/28 Importance of shape and importance of weight

29 Fear of weight gain

30 Discomfort seeing body

31 Avoidance of exposure

32 Feelings of fatness

33 Flat stomach

Weight Concern

21 Dissatisfaction with weight

22 Desire to lose weight

23 Desired Weight

24 Reaction to prescribed weighing

26 Preoccupation with shape or weight

27/28 Importance of shape and importance of weight

Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Prior to using the Eating Disorders Examination©, an interviewer should be trained and should consult the extensive "Interviewer Guidance for Interviewers" and "Generating DSM-5 Eating Disorder Diagnoses" (provided at www.credo-oxford.com/pdfs/EDE_17.0D.pdf). This document is copyrighted by Christopher G. Fairburn, Zafra Cooper, and Marianne O’Connor (2014).

Equipment Needs

The PhenX Working Group acknowledges these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

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

Interviewer-administered questionnaire

Life Stage:

Child, Adolescent

Participants:

Adolescents, ages 8-13

Specific Instructions:

Prior to using the Eating Disorders Examination (EDE), an interviewer should be trained and should consult the extensive "Interviewer Guidance for Interviewers" and "Generating DSM-5 Eating Disorder Diagnoses" (provided at www.credo-oxford.com/pdfs/EDE_17.0D.pdf). This document is copyrighted by Christopher G. Fairburn, Zafra Cooper, and Marianne O’Connor (2014).

The most recent edition of the EDE is 17.0D. The main difference from the earlier edition (16.0D) is that it is designed to generate the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) eating disorder diagnoses (American Psychiatric Association, 2013).

The EDE is under copyright. It is freely available for noncommercial research use only. For commercial use, contact www.credo-oxford.com/6.2.html.

The text listed in BOLD below is read aloud to the respondent.

The work group acknowledges this protocol is in English (United Kingdom) and recommends adjusting for English (United States) as needed.

A note from the Working Group:

Typically, people use the template provided (see last page in www.credo-oxford.com/pdfs/EDE_17.0D.pdf) or make a similar blank template on their own computer to use. If you have a blank template on the computer, somebody might be able to figure out how to auto-populate the dates or can have an RA create the calendars in advance, notating whatever holidays fall during that period that might be celebrated based on the population being examined. It would not matter if this was done on the computer or by hand. You should also ask the individual to fill in any other holidays or special events (birthdays/office parties, etc.) that fell during the timeframe in question. The calendar is meant to be personalized to help you recall accurately so that you would tailor holidays relevant to population using it (e.g., 4th of July, Thanksgiving for the United States).

For the calendar, it is mainly just used as a reference for the participant and the interviewer, so typically you would just notate right on that or have the participant write directly on that and let the participant hold onto it to refer to as necessary. Typically, it will be kept but not used for any other purpose.

For interview responses, the interviewer could have a printout of the entire interview and circle the appropriate responses and take notes as needed. However, it would also be fine if you set up something for electronic data entry (like Survey Monkey) and recorded responses electronically for ease of data management. We found that a coding sheet was often easiest for data entry.

It is also not uncommon for people to record the interview so that it can be referred to for reliability ratings or if the assessor had a question about an item and wasn’t sure which rating to give for a certain item.

Selection Rationale

The Eating Disorders Examination (EDE) is widely viewed as the gold standard measure of eating disorder psychopathology. It provides a measure of the range and severity of eating disorder features. It can also generate operational eating disorder diagnoses. It is used in most treatment studies and in many other investigations of eating disorder psychopathology. Normative values are available.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Eating Disorder Examination Child Interview Assessment Text 4926396 CDE Browser
Derived Variables

None

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Fairburn C. G., Cooper, Z. & O’Connor, M. E. (2008). Eating Disorder Examination (Edition 16.0D). In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265-308). New York: Guilford Press.

General References

Bryant-Waugh, R. J., Cooper, P. J., Taylor, C. L., & Lask, B. D. (1996). The use of the Eating Disorder Examination with children: A pilot study. International Journal of Eating Disorders, 19, 391-397.

Cooper, Z., & Fairburn, C. G. (1987). The Eating Disorder Examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders, 6, 1-8.

Fairburn, C. G., & Cooper, Z. (1993). The Eating Disorder Examination (twelfth edition). In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment and treatment (pp. 317-360). New York: Guilford Press.

Fairburn, C. G., Cooper, Z., & O’Connor, M. (2008). Eating Disorder Examination (16.0D). In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265-308). New York: Guilford Press.

Protocol ID:

230101

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX230101_PsychopathologyEatingDisorders_Abstinence_History PX230101260100 Over the past three months has there been a period of two or more weeks when you have not ... (ask for each individual form of behavior that has been practiced by the child)? 4 N/A
PX230101_PsychopathologyEatingDisorders_Abstinence_Null_ConsecutiveWeeks PX230101260300 What is the number of consecutive weeks over the past three months free from all five forms of extreme weight control behavior? 4 N/A
PX230101_PsychopathologyEatingDisorders_Abstinence_Null_ConsecutiveWeeks_Encoded PX230101260200 What is the number of consecutive weeks over the past three months free from all five forms of extreme weight control behavior? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Age PX230101170200 If yes, age of onset? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Current_DietStatus PX230101171400 Is the subject currently dieting? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Diet PX230101170700 Has the subject ever dieted or tried dieting (defined as any deliberate change to the amount or type of food eaten to influence shape or weight, regardless of how effective the changes were)? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_DietAge PX230101171000 What is the age of onset of dieting or trying to diet? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_DietAttempts PX230101170900 What is the number of times dieted or tried dieting? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_DietGrade PX230101171100 What is the age of grade of dieting or trying to diet? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Diet_Behavior PX230101171300 Describe behavior of all diets 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Diet_LongestTime PX230101171200 What is the longest length of time that the subject dieted or tried to diet? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Diet_Reason PX230101170800 Briefly note reason for dieting or trying to diet 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_First_1 PX230101171500 Which came first? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_First_2 PX230101171600 Which came first? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_First_3 PX230101171700 Which came first? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Grade PX230101170300 If yes, grade of onset? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_History PX230101170100 Has the subject ever experienced LOC? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_Overweight PX230101170400 Has the subject ever been overweight? 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_OverweightAge PX230101170500 Age of onset of overweight (started to gain a lot of weight): 4 N/A
PX230101_PsychopathologyEatingDisorders_AgeOfOnset_OverweightGrade PX230101170600 Grade of onset of overweight (started to gain a lot of weight): 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceExposure_FamilyFriends PX230101360200 What about when your parents / brother(s) / sister(s) / friends (male and female) can see your body? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceExposure_History PX230101360100 Over the past four weeks, have you felt awkward or embarrassed when other people see your body, for instance, getting changed for swimming, in the swimming pool, if you are wearing shorts or a short skirt? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceExposure_Others PX230101360300 Have you tried not to let other people see your body? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceExposure_Rating PX230101360500 Which rating best describes the level of discomfort felt by the child, averaged out over the past four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceExposure_Reason PX230101360400 If so, why? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_Frequency PX230101040400 How often has this happened? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_History PX230101040100 Over the past four weeks, have you ever not eaten anything for most of the day? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_Purpose PX230101040500 Why have you done this? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_Rating PX230101040700 Which rating best describes the number of days on which there has been at least eight hours abstinence from eating food (soup and milk-shakes count as food, whereas drinks in general do not) during waking hours? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_ShapeWeight PX230101040600 Have you done this to try and change your shape and weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_StartTime PX230101040300 About what time would you start eating again? 4 N/A
PX230101_PsychopathologyEatingDisorders_AvoidanceOfEating_Time PX230101040200 If so, about what time would you decide to not eat? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Control PX230101100400 Did you feel out of control, or that you just couldn't stop when it happened? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Discipline PX230101100500 Could you have made yourself stop eating once you had started? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Food PX230101100200 What have you usually eaten at times like this? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Food_Others PX230101100300 What was the rest of your family/friends eating when it happened? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Frequency_Month PX230101100700 How often have you felt like this in the past four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Frequency_TwoMonths PX230101100800 How often have you felt like this in the past eight weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_History PX230101100100 Can you tell me about any times when you have felt that you have eaten too much in one go? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_InitialDiscipline PX230101100600 Could you have somehow stopped yourself from starting to overeat in the first place? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Days_Month PX230101100900 What is the number of days on which one or more objective bullimic episodes have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Days_ThreeMonths PX230101101300 What is the number of days on which one or more objective bullimic episodes have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Days_TwoMonths PX230101101100 What is the number of days on which one or more objective bullimic episodes have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Episodes_Month PX230101101000 What is the total number of objective bullimic episodes that have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Episodes_ThreeMonths PX230101101400 What is the total number of objective bullimic episodes that have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Obe_Episodes_TwoMonths PX230101101200 What is the total number of objective bullimic episodes that have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Days_Month PX230101102100 What is the number of days on which one or more objective overeating episodes have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Days_ThreeMonths PX230101102500 What is the number of days on which one or more objective overeating episodes have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Days_TwoMonths PX230101102300 What is the number of days on which one or more objective overeating episodes have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Episodes_Month PX230101102200 What is the total number of objective overeating episodes that have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Episodes_ThreeMonths PX230101102600 What is the total number of objective overeating episodes that have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_ObjectiveOvereating_Episodes_TwoMonths PX230101102400 What is the total number of objective overeating episodes that have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Days_Month PX230101101500 What is the number of days on which one or more subjective bullimic episodes have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Days_ThreeMonths PX230101101900 What is the number of days on which one or more subjective bullimic episodes have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Days_TwoMonths PX230101101700 What is the number of days on which one or more subjective bullimic episodes have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Episodes_Month PX230101101600 What is the total number of subjective bullimic episodes that have occurred in the last 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Episodes_ThreeMonths PX230101102000 What is the total number of subjective bullimic episodes that have occurred in the last three months? 4 N/A
PX230101_PsychopathologyEatingDisorders_BulimicEpisodes_Sbe_Episodes_TwoMonths PX230101101800 What is the total number of subjective bullimic episodes that have occurred in the last two months? 4 N/A
PX230101_PsychopathologyEatingDisorders_DesiredWeight_Ideal PX230101290200 What weight would you like to be? 4 N/A
PX230101_PsychopathologyEatingDisorders_DesiredWeight_Ideal_Encoded PX230101290100 What weight would you like to be? 4 N/A
PX230101_PsychopathologyEatingDisorders_DesireLoseWeight_History PX230101280100 Over the last four weeks, have you wanted to lose weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DesireLoseWeight_Rating PX230101280300 Which rating best describes the number of days on which there has been a strong desire to lose weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DesireLoseWeight_Wish PX230101280200 Have you had a very strong wish to lose weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_Amount PX230101180100 Apart from these times when you have been out of control with your eating, how much have you been cutting down on the amount you eat? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_Details PX230101180200 What have you usually been eating in a day? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_Rating_OneMonth PX230101180600 Which rating best describes the subject's dietary restrictions, outside of objective and subjective bulimic episodes, 1 month ago? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_Rating_ThreeMonths PX230101180400 Which rating best describes the subject's dietary restrictions, outside of objective and subjective bulimic episodes, 3 months ago? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_Rating_TwoMonths PX230101180500 Which rating best describes the subject's dietary restrictions, outside of objective and subjective bulimic episodes, 2 months ago? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRestrictions_ShapeWeight PX230101180300 Have you done this to try to change your shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_BrokenFeeling PX230101070500 How would you have felt if you had broken one of your eating rules? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_BrokenRules PX230101070200 Have there been times when you know you have broken one of your own rules about eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_CertainFoods PX230101071100 Are they about certain foods or are they more general? Please describe (You will need to give some examples at this point. Examples of definite rules would be "I must not eat eggs" or "I must not eat cake", whereas a general principle would be "I should try to eat healthy food". 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_Daily PX230101070900 Do you try to stick to them every day? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_Details PX230101070600 What are your rules? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_Feelings PX230101070400 How have you felt about breaking them? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_History PX230101070100 Over the past four weeks have you tried to stick to certain definite rules about your eating; for example, only allowing yourself a certain number of calories, or a certain amount of food, or rules about what you should eat or when you should eat? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_NotDaily PX230101071000 If not, how often do you try to stick to them? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_ParentalControl PX230101070300 Would you keep to them if you were not made to break them by your parents? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_Rating PX230101071200 Which rating best describes the number of days on which the subject has actively attempted to adhere to his/her dietary rule(s) from the past four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_Reason PX230101070700 Why have you tried to stick to them? 4 N/A
PX230101_PsychopathologyEatingDisorders_DietaryRules_ShapeWeight PX230101070800 Did you make them to try to change your shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiscomfortSeeingBody_Avoidance PX230101350200 Have you tried not looking at your body? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiscomfortSeeingBody_History PX230101350100 Over the past four weeks, have you felt awkward or embarrassed seeing your own body, for example, in the mirror, reflected in a shop window, getting undressed, having a bath or shower? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiscomfortSeeingBody_Rating PX230101350400 Which rating best describes the level of discomfort felt by the child, averaged out over the past four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiscomfortSeeingBody_Reason PX230101350300 If so, why? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithShape_Dissatisfaction PX230101310200 Have you felt dissatisfied with your shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithShape_History PX230101310100 Over the past four weeks, how have you felt about your shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithShape_Miserable PX230101310300 Has this made you really miserable or unhappy? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithShape_Rating PX230101310400 Which rating best describes the child's attitude to his/her shape? This should represent the average for the entire month/ 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithWeight_Disatisfaction PX230101270200 Have you felt dissatisfied with your weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithWeight_History PX230101270100 Over the past four weeks, how have you felt about your weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithWeight_Miserable PX230101270300 Has this made you really miserable or unhappy? 4 N/A
PX230101_PsychopathologyEatingDisorders_DissatisfactionWithWeight_Rating PX230101270400 Which rating best describes the child's attitude to his/her weight? This should represent the average for the entire month. 4 N/A
PX230101_PsychopathologyEatingDisorders_DistressAbout_LossOfControl_Eating PX230101150000 In general, over the past three months how distressed or upset have you felt about these episodes (refer to the objective and/or subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_Month PX230101230100 What is the number of days in the past four weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_Month_Average PX230101230300 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_Month_Encoded PX230101230200 What is the number of days in the past four weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_Month_Type PX230101230400 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_ThreeMonths PX230101231700 What is the number of days between the past 8 to 12 weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_ThreeMonths_Average PX230101231900 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_ThreeMonths_Encoded PX230101231800 What is the number of days between the past 8 to 12 weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_ThreeMonths_Type PX230101232000 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_TwoMonths PX230101230900 What is the number of days between the past 4 to 8 weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_TwoMonths_Average PX230101231100 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_TwoMonths_Encoded PX230101231000 What is the number of days between the past 4 to 8 weeks on which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Days_TwoMonths_Type PX230101231200 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_Month PX230101230500 What is the number of episodes in the past four weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_Month_Average PX230101230700 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_Month_Encoded PX230101230600 What is the number of episodes in the past four weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_Month_Type PX230101230800 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_ThreeMonths PX230101232100 What is the number of episodes between the past 8 to 12 weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_ThreeMonths_Average PX230101232300 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_ThreeMonths_Encoded PX230101232200 What is the number of episodes between the past 8 to 12 weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_ThreeMonths_Type PX230101232400 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_TwoMonths PX230101231300 What is the number of episodes between the past 4 to 8 weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_TwoMonths_Average PX230101231500 What was the average number of diuretics taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_TwoMonths_Encoded PX230101231400 What is the number of episodes between the past 4 to 8 weeks in which diuretics have been taken as a means of controlling shape, weight or body composition 4 N/A
PX230101_PsychopathologyEatingDisorders_DiureticMisuse_Episodes_TwoMonths_Type PX230101231600 What type of diuretic was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_EatingInSecret_Frequency PX230101200200 How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_EatingInSecret_History PX230101200100 Over the past four weeks, have you eaten in secret? 4 N/A
PX230101_PsychopathologyEatingDisorders_EatingInSecret_Rating PX230101200300 Which rating best describes the number of days on which there has been at least one episode of secret eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_EmptyStomach_Frequency PX230101050400 How often have you wanted this? 4 N/A
PX230101_PsychopathologyEatingDisorders_EmptyStomach_History PX230101050100 Over the past four weeks, have you wanted your tummy to be empty - I mean not to have anything in it at all? 4 N/A
PX230101_PsychopathologyEatingDisorders_EmptyStomach_Hungry PX230101050300 Is it because you like to feel hungry? 4 N/A
PX230101_PsychopathologyEatingDisorders_EmptyStomach_Purpose PX230101050200 Why have you wanted to have an empty stomach? 4 N/A
PX230101_PsychopathologyEatingDisorders_EmptyStomach_Rating PX230101050500 Which rating best describes the number of days on which the subject has a definite desire to have a completely empty stomach for reasons to do with dieting, shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearLosingControl_Discipline PX230101090200 Have you been afraid that you won't be able to stop eating? (That is, once you' started eating, have you been scared that you won't be able to stop, or have you avoided starting to eat because of fears that you won't be able to stop eating when you wanted to?) 4 N/A
PX230101_PsychopathologyEatingDisorders_FearLosingControl_Frequency PX230101090300 How often have you felt like this? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearLosingControl_History PX230101090100 Over the past four weeks have you been frightened of losing control over eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearLosingControl_Rating PX230101090400 Which rating best describes the number of days on which definite fear has been present, irrespective of whether the subject feels he/she has been in control? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Fatness_Month PX230101340200 Which rating best describes the number of days in the past four weeks on which a definite fear of fatness has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Fatness_ThreeMonths PX230101340400 Which rating best describes the number of days in the past 8 to 12 weeks on which a definite fear of fatness has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Fatness_TwoMonths PX230101340300 Which rating best describes the number of days in the past 4 to 8 weeks on which a definite fear of fatness has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_History PX230101340100 Over the past four weeks, have you been scared that you might put on weight or get fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Weight_Month PX230101340500 Which rating best describes the number of days in the past four weeks on which a definite fear of weight has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Weight_ThreeMonths PX230101340700 Which rating best describes the number of days in the past 8 to 12 weeks on which a definite fear of weight has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FearWeightGain_Weight_TwoMonths PX230101340600 Which rating best describes the number of days in the past 4 to 8 weeks on which a definite fear of weight has been present? 4 N/A
PX230101_PsychopathologyEatingDisorders_FeelingFatness_History PX230101370100 Over the past four weeks, have you felt fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_FeelingFatness_Month PX230101370200 Which rating best describes the number of days in the past four weeks on which the subject has felt fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_FeelingFatness_ThreeMonths PX230101370400 Which rating best describes the number of days between the past 8 to 12 weeks on which the subject has felt fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_FeelingFatness_TwoMonths PX230101370300 Which rating best describes the number of days between the past 4 to 8 weeks on which the subject has felt fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_FlatStomach_Frequency PX230101380200 How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_FlatStomach_History PX230101380100 Over the past four weeks, have you ever wished / wanted to have a really flat tummy / stomach? 4 N/A
PX230101_PsychopathologyEatingDisorders_FlatStomach_Rating PX230101380300 Which rating best describes the number of days on which the child has a definite desire to have a flat or concave stomach? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_Favorite PX230101060100 What foods do you really like/did you like before? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_Frequency PX230101060300 How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_History PX230101060200 Over the past four weeks have you tried to not eat any foods that you especially like, even if you haven't managed this? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_Rating PX230101060600 Which rating best describes the number of days on which the subject has actively attempted to avoid eating specific foods (which he/she likes) whether or not he/she has succeeded? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_Reason PX230101060400 Why have you stopped eating those foods? 4 N/A
PX230101_PsychopathologyEatingDisorders_FoodAvoidance_ShapeWeight PX230101060500 Have you done this to try to change your shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_GuiltAboutEating_Frequency PX230101210400 How often when you have eaten, have you felt it was wrong or that you shouldn't have? 4 N/A
PX230101_PsychopathologyEatingDisorders_GuiltAboutEating_Guilt PX230101210200 Have you felt guilty about eating? By that I mean, have you felt bad about eating and felt that you shouldn't have done it? 4 N/A
PX230101_PsychopathologyEatingDisorders_GuiltAboutEating_History PX230101210100 Over the past four weeks, have you felt that you have done something wrong during or after eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_GuiltAboutEating_Rating PX230101210500 Which rating best describes the proportion of times on which feelings of guilt has followed eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_GuiltAboutEating_Reason PX230101210300 Why? 4 N/A
PX230101_PsychopathologyEatingDisorders_Height PX230101390200 What is the subject's height? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Shape_Evaluation PX230101330100 Do you use your shape to evaluate yourself? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Shape_Month PX230101330300 Which rating best describes the number of days in the past 4 weeks on which the subject evaluates him/herself based on his/her shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Shape_ThreeMonths PX230101330500 Which rating best describes the number of days between the past 8 to 12 weeks on which the subject evaluates him/herself based on his/her shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Shape_TwoMonths PX230101330400 Which rating best describes the number of days between the past 4 to 8 weeks on which the subject evaluates him/herself based on his/her shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Weight_Evaluation PX230101330200 Do you use your weight to evaluate yourself? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Weight_Month PX230101330600 Which rating best describes the number of days in the past 4 weeks on which the subject evaluates him/herself based on his/her weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Weight_ThreeMonths PX230101330800 Which rating best describes the number of days between the past 8 to 12 weeks on which the subject evaluates him/herself based on his/her weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_ImportanceShapeWeight_Weight_TwoMonths PX230101330700 Which rating best describes the number of days between the past 4 to 8 weeks on which the subject evaluates him/herself based on his/her weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_BodyParts PX230101240400 Which parts of you were you trying to change? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_BurnCalories_AlreadyEaten PX230101240500 Have you exercised to try to burn off calories / use up the food that you have eaten? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_Month PX230101240700 What is the number of days in the past four weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_Month_Encoded PX230101240600 What is the number of days in the past four weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_ThreeMonths PX230101241700 What is the number of days between the past 8 to 12 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_ThreeMonths_Encoded PX230101241600 What is the number of days between the past 8 to 12 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_TwoMonths PX230101241200 What is the number of days between the past 4 to 8 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Days_TwoMonths_Encoded PX230101241100 What is the number of days between the past 4 to 8 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_Month PX230101240900 What is the number of episodes in the past four weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_Month_Encoded PX230101240800 What is the number of episodes in the past four weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_ThreeMonths PX230101241900 What is the number of episodes between the past 8 to 12 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_ThreeMonths_Encoded PX230101241800 What is the number of episodes between the past 8 to 12 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_TwoMonths PX230101241400 What is the number of episodes between the past 4 to 8 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Episodes_TwoMonths_Encoded PX230101241300 What is the number of episodes between the past 4 to 8 weeks that the subject engaged in intense exercise that was predominantly intended to use calories or change shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_History PX230101240200 Over the past four weeks, have you exercised / done sport / worked out in order to keep your weight down? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Month_Average PX230101241000 What is the average amount of time, in minutes, per day in the past four weeks spent exercising in this way? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Shape PX230101240300 Have you exercised to change your shape? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_ThreeMonths_Average PX230101242000 What is the average amount of time, in minutes, per day between the past 8 to 12 weeks spent exercising in this way? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_TwoMonths_Average PX230101241500 What is the average amount of time, in minutes, per day between the past 4 to 8 weeks spent exercising in this way? 4 N/A
PX230101_PsychopathologyEatingDisorders_IntenseExercise_Type PX230101240100 What sort of exercise does you usually do? Which sports? How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_Introduction PX230101010100 Has your eating been very different from one day to the next? 4 N/A
PX230101_PsychopathologyEatingDisorders_Introduction_Fasting PX230101010300 Have there been any days when you haven't eaten anything at all? 4 N/A
PX230101_PsychopathologyEatingDisorders_Introduction_SickDays PX230101010400 Recent sick days or vacation days during which you' eating might have been different? 4 N/A
PX230101_PsychopathologyEatingDisorders_Introduction_TwoMonths PX230101010500 What about during the past two months? (NB at this point you will almost certainly have to use the agenda to aid recall.) 4 N/A
PX230101_PsychopathologyEatingDisorders_Introduction_Weekend PX230101010200 Has your eating on weekends been different to days during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Amount PX230101230600 How much did you take? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_Month PX230101230700 What is the number of days in the past 4 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_Month_Average PX230101230900 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_Month_Encoded PX230101230800 What is the number of days in the past 4 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_Month_Type PX230101231000 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_ThreeMonths PX230101232300 What is the number of days between the past 8 to 12 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_ThreeMonths_Average PX230101232500 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_ThreeMonths_Encoded PX230101232400 What is the number of days between the past 8 to 12 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_ThreeMonths_Type PX230101232600 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_TwoMonths PX230101231500 What is the number of days between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_TwoMonths_Average PX230101231700 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_TwoMonths_Encoded PX230101231600 What is the number of days between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Days_TwoMonths_Type PX230101231800 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_Month PX230101231100 What is the number of discrete episodes in the past four weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_Month_Average PX230101231300 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_Month_Encoded PX230101231200 What is the number of discrete episodes in the past four weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_Month_Type PX230101231400 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_ThreeMonths PX230101232700 What is the number of discrete episodes between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_ThreeMonths_Average PX230101232900 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_ThreeMonths_Encoded PX230101232800 What is the number of discrete episodes between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_ThreeMonths_Type PX230101233000 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_TwoMonths PX230101231900 What is the number of discrete episodes between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_TwoMonths_Average PX230101232100 What was the average number of laxatives taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_TwoMonths_Encoded PX230101232000 What is the number of discrete episodes between the past 4 to 8 weeks on which laxatives have been taken as a means of controlling shape, weight or body composition? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Episodes_TwoMonths_Type PX230101232200 What type of laxative was taken during this time period? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_History PX230101230200 Have you ever taken any of these (over the last four weeks)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Present PX230101230100 Are there medicines around that make you go to the toilet? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Reason PX230101230300 If yes, why 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_ShapeWeight PX230101230400 Was this to make sure that you didn't put any weight on or get too fat? 4 N/A
PX230101_PsychopathologyEatingDisorders_LaxativeMisuse_Type PX230101230500 What did you take? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Average PX230101130400 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative objective and/or subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Average_Encoded PX230101130500 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative objective and/or subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Comparison PX230101130200 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did you have any other equivalent episodes (refer, if applicable, to other types of objective and/or subjective bulimic episodes that the subject reported)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Frequency PX230101130300 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did they occur more or less often than in the past 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_History PX230101130100 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did you have any episodes like (describe a representative objective and/or subjective bulimic episode)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Null PX230101130600 Over the past three months, has there been a period of two or more weeks in a row in which you have not had a single episode like ...... (refer to objective and/or subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocBulimicEpisodes_Null_LongestContinuousPeriod PX230101130700 If yes, what has been the longest continuous period (in weeks) you have had free from such episodes (refer to objective and/or subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_EatRapidly PX230101140100 During these episodes (refer to typical loss of control episodes), have you typically eaten much more rapidly than normal? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_EatRapidly_Rating PX230101140200 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_Embarrassment PX230101140700 During these episodes (refer to typical loss of control episodes), have you typically eaten alone because you have felt embarrassed about how much you were eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_Embarrassment_Rating PX230101141800 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_FeelDisgusted PX230101140900 During these episodes (refer to typical loss of control episodes), have you typically felt disgusted with yourself, depressed, or very guilty? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_FeelDisgusted_Rating PX230101141000 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_NotHungry PX230101140500 During these episodes (refer to typical loss of control episodes), have you typically eaten large amounts of food when you haven't felt physically hungry? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_NotHungry_Rating PX230101140600 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_Uncomfortable PX230101140300 During these episodes (refer to typical loss of control episodes), have you typically eaten until you have felt uncomfortably full? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_Uncomfortable_Rating PX230101140400 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_ZonedOut PX230101141100 During these episodes (refer to typical loss of control episodes), have you typically zoned out, numbed out, or dissociated while you were eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_LocSeverityIndex_ZonedOut_Rating PX230101141200 How would you rate these episodes? 4 N/A
PX230101_PsychopathologyEatingDisorders_MaintainedLowWeight_History PX230101400100 Over the past three months, have you been trying to lose weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_MaintainedLowWeight_Maintenance PX230101400200 If not, have you been trying to make sure that you do not put on any weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_MaintainedLowWeight_Rating PX230101400300 Which rating best describes the subject's effort to maintain low weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation PX230101410100 Have your periods started yet? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation_Details PX230101410200 What has happened to your periods? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation_EveryMonth PX230101410300 Do you get one every month? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation_History PX230101410600 What is the number of menstrual periods over the past three expected menstrual cycles? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation_History_Encoded PX230101410500 What is the number of menstrual periods over the past three expected menstrual cycles? 4 N/A
PX230101_PsychopathologyEatingDisorders_Menstruation_Pill PX230101410400 (In a few cases). Are you on the pill? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Average PX230101110400 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative objective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Average_Encoded PX230101110500 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative objective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Comparison PX230101110200 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?:Did you have any other equivalent episodes (refer, if applicable, to other types of objective bulimic episodes that the subject reported)? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Frequency PX230101110300 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?:Did they occur more or less often than in the past 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_History PX230101110100 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?:Did you have any episodes like (describe a representative objective bulimic episode)? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Null PX230101110600 Over the past three months, has there been a period of two or more weeks in a row in which you have not had a single episode like ...... (refer to objective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_ObjectiveBulimicEpisodes_Null_LongestContinuousPeriod PX230101110700 If yes, what has been the longest continuous period (in weeks) you have had free from such episodes (refer to objective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_Month PX230101250400 What is the number of days in the past 4 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_Month_Encoded PX230101250300 What is the number of days in the past 4 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_ThreeMonths PX230101251200 What is the number of days between the past 8 to 12 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_ThreeMonths_Encoded PX230101251100 What is the number of days between the past 8 to 12 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_TwoMonths PX230101250800 What is the number of days between the past 4 to 8 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Days_TwoMonths_Encoded PX230101250700 What is the number of days between the past 4 to 8 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Details PX230101250200 If Yes, please specify the nature of these acts: 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_History PX230101250100 Over the past four weeks, have you done anything else to try to change your shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_Month PX230101250600 What is the number of occasions in the past 4 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_Month_Encoded PX230101250500 What is the number of occasions in the past 4 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_ThreeMonths PX230101251400 What is the number of occasions between the past 8 to 12 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_ThreeMonths_Encoded PX230101251300 What is the number of occasions between the past 8 to 12 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_TwoMonths PX230101251000 What is the number of occasions between the past 4 to 8 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_OtherExtremeMethods_Occasions_TwoMonths_Encoded PX230101250900 What is the number of occasions between the past 4 to 8 weeks that the child has engaged in extreme forms of behavior designed to influence weight, shape or body composition, irrespective of whether they are likely to have been effective? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Breakfast_Week PX230101020300 How would you rate your eating habits for breakfast during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Breakfast_Weekend PX230101020400 How would you rate your eating habits for breakfast over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_EveningMeal_Week PX230101021100 How would you rate your eating habits for evening meals during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_EveningMeal_Weekend PX230101021200 How would you rate your eating habits for evening meals over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Lunch_Week PX230101020700 How would you rate your eating habits for lunch during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Lunch_Weekend PX230101020800 How would you rate your eating habits for lunch over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Meals_Week PX230101020100 Over the past 7 days (not including today), which of these meals or snacks have you eaten regularly during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Meals_Weekend PX230101020200 Over the past 7 days (not including today), which of these meals or snacks have you eaten regularly over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Midafternoon_Week PX230101020900 How would you rate your eating habits for mid-afternoon snacks during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Midafternoon_Weekend PX230101021000 How would you rate your eating habits for mid-afternoon snacks over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Midmorning_Week PX230101020500 How would you rate your eating habits for mid-morning snacks during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Midmorning_Weekend PX230101020600 How would you rate your eating habits for mid-morning snacks over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Nocturnal_Week PX230101021300 How would you rate your eating habits for nocturnal snacks during the week? 4 N/A
PX230101_PsychopathologyEatingDisorders_PatternOfEating_Nocturnal_Weekend PX230101021400 How would you rate your eating habits for nocturnal snacks over the weekend? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_Discipline PX230101080500 Could you stop thinking about food if you tried? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_Distraction PX230101080300 Has thinking about food, eating or calories made it hard for you to concentrate on or pay attention to what you are doing? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_Distraction_Hobbies PX230101080400 How about concentrating on things that you like doing, like watching television, reading, playing computer games (etc.)? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_Frequency PX230101080200 How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_History PX230101080100 Over the past four weeks have you spent much time between meals thinking about food, eating or calories (not because you were hungry)? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationFoodEatingCalories_Rating PX230101080600 Which rating best describes the number of days on which concentration has been impaired due to preoccupation with food, eating or calories, whether or not bulimic episodes have occurred? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationShapeWeight_Distraction PX230101320200 Has thinking about your shape or weight made it hard for you to pay attention to what you are doing? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationShapeWeight_Distraction_Hobbies PX230101320300 What about when you are doing things that you enjoy, for instance, watching television, reading, playing computer games (etc.)? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationShapeWeight_Frequency PX230101320400 How often does this happen? 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationShapeWeight_History PX230101320100 Over the last four weeks, have you spend much time thinking about your shape or weight? (Check that the child has grasped these concepts). 4 N/A
PX230101_PsychopathologyEatingDisorders_PreoccupationShapeWeight_Rating PX230101320500 Which rating best describes the number of days on which this has happened? 4 N/A
PX230101_PsychopathologyEatingDisorders_ReactionPrescribedWeighing_Feeling PX230101300100 How would you feel if you were told to weight yourself once a week for the next four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_ReactionPrescribedWeighing_Once PX230101300300 How would you feel if you were told that you could only weigh yourself once a week and not more often? 4 N/A
PX230101_PsychopathologyEatingDisorders_ReactionPrescribedWeighing_Once_Rating PX230101300400 Which rating best describes the strength of the negative reaction from the child to this question? 4 N/A
PX230101_PsychopathologyEatingDisorders_ReactionPrescribedWeighing_Rating PX230101300200 Which rating best describes the strength of the negative reaction from the child to this question? 4 N/A
PX230101_PsychopathologyEatingDisorders_RestraintOverEating_Frequency PX230101030200 How often? 4 N/A
PX230101_PsychopathologyEatingDisorders_RestraintOverEating_History PX230101030100 Over the past four weeks, have you deliberately been trying to cut down on what you eat, even if you haven't managed to do this? 4 N/A
PX230101_PsychopathologyEatingDisorders_RestraintOverEating_Purpose PX230101030300 What is the purpose of cutting down? 4 N/A
PX230101_PsychopathologyEatingDisorders_RestraintOverEating_Rating PX230101030500 Which rating best describes the number of days on which the subject has consciously attempted to restrict his/her food instake, whether or not he/she has succeeded? 4 N/A
PX230101_PsychopathologyEatingDisorders_RestraintOverEating_ShapeWeight PX230101030400 Have you done this to try to change your shape or weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_Month PX230101220700 What is the number of days in the past four weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_MonthEncoded PX230101220800 What is the number of days in the past four weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_ThreeMonths PX230101221500 What is the number of days between the past 8 to 12 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_ThreeMonthsEncoded PX230101221600 What is the number of days between the past 8 to 12 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_TwoMonths PX230101221100 What is the number of days between the past 4 to 8 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Days_TwoMonthsEncoded PX230101221200 What is the number of days between the past 4 to 8 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Details PX230101220200 What happened then? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_Month PX230101220900 What is the number of discrete episodes in the past four weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_MonthEncoded PX230101221000 What is the number of discrete episodes in the past four weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_ThreeMonths PX230101221700 What is the number of discrete episodes between the past 8 to 12 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_ThreeMonthsEncoded PX230101221800 What is the number of discrete episodes between the past 8 to 12 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_TwoMonths PX230101221300 What is the number of discrete episodes between the past 4 to 8 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_Episodes_TwoMonthsEncoded PX230101221400 What is the number of discrete episodes between the past 4 to 8 weeks on which there has been self-induced vomiting? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_History PX230101220100 (For ethical reasons). When was the last time you were physically sick/vomited? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_History_Selfrealization PX230101220300 (If necessary ...) Have there been times when you have eaten more than you have been happy with and felt that you have had to do something about it? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_InduceSickness PX230101220400 Some people feel so desperate sometimes that they even try to make themselves sick. Have you ever done this? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_InduceSickness_History PX230101220500 If so, was this during the last four weeks? 4 N/A
PX230101_PsychopathologyEatingDisorders_SelfInducedVomiting_ShapeWeight PX230101220600 Did you do this to try to keep you weight down / to stop you from getting fat / putting on weight? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes PX230101160100 In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how would you rate the intensity (or degree) of loss of control? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes_Compelled PX230101160300 In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how much did you feel driven and compelled to eat (like you just "had to" eat)? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes_Compelled_Rating PX230101160600 Using the same scale (1 [not at all] to 5 [extremely]), how much did you feel driven and compelled to eat (like you just "had to" eat) during (refer to times when you had the maximum intensity of loss of control in the past three months, score from two items above)? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes_Control PX230101160200 In thinking back on a typical loss of control episode over the past three months (refer to representative objective and/or subjective bulimic episodes), how would you rate how much you felt like you were able to stop eating? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes_Control_Rating PX230101160500 Using the scale (1 [not at all] to 5 [extremely]), how would you rate how much you felt like you were able to stop eating during (refer to times when you had the maximum intensity of loss of control in the past three months, score from above item)? 4 N/A
PX230101_PsychopathologyEatingDisorders_Severity_LossOfControl_BingeEpisodes_Rating PX230101160400 Using the scale (1 [not very intense] to 5 [extremely intense]), in the past three months, what was the maximum intensity of loss of control that you felt? 4 N/A
PX230101_PsychopathologyEatingDisorders_SocialEating_Avoidance PX230101190200 Have you tried putting off (or getting out of) eating with other people? 4 N/A
PX230101_PsychopathologyEatingDisorders_SocialEating_Avoidance_Parents PX230101190300 Would you avoid eating in front of others if you were allowed to by your parents? 4 N/A
PX230101_PsychopathologyEatingDisorders_SocialEating_Avoidance_Reason PX230101190400 Why were you concerned about others seeing you eat? 4 N/A
PX230101_PsychopathologyEatingDisorders_SocialEating_History PX230101190100 Over the past four weeks have you been worried about other people seeing you eat? 4 N/A
PX230101_PsychopathologyEatingDisorders_SocialEating_Rating PX230101190500 Which rating best describes the concern about eating normal or less than normal amounts of food in front of others (e.g., family) and whether this has led to avoidance? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Average PX230101120400 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Average_Encoded PX230101120500 On average over the past three months (specify months), how many days per week have you had episodes like .......... (refer to the representative subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Comparison PX230101120200 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did you have any other equivalent episodes (refer, if applicable, to other types of subjective bulimic episodes that the subject reported)? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Frequency PX230101120300 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did they occur more or less often than in the past 28 days? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_History PX230101120100 What about the two months prior to the month that we have been talking about (refer to the dates of Month 1)?: Did you have any episodes like (describe a representative subjective bulimic episode)? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Null PX230101120600 Over the past three months, has there been a period of two or more weeks in a row in which you have not had a single episode like ...... (refer to subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_SubjectiveBulimicEpisodes_Null_LongestContinuousPeriod PX230101120700 If yes, what has been the longest continuous period (in weeks) you have had free from such episodes (refer to subjective bulimic episodes)? 4 N/A
PX230101_PsychopathologyEatingDisorders_Weight PX230101390100 What is the subject's weight? 4 N/A
Research Domain Information
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