Eating Disorder Diagnostic Interview
I would like to get a general picture of your eating habits over the past 4 weeks. Have your eating habits varied much from day to day? I am interested in any overeating that you may have experienced over the past 4 weeks.
Different people mean different things by overeating. I want to explain the term “binge episode.” This means eating an amount of food that most people would consider very large‚ and feeling like you could not control your eating.
This is different from when you feel your eating is out of control‚ but you don’t eat what most people would consider a large amount of food.
This is also different from simple overeating‚ when you eat a large amount of food‚ but don’t feel like your eating is out of your control. For example‚ at Thanksgiving‚ people tend to eat a lot of food‚ but most people feel as though they are in control during this time. Does that make sense?
Have you ever had a binge episode like that?
If they endorse bingeing‚ ask the following to get a sense of whether it was a true binge episode:
Can you give me an example of what you have eaten at these times? If more than one episode‚ are the other binge episodes similar? Did you feel out of control during those times? Could you have stopped eating once you had started?
1. For the past 4 weeks‚ how many days did you have binge episodes? How many episodes did you have on each of those days? Then for the 2 months before that‚ how many days did you have a binge episode and how many total episodes were there? For the 9 months before that‚ how many days and episodes were there? [Rate best guess as to number of episodes‚ even if number is very large‚ so that data can be analyzed. Capture entire year’s history. Rate 00 if none]
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(Skip questions 2-7 ONLY if NO binges were endorsed over the past three months)
2. During these episodes did you eat much more rapidly than normal? Yes No
3. Eat until you felt uncomfortably full? Yes No
4. Eat large amounts of food when you didn’t feel physically hungry? Yes No
5. Eat alone because you were embarrassed by how much you were eating? Yes No
6. Feel depressed or very guilty after overeating? Yes No
7. Did you feel upset that you couldn’t control your eating? Yes No8.
Over the past 4 weeks have you made yourself sick as a means of controlling your shape or weight? How many episodes of self-induced vomiting occurred over the last 4 weeks? 2 prior months? 9 months before that? (Make sure that the attempt was successful)
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9. Over the past 4 weeks have you taken laxatives or diuretics (water pills) as a means of controlling your shape or weight? (e.g. medicines such as Ex-Lax‚ Correctol‚ Phenamint‚ Nature’s Remedy‚ Sunril‚ AquaBan‚ Pamprin‚ Midol-PMS.) How many episodes of laxative/diuretic use to control shape or weight occurred over the last 4 weeks? 2 prior months? 9 months before that?
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10. Over the past 4 weeks have you fasted (meaning have you skipped at least 2 meals in a row) as a means of controlling your shape or weight? How many episodes of fasting to control shape or weight occurred over the last 4 weeks? 2 prior months? 9 months before that?
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11. Over the past 4 weeks have you engaged in exercise that was intended to burn calories to compensate for “overconsumption” of eating or drinking? How many days of compensatory exercise to occurred in the past 4 weeks? 2 prior months? 9 months before that? [Exercise must be excessive to count] Ask about regular exercise (number of days/week‚ duration‚ intensity). Was the exercise compensatory AND in addition to their regular exercise?
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12. Typically‚ what form of exercise have you done?
(Write the most common form of exercise in the grey box. Write others next to the box.)
13. Typical duration (in minutes) per episode?
(Indicate the total amount of exercise above and beyond the individual’s regular exercise routine.) (Compensatory: general rule is 30+ min of intense exercise (sweating) or 60+ min of moderate-light exercise.)
14. Over the past 4 weeks has your weight and/or shape been important in influencing how you feel about yourself as a person (ie‚ judge‚ think‚ evaluate yourself)? (“On a scale of 0 to 6…”)
0 no importance‚ 1‚ 2 some importance (definitely aspect of self-evaluation)‚ 3‚ 4 moderate importance (definitely one of the main aspects of self-evaluation)‚ 5‚ 6 supreme importance (nothing is more important in terms of self-evaluation)
15. Has it been similar for the 2 prior months? 9 months before that? [Use “B” to indicated beginning‚ “E” to indicate the ending. Rate 00 if none] [write in the rating (#) from above item (13) into the time frame that it corresponds with]
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16. Over the past 4 weeks have you been afraid that you might gain weight (or become fat)? How many days?
0 no definite fear of fatness or weight gain‚ 1‚ 2 definite fear of fatness or weight gain present on less than half the days‚ 3‚ 4 definite fear of fatness or weight gain present on more than half the days‚ 5‚ 6 definite fear of fatness or weight gain present every day
17. Has it been similar for the 2 prior months? 9 months before that?
[Write in the rating (#) from item 16 into the current month.]
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18. Over the past 4 weeks have you felt fat? [Omit item if the student is obviously overweight and rate 7.]
0 has not felt fat‚ 1‚ 2 has felt fat on less than half the days‚ 3‚ 4 has felt fat on more than half the days‚ 5‚ 6 has felt fat every day‚ 7 (Question not asked by interviewer)
19. Has it been similar for the 2 prior months? 9 months before that?
[Write in the rating (#) from above item (18) into the current month.]
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20. What was the approximate date of your first menstrual period? …../…. n/a
21. How many periods have you missed over the past 3 months? …… n/a
22. How many periods have you missed over the previous 9 months? …… n/a
23a. Were you taking the “pill” during any of these months? Yes No
23b. If yes‚ what kind? ……………………………
23c. Have you been pregnant in the past year or had any medical problems that would have caused a significant change in your weight or eating habits? Yes No
If yes‚ please describe:
24a. Have you participated in a structured weight loss treatment that cost money (e.g. Weight Watchers‚ Jenny Craig) in the past 12 months? Yes No
24b. If yes‚ how long did you participate in this paid weight loss program for? ……
24c. How much weight did you lose from participating in this program? ……
Measure Height and Weight:
25. Current Height: Record Below
26. Current Weight: Record Below
27. What has been your lowest weight in the past month? …………
28. What has been your lowest weight in the past 12 months? ………..
29. What has been your highest weight in the past month? ……….
30. What has been your highest weight in the past 12 months? …………
31. What has been your highest weight ever? …………
Thank you for your participation. Do you have any questions about the interview?
PLEASE DON’T FORGET TO MEASURE HEIGHT AND WEIGHT!
25. Current height cm (1) ___ ____ cm (2) _ ________cm
26. Current weight kg (2) _____ __ kg (2) ___ _______kg
Presnell‚ K. & Stice‚ E. (2003). An experimental test of the effect of weight-loss dieting on bulimic pathology: Tipping the scales in a different direction. Journal of Abnormal Psychology‚ 112‚ 166-170.
Stice‚ E.‚ Burton‚ E.‚ & Shaw‚ H. (2004). Prospective relations between bulimic pathology‚ depression‚ and substance abuse: Unpacking comorbidity in adolescent girls. Journal of Consulting and Clinical Psychology‚ 72‚ 62-71.
Stice‚ E.‚ Presnell‚ K.‚ Shaw‚ H.‚ & Rohde‚ P. (2005). Psychological and behavioral risk factors for obesity onset in adolescent girls: A prospective study. Journal of Consulting and Clinical Psychology‚ 73‚ 195-202.
Stice‚ E. & Shaw‚ H. (2003). Prospective relations of body image‚ eating‚ and affective disturbances to smoking onset in adolescent girls: How Virginia slims. Journal of Consulting and Clinical Psychology‚ 71‚ 129-135.