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Eating Disorder Diagnostic Scale (EDDS)

22 questions to screen for eating disorders

Questions

1.Over the past 3 months have you felt fat?
2.Over the past 3 months have you had a definite fear that you might gain weight or become fat?
3.Over the past 3 months has your weight influenced how you think about (judge) yourself as a person?
4.Over the past 3 months has your shape influenced how you think about (judge) yourself as a person?
5.During the past 6 months have there been times when you felt you have eaten what other people would regard as an unusually large amount of food given the circumstances?
6.During the times when you ate an unusually large amount of food, did you experience a loss of control?
7.How many DAYS per week on average over the past 6 MONTHS have you eaten an unusually large amount of food and experienced a loss of control?
8.How many TIMES per week on average over the past 3 MONTHS have you eaten an unusually large amount of food and experienced a loss of control?
9.During these episodes of overeating and loss of control did you eat much more rapidly than normal?
10.During these episodes of overeating and loss of control did you eat until you felt uncomfortably full?
11.During these episodes of overeating and loss of control did you eat large amounts of food when you didn’t feel physically hungry?
12.During these episodes of overeating and loss of control did you eat alone because you were embarrassed by how much you were eating?
13.During these episodes of overeating and loss of control did you feel disgusted with yourself, depressed, or very guilty after overeating?
14.During these episodes of overeating and loss of control did you feel very upset about your uncontrollable overeating or resulting weight gain?
15.How many times per week on average over the past 3 months have you made yourself vomit to prevent weight gain or counteract the effects of eating?
16.How many times per week on average over the past 3 months have you used laxatives or diuretics to prevent weight gain or counteract the effects of eating?
17.How many times per week on average over the past 3 months have you fasted (skipped at least 2 meals in a row) to prevent weight gain or counteract the effects of eating?
18.How many times per week on average over the past 3 months have you engaged in excessive exercise specifically to counteract the effects of overeating episodes?
19.How much do you weigh?
20.How tall are you?
21.Over the past 3 months, how many menstrual periods have you missed?
22.Have you been taking birth control pills during the past 3 months?

About

The Eating Disorder Diagnostic Scale (EDDS) is a 22-item self-report scale for adolescents and adults (ages 13-65 years old) that simultaneously accesses for anorexia nervosa, bulimia nervosa, and binge-eating disorder by asking the respondent about body image, eating habits, and compensatory behaviors over the last 3-6 months. It was adapted by Stice et al. in 2000 from the validated structured psychiatric interview: The Eating Disorder Examination (EDE) and the eating disorder module of the Structured Clinical Interview for DSM-IV.

The EDDS is not an extensively studied questionnaire but it shows reliability and validity to be sufficiently sensitive to detect full and subthreshold diagnosis for anorexia nervosa, bulimia nervosa and binge eating disorder. EDDS is a continuous eating disorder symptom composite score, which means it’s ideally use for screening diagnosis and following treatment course, but not diagnostic. Eating disorders are accompanied by unhealthy attitudes about body shape and weight and co-occur with a number of other disorders, including depression, obsessive-compulsive disorders, anxiety disorders, and personality disorders.

References

Stice E, Telch CF, Rizvi SL.

Psychological Assessment 2000, 12 (2): 123-31

Krabbenborg MA, Danner UN, Larsen JK, et al.

European Eating Disorders Review: the Journal of the Eating Disorders Association 2012, 20 (4): 315-20

Stice E, Fisher M, Martinez E.

Psychological Assessment 2004, 16 (1): 60-7

Kelly NR, Mitchell KS, Gow RW, et al.

Psychological Assessment 2012, 24 (3): 608-617

The Eating Disorder Diagnostic Scale (EDDS) calculator is created by QxMD.

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1. Over the past 3 months have you felt fat?

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