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Anorexia Nervosa and Bulimia Criteria

This document contains screening criteria for anorexia nervosa and bulimia nervosa from the DSM-IV-TR. For anorexia nervosa, it lists criteria A, B and C which evaluate refusal to maintain a healthy weight, intense fear of weight gain, and body image disturbance. For bulimia nervosa, it lists criteria A and B which evaluate recurrent binge eating and compensatory behaviors like purging to prevent weight gain, and criteria C which specifies the frequency of binge eating and compensatory behaviors. The document provides questions to ask patients to determine if they meet the criteria for a diagnosis.

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0% found this document useful (0 votes)
5 views2 pages

Anorexia Nervosa and Bulimia Criteria

This document contains screening criteria for anorexia nervosa and bulimia nervosa from the DSM-IV-TR. For anorexia nervosa, it lists criteria A, B and C which evaluate refusal to maintain a healthy weight, intense fear of weight gain, and body image disturbance. For bulimia nervosa, it lists criteria A and B which evaluate recurrent binge eating and compensatory behaviors like purging to prevent weight gain, and criteria C which specifies the frequency of binge eating and compensatory behaviors. The document provides questions to ask patients to determine if they meet the criteria for a diagnosis.

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ark1974
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

SCID-I (for DSM-IV-TR) H.

EATING DISORDERS *ANOREXIA NERVOSA*

Anorexia Nervosa

(NOV 2011)

Eating Disorders H. 1

ANOREXIA NERVOSA CRITERIA

SCREEN Q#12 YES NO

H1a H1b

IF SCREENING QUESTION #12 ANSWERED NO, CHECK HERE ___ AND SKIP TO *BULIMIA NERVOSA,* H. 4 IF QUESTION #12 ANSWERED YES: Youve said that there was a time when you weighed much less than other people thought you ought to weigh . . . IF SCREENER NOT USED: Now I would like to ask you some questions about your eating habits and your weight. Have you ever had a time when you weighed much less than other people thought you ought to weigh? IF YES: Why was that? How much did you weigh? How old were you then? How tall were you? At that time, were you very afraid that you could become fat?
IF NO: GO TO *BULIMIA NERVOSA* H. 4

A. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected).

H1

GO TO *BULIMIA NERVOSA* H. 4

B. Intense fear of gaining weight or ? becoming fat, even though underweight.

H2

GO TO *BULIMIA NERVOSA* H. 4

At your lowest weight, did you still feel too fat or that part of your body was too fat? IF NO: Did you need to be very thin in order to feel good about yourself? IF NO AND LOW WEIGHT IS MEDICALLY SERIOUS: When you were that thin, did anybody tell you it could be dangerous to your health to be that thin? (What did you think?)

C. Disturbance in the way in which ones body weight or shape is experienced; undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.

H3

GO TO *BULIMIA NERVOSA* H. 4

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I (for DSM-IV-TR) *BULIMIA NERVOSA*

Bulimia Nervosa

(NOV 2011)

Eating Disorders H. 4

BULIMIA NERVOSA CRITERIA


SCREEN Q#13 YES NO H10a H10b

IF: CRITERIA CURRENTLY MET FOR ANOREXIA NERVOSA, CHECK HERE ___ AND SKIP TO THE NEXT MODULE. IF SCREENING QUESTION #13 IS ANSWERED NO, SKIP TO NEXT MODULE. IF QUESTION #13 ANSWERED YES: Youve said that youve often had times when your eating was out of control. Tell me about those times. IF SCREENER NOT USED: Have you often had times when your eating was out of control? Tell me about those times. A. Recurrent episodes of binge eating. An episode of binge eating is characterized by BOTH of the following: (2) a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating) (1) eating, in a discrete period of time (e.g., within any two hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as: selfinduced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise. ?

IF NO: GO TO NEXT MODULE

H11

GO TO NEXT MODULE

IF UNCLEAR: During these times, do you often eat within any 2 hour period what most people would regard as an unusual amount of food? Tell me about that.

H12

GO TO NEXT MODULE

Did you do anything to counteract the effects of eating that much? (Like making yourself vomit, taking laxatives, enemas or water pills, strict dieting or fasting, or exercising a lot?)

H13

GO TO *BINGE EATING DISORDER,* H. 7

How often were you eating that much (AND COMPENSATORY BEHAVIOR)? (At least twice a week for at least 3 months?)

C. The binge eating and inappropriate ? 1 compensatory behaviors both occur, on average, at least twice a week for 3 GO TO months. *BINGE

H14

EATING DISORDER,* H. 7

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

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