PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| 1. Was there ever a time when you weighed much less than other people thought you ought to weight? If no, skip to Bulimia | ed_1 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 2. At that time, had you lost a lot of weight on purpose or was it while you were growing up and you kept your weight down on purpose? If no, skip to Bulimia | ed_2 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| DIAGNOSTIC CRITERIA FOR ANOREXIA NERVOSA | ed_diag_anorexia | N | checkbox | 1, 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). | 2, Intense fear of gaining weight or becoming fat, even though underweight | 3, Disturbance in the way in which one's 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. | 4, In postmenarchal females, amenorrhea, i.e., the absence of three consecutive menstrual cycles.(A woman is considered to have amenorrhea if her periods occur only following hormone e.g., estrogen administration). | - | - | |
| 3. What was your lowest weight at that time? | ed_3 | N | text | - | lbs | - | |
| 4. How tall were you? | ed_4 | N | text | - | inches | - | |
| 5. How old were you? | ed_5 | N | text | - | - | - | |
| Note your body frame: | ed_6 | N | radio | 1, Small | 2, Medium | 3, Large | - | - | |
| 6a. Is lowest weight (question 3) more than table entry for height, gender and body? If Yes, skip to Bulimia | ed_6a | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 7. At that time did you still feel fat or did you see yourself as too fat in some ways? | ed_7 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 8. Were you still very much afraid that you could become fat? | ed_8 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 9. In female: Did your periods stop even when you were not pregnant? | ed_9 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 9a. If yes: Did you miss at least three cycles in a row? | ed_9a | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 10. Was there a medical disorder causing your weight loss? | ed_10 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Specify | ed_10_spec | Y | text | - | - | - | |
| 11. Did your lowered weight follow the use of diet pills, amphetamines,cocaine or other substances? | ed_11 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Specify | ed_11_spec | Y | text | - | - | - | |
| 12. How old were you the first time your weight was below __? (See weight criterion table for loss of 15%) | ed_12 | N | text | - | - | - | |
| 13. How old were you the last time your weight was below __? (See weight criterion table for loss of 15%) | ed_13 | N | text | - | - | - | |
| 14. Has there been a time in your life when you went on food binges (i.e rapid consumption of large amount of food in a discrete period of time, usually less than two hours) If no, skip to Pathological Gambling | ed_14 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 15. During these binges were you afraid you could not stop eating, or that your eating was out of control? | ed_15 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 16. Did you have eating binges as often as twice a week for at least three months? If no, skip to question 19 | ed_16 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| DIAGNOSTIC CRITERIA FOR BULIMIA NERVOSA | ed_diag_bulimia | N | checkbox | 1, Recurrent episodes of binge eating.An episode of binge eating is characterized by both of the following: a) eating in a discrete period of time an amount of food that is definitely larger than most people would eat during the similar period of time and under similar circumstances. b) 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) | 2, Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise | 3, The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for three months | 4, Self-evaluation is unduly influenced by body shape and weight | 5, The disturbance does not occur exclusively during episodes of Anorexia Nervosa | - | - | |
| 17. How old were you when you first binged regularly? | ed_17 | N | text | - | - | - | |
| How old were you the last time you binged regularly? | ed_18 | N | text | - | - | - | |
| Compensatory Behavior 19. Did you do anything to make up for your eating so much, perhaps like | ed_18_mat | N | descriptive | - | - | - | |
| making yourself vomit | making_yourself_vomit | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| taking laxatives or diuretics | taking_laxatives_or_diuret | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| strictly dieting | strictly_dieting | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| fasting | fasting | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| exercising a lot | exercising_a_lot | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| other | ed_other | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| If yes: Specify | ed_19_spec | Y | text | - | - | - | |
| Did you do (Compensatory behavior) as often as twice a week for at least 3 months? | ed_19g | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 20. At this time when you went on food binges, were you a lot more concerned about your weight and/or shape than most people your age? | ed_20 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 21. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Are questions 16 and 19g both YES? IF NO, SKIP TO PATHOLOGICAL GAMBLING | ed_21 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 22. Did these episodes of binge eating and (Compensatory behavior) both occur on average twice a week for at least 3 months? IF NO, SKIP TO PATHOLOGICAL GAMBLING | ed_22 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| 23. How old were you when you first binged and Compensatory behavior/s regularly? | ed_23 | N | text | - | - | - | |
| 24. How old were you when you last binged and Compensatory behavior/s regularly? | ed_24 | N | text | - | - | - | |
| 25. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If subject appears to meet criteria for Anorexia Nervosa, ask: Did these episodes of binge eating and (Compensatory behaviors) occur at any time other than during an anorexia episode? | ed_25 | N | radio | 1, Yes | 0, No | 9, Unknown | - | - | |
| Notes: | eating_disordercsv_notes | Y | notes | - | - | - |