2nd Diagnostic Skill Application II
gharriswilson
EatingDisordersSymptomsSeverityScaleEDS3.pdf
Eating Disorders Symptoms Severity Scale
PsycTESTS Citation: Henderson, K. A., Buchholz, A., Perkins, J., Norwood, S., Obeid, N., Spettigue, W., & Feder, S. (2010). Eating Disorders Symptoms Severity Scale [Database record]. Retrieved from PsycTESTS. doi: https://dx.doi.org/10.1037/t10209-000
Instrument Type: Rating Scale
Test Format: All items employ a 4-point answer scale with the 4 ratings usually reflecting the following severity levels (there is some variance in how these levels are used for the treatment progress subscale): a rating of "0" indicates an absence of the specific behavior or cognition, a rating of "1" reflects a mild degree of severity for the behavior or cognition, a rating of "2" reflects a moderate degree of severity for the behavior of cognition, and a rating of "3" reflects a severe degree of severity for the behavior or cognition.
Source: Supplied by author.
Permissions: Test content may be reproduced and used for non-commercial research and educational purposes without seeking written permission. Distribution must be controlled, meaning only to the participants engaged in the research or enrolled in the educational activity. Any other type of reproduction or distribution of test content is not authorized without written permission from the author and publisher. Always include a credit line that contains the source citation and copyright owner when writing about or using any test.
Copyright ©2011 by Henderson, K.A., Buchholz, A., Perkins, J., & Spettigue, W., Regional Eating Disorder Program, Children’s Hospital of Eastern Ontario. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, without permission from the authors. Version Updated: January 10th, 2012
EEAATTIINNGG DDIISSOORRDDEERR SSYYMMPPTTOOMM SSEEVVEERRIITTYY SSCCAALLEE ((EEDDSS33))
RRAATTIINNGG SSHHEEEETT
AADDMMIINNIISSTTRRAATTIIOONN Read the item descriptions in the EDS3 Item Booklet and choose the rating level that best describes the youth’s current state within the last week. Write your answers in the appropriate columns below.
EATING DISORDERED SYMPTOMS SUBSCALE 00 11 22 33 RRaatt ii nn gg 1. Food Restriction
No restriction
Mild restriction
Moderate restriction
Severe restriction
2. Binge Eating
No binge eating
Mild binge eating
Moderate binge eating
Severe binge eating
3. Vomiting No vomiting
Mild vomiting
Moderate vomiting
Severe vomiting
4. Excessive Exercise
No exercise
Mild exercise
Moderate exercise
Severe exercise
EATING DISORDERED URGES SUBSCALE
00 11 22 33 RRaatt ii nn gg 5. Food restriction
No restriction
Mild restriction
Moderate restriction
Severe restriction
6. Binge eating
No binge eating
Mild binge eating
Moderate binge eating
Severe binge eating
7. Vomiting No vomiting
Mild vomiting
Moderate vomiting
Severe vomiting
8. Excessive exercise
No exercise
Mild exercise
Moderate exercise
Severe exercise
AN-Symptoms Total Raw Score (item 1 + 4) = BN-Symptoms Total Raw Score (item 2 + 3) =
Eati ng Disordered Symptoms Total Raw Score (items 1 + 2 + 3 + 4) =
AN-Urges Total Raw Score (item 5 + 8) = BN-Urges Total Raw Score (item 6 + 7) =
Eating Disordered Urges Total Raw Score (items 5 + 6 + 7 + 8) =
EATING DISORDERED COGNITIONS SUBSCALE 00 11 22 33 RRaatt ii nn gg 9. Body image dissatisfaction
No dissatisfaction
Mild dissatisfaction
Moderate dissatisfaction
Severe dissatisfaction
10. Body image distortion
No distortion
Mild distortion
Moderate distortion
Severe distortion
11. Fear of gaining weight and/or becoming “fat”
No fear
Mild fear
Moderate fear
Severe fear
12. Importance of appearance to self-esteem
No influence
Mild influence
Moderate influence
Severe influence
13. Preoccupation with food/weight
No preoccupation
Mild preoccupation
Moderate preoccupation
Severe preoccupation
Eating Disordered Cognitions Total Raw Score =
Patient’s Name: __________________________
Rater’s Name: ___________________________
Today’s Date: _________________ (dd/mm/yy)
Date of Birth: _________ (dd/mm/yy) Age: ___
Diagnosis: � AN-R � AN-BP � BN � EDNOS
BMI: ______________ % IBW: ____________ ___________________________________________
Copyright ©2011 by Henderson, K.A., Buchholz, A., Perkins, J., & Spettigue, W., Regional Eating Disorder Program, Children’s Hospital of Eastern Ontario. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, without permission from the authors. Version Updated: January 10th, 2012
EATING DISORDER ANXIETY SUBSCALE 00 11 22 33 RRaatt ii nn gg 14. Food anxiety No
food anxiety Mild
food anxiety Moderate
food anxiety Severe
food anxiety
15. Eating rituals No rituals
Mild rituals
Moderate rituals
Severe rituals
16. Social anxiety related to eating & body image
No social anxiety
Mild social anxiety
Moderate social anxiety
Severe social anxiety
Eating Disorder Anxiety Subscale Raw Score =
TREATMENT PROGRESS SUBSCALE 00 11 22 33 RRaatt ii nn gg 17. Motivation for treatment
Consistent motivation
Frequent motivation
Occasional motivation
No motivation
18. Cooperation during treatment
Consistent cooperation
Frequent cooperation
Occasional cooperation
No cooperation
19. Distorted beliefs about treatment
No distorted beliefs
Mild distorted beliefs
Moderate distorted beliefs
Severe distorted beliefs
20. Ability/Hope for Recovery
Consistent ability/hope
Frequent ability/hope
Occasional ability/hope
No ability/hope
Treatment Progress Subscale Raw Score =
SCORING Enter the raw scores for each of the five subscales into their appropriate boxes in the Raw Score column. Add the subscale scores to calculate the Total Symptom Severity Score.
Subscales Raw Score AN-Symptoms Total Subscale Raw Score (item 1 + 4) = BN-Symptoms Total Subscale Raw Score (item 2 + 3) =
AN-Urges Total Subscale Raw Score (item 5 + 8) = BN-Urges Total Subscale Raw Score (item 6 + 7) =
Eating Disordered Behaviours Total Raw Score (items 1 + 2 + 3 + 4) = Eating Disordered Cognitions Total Subscale Raw Sco re Eating Disorder Anxiety Total Subscale Raw Score Treatment Progress Total Subscale Raw Score
TOTAL SYMPTOM SEVERITY SCORE =
