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. Author manuscript; available in PMC: 2016 Jul 1.
Published in final edited form as: Int J Eat Disord. 2015 Jan 30;48(5):452–463. doi: 10.1002/eat.22388

Table 4.

Items With Discrepancies in the Diagnostic Algorithm for Eating Disorders from the Eating Disorder Examination (EDE) and Eating Disorder Assessment for DSM-5 (EDA-5) in Study 1.

EDE Question and Rating EDA-5 Question and Rating
Anorexia Nervosa, Criterion A: Low body weight Measurement of height and weight.
Over the past three months, have you been trying to lose weight?
Item is coded for: attempts either to lose weight or to avoid weight gain over the past three months for reasons concerning shape or weight.
What are your current height and weight? What was your lowest weight in the past 3 months?
A current diagnosis of AN is considered for adults who have been at a body mass index less than 18.5 kg/m2 in the past three months (even if not underweight at time of assessment).
Anorexia Nervosa, Criterion B: Fear of gaining weight or becoming fat OR persistent behavior interfering with weight gain Over the past four weeks have you been afraid that you might gain weight?
Item is coded for: a definite fear of weight gain on more than half the days (16 or more days), for the prior 3 months
Are you afraid of gaining weight?
If no: Are you worried that if you start to gain weight, you will continue to gain weight and will become fat?
Do you try to cut back on calories or amounts or types of food? What do you try to do? Do you exercise? What do you do and how often? Do you vomit or use any types of pills (such as diet pills, diuretics, or laxatives)? Do you do anything else that might make it hard for you to gain or maintain weight?
Item is coded if YES to any of the above
Bulimia Nervosa, Criterion D: Disturbance in experience of body weight or shape I am now going to ask you a rather complex question – you may not have thought about this before. Over the past four weeks has your weight (the number on the scale) been important in influencing how you feel about (judge, think, evaluate) yourself as a person? …If you imagine the things which influence how you feel about (judge, think, evaluate) yourself-such as (your performance at work, being a parent, your marriage, how you get on with other people)- and put these things in order of importance, where does your weight fit in?
What about your shape? How has it compared in importance with your weight in influencing how you feel about yourself?
Over the past four weeks have you “felt fat”?
Item is coded if: body shape OR weight are of at least moderate importance (definitely one of the main aspects of self-evaluation) for the prior 3 months OR participant has felt fat on more than half of the days of the month (16 or more) for the prior 3 months
Does your body shape or weight impact how you feel about yourself?
For example, if you were to have a day when you did not like the number on the scale, or the way your clothes fit, or how your body shape felt in general, how much would that impact you? Would it make you feel very badly about yourself? Please tell me a little about this.
Item coded if participant report shape/weight exert undue influence on sense of self-worth or on self-evaluation.