Advertisement

Psychological Assessment of Eating Disorders

  • Wayne A. Bowers
  • Alissa A. Haedt-Matt
Chapter

Abstract

Eating disorders are complex syndromes that present with a variety of behaviors, attitudes, and emotions. Thus, assessment of eating disorders requires a variety of tools to adequately capture various features of disorder symptomatology. This chapter focuses on three aspects of psychological assessment: (1) eating pathology, (2) personality, and (3) comorbid psychopathology. Recommendations for the assessment of eating pathology include the Eating Attitudes Test as a brief screening measure, the Eating Disorders Inventory as a more comprehensive measure of eating and other clinically relevant variables, and the Eating Disorders Examination to establish specific diagnoses. Recommendations for the assessment of personality include trait (NEO-PI-R) and state (Minnesota Multiphasic Personality Inventory) based measures. Finally, recommendations for the assessment of comorbid psychopathology include the Beck Depression Inventory as a self-report measure and the Hamilton Depression Scale as an interview-based measure of depression. The psychometric properties of each measure are discussed. Taken together, these measures can be used in research and clinical settings to assess symptom severity, aid in treatment planning, and to evaluate treatment outcome.

Keywords

Anorexia Nervosa Eating Disorder Beck Depression Inventory Body Dissatisfaction Bulimia Nervosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

AN

Anorexia Nervosa

APA

American Psychiatric Association

BED

Binge Eating Disorder

BDI

Beck Depression Inventory

BN

Bulimia Nervosa

DSM

Diagnostic and Statistical Manual of Mental Disorders

EAT

Eating Attitudes Test

EDE

Eating Disorders Examination

EDE-Q

Eating Disorders Examination Questionnaire

EDI

Eating Disorders Inventory

EDNOS

Eating Disorder Not Otherwise Specified

HAMD

Hamilton Depression Scale

MMPI

Minnesota Multiphasic Personality Inventory

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: American Psychiatric Association; 2000.Google Scholar
  2. Bagby RM, Ryder AG, Schuller DR, Marshall MB. Am J Psychiat. 2004;161:2163–77.PubMedCrossRefGoogle Scholar
  3. Banasiak SJ, Wertheim EH, Koerner J, Voudouris NJ. Int J Eat Disorders. 2001;9:85–9.CrossRefGoogle Scholar
  4. Beck AT. Arch Gen Psychiat. 1961;4:561–71.PubMedCrossRefGoogle Scholar
  5. Beck AT, Steer RA, Garbin MG. Clin Psychol Rev. 1988;8:77–100.CrossRefGoogle Scholar
  6. Beck AT, Steer RA, Brown GK. Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation; 1996.Google Scholar
  7. Beumont PJ, Kopec-Schrader EM, Talbot P, Touyz SW. Aust NZ J Psychiat. 1993;27:506–11.CrossRefGoogle Scholar
  8. Butcher JN et al. The Minnesota Multiphasic Personality Inventory-2 (MMPI-2): Manual for administration and scoring. Minneapolis, MN: University of Minnesota Press; 1989.Google Scholar
  9. Cooper Z, Cooper PJ, Fairburn CG. Brit J Psychiat. 1989;154:807–12.PubMedCrossRefGoogle Scholar
  10. Costa PT, McCrae RR. The NEO personality inventory manual. Odessa, FL: Psychological Assessment Resources; 1985.Google Scholar
  11. Costa PT, McCrae RR. NEO PI-R professional manual. Odessa, FL: Psychological Assessment Resources; 1992.Google Scholar
  12. Fairburn CG. Cognitive-behavior therapy and eating disorders. New York, NY: Guilford Press; 2008.Google Scholar
  13. Fairburn CG, Beglin SJ. Int J Eat Disorders. 1994;16:363–70.Google Scholar
  14. Fairburn CG, Cooper Z. The eating disorder examination. In: Fairburn C, Wilson GT, editors. Binge eating: Nature, assessment and treatment, 12th ed. New York: Guilford Press; 1993. pp. 317–31.Google Scholar
  15. Garner DM. Eating Disorders Inventory -2. Odessa, FL: Psychological Assessment Resources; 1991.Google Scholar
  16. Garner DM. Eating Disorders Inventory 3: Professional manual. Odessa, FL: Psychological Assessment Resources; 2004.Google Scholar
  17. Garner DM, Garfinkel PE. Psycholol Med. 1979;9:273–9.CrossRefGoogle Scholar
  18. Garner DM, Olmstead MP, Bohr Y, Garfinkel PE. Psychol Med: 1982;12:871–8.PubMedCrossRefGoogle Scholar
  19. Graham JR. The MMPI: A practical guide, 2nd ed. New York: Oxford Press; 1987.Google Scholar
  20. Groth-Marnat G. The handbook of psychological assessment. 2nd ed. New York: John Wiley & Sons; 1990.Google Scholar
  21. Hamilton M. J Neurol Neurosur Ps. 1960;23:56–62.CrossRefGoogle Scholar
  22. Hurley JB, Palmer RL, Stretch D. Int J Eat Disorders. 1990;9:419–24.CrossRefGoogle Scholar
  23. Luce KH, Crowther JH. Int J Eat Disorders. 1999;25:349–51.CrossRefGoogle Scholar
  24. Margolis R. Int J Eat Disorders. 1994;2:231–6.CrossRefGoogle Scholar
  25. McCrae RR, Costa PT. Personality in adulthood. New York: Guilford Press; 1990.Google Scholar
  26. Rizvi SL, Peterson CB, Crow SJ, Stewart Agras W. Int J Eat Disorders. 2000;28:311–6.CrossRefGoogle Scholar
  27. Rosen JC, Vara L, Wendt S, Leitenberg H. Int J Eat Disorders. 1990;9:519–28.CrossRefGoogle Scholar
  28. Sysko R, Walsh BT, Fairburn CG. Int J Eat Disorders. 2005;37:100–6.CrossRefGoogle Scholar
  29. Waller G, Cordery H, Corstorphine E, Hinrichsen H, Lawson R, Mountford, V, Russell, K. Cognitive behavioral therapy for eating disorders: A comprehensive treatment guide. Cambridge, UK: Cambridge University Press; 2007.Google Scholar
  30. Williams JBW. Arch Gen Psychiat. 1989;45:742–7.CrossRefGoogle Scholar
  31. Wilson GT, Smith D. Int J Eat Disorders. 1989;8:173–9.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of IowaIowa CityUSA

Personalised recommendations