181 (181)    MH REPORT (601.93)

Name Value
REPORT NUMBER 181
INSTRUMENT EAT-26
RPT
Eating Attitudes Test-26 Item (EAT-26) |
 
Behavioral alerts present = <*Answer_7773*>| |
 
A score at or above 20 on the EAT-26 indicates a high level of concern | 
about dieting, body weight or problematic eating behaviors.| |
 
Questions and Answers:| |
 
Part B:||
 
  |   Date Given: <.Date_Given.>|   Clinician: <.Staff_Ordered_By.>|   
  1.  Am terrified about being overweight.|       <*Answer_8420*>| |
   2.  Avoid eating when I am hungry.|       <*Answer_8421*>| |
   3.  Find myself preoccupied with food.|       <*Answer_8422*>| |
   4.  Have gone on eating binges where I feel that I may not be able to stop.|       <*Answer_8423*>| |
   5.  Cut my food into small pieces.|       <*Answer_8424*>| |
   6.  Aware of the calorie content of food that I eat.|       <*Answer_8425*>| |
   7.  Particularly avoid food with a high carbohydrate content (i.e., bread,|
       rice, potatoes, etc.).|       <*Answer_8426*>| |
   8.  Feel that others would prefer if I ate more.|       <*Answer_8427*>| |
   9.  Vomit after I have eaten.|       <*Answer_8428*>| |
Location:  <.Location.>|   |   Veteran:  <.Patient_Name_Last_First.>|   
   10. Feel extremely guilty after eating.|       <*Answer_8429*>| |
   11. Am preoccupied with a desire to be thinner.|       <*Answer_8430*>| |
   12. Think about burning up calories when I exercise.|       <*Answer_8431*>| |
   13. Other people think that I am too thin.|       <*Answer_8432*>| |
   14. Am preoccupied with the thought of having fat on my body.|       <*Answer_8433*>| |
   15. Take longer than others to eat my meals.|       <*Answer_8434*>| |
   16. Avoid foods with sugar in them.|       <*Answer_8435*>| |
   17. Eat diet foods.|       <*Answer_8436*>| |
   18. Feel that food controls my life.|       <*Answer_8437*>| |
   19. Display self-control around food.|       <*Answer_8438*>| |
SSN: <.Patient_SSN.>|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
   20. Feel that others pressure me to eat.|       <*Answer_8439*>| |
   21. Give too much time and thought to food.|       <*Answer_8440*>| |
   22. Feel uncomfortable after eating sweets.|       <*Answer_8441*>| |
   23. Engage in dieting behavior.|       <*Answer_8442*>| |
   24. Like my stomach to be empty.|       <*Answer_8443*>| |
   25. Have the impulse to vomit after meals.|       <*Answer_8444*>| |
   26. Enjoy trying new rich foods.|       <*Answer_8445*>| |
   
 
Part C:||
|   Gender: <.Patient_Gender.>| |
 
  A. Gone on eating binges where you feel that you may not be able to stop?|      <*Answer_8446*>| |
   B. Ever made yourself sick (vomited) to control your weight or shape?|      <*Answer_8447*>| |
   C. Ever used laxatives, diet pills or diuretics (water pills) to control|
      your weight or shape?|      <*Answer_8448*>| |
   D. Exercised more than 60 minutes a day to lose or to control your weight?|      <*Answer_8449*>| |
   E. Lost 20 pounds or more in the past 6 months?|      <*Answer_8450*>
| 
|
|(c) The EAT-26 has been reproduced with permission. Garner et al. (1982).
 
| 
|Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes.
 Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities.
EAT-26 Total Score = <-TOTAL SCORE-> | |
 
BMI = <*Answer_7772*>| |