| 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*>| |
|