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Protocol - Questionnaire on Eating and Weight Patterns - Child

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

This protocol includes the child/adolescent version of the Questionnaire on Eating and Weight Patterns (QEWP-C-5) updated for the diagnostic changes in the Diagnostic and Statistical Manual of Mental Disorders, 5th Ed. (DSM-5). The questionnaire is an updated version of the Questionnaire of Eating and Weight Pattern for Adolescents (QEWP-A). The QEWP-C-5 is a 32-item self-report scale that was designed to screen for a possible diagnosis of binge-eating disorder. It also can be used to screen for the presence of bulimia nervosa. Scoring instructions are included. The QEWP-C-5 also includes body silhouettes, and respondents choose those that most resemble the body builds of their biological father and mother at their heaviest. These silhouettes are scored on a 1-9 scale. These items provide information about the presence of parental obesity, but are not included in scoring.

Protocol:

QUESTIONNAIRE ON EATING AND WEIGHT PATTERNS-5

Child/Adolescent

(QEWP-C-5)©

1. During the past three months, did you ever eat what most people, like your friends, would think was a REALLY BIG amount of food?

[ ] 1 YES

[ ] 2 NO (IF NO, SKIP TO QUESTION 18)

2. When you ate a REALLY BIG amount of food, was it ever within a short time (2 hours or less)?

[ ] 1 YES

[ ] 2 NO (IF NO, SKIP TO QUESTION 18)

3. When you ate a REALLY BIG amount of food, did you ever feel you could not stop eating or control what or how much you were eating?

[ ] 1 YES

[ ] 2 NO (IF NO, SKIP TO QUESTION 18)

4. During the past three months, how often did you eat like this—ate a REALLY BIG amount of food along with the feeling that your eating was out of control? There may have been some weeks where this did not happen—just give your best guess.

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

5. When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually:

a. Eat very fast?

[ ] 1 YES

[ ] 2 NO

b. Eat until your stomach hurt or you felt sick to your stomach?

[ ] 1 YES

[ ] 2 NO

c. Eat REALLY BIG amounts of food even when you were not hungry?

[ ] 1 YES

[ ] 2 NO

d. Eat by yourself because you did not want anyone to see how much you ate?

[ ] 1 YES

[ ] 2 NO

e. Feel REALLY BAD about yourself because of what or how much you were eating?

[ ] 1 YES

[ ] 2 NO

6. Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating:

a. During that time, when did you start eating?

[ ] 1 (8 AM to 12 Noon)

[ ] 2 (12 Noon to 4 PM)

[ ] 3 (4 PM to 8 PM)

[ ] 4 (8 PM to 12 Midnight)

[ ] 5 (12 Midnight to 8 AM)

b. For how long did you eat during this time?

____ hours

____ minutes

c. As best as you can remember, please list everything you ate or drank during this time. Be specific - include brand names where possible, and amounts as best you can guess.

d. At the time you started eating, how long had it been since you had last eaten a meal or snack?

____ hours

____ minutes

7. During the past three months, how bad did you feel when you ate a REALLY BIG amount of food and felt your eating was out of control?

[ ] 1 Not bad at all

[ ] 2 Just a little bad

[ ] 3 Pretty bad

[ ] 4 Very bad

[ ] 5 Very, very bad

8. During the past three months, did you ever make yourself vomit, throw up, or get sick in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, did you do that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

9. During the past three months, did you ever take medicine to make you poop or have a bowel movement (laxatives) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO (IF NO, SKIP TO QUESTION 11)

10. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

11. During the past three months, have you ever taken medicine to make you pee or urinate (diuretics or water pills) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO

12. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

13. During the past three months, did you ever eat nothing at all for at least 24 hours (a full day) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 day a week

[ ] 2 1 day a week

[ ] 3 2 days a week

[ ] 4 3 days a week

[ ] 5 4 to 5 days a week

[ ] 6 More than 5 days a week

14. During the past three months, did you ever exercise too much (for example, even though you were hurt or sick or it kept you from doing important things) MAINLY in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

15. During the past three months, did you ever take diet pills in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?

[ ] 1 YES

[ ] 2 NO

16. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

17. During the past three months, how important has your weight or shape been in how you feel about yourself as a person-as compared to other things in your life, such as your schoolwork, friends, sports, or getting along with your family?

[ ] 1 Weight and shape were not very important

[ ] 2 Weight and shape were played a part in how you felt about yourself

[ ] 3 Weight and shape were among the main things that affected how you felt about yourself

[ ] 4 Weight and shape were the most important things that affected how you felt about yourself

Continue here after completing question 17 OR if you skipped to question 18 from Question 1, 2, or 3

18. During the past three months, did you ever have times when you felt that you could not stop eating or control what or how much you were eating, but when you did not eat a REALLY BIG amount of food?

[ ] 1 YES

[ ] 2 NO

19. During the past three months, how often did you eat like this-felt that your eating was out of control, but you did not eat a REALLY BIG amount of food. There may have been some weeks where this did not happen-just give your best guess.

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

20. When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually:

a. Eat very fast?

[ ] 1 YES

[ ] 2 NO

b. Eat until your stomach hurt or you felt sick to your stomach?

[ ] 1 YES

[ ] 2 NO

c. Eat REALLY BIG amounts of food even when you were not hungry?

[ ] 1 YES

[ ] 2 NO

d. Eat by yourself because you did not want anyone to see how much you ate?

[ ] 1 YES

[ ] 2 NO

e. Feel REALLY BAD about yourself because of what or how much you were eating?

[ ] 1 YES

[ ] 2 NO

21. Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food:

a. What time of day did you start eating?

[ ] 1 (8 AM to 12 Noon)

[ ] 2 (12 Noon to 4 PM)

[ ] 3 (4 PM to 8 PM)

[ ] 4 (8 PM to 12 Midnight)

[ ] 5 (12 Midnight to 8 AM)

b. For how long did you eat during this time?

____ hours

____ minutes

c. As best as you can remember, please list everything you ate or drank during this time. Be specific-include brand names where possible, and amounts as best you can estimate.

d. At the time you started eating, how long had it been since you had last eaten a meal or snack?

____ hours

____ minutes

22. During the past three months, how bad did you feel that you could not stop eating or control what or how much you were eating even when you did not eat a REALLY BIG amount of food?

[ ] 1 Not bad at all

[ ] 2 Just a little bad

[ ] 3 Pretty bad

[ ] 4 Very bad

[ ] 5 Very, very bad

23. During the past three months, did you ever make yourself vomit, throw up, or get sick in order to keep from gaining weight after eating like you described (when you felt your eating was out of control but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, did you do that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 to 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

24. During the past three months, did you ever take medicine to make you poop or have a bowel movement (laxatives) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO IF NO, SKIP TO QUESTION 26

25. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

26. During the past three months, have you ever taken medicine to make you pee or urinate (diuretics or water pills) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO IF NO, SKIP TO QUESTION 28

27. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

28. During the past three months, did you ever eat nothing at all for at least 24 hours (a full day) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 day a week

[ ] 2 1 day a week

[ ] 3 2 days a week

[ ] 4 3 days a week

[ ] 5 4 to 5 days a week

[ ] 6 More than 5 days a week

29. During the past three months, did you ever exercise too much (for example, even though you were hurt or sick or it kept you from doing important things) MAINLY in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO

IF YES: How often in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 to 3 times a week

[ ] 4 4 to 7 times a week

[ ] 5 8 to 13 times a week

[ ] 6 14 or more times a week

30. During the past 3 months, did you ever take diet pills in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?

[ ] 1 YES

[ ] 2 NO IF NO, SKIP TO QUESTION 32

31. Did you take more medicine than the directions on the box or bottle say to take?

[ ] 1 YES

[ ] 2 NO

IF YES: How often, in general, was that?

[ ] 1 Less than 1 time a week

[ ] 2 1 time a week

[ ] 3 2 or 3 times a week

[ ] 4 4 to 5 times a week

[ ] 5 6 to 7 times a week

[ ] 6 8 or more times a week

Continue here after completing question 31 OR if you skipped to question 32 from Question 18

32. Please look at these drawings of people. Pick the person that matches your biological (birth) father’s and mother’s sizes. If you don’t know your biological (birth) father or mother, don’t pick anything for that parent.

[img[651200_img_1.png|]]

[img[651200_img_2.png|]]

Decision Rules for Screening for Possible Diagnosis of Binge Eating Disorder (BED) Using the Questionnaire on Eating and Weight Patterns-5 for Children

Possible Diagnosis of BED

1) Response of 1 on Question 1

2) Response of 1 on Question 2

3) Response of 1 on Question 3 (binge eating)

4) Response of 2, 3, 4, 5, OR 6 on Question 4 (at least 1 binge episode per week for 3 months)

5) 3 OR MORE ITEMS MARKED "YES" (i.e. 1) on Questions 5a-e (at least associated symptoms during binge eating episodes)

6) Response of 4 or 5 on Question 7 (marked distress regarding binge eating)

POSSIBLE DIAGNOSIS OF BED REQUIRES ALL OF THE ABOVE SIX (6) ITEMS, ALONG WITH THE ABSENCE OF INAPPROPRIATE COMPENSATORY BEHAVIORS AS SEEN IN BULIMIA NERVOSA, AS DEFINED FURTHER BELOW.

POSSIBLE DIAGNOSIS OF BULIMIA NERVOSA REQUIRES ALL OF THE BELOW FOUR (4) ITEMS

1) Response of 1 on Question 1

2) Response of 1 on Question 2

3) Response of 1 on Question 3 (binge eating)

4) Response of 2, 3, 4, 5, OR 6 on Question 4 (at least binge 1 episode per week for 3 months)

5) ANY Response of 2, 3, 4, 5 OR 6 on Questions 8, 10, 12, 13, 14, or 16 (inappropriate compensatory behavior at least 1 time per week for 3 months)

6) Response of 3 or 4 on Question 17 (overvaluation of weight/shape).

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Child, Adolescent

Specific Instructions:

None

Research Domain Information

Release Date:

August 7, 2015

Definition

A questionnaire to assess eating and weight patterns.

Purpose

The measure can be used in clinical or research settings to screen for the presence of binge-eating disorder.

Selection Rationale

The Questionnaire of Eating and Weight Patterns (QEWP-5) is an updated version of the QEWP, a relatively brief, widely used, validated self-report questionnaire that is easy to complete, score, and interpret.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Eating Disorder Eating and Weight Pattern Child Questionnaire Assessment Text4926470CDE Browser

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

The Questionnaire on Eating and Weight Patterns for the diagnostic changes in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (QEWP-C-5) was adapted from the adult version of the QEWP-5 by Marian Tanofsky-Kraff, Susan Z. Yanovski, and Jack A. Yanovski.

General References

Johnson, W. G., Kirk, A. A., & Reed, A. E. (2000). Adolescent version of the Questionnaire of Eating and Weight Patterns: Reliability and gender differences. International Journal of Eating Disorders, 29, 94-96.

Spitzer, R. L., Devlin, M., Walsh, B. T., Hassin, D., Wing, R., Marcus, M., Stunkard, A., Wadden, T., Yanovski, S., Agras, S., Mitchell, J., & Nonas, C. (1992). Binge eating disorder: A multi-site field trial of the diagnostic criteria. International Journal of Eating Disorders; 11, 191-203.

Susan, Z., Yanovski, S. Z., Marcus, M. D., Wadden, T. A. & Walsh, T. (2015).The Questionnaire of Eating and Weight Patterns (QEWP-5). International Journal of Eating Disorders, 48(3), 259-256.

Protocol ID:

651202

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX651202_EatingWeightPatterns_Child_BigAmountPX651202010000During the past three months, did you ever eat what most people, like your friends, would think was a REALLY BIG amount of food?4N/A
PX651202_EatingWeightPatterns_Child_BigAmount_ShortPeriodPX651202020000When you ate a REALLY BIG amount of food, was it ever within a short time (2 hours or less)?4N/A
PX651202_EatingWeightPatterns_Child_BigAmount_LoseControlPX651202030000When you ate a REALLY BIG amount of food, did you ever feel you could not stop eating or control what or how much you were eating?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_FrequencyPX651202040000During the past three months, how often did you eat like this¿¿¿¿¿¿¿¿ate a REALLY BIG amount of food along with the feeling that your eating was out of control? There may have been some weeks where this did not happen¿¿¿¿¿¿¿¿just give your best guess.4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_RapidlyPX651202050100When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually eat very fast?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_PainPX651202050200When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually eat until your stomach hurt or you felt sick to your stomach?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_NotHungryPX651202050300When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually eat REALLY BIG amounts of food even when you were not hungry?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_AlonePX651202050400When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually eat by yourself because you did not want anyone to see how much you ate?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_FeelBadPX651202050500When you ate a REALLY BIG amount of food and felt like you could not control your eating, did you usually feel REALLY BAD about yourself because of what or how much you were eating?4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_TimePX651202060100Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: What time of day did the episode start?4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_LengthHoursPX651202060201Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: Approximately how long did this episode of eating last? Hours4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_LengthMinutesPX651202060202Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: Approximately how long did this episode of eating last? Minutes4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_ListPX651202060301Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: As best you can remember, please list everything you ate and drank during that episode. Please list the foods eaten and liquids consumed during the episode. Be specific - include brand names where possible, and amounts or portion sizes as best you can estimate.4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_PreviousHoursPX651202060401Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: At the time this episode started, how long had it been since you had previously finished eating a meal or snack? Hours4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_PreviousMinutesPX651202060402Think about a usual time when you ate a REALLY BIG amount of food and felt you could not control your eating: At the time this episode started, how long had it been since you had previously finished eating a meal or snack? Minutes4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_FeelBadPX651202070000During the past three months, how bad did you feel when you ate a REALLY BIG amount of food and felt your eating was out of control?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_VomitPX651202080100During the past three months, did you ever make yourself vomit, throw up, or get sick in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_VomitYesPX651202080200IF YES: How often, in general, did you do that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MedicinePX651202090000During the past three months, did you ever take medicine to make you poop or have a bowel movement (laxatives) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreMedicinePX651202100100Did you take more medicine than the directions on the box or bottle say to take?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreMedicineYesPX651202100200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_DiureticsPX651202110000During the past three months, have you ever taken medicine to make you pee or urinate (diuretics or water pills) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreDiureticsPX651202120100Did you take more medicine than the directions on the box or bottle say to take?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreDiureticsYesPX651202120200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_FastingPX651202130100During the past three months, did you ever eat nothing at all for at least 24 hours (a full day) in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_FastingYesPX651202130200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_ExercisePX651202140100During the past three months, did you ever exercise too much (for example, even though you were hurt or sick or it kept you from doing important things) MAINLY in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_ExerciseYesPX651202140200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_DietPillsPX651202150000During the past three months, did you ever take diet pills in order to keep from gaining weight after eating like you described (when you ate a REALLY BIG amount of food and felt your eating was out of control)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreDietPillsPX651202160100Did you take more medicine than the directions on the box or bottle say to take?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_LoseControl_MoreDietPillsYesPX651202160200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_WeightShapePX651202170000During the past three months, how important has your weight or shape been in how you feel about yourself as a person¿¿¿¿¿¿¿¿as compared to other things in your life, such as your schoolwork, friends, sports, or getting along with your family?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_NormalAmountPX651202180000During the past three months, did you ever have times when you felt that you could not stop eating or control what or how much you were eating, but when you did not eat a REALLY BIG amount of food?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_NormalAmount_FrequencyPX651202190000During the past three months, how often did you eat like this¿¿¿¿¿¿¿¿felt that your eating was out of control, but you did not eat a REALLY BIG amount of food. There may have been some weeks where this did not happen¿¿¿¿¿¿¿¿just give your best guess.4N/A
PX651202_EatingWeightPatterns_Child_NormalAmount_RapidlyPX651202200100When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually eat very fast?4N/A
PX651202_EatingWeightPatterns_Child_NormalAmount_PainPX651202200200When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually eat until your stomach hurt or you felt sick to your stomach?4N/A
PX651202_EatingWeightPatterns_Child_NormalAmount_HungryPX651202200300When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually eat REALLY BIG amounts of food even when you were not hungry?4N/A
PX651202_EatingWeightPatterns_Child_NormalAmount_AlonePX651202200400When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually eat by yourself because you did not want anyone to see how much you ate?4N/A
PX651202_EatingWeightPatterns_Child_NormalAmount_FeelBadPX651202200500When you felt your eating was out of control but you did not eat a REALLY BIG amount of food, did you usually feel REALLY BAD about yourself because of what or how much you were eating?4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_Time_2PX651202210100Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: What time of day did the episode start?4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_LengthHours_2PX651202210201Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: Approximately how long did this episode of eating last? Hours4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_LengthMinutes_2PX651202210202Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: Approximately how long did this episode of eating last? Minutes4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_List_2PX651202210301Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: As best you can remember, please list everything you ate and drank during that episode. Please list the foods eaten and liquids consumed during the episode. Be specific - include brand names where possible, and amounts or portion sizes as best you can estimate.4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_PreviousHours_2PX651202210401Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: At the time this episode started, how long had it been since you had previously finished eating a meal or snack? Hours4N/A
PX651202_EatingWeightPatterns_Child_LoseControl_PreviousMinutes_2PX651202210402Think about a usual time when you felt you could not stop eating or control what or how much you were eating, but you did not eat a REALLY BIG amount of food: At the time this episode started, how long had it been since you had previously finished eating a meal or snack? Minutes4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_FeelBad_RatingPX651202220000During the past three months, how bad did you feel that you could not stop eating or control what or how much you were eating even when you did not eat a REALLY BIG amount of food?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_VomitPX651202230100During the past three months, did you ever make yourself vomit, throw up, or get sick in order to keep from gaining weight after eating like you described (when you felt your eating was out of control but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_VomitYesPX651202230200IF YES: How often, in general, did you do that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MedicinePX651202240000During the past three months, did you ever take medicine to make you poop or have a bowel movement (laxatives) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreMedicinePX651202250100Did you take more medicine than the directions on the box or bottle say to take?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreMedicineYesPX651202250200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_DiureticsPX651202260000During the past three months, have you ever taken medicine to make you pee or urinate (diuretics or water pills) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreDiureticsPX651202270100Did you take more medicine than the directions on the box or bottle say to take4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreDiureticsYesPX651202270200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_FastingPX651202280100During the past three months, did you ever eat nothing at all for at least 24 hours (a full day) in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_FastingYesPX651202280200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_ExercisePX651202290100During the past three months, did you ever exercise too much (for example, even though you were hurt or sick or it kept you from doing important things) MAINLY in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_ExerciseYesPX651202290200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_DietPillsPX651202300000During the past 3 months, did you ever take diet pills in order to keep from gaining weight after eating like you described (when you felt your eating was out of control, but you did not eat a REALLY BIG amount of food)?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreDietPillsPX651202310100Did you take more medicine than the directions on the box or bottle say to take?4N/A
PX651202_EatingWeightPatterns_Child_ThreeMonths_MoreDietPillsYesPX651202310200IF YES: How often, in general, was that?4N/A
PX651202_EatingWeightPatterns_Child_SilhouettePX651202320000Please look at these drawings of people. Pick the person that matches your biological (birth) father¿¿¿¿¿¿¿¿s and mother¿¿¿¿¿¿¿¿s sizes. If you don¿¿¿¿¿¿¿¿t know your biological (birth) father or mother, don¿¿¿¿¿¿¿¿t pick anything for that4N/A