ABSTRACT

Appendix 1.A The Scoff Questionnaire ........................................................................................22 References ........................................................................................................................................23

Eating disorders (EDs) are psychological disorders that are characterized by abnormal eating, dysfunctional relationships with food, and a preoccupation with one’s weight and shape. EDs affect daily functioning and often result in physical complications and psychological distress (American Psychiatric Association [APA] 2000). The current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, APA 2000) recognizes two specic EDs: anorexia nervosa (AN) and bulimia nervosa (BN). There are two subtypes associated with each specic ED: anorexia nervosa, restricting type (AN-R); anorexia nervosa, binge/purge type (AN-BP); bulimia nervosa, purging type (BN-P); and bulimia nervosa, nonpurging type (BN-N). A third category, eating disorder not otherwise specied (EDNOS), is included for EDs of clinical signicance that do not meet criteria for AN or BN. Within this broad category, there are currently three subdivisions: (1) binge eating disorder (BED), which is currently under review and has been recommended to be included in the DSM-V as a specic clinical ED (Wiley et al. 2007); (2) subthreshold AN or BN (i.e., disorders very similar in symptoms or presentation to either AN or BN but not fully meeting the criteria for a diagnosis of either disorder); and (3) disorders with symptoms of both AN and BN but again not meeting the criteria for either disorder (Fairburn et al. 2007). Additionally, it has been recommended that purging disorder (PD) be included in the DSM-V under the EDNOS classication for further review so that the appropriateness of including PD as a full-threshold ED can be determined (Keel 2007).