Table Of ContentASSESSMENT OF EATING DISORDERS
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ASSESSMENT
of EATING
DISORDERS
Edited by
James E. Mitchell
Carol B. Peterson
THE GUILFORD PRESS
New York London
©2005TheGuilfordPress
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individual purchaser, for use with your own clients and patients. It does not
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LibraryofCongressCataloging-in-PublicationData
Assessmentofeatingdisorders/editedbyJamesE.MitchellandCarolB.Peterson.
p.cm.
Includesbibliographicalreferencesandindex.
ISBN1-59385-196-0(tradecloth)
1. Eatingdisorders—Diagnosis. I. Mitchell,JamesE.(JamesEdward),1947–
II. Peterson,CarolB.
RC552.E18A832005
616.85′26075—dc22
2005010753
To
Darren and Amelia
About the Editors
James E. Mitchell, MD, is currently the NRI/Lee A. Christofferson
MD Professor and Chair of the Department of Clinical Neuroscience at
theUniversityofNorthDakotaSchoolofMedicineandHealthSciences
and President and Scientific Director of the Neuropsychiatric Research
Institute.Dr.MitchellcompletedhisundergraduateeducationatIndiana
University and medical school at Northwestern University. Since enter-
ing academics he has focused primarily on research in the areas of eating
disorders and obesity. Dr. Mitchell is on the editorial boards of the Inter-
nationalJournalofEatingDisordersandtheEatingDisordersReview.Hehas
published more than 300 articles and book chapters and is the author or
editorofninebooks.Dr.MitchelliscurrentlyfundedbytheNationalIn-
stitutesofHealthforhisresearchonbulimianervosa,bingeeatingdisor-
der,bariatricsurgery,andgeneticstudiesinindividualswitheatingdisor-
ders.
Carol B. Peterson, PhD, received her doctorate in clinical psy-
chology from the University of Minnesota. She is currently a research
associate in the Eating Disorders Research Program at the University of
Minnesota, where her investigations have focused on the assessment,
diagnosis,andtreatmentofbulimianervosa,anorexianervosa,bingeeat-
ingdisorder,andobesity.Dr.Petersonhasauthoredmorethan45articles
and book chapters and has served as an investigator on several federally
funded research projects focusing on eating disorders. She is also an
adjunct assistant professor in the Department of Psychology at the Uni-
versity of Minnesota and has a part-time private practice in which she
specializes in the treatment of eating disorders.
vi
Contributors
Guy Cafri, MA, Department of Psychology, University of South Florida,
Tampa, Florida
Ross D. Crosby, PhD, Neuropsychiatric Research Institute, Fargo, North
Dakota
Scott Crow, MD, Department of Psychiatry, University of Minnesota School
of Medicine, Minneapolis, Minnesota
Jill M. Denoma, MS, Department of Psychology, Florida State University,
Tallahassee, Florida
Scott G. Engel, PhD, Neuropsychiatric Research Institute, Fargo, North
Dakota
Kathryn H. Gordon, MS, Department of Psychology, Florida State University,
Tallahassee, Florida
Carlos M. Grilo, PhD, Department of Psychiatry, Yale University School of
Medicine, New Haven, Connecticut
Thomas E. Joiner, Jr., PhD, Department of Psychology, Florida State
University, Tallahassee, Florida
Daniel le Grange, PhD, Department of Psychiatry, University of Chicago,
Chicago, Illinois
Leslie J. Heinberg, PhD, Department of Epidemiology and Biostatistics,
Division of Public Health, Case Western Reserve University, Cleveland, Ohio
James E. Mitchell, MD, Department of Clinical Neuroscience, University of
North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
vii
viii Contributors
Carol B. Peterson, PhD, Department of Psychiatry, Eating Disorder Research
Program, University of Minnesota, Minneapolis, Minnesota
Cheryl L. Rock, PhD, Department of Family and Preventive Medicine,
University of California–San Diego, San Diego, California
Megan Roehrig, MA, Department of Psychology, University of South Florida,
Tampa, Florida
Dana A. Satir, BA, Department of Psychiatry, College of Physicians and
Surgeons, Columbia University, and Eating Disorders Research Unit, New York
State Psychiatric Institute, New York, New York
Susan Swigart, MD, Department of Psychiatry, University of Minnesota
School of Medicine, Minneapolis, Minnesota
J. Kevin Thompson, PhD, Department of Psychology, University of South
Florida, Tampa, Florida
B. Timothy Walsh, MD, Department of Psychiatry, College of Physicians and
Surgeons, Columbia University, and Eating Disorders Research Unit, New York
State Psychiatric Institute, New York, New York
Stephen A. Wonderlich, PhD, University of North Dakota School of
Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo,
North Dakota
Preface
W
henweinitiallydevelopedthisproject,itwascleartousthatas-
sessment of eating disorders is an important topic that has not been ade-
quatelyaddressed.Eatingdisordersymptomsareoftenquitecomplexand
require a variety of forms of assessment, some of which are atypical for
mostpatientswithemotionalproblems.Therefore,wethoughtthatatext
devotedtothistopicthatofferedathoroughdiscussionofvariousaspects
ofassessmentaswellastechniqueswouldprovidecliniciansandresearch-
ers alike with a work of practical importance. While much of what is in-
cluded in this text is evidence based, we have attempted to present this
informationinsuchawaythatitwillbehelpfulforresearchers,students,
and practicing clinicians.
The first two chapters of this book include diagnostic and classifica-
tion issues. B. Timothy Walsh (Chapter 1, with Dana A. Satir) chaired
the DSM-IV workgroup on eating disorders and has been a leader in the
field on the topic of diagnostic issues as the criteria have evolved. Chap-
ter 2, by Kathryn H. Gordon, Jill M. Denoma, and Thomas E. Joiner, Jr.,
focuses more on issues of scientific validity.
Chapter3,byCarolB.Peterson,describesindepththeprocessofdi-
agnostic interviewing. The diagnostic interview of a patient with an eat-
ing disorder requires a thorough assessment of many factors that are not
typicallyincludedinastandardpsychiatricinterview.InChapter4,James
E.Mitchellfocusesonprovidingadatabasethatcanbeusedbyclinicians
as a way of obtaining additional information about patients.
Chapter 5, by Carlos M. Grilo, and Chapter 6, by Carol B. Peterson
and James E. Mitchell, discuss structured, semistructured, and self-report
measures. Although the use of these instruments has usually been re-
ix
