Assessment & Research

Assessment of eating disorders: review and recommendations for clinical use.

Anderson et al. (2004) · Behavior modification 2004
★ The Verdict

Use the same validated eating-disorder scale at intake, mid-point, and discharge to create clear progress numbers.

✓ Read this if BCBAs who assess or treat clients with suspected eating disorders in outpatient or day-program settings.
✗ Skip if RBTs who only run skill-acquisition programs with no feeding or mental-health component.

01Research in Context

01

What this study did

Burack et al. (2004) read every paper they could find on eating-disorder tests. They picked the tools that had solid science behind them. The goal was to give clinicians a short list they can trust from first visit to last.

02

What they found

The review names specific questionnaires, interviews, and tracking sheets that measure symptoms, mood, and progress. Using the same tool at intake, mid-treatment, and discharge gives clear numbers to show change. No new data were collected; the paper is a map of the best rulers already built.

03

How this fits with other research

Wilson et al. (1987) did a similar job years earlier but looked only at body-image tests. Burack et al. (2004) widened the lens to cover the whole clinic path, so it builds on—not clashes with—the older work.

Leigland (2000) reminds us that adults with intellectual disability are often missed. That review adds pica, rumination, and food refusal to the watch list. Burack et al. (2004) did not talk about ID; pairing the two papers gives you a fuller intake form.

Lee et al. (1997) asked for more functional assessment of binge eating. Burack et al. (2004) answers with validated surveys but still leaves the functional work on the table. Use both views: start with the survey, then watch what triggers the behavior.

04

Why it matters

You now have a vetted menu of quick scales you can hand to clients on day one and reuse at discharge. Pick one mood scale and one eating scale, stick with them, and let the numbers show parents and payers what changed. No guesswork, no reinventing tests.

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→ Action — try this Monday

Print one intake packet from the review’s recommended tools and file a blank copy for the discharge re-test.

02At a glance

Intervention
not applicable
Design
narrative review
Population
not specified
Finding
not reported

03Original abstract

Practitioners have come under increasing pressure to provide objective data on assessment and treatment outcome of clients. This article provides a brief summary of assessment of eating disorders for the practicing clinician, with an emphasis on well-validated assessment instruments. The critical domains that should be covered in a thorough assessment of eating disorders are reviewed, as are some shortcomings in the current assessment literature, and also discussed is which assessment instruments for the eating disorders are most useful in a clinical context. Using well-validated, standardized assessment instruments in all phases of the treatment process is a critical part of justifying a treatment plan and providing objective data on client progress and outcome.

Behavior modification, 2004 · doi:10.1177/0145445503259851