Assessment of eating disorders: review and recommendations for clinical use.
Use the same validated eating-disorder scale at intake, mid-point, and discharge to create clear progress numbers.
01Research in Context
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.
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.
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.
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.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Print one intake packet from the review’s recommended tools and file a blank copy for the discharge re-test.
02At a glance
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