Criteria

Associated Items

Scoring

0

1

Substance taken in larger amounts and for longer periods than intended

1. I find that when I start eating certain foods, I end up eating much more than planned.

0 - 3

4

2. I find myself continuing to consume certain foods even though I am no longer hungry.

0 - 3

4

3. I eat to the point where I feel physically ill.

0 - 2

3 - 4

Much time/activity to obtain, use, recover

5. I spend a lot of time feeling sluggish or fatigued from overeating.

0 - 2

3 - 4

6. I find myself constantly eating certain foods throughout the day.

0 - 3

4

7. I find that when certain foods are not available, I will go out of my way to obtain them. For example, I will drive to the store to purchase certain food options available to me at home.

0 - 2

3 - 4

Important social, occupational, or recreational activities given up or reduced

8. There have been times when I consumed certain foods so often or in such large quantities that I started to eat food instead of working, spending time with my family or friends, or engaging in other important activities or recreational activities I enjoy.

0 - 1

2 - 4

9. There have been times when I consumed certain foods so often or in such large quantities that I spent time dealing with negative feelings from overeating instead of working, spending time with my family or friends, or engaging in other important activities or recreational activities I enjoy.

0 - 2

3 - 4

10. There have been times when I avoided professional or social situations where certain foods were available, because I was afraid I would overeat.

0 - 1

2 - 4

11. There have been times when I avoided professional or social situations because I was not able to consume certain foods there.

0 - 1

2 - 4

Withdrawal symptoms

12. I have had withdrawal symptoms such as agitation, anxiety, or other physical symptoms when I cut down or stopped eating certain foods.

0 - 2

3 - 4

13. I have consumed certain foods to prevent feelings of anxiety, agitation, or other physical symptoms that were developing.

0 - 2

3 - 4

14. I have found that I have elevated desire for or urges when I cut down or stop eating them.

0 - 2

3 - 4

Use causes clinically significant impairment or distress

15. My behavior with respect to food and eating causes significant distress.

0 - 2

3 - 4

16. I experience significant problems in my ability to function effectively because of food and eating.

0 - 2

3 - 4

Use continues despite knowledge of adverse consequences

19. I kept consuming the same types of food or the same amount of food even though I was having emotional and/or physical problems.

no

yes

Tolerance

20. Over time, I have found that I need to eat more and more to get the feeling I want, such as reduced negative emotions or increased pleasure.

no

yes

21. I have found that eating the same amount of food does not reduce my negative emotions or increase pleasurable feelings the way it used to.

no

yes

Persistent desire or repeated unsuccessful attempts to quit

4. Not eating certain types of food or cutting down on certain types of food is something I worry about.

no

yes

22. I want to cut down or stop eating certain kinds of food.

no

yes

24. I have been successful at cutting down or not eating these kinds of food.

no

yes

25. How many times in the past year did you try to cut down or stop eating certain foods altogether?

0 - 3

4