Abstract

Eating disorders are among the most common psychiatric disorders in young women. Early detection and treatment improve the prognosis, but the presentation of eating disorders is often cryptic—for example, via physical symptoms in primary care. The ability to diagnose the condition varies and can be inadequate,1 and existing questionnaires for detection2,3 are lengthy and may require specialist interpretation. No simple, memorable screening instruments are available for nonspecialists. In alcohol misuse, the CAGE questionnaire (questions about Cutting down, Annoyance with criticism, Guilty feelings, and Eye-openers)4 has proved popular with clinicians because of its simplicity. We developed and tested a similar tool for eating disorders, with questions designed to raise the suspicion that an eating disorder might exist before rigorous clinical assessment.

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