Evidence-Based Assessments for Transdiagnostic Eating Disorder Symptoms: Guidelines for Current Use and Future Directions

Assessment. 2024 Jan;31(1):145-167. doi: 10.1177/10731911231201150. Epub 2023 Oct 23.

Abstract

Eating disorders are severe and often chronic mental illnesses that are associated with high impairment and mortality rates. Recent estimates suggest that eating disorder prevalence rates are on the rise, indicating an increased need for accurate assessment and detection. The current review provides an overview of transdiagnostic eating disorder assessments, including interview, self-report, health and primary care screeners, and technology-based and objective assessments. We focused on assessments that are transdiagnostic in nature and exhibit high impact in the field. We provide recommendations for how these assessments should be used in research and clinical settings. We also discuss considerations that are crucial for assessment, including the use of a categorical versus dimensional diagnostic framework, assessment of eating disorders in related fields (i.e., anxiety and depression), and measurement-based care for eating disorders. Finally, we provide suggestions for future research, including the need for more research on short transdiagnostic screeners for use in health care settings, standardized assessments for ecological momentary assessment, development of state-based assessment of eating disorder symptoms, and consideration of assessment across multiple timescales.

Keywords: anorexia nervosa; assessment; bulimia nervosa; detection; eating disorders.

Publication types

  • Review

MeSH terms

  • Anorexia Nervosa* / diagnosis
  • Anorexia Nervosa* / epidemiology
  • Anxiety Disorders
  • Bulimia Nervosa* / diagnosis
  • Feeding and Eating Disorders* / diagnosis
  • Humans
  • Self Report