These materials were provided for the support program, organized, and conducted on a volunteer basis by the  Association of Doctors and Psychologists “Eating Disorders: Therapy and Prevention” and by a team of psychologists from Patrick’s Mental Health Services (Dublin, Ireland).

We express our deep gratitude to colleagues who led and supported this project:

St Patrick’s Mental Health Services (SPMHS), Dublin, Ireland.

Psychology Department:

  • Adj Prof Clodagh Dowling, Director of Psychology at SPMHS & Adj Prof at the School of Psychology, University College Dublin (UCD)
  • Dr. Clíona Hallissey Clinical Psychologist, SPMHS
  • Dr. Marion Mernagh Clinical Psychologist, SPMHS
  • Lizzy O’ Brien, Assistant Psychologist, SPMHS

 

The Psychology Department from SPMHS would like to thank and acknowledge Dr Ken Goss Consultant, Psychologist and founder/ developer of CFT-E for all his support, mentorship and generosity.

 

Communications Department:

  • Sinéad Makk, Communications Manager, SPMHS
  • Katie Crosby, Communications Officer, SPMHS
  • Tamara Nolan, Director of Communications, SPMHS 

 

Association of Doctors and Psychologists: “Eating Disorders: Therapy and Prevention”

  • Tetyana Nazarenko: psychologist, psychotherapist, chairman of the board of the Association
  • Dr Maryna Fatieieva, psychologist, PhD

 

Marina Svētiņa: nutritionist, Children’s clinical university hospital of Riga (Latvia)

 

Translator: 

  • Kateryna Chudnenko: psychologist and psychotherapist from St Patrick’s Mental Health Services.

 

 

Multi-Family Therapy for Anorexia Nervosa

Young Person Measures

 

Date:

Name:

Date of Birth:

Age:

 

Revised Children’s Anxiety and Depression Scale (RCADS)

Instructions: Please put a circle around the word that shows how often each of these things happens to you. There are no right or wrong answers.

 

0.      Never1.      Sometimes2.      Often3.      Always
1.      I worry about things0123
2.      I feel sad or empty0123
3.      When I have a problem, I get a funny feeling in my stomach0123
4.      I worry when I think I have done poorly at something0123
5.      I would feel afraid of being on my own at home0123
6.      Nothing is much fun anymore0123
7.      I feel scared when I have to take a test0123
8.      I feel worried when I think someone is angry with me.0123
9.      I worry about being away from my parent0123
10.  I am bothered by bad or silly thoughts or pictures in my mind0123
11.  I have trouble sleeping0123
12.  I worry that I will do badly at my school work0123
13.  I worry that something awful will happen someone in my family0123
14.  I suddenly feel as if I can’t breathe when there is no reason for this0123
15.  I have problems with my appetite0123
16.  I have to keep checking that I have done things right (like the switch is off, of the door is locked)0123
17.  I feel scared if I have to sleep on my own0123
18.  I have trouble going to school in the mornings because I feel nervous or afraid0123
19.  I have no energy for things0123
20.  I worry I might look foolish0123
21.  I am tired a lot0123
22.  I worry that bad things will happen to me0123
23.  I can’t seem to get bad or silly thoughts out of my head0123
24.  When I have a problem, my heart beats really fast0123
25.  I cannot think clearly0123
26.  I suddenly start to tremble or shake when there is no reason for this0123
27.  I worry that something bad will happen to me0123
28.  When I have a problem, I feel shaky0123
29.  I feel worthless0123
30.  I worry about making mistakes0123
31.  I have to think of special thoughts (like numbers or words) to stop bad things from happening0123
32.  I worry what other people think of me0123
33.  I am afraid of being in crowded places (like shopping centres, the movies, buses, busy playgrounds)0123
34.  All of  a sudden I feel really scared for no reason at all0123
35.  I worry about what is going to happen0123
36.  I suddenly become dizzy or faint when there is no reason for this0123
37.  I think about death0123
38.  I feel afraid if I have to talk in front of my class0123
39.  My heart suddenly starts to beat too quickly for no reason0123
40.  I feel like I don’t want to move0123
41.  I worry that I will suddenly get a scared feeling when there is nothing to be afraid of0123
42.  I have to do some things over and over again (like washing my hands, cleaning, or putting things in a certain order)0123
43.  I feel afraid that I will make a fool of myself in front of other people0123
44.  I have to do some things in just the right way to stop bad things from happening0123
45.  I worry when I go to bed at night0123
46.  I would feel scared if I had to stay away from home overnight0123
47.  I feel restless0123

 

 

Strengths and Difficulties Questionnaire (SDQ) S11-17

Instructions: For each item, please mark the box for Not True, Somewhat True or Certainly True. It would help us if you answered all items as best you can even if you are not absolutely certain or the item seems daft! Please give your answers on the basis of how things have been for you over the last six months.

0.      Not True1.      Somewhat True2.      Certainly True
1.      I try to be nice to other people. I care about their feelings012
2.      I am restless, I cannot stay still for long012
3.      I get a lot of headaches, stomach-aches, or sickness012
4.      I usually share with others (food, games, pens etc.)012
5.      I get very angry and often lose my temper012
6.      I am usually on my own. I generally play alone or keep to myself012
7.      I usually do as I am told012
8.      I worry a lot012
9.      I am helpful if someone is hurt, upset or feeling ill012
10.  I am constantly fidgeting or squirming012
11.  I have one good friend or more012
12.  I fight a lot. I can make other people do what I want012
13.  I am often unhappy, down-hearted or tearful012
14.  Other people my age generally like me012
15.  I am easily distracted, I find it difficult to concentrate012
16.  I am nervous in new situations. I easily lose confidence012
17.  I am kind to younger children012
18.  I am often accused of lying or cheating012
19.  Other children or young people pick on me or bully me012
20.  I often volunteer to help others (parents, teachers, children)012
21.  I think before I do things012
22.  I take things that are not mine from home, school or elsewhere012
23.  I get along better with adults than with people my own age012
24.  I have many fears, I am easily scared012
25.  I finish the work I’m doing. My attention is good012

 

Do you have any other comments or concerns?
______________________________________________________________

 

 

Overall, do you think that you have difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?
NoYes – minor difficultiesYes – definite difficultiesYes – severe difficulties

 

If you answered “Yes”, please answer the following questions about these difficulties:

How long have these difficulties been present?
Less than a month1-5 months6-12 monthsOver a year
Do these difficulties upset or distress you?
Not at allOnly a littleQuite a lotA great deal
Do the difficulties interfere with your everyday life in the following areas?
HOME LIFENot at allOnly a littleQuite a lotA great deal
FRIENDSHIPSNot at allOnly a littleQuite a lotA great deal
CLASSROOM LEARNINGNot at allOnly a littleQuite a lotA great deal
LEISURE ACTIVITIESNot at allOnly a littleQuite a lotA great deal
Do these difficulties made it harder for those around you (family, friends teachers etc.)?
Not at allOnly a littleQuite a lotA great deal

 

 

 

 

Strengths and Difficulties Questionnaire (SDQ) S18+

Instructions: For each item, please mark the box for Not True, Somewhat True or Certainly True. It would help us if you answered all items as best you can even if you are not absolutely certain. Please give your answers on the basis of how things have been for you over the last six months.

0.      Not True1.      Somewhat True2.      Certainly True
1.      I try to be nice to other people. I care about their feelings012
2.      I am restless, I cannot stay still for long012
3.      I get a lot of headaches, stomach-aches, or sickness012
4.      I usually share with others, for example food or drink012
5.      I get very angry and often lose my temper012
6.      I would rather be alone than with other people012
7.      I am generally willing to do what other people want012
8.      I worry a lot012
9.      I am helpful if someone is hurt, upset or feeling ill012
10.  I am constantly fidgeting or squirming012
11.  I have at least one good friend012
12.  I fight a lot. I can make other people do what I want012
13.  I am often unhappy, depressed or tearful012
14.  Other people generally like me012
15.  I am easily distracted, I find it difficult to concentrate012
16.  I am nervous in new situations. I easily lose confidence012
17.  I am kind to children012
18.  I am often accused of lying or cheating012
19.  Other people pick on me or bully me012
20.  I often offer to help others (family members, friends, colleagues)012
21.  I think before I do things012
22.  I take things that are not mine from home, work or elsewhere012
23.  I get along better with older people than with people my own age012
24.  I have many fears, I am easily scared012
25.  I finish the work I’m doing. My attention is good012

 

 

Do you have any other comments or concerns?
______________________________________________________________

 

Overall, do you think that you have difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?
NoYes – minor difficultiesYes – definite difficultiesYes – severe difficulties

 

If you answered “Yes”, please answer the following questions about these difficulties:

 

How long have these difficulties been present?

Less than a month1-5 months6-12 monthsOver a year
 

Do these difficulties upset or distress you?

Not at allOnly a littleQuite a lotA great deal
 

Do the difficulties interfere with your everyday life in the following areas?

Getting along with the people you are closest to (e.g. family, partner)Not at allOnly a littleQuite a lotA great deal
Making and keeping friendsNot at allOnly a littleQuite a lotA great deal
Work or studyNot at allOnly a littleQuite a lotA great deal
Hobbies, sports or other leisure activitiesNot at allOnly a littleQuite a lotA great deal
Do these difficulties made it harder for those around you (family, friends etc.)?
Not at allOnly a littleQuite a lotA great deal

 

 

SCORE-15

Instructions: We would like you to tell us about how you see your family at the moment. So we are asking for YOUR view of your family.

When people say ‘your family’ they often mean the people who live in your house. But we want you to choose who you want to count as the family you are going to describe.

For each item, make your choice by putting a circle around just one of the options numbered 1 to 5. If a statement was “We are always fighting each other” and you felt this was not especially true of your family, you would put a tick in box 4 for “Describes us: not well”.

Do not think for too long about any question, but do try to circle on of the options for each question.

1.      Describes us: Very well2.      Describes us: well3.      Describes us: Partly4.      Describes us: Not well5.      Describes us: Not at all
1.      In my family we talk to each other about things which matter to us12345
2.      People often don’t tell each other the truth in my family12345
3.      Each of us gets listened to in our family12345
4.      It feels risky to disagree in our family12345
5.      We find it hard to deal with everyday problems12345
6.      We trust each other12345
7.      It feels miserable in our family12345
8.      When people in my family get angry they ignore each other on purpose12345
9.      We seem to go from one crisis to another in my family12345
10.  When one of us is upset they get looked after within the family12345
11.  Things always seem to go wrong for my family12345
12.  People in the family are nasty to each other12345
13.  People in my family interfere too much in each other’s lives12345
14.   In my family we blame each other when things go wrong12345
15.  We are good at finding new ways to deal with things that are difficult12345

 

What words would best describe your family?
____________________________________________________________________________________________________________________________________________________________________________________________________________

 

What is the problem/challenge that brought you to therapy? The main problem is
____________________________________________________________________________________________________________________________________________________________________________________________________________

 

How severe is it? Please mark your answer on the line below:
No problem at all                                                                                                                  Really bad

12345678910

 

How are you managing as a family?

Very well                                                                                                                                  Very badly

12345678910

 

Do you think the therapy here will be / has been helpful?

Very helpful                                                                                                                             Unhelpful

12345678910

 

 

 

 

Rosenberg Self-Esteem Scale (RSE)

Instructions: Please record the appropriate answer for each item, depending on whether you

Strongly agree, agree, disagree, or strongly disagree with it.

1 = Strongly agree

2 = Agree

3 = Disagree

4 = Strongly disagree

 

 

 

1= Strongly agree2 = Agree 3 = Disagree 4 = Strongly agree
  1. On the whole I am satisfied with myself.1234
  2. At times I think I am no good at all.1234
0.      I feel that I have a number of good qualities.1    234
1.      I am able to do things as well as most other people.1234
2.      I feel I do not have much to be proud of.1234
3.      I certainly feel useless at times.1234
4.      I feel that I am a person of worth,

at least on equal plane with others.

1234
5.      I wish I could have more respect for myself.1234
6.      All in all, I am inclined to feel that I am a failure.1234
7.      I take a positive attitude towards myself.1234

 

 

 

 

EATING QUESTIONNAIRE (EDE-Q)

Instructions: The following questions are concerned with the PAST FOUR WEEKS ONLY (28 days).  Please read each question carefully and circle the appropriate number. Please answer all the questions.

 

ON HOW MANY DAYS OUT OF THE PAST 28 DAYS …

 

No

days

1-5

days

6-12

days

13-15

days

16-22

days

23-27

days

Every

day

1.Have you been deliberately trying to limit the amount of food you eat to influence your shape or weight? 

0

 

1

 

2

 

3

 

4

 

5

 

6

2.Have you gone for long periods of time (8 hours or more) without eating anything to influence your shape weight? 

0

 

1

 

2

 

3

 

4

 

5

 

6

3.Have you tried to avoid eating any foods which you like to influence your shape or weight? 

0

 

1

 

2

 

3

 

4

 

5

 

6

4.Have you tried to follow definite rules regarding your eating to influence your shape or weight; for example, a calorie limit, a set amount of food, or rules about what or when you should eat? 

0

 

1

 

2

 

3

 

4

 

5

 

6

5.Have you wanted your stomach to be empty? 

0

 

1

 

2

 

3

 

4

 

5

 

6

6.Has thinking about food or its calorie content made it much more difficult to concentrate on things you are interested in; for example, read, watch TV, or follow a conversation? 

0

 

1

 

2

 

3

 

4

 

5

 

6

7.Have you been afraid of losing control over eating?

 

 

0

 

1

 

2

 

3

 

4

 

5

 

6

8.Have you had episodes of binge eating? 

0

 

1

 

2

 

3

 

4

 

5

 

6

9.Have you eaten in secret?  (Do not count binges) 

0

 

1

 

2

 

3

 

4

 

5

 

6

10.Have you wanted your stomach to be flat? 

0

 

1

 

2

 

3

 

4

 

5

 

6

11.Has thinking about shape or weight made it more difficult to concentrate on things you are interested in; for example, read, watch TV or follow a conversation? 

0

 

1

 

2

 

3

 

4

 

5

 

6

12.Have you had a definite fear that you might gain weight or become fat? 

0

 

1

 

2

 

3

 

4

 

5

 

6

13.Have you felt fat? 

0

 

1

 

2

 

3

 

4

 

5

 

6

14.Have you had a strong desire to lose weight? 

0

 

1

 

2

 

3

 

4

 

5

 

6

 

 

OVER THE PAST 28 DAYS…

15.On what proportion of times that you have eaten have you felt guilty because the effect on your shape or weight?  (Do not count binges) (Circle the number which applies)

 

0 – None of the times

1 – A few of the times

2 – Less than half the time

3 – Half the time

4 – More than half the time

5 – Most of the time

6 – Every time

16.Over the past four weeks (28 days), have there been any times when you have felt that you have eaten what other people would regard as an unusually large amount of food given the circumstances?  (Please put appropriate number in box)

 

0 – No

1 – Yes               [    ]

 

17.How many such episodes have you had over the past four weeks?

 

 

                         [   ]

 

18.During how many of these episodes of overeating did you have a sense of having lost control over your eating?

 

 

[   ]

19.Have you had other episodes of eating in which you have had a sense of having lost control and eaten too much, but have not eaten an unusually large amount of food given the circumstances?

 

0 – No

1 – Yes

20How many such episodes have you had over the past four weeks?

 

 

 

[   ]

21.Over the past four weeks have you made yourself sick (vomit) as a means of controlling your shape or weight?

 

0 – No

1 – Yes

22.How many times have you done this over the past four weeks?

 

 

 

[   ]

23.Have you taken laxatives as a means of controlling your shape or weight?

 

0 – No

1 – Yes

24.How many times have you done this over the past four weeks?

 

 

 

[   ]

25.Have you taken diuretics (water tablets) as a means of controlling your shape or weight?

 

0 – No

1 – Yes

26.How many times have you done this over the past four weeks?

 

 

 

[   ]

27.Have you exercised hard as a means of controlling your shape or weight?0 – No

1 – Yes

 

28.How many times have you done this over the past four weeks?

 

 

 

[   ]

OVER THE PAST 28 DAYS… (Please circle the number which best describes your behaviour)NOT AT ALL SLIGHT-LY MODER-ATELY MARK-EDLY
29.Has your weight influenced how you think about (judge) yourself as a person? 

 

0

 

 

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

6

30.Has your shape influenced how you think about (judge) yourself as a person? 

 

0

 

 

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

6

31.How much would it upset you if you had to weigh yourself once a week for the next four weeks? 

 

 

0

 

 

 

1

 

 

 

2

 

 

 

3

 

 

 

4

 

 

 

5

 

 

 

6

32.How dissatisfied have you felt about your weight? 

0

 

1

 

2

 

3

 

4

 

5

 

6

33.How dissatisfied have you felt about your shape? 

0

 

1

 

2

 

3

 

4

 

5

 

6

34.How concerned have you been about other people seeing you eat? 

 

0

 

 

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

6

35.How uncomfortable have you felt seeing your body; for example, in the mirror, in shop window reflections, while undressing or taking a bath or shower? 

 

 

 

 

0

 

 

 

 

 

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

36.How uncomfortable have you felt about others seeing your body; for example, in communal changing rooms, when swimming or wearing tight clothes? 

 

 

 

 

0

 

 

 

 

 

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6