Spreadsheet: 740159d1626203833-return-one-of-2-sums-based-on-a-cell-value-pardi-sample-workbook
Sheet: Questions (2)

 | Question |  | Response | Comment
10 | Assessor:  Summary of medical problems (for the interviewer to rate based on clinical judgment): Is there a medical problem or medication that could at least partially explain the difficulty in feeding or eating? If Yes, please explain: | Y/N
CURRENT EATING AND FEEDING PATTERN
11a | Is your eating a problem for you? | Y/N
11b | How much of a problem is it? | Score
12 | I would like to ask you about what you eat and drink during a typical day. Starting with when you wake up, can you tell me about what you eat and drink throughout the day? Are there other days when this is different? Note: Include both drink, food and non-nutritive, non-food substances. If the patient is tube-fed or taking high energy nutritional supplement drinks, check the pattern of tube-feeding and/or intake of supplement drinks.
13 | Are you currently being fed by tube feeding? | Y/N
14 | Are you currently taking any nutritional supplement [Explain as needed] drinks, liquids, pills, or drops to make sure you get enough vitamins and minerals? If so, do you know what they are called and how much you take?  If yes, type of supplement and total amountIf yes, type of supplement and total amount over 24 hours | Y/N
15 | Are you currently taking any high-energy nutritional supplement drinks to help you to maintain or gain weight? If so, what type and how much do you have? If yes, specify type of supplement and total amount over 24 hours | Y/N
16 | Over the past month, have you experienced any difficulties managing food in your mouth, such as: Note: If Yes to any of these, note the type of difficulty and the respondent’s understanding of its cause. Positive ratings should be separated into: -         Yes – Known oro-motor difficulties (e.g., poor oro-motor co-ordination, oral dyspraxia, low muscle tone, protruding tongue) -         Yes – Thought to be due to psychological factors (e.g., concern about choking, fear of ingesting specific foods) [this is returned to later in the schedule] -      Yes – But not known whether primarily due to structural/oro-motor or psychological cause | Y/N
16a | -      holding food in your mouth without swallowing it | Y/N
16b | -     eating slower than others | Y/N
16c | -     food dribbling out of your mouth while chewing | Y/N
16d | -     difficulty with chewing or swallowing | Y/N
16e | -     frequent gagging or choking | Y/N
17 | Have you ever had any tests for swallowing difficulties? If yes, do you know what the result was? | Y/N
PICA Diagnostic Items
18 | Over the past month have you eaten anything that is not food — like dirt, paper, chalk, or other things — not just chewing on them, but swallowing and eating them? (If no, move on to ARFID section.) | Y/N | Yes
18a | What did you eat that wasn’t food? Note: Is the ingested item is BOTH non-nutritive AND non-food. Ice does NOT count. Examples from DSM-5 include paper, soap, cloth, hair, string, wool, soil, chalk, talcum powder, paint, gum, metal, pebbles, charcoal/coal, ash, clay, and starch. | Y/N | No
18b | Assessor: Confirm that items consumed are non-food, non-nutritive. | Y/N | No
19 | Assessor: Is PICA ‘persistent’? (i.e., has it occurred on more than two days in the past month?) Note: DSM-5 indicates that behavior must be “persistent,” but provides no minimum frequency. | Y/N | Yes
19a | In the past month on how many days have you eaten [non-nutritive/non-food item(s)]? | Score | 6
20 | In the past month, on the days you have eaten [non-nutritive/non-food item(s)], how many times have you done this? Note: Do not count each separate bite of non-nutritive/non-food item(s). Instead, consider each period of continuous eating followed by a pause or break to be a separate episode | # of x's
21 | Assessor:  Need  to  determine  if  pica  behavior  is  inappropriate  for  developmental  stage.  Is  the respondent at least 2 years old or functioning at a similar developmental level [SCREEN]? | Y/N | Yes
22 | Some people believe that eating things like … [that aren’t food] is good for them. Do people in your family believe that? If yes: What do they believe? Is that the only reason why you’ve eaten things that aren’t food in the past month? | Y/N | No
23 | Assessor: Do pica symptoms require additional attention? Check in the case the screen indicates an intellectual disability, autism spectrum disorder, schizophrenia, or pregnancy is present, whether pica symptoms require additional clinical attention (see below for impairment). | Y/N | Yes
24 | Over the past month, have you {really, really wanted} {had cravings or a very strong desire} to eat things that aren’t food? How much have you wanted to? | Score
25 | Over the past month, have you eaten things that aren’t food because you thought it might help you to lose weight or to eat less, by making you more full up and less hungry? Note: Assessor uses this item to rule out eating disorder motivation for pica behavior. | Y/N
26 | Over the past month, have you eaten things that aren’t food to try to hurt yourself, to make yourself sick, or to get special attention? Note: Assessor uses this item to rule out self-harm motivation for pica behavior. | Y/N
27 | Over the past month has eating things that aren’t food caused {any serious problems for you} you trouble  at  home,  school  or  with  family/  friends?  Note:  Examples  include  experiencing  teasing  or  name  calling, contributing to relationship difficulties, inability to eat with others, etc. | Score
28 | Over the past month have you been {have you experienced any medical problems} ill from eating things  that  aren’t  food?  Note:  Example  medical  complications  of  pica  from  DSM-5:  mechanical  bowel  problems,  intestinal obstruction, bezoar, intestinal perforation, infection, or poisoning. | Score
Are Criteria met for pica? Response pattern: (Item 18, 18b, 19 and 21-yes; Item 22-no; Item 23-yes)
Pica Severity Scale:      Add ratings for 19a, 24, 27, and 28 and divide by 4
Current? |  | Y/N
In Remission? |  | Y/N
Age of onset of Pica:
ARFID Diagnostic Items
29 | {Do you have a problem with your eating or feeding so that you eat less food than others think you should?} { Do  have an eating or feeding problem that  involves  avoidance or restriction of food intake?} | Y/N | Yes
29a | Over the past month, have you been eating a range of fruits? | Score
29b | Over the past month, have you been eating a range of vegetables? | Score
29c | Over the past month, have you been eating a range of protein foods (e.g., meat, fish, eggs, beans, meat substitutes (e.g., tofu, quorn))? | Score
29d | Over the past month, have you been eating  a range of dairy or calcium-enriched dairy substitute foods (e.g., milk, cheese, soymilk)? | Score
29e | Over the past month, have you been eating a range of starchy/carbohydrate foods (e.g., rice, pasta, bread, cereal)? | Score
30 | Over  the  past  month,  have  you  eaten  exactly  the  same  food  at  mealtimes?  Can  you  give  me examples? | Score
31 | Over the past month, have you eaten a particular food so many times that you have become tired of it? Has this meant you have stopped eating it? Can you give me examples? | Score
32 | If someone asked you to try a new food that is not something you have ever eaten before, how likely would you be to try it? How would you feel about trying it? | Score
33 | {Over the past month have your family or doctors been worried that you are finding it difficult to eat enough?} { Over the past month, has there been concern (e.g., from doctors, family etc.) that you are having difficulty meeting his/her calorie needs [by eating]?} | Score
34 | Over the past 3 months has your doctor, anyone in your family, or others worried that you are not putting on weight or {that you are getting thinner} {losing weight}? Do you think you have lost weight recently? If so do you know how much? | Score | 5
35 | Over the past 3 months has your doctor or anyone in your family worried that you are not growing taller as you should? | Score | 5
36 | {In the last few months has any doctor or nurse said that you are not getting enough vitamins?} {In the last few months has any health professional said that you have a nutritional deficiency?} Who told you this and how did they find out (e.g., blood test)? (Yes/No) Note: Record a yes answer only if a health professional has identified the deficiency | Y/N | Yes
37 | Do you take {prescribed special supplements} {anything} to make sure you get what your body needs (e.g., pills, medicines, liquids or special drinks containing vitamins and minerals and other micronutrients)? If so, what? How much do you take? | Y/N | Yes
38 | Do you take any {special drinks} {nutritional supplement drinks or other high-energy drinks} to help you put on weight? | Score | 4
39 | If you are currently receiving tube feeding, do you know what sort of tube it is (e.g., nasogastric, PEG   [percutaneous   endoscopic   gastrostomy],   and   PEG-J   [percutaneous   endoscopic   gastro- jejunostomy])? What do you have down the tube and how much each day? | Score | 5
40 | Do you think your eating affects your family members/{significant others?} If so, how? Are they worried about your eating? | Score
41 | Does your eating cause problems for you at home (e.g., arguments with parents or brothers and sisters)? | Score
42 | How do you get on at mealtimes? Are they difficult or {upsetting} {stressful}? Note:  Examples  of  mealtime  difficulties  include:  getting  up  from  the  table,  distress/whining/crying  at  mealtimes, getting angry or upset/having tantrums during meals, being unable or refusing to eat. | Score | 5
43 | When you eat meals with other people (e.g., family, friends), do you usually eat something different than they do? | Score
44 | Do you need a distraction such as the TV/iPad or something else to take your mind off things so you can eat? | Ave. Mins.
45 | How long do mealtimes take for you? | Score
46 | Do you have to be given a reward, {reminded} {prompted}, or {made} {coaxed} to take a bite or to eat? | Score
47 | Does your eating {cause you difficulties socially} {make things hard for you} (e.g., does it make it difficult for you to go to friends’ houses, eat at school, or stay away from home)? | Score | 5
48 | Does your eating {cause difficulties} {make things hard for you} at school/college/work? Note: Examples of difficulties experienced include - missing out on break time/recess, special arrangements for mealtimes causing the individual distress or to miss out, difficulty with concentration on work/schoolwork, difficulty in managing food provided at meetings/in staff cafeteria, etc. | Score | 5
49 | Do you have difficulties with eating wherever you are: at home, at school, and when you eat out? | Y/N
ARFID Profile: Sensory Sensitivity- Note: Negative answers to the following questions may reflect avoidance rather than a lack of sensory sensitivity. Probe if necessary “If you were to get your hands messy/dirty, would it be uncomfortable for you?”
50 | Over the past month has it bothered you, having food around your mouth or on your hands? | Score
51 | Over the past month has brushing your teeth bothered you? | Score
52 | Over the past month, have strong food smells bothered you? | Score
53 | Over the past month, have you been sensitive to differences in taste (e.g., rejecting one type of orange juice because it tastes slightly different to their preferred type)? | Score
54 | Over the past month, have you preferred foods to be a certain temperature (e.g., all foods must be served cold)? | Score
55 | {Do you cough, choke, or gag on certain types or textures/consistencies of food or drinks? If so,  which  foods,  drinks,  or  textures/consistencies?}  {Over  the  past  month,  have  you  been particularly sensitive to the texture or consistency of food or drinks such that they make you cough, choke, or gag on certain types or textures/consistencies of food or drinks? If so, which foods, drinks, or textures/consistencies? | Score
56 | Over the past month, has the smell of food been important to you in deciding whether to eat it? Note: Probe with extra question. For example, do you smell food before you decide whether to eat it? | Score
57 | Over the past month, have you been put off food if it doesn't look “right” (e.g., burnt ends of chips/fries, broken biscuits/cookies)? | Score
58 | Over the past month, have you preferred foods to be a certain colour (beige or brown)? | Score
59 | Over the past month, have you preferred to eat food of a certain brand? If the pack changes, does it put you off? | Score
 | Section Score: | Score
ARFID Profile: Lack of Interest in Food or Eating
60 | Some people avoid foods or {eat very little} {restrict intake} because they find it hard to realize when they are hungry. Over the past month, has this happened to you? | Score
61 | Over the past month, have you forgotten to eat or found it difficult to make time to eat? | Score
62 | Over the past month, have you looked forward to eating (even if just preferred food) before mealtimes? | Score
63 | Over the past month, have you had a good appetite (i.e., when food is in front of you, you feel like you want to eat it)? | Score
64 | Over the past month, have you needed to be prompted or reminded to eat? | Score
65 | Over the past month, have you eaten less when you were anxious, upset or worried? | Score
66 | Over the past month, have you eaten less when you were happy, excited, or looking forward to something? | Score
67 | Over the past month, how much have you found eating to be a chore? | Score
68 | Over the past month, have you enjoyed food or eating (even if only a few foods)? | Score
69 | Over the past month, have you been full before your meal is finished or sooner than others? | Score
70 | Over the past month, have you felt uncomfortable when you are full? | Score
 | Section Score: | Score
ARFID Profile: Fear of Aversive Consequences
71a | Have you ever had an experience where you thought you might choke that has made you more careful about eating (e.g., a choking episode, tube insertion, medical investigation)?
71b | Over the past 4 weeks, have you been concerned that eating will make you choke to the extent that it has restricted the amount or type of food that you eat? | Score
72a | Have  you  ever  {had  an  episode  of  vomiting}  {been  very  sick}  (e.g.,  norovirus,  food poisoning) or had diarrhea that has made you more careful about eating? | Y/N
72b | Over the past 4 weeks, have you been concerned that eating will make you {vomit} {be sick} (i.e., involuntarily) or cause diarrhea to the extent that it has restricted the amount or type of food that you eat? (Note: Do not count self-induced vomiting.) | Score
73a | Have you ever had an allergic or other {adverse physical} {bad} reaction to a food that has made you more careful about eating? | Y/N
73b | Over the past 4 weeks, have you been worried that food might be {harmful} {bad} for you in any way (e.g., that your food might contain something that you are allergic to, even if you were told that it didn’t) to the extent that it has restricted the amount or type of food that you eat? | Score
74a | Have you ever had {severe stomach pain or other severe abdominal pain} {bad stomach or chest pain} after eating? | Y/N
74b | Over the past 4 weeks, have you been worried that eating might cause you pain (e.g., stomach pain) to the extent that it has restricted the amount or type of food that you eat? | Score
75 | Over the past month, have you felt afraid of eating? (Note: The fear must be of the act of eating itself and any immediate aversive consequences. Do not count fear of becoming fat.) | Score
76 | Over the past month, have you spent much time worrying that something bad might happen if you eat?  Has worrying about eating made it hard for you to concentrate on things you were doing, for instance, watching television, reading, playing computer games (etc.)? (Note: Do not count fear of becoming fat.) | Score
77 | To summarize what we’ve talked about so far, over the past month, have you been eating less food because you were afraid that something bad might happen, like being sick, choking, having an allergic reaction, or being in pain? | Score
78 | Over the past month, have you had {physical anxiety symptoms} feelings like a racing heart, sweaty hands, or feeling sick when you have seen something that reminded you of: being sick, choking, having an allergic reaction, or being in pain while eating – (ask according to type of fear)? | Score
79 | Over the past month, have you avoided food or {eating situations} {mealtimes} that you were worried might make you {vomit} {be sick}, choke, have an allergic reaction, or be in pain while eating? | Score
80 | Over the past month, have you done anything special before or while you were eating to stop yourself from {vomiting} {being sick}, choking, having an allergic reaction, or being in pain while eating? | Score
 | Section Score: | Score
81 | DSM-5 Criterion B: (Assessor uses clinical judgment): The disturbance is better explained by a lack of available food or by an associated culturally sanctioned practice. | Y/N | No
82 | DSM 5 Criterion C: (Assessor uses clinical judgement): The respondent has anorexia nervosa (SCREEN) or bulimia nervosa (SCREEN) or related subthreshold disorder. (Yes/No/NA) | Y/N | No
83 | DSM-5 Criterion D: (Assessor uses clinical judgment): If the respondent has a medical condition [SCREEN], an intellectual disability [SCREEN], other neurodevelopmental disorder [SCREEN], or other mental disorder [SCREEN] that explains the eating disturbance, its severity exceeds that usually associated with the condition and requires additional clinical attention? (Yes/No/NA) | Y/N | Yes
Are Criteria met for ARFID? (circle true)
 | (1) Item 29 – Yes
 | (2) AND Item 34 or 35 ≥4
 | OR Item 36 – Yes
 | OR Item 37 – Yes OR Item 38 ≥4 OR Item 39 ≥4
 | OR (Item 42 ≥4 OR [NAME] 47 ≥4 OR [NAME] 48 ≥4)
 | (3) AND Age of onset: ˃ 1 month prior to date of interview | Y/N | Yes
 | (4) AND Item 81 – No, Item 82 – No, Item 83 – Yes
Sensory Profile: To obtain a continuous score on this profile, add 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, and divide by 10. Higher scores indicate a sensory component to ARFID. Further, if one or more items are scored [NAME] 4, this indicates a possible sensory component. |  | Score
Lack of Interest Profile: To obtain a continuous score on this profile, add 60, 61, 62, 63, 64, 65 66, 67, 68, 69, 70, and divide by 11. Higher scores indicate a lack of interest component to ARFID. Further, if one or more items are scored [NAME] 4, this indicates a possible ‘lack of interest’ component. |  | Score
Fear Profile: To obtain a continuous score on this profile, add 71b, 72b, 73b, 74b, 75, 76, 77, 78, 79, 80, and divide by 10. Higher scores indicate a fear component to ARFID. Further, if one or more items are scored [NAME] 4, this indicates a possible fear component. |  | Score
ARFID Severity Scale: Add: items 29a, 29b, 29c, 29d, 29e, 30, 32, 33, 34, 35 (if age 20 or below), 40, 41, 42, 43, 46, 47, 48, and divide by 17 (if under 20) or 16 (if over 20). The higher the score, the greater the ARFID severity. NB: Item 45 is measured in minutes and therefore cannot be included in the rating above |  | Score
ARFID diagnostic criterion A: Age of onset of ARFID: |  | Age
RUMINATION DISORDER DIAGNOSTIC ITEMS
84 | Over the past month, has food come back up into your mouth when you were eating or after you had eaten, or have you brought food up into your mouth? (if No, conclude interview) | Y/N
85 | To differentiate from vomiting: Is it different from being sick or throwing up? Can you tell me how? | Y/N
86 | To differentiate from gastroesophageal reflux: Have you had any medical tests for this? What did they find? Were you ever diagnosed with reflux? {Have you had any assessments for reflux? If so, were the results positive? If no: Does it usually hurt when the food comes back up into your mouth? For example, do you have a burning sensation in your chest?} | Y/N
87 | Have you ever taken a medicine for this [food coming back up into  your mouth during or after eating], and if so, did it make a difference? | Y/N
88 | Can you control whether food comes back up into your mouth during these times? By that I mean, can you choose whether or not it happens? If yes, how often? | Score
89 | In the past month, how many days {have you had rumination} {has food has come back up into your mouth}? | # of X's
90 | In the past month, on the days {that you have ruminated} {when food has come back up into your mouth}, how many times has this happened during the day? Rating: Average number of episodes on days when rumination has occurred ________ | Number
91 | Finally,  let’s  think  about  it  in  terms  of  number  of  individual  times  per  episode,  where  we separately count each time the food comes back up into your mouth, even if they happened all in a row (e.g., 10 times after dinner). In the past month, during the episodes of rumination, how many times has food come back up into your mouth? | Y/N
92 | What do you do with the food that comes back up into your mouth? For example, do you chew it again, swallow it again, or spit out it out?
 | -     Re-chewed on | Y/N
 | -     Re-swallowed on | Y/N
 | -     Spat out on | Y/N
93 | Over the past month, how often after eating did you chew the food again, swallow it again, or spit it out? | Score
 | -     Re-chewed on - % of eating episodes in past month | %
 | -     Re-swallowed on - % of eating episodes in past month | %
 | -     Spat out on - % of eating episodes in past month | %
94 | On a typical day over the past month, when {rumination} {food has come back up into your mouth}, how much time have you spent {ruminating} {chewing and swallowing or spitting out}? - Minutes per day (on days when rumination has occurred, to include all episodes): | Minutes
95 | DSM-5 Criterion C: (Assessor uses clinical judgment): The respondent has an eating disorder [SCREEN] or ARFID [ARFID section], which would trump a diagnosis of rumination disorder. | Y/N
96 | DSM-5  Criterion  C:  (Assessor  uses  clinical  judgment):  The  respondent  has  a  medical condition [SCREEN], which explains the regurgitation. | Y/N
97 | DSM-5 Criterion D (Assessor uses clinical judgment): If the respondent has an intellectual disability  [SCREEN],  other  neurodevelopmental  disorder  [SCREEN],  or  other  mental  disorder [SCREEN],  do  the  rumination  symptoms  require  additional  clinical  attention  (see  below  for impairment)? | Y/N
98 | Over the past month, have you {avoided} {tried not to} eat with other people (for example, have you eaten before you saw other people) because you were worried that food would come back into your mouth? | Score
99 | Over the past month, has bringing food back into your mouth caused any problems for you at home, school, or with your family/friends? | Score
100 | Over the past month, have you {experienced any medical problems} {had any problems} from {ruminating} {bringing food back up into your mouth}, for example problems with your teeth, a burning feeling in your chest or have you got thinner? | Score
Criteria met for diagnosis of Rumination Disorder?: Assessor evaluates based on clinical judgment, but a diagnosis of Rumination Disorder is likely given the following response pattern: 84-yes; 85-yes; 92-yes to one or more; 95-no; 96-no, 97-yes) |  | Y/N
Severity: Add ratings for 88, 89, 98, 99, 100 and divide by 5. 90, 91 (# of occasions) 93 and 94 are additional. severity measures but do not have a 0-6 scale. Might be used when more data are available. |  | Score
Current? |  | Y/N
In Remission? |  | Y/N
Age of onset of Rumination Disorder: |  | Age