Eating Disorder Examination Questionnaire required for Medicare items for some patients

Dear Users,
The new Eating Disorder Medicare items are great news for patients in need of assistance, but there are lots of questions about the conditions of this new funding and how patients can access it. The APS has done a fabulous job outlining who is eligible, and one of the criteria includes a score on the Eating Disorder Examination Questionnaire (EDE-Q) above 3.

We are pleased to announce that as a user of NovoPsych you can now administer the Eating Disorder Examination Questionnaire to your patients, where scores are automatically calculated and graphed by the software.

Given that EDE-Q scores make up one component of the Medicare eligibility criteria, including a copy of the completed scale while corresponding with referring GPs will be a useful way of communicating symptom severity. 

Below is some information to familiarise yourself with the scale. I’d also suggest logging into NovoPsych and doing a practice administration on yourself.
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EDE-Q Quick Summary
Used with: Adolescents and Adults
Measures:  Eating Disorder symptoms (Anorexia, Bulimia, Binge Eating Disorder, EDNOS)
Helpful for: Screening for Eating Disorders and tracking symptoms over time

Eating Disorder Examination Questionnaire (EDE-Q 6.0)
The Eating Disorder Examination Questionnaire (EDE-Q) is a self-report questionnaire that measures the frequency of thoughts and behaviours related to eating disorders in the past 28 days. It has four subscales: restraint, eating concern, shape concern and weight concern, as well as behavioural symptoms related to these concerns (e.g., frequency of binge eating, vomiting, use of laxatives or diuretics and overexercise). It is appropriate for use with adolescents and adults in primary care settings as a screener for eating disorders (Anorexia, Bulimia, Binge Eating Disorder and EDNOS).
Scores are presented as an average score (between 0 and 6), where 0 represents “No Days” of eating disorder symptoms and 6 represents symptoms “Everyday”.

Percentiles are also presented related to a normative female sample (Mond et al., 2006). A percentile of 50 represents typical eating and body image concerns among adult women while scores above the 85th percentile are considered to be of clinical significance. An Eating Disorder Percentile is also presented for the Global score, where a percentile of 50 is indicative of average scores for those independently diagnosed with an eating disorder (AN, BN, BED or EDNOS) (Aardoom, et al., 2012).

The literature indicates a Global Score clinical cut-off of 2.8 for women (Mond et al., 2015) and 1.68 for men (Schaelfer et al., 2018), however in Australia scores above 3 contributes to eligibility for eating disorder MBS items.

To get more information about the assessment visit here, or by logging into your NovoPsych account.
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Dr Ben Buchanan
BA (Hons), GradDipPsych, DPsych, MAPS
Co-founder & Director of NovoPsych Pty Ltd

Fairburn, Christopher G. Cognitive behavior therapy and eating disorders. Guilford Press, 2008.