Initial registration | Follow-up registration | |
---|---|---|
Does the patient have symptoms consistent with a specified or unspecified ED, according to DSM-IV? (Yes/No) | X | |
Does the clinic intend to treat the patient? (Yes/No) | X | |
Has the patient been informed about SwEat and given his/her oral consent for registration? (Yes/No) | X | |
Civic registration number (YYYY-MM-DD-XXXX, the last four digits comprise the Swedish social security number and specify gender) | X | X |
Date of treatment onset (YYYY-MM-DD) | X | |
The patient’s current ED diagnosis (DSM-IV Axis I/No current ED) | X | X |
The patient’s age at onset of ED symptoms (years) | X | |
The patient’s current weight (kg, to one decimal) | X | X |
The patient’s current height (cm, to one decimal) | X | X |
Are there one or several factors that clearly complicate treatment? (Yes, of psychiatric nature/Yes, of somatic nature/Yes, of social nature/No) | X | |
Who referred the patient to the unit? (Patient/Relative/Other treatment unit or school) | X | |
What previous contact with the health care services did the patient have for the eating disorder? (This is the first contact/Previous contact of an occasional nature/Previous treatment) | X | |
Is the patient living alone or with others? (Single/With children/With parents/With partner/Other) | X | X |
The patient’s employment (Studying/Working/On sick leave) | X | X |
Is the treatment finished? (Yes/No) | X | |
If the treatment is finished: What date? (YY-MM-DD) | X | |
If the treatment is finished: How did it end? (In agreement between patient and therapist/Patient terminated treatment prematurely/Patient was referred to another treatment unit/Other reason) | X |