Le Questionnaire sur la peur de vomir<\/strong> (Fear of Vomiting Questionnaire<\/em>, FOV) est un instrument psychom\u00e9trique d’auto-\u00e9valuation multidimensionnel con\u00e7u par le professeur David Veale<\/a> et Christina Lambrou (2006). Cet outil a \u00e9t\u00e9 sp\u00e9cifiquement d\u00e9velopp\u00e9 pour \u00e9valuer de mani\u00e8re exhaustive l’\u00e9m\u00e9tophobie<\/strong>, reconnue sur le plan nosologique comme une phobie sp\u00e9cifique du vomissement (Specific Phobia of Vomiting<\/em>, SPOV) selon les classifications du DSM-5<\/a> et de la CIM-11. L’\u00e9m\u00e9tophobie est un trouble anxieux s\u00e9v\u00e8re, chronique et invalidant, caract\u00e9ris\u00e9 par une angoisse extr\u00eame et irrationnelle li\u00e9e \u00e0 l’acte de vomir, \u00e0 la sensation de naus\u00e9e ou \u00e0 la confrontation \u00e0 des stimuli associ\u00e9s au vomi \u00e9mis par autrui. Le FOV comprend un ensemble d’items structur\u00e9s (allant jusqu’\u00e0 61 sections et questions cliniques d\u00e9taill\u00e9es) qui explorent les param\u00e8tres chronologiques du trouble, les cibles de la peur (soi-m\u00eame versus autrui), les ant\u00e9c\u00e9dents traumatiques de conditionnement, l’estimation probabiliste et le co\u00fbt per\u00e7u des \u00e9pisodes \u00e9m\u00e9tiques, les pens\u00e9es automatiques catastrophiques, les attributions \u00e9tiologiques somatiques, ainsi qu’un r\u00e9pertoire exhaustif de comportements de s\u00e9curit\u00e9<\/strong> (safety-seeking behaviours<\/em>), d’\u00e9vitements comportementaux et d’alt\u00e9rations fonctionnelles majeures (impact sur la nutrition, la parentalit\u00e9, la vie professionnelle et affective).<\/p>\n Sur le plan psychom\u00e9trique, les \u00e9tudes men\u00e9es aupr\u00e8s de cohortes cliniques et non cliniques d\u00e9montrent que le FOV pr\u00e9sente une excellente coh\u00e9rence interne<\/strong> (notamment pour sa sous-\u00e9chelle des comportements de s\u00e9curit\u00e9 et celle des croyances cognitives, affichant des coefficients alpha de Cronbach fr\u00e9quemment sup\u00e9rieurs \u00e0 0,90), une fid\u00e9lit\u00e9 test-retest substantielle, ainsi qu’une validit\u00e9 convergente robuste avec d’autres indices d’anxi\u00e9t\u00e9 g\u00e9n\u00e9rale, d’\u00e9vitement agoraphobique et de d\u00e9tresse psychologique. Par sa granularit\u00e9 clinique, le FOV constitue \u00e0 la fois un instrument de r\u00e9f\u00e9rence pour la recherche clinique sur les phobies sp\u00e9cifiques complexes et un guide indispensable pour l’\u00e9valuation diagnostique, la conceptualisation de cas en th\u00e9rapie comportementale et cognitive (TCC) et le suivi des r\u00e9sultats th\u00e9rapeutiques.<\/p>\n \u00c9m\u00e9tophobie, phobie sp\u00e9cifique du vomissement, Fear of Vomiting Questionnaire, FOV, David Veale, comportements de s\u00e9curit\u00e9, \u00e9vitement int\u00e9roceptif, th\u00e9rapie cognitive et comportementale, psychopathologie quantitative, psychom\u00e9trie clinique.<\/p>\n Le Fear of Vomiting Questionnaire<\/em> (FOV) a \u00e9t\u00e9 d\u00e9velopp\u00e9 par deux figures majeures de la recherche en psychiatrie et en psychologie clinique :<\/p>\n L’objectif fondamental du Questionnaire sur la peur de vomir<\/strong> (FOV) est de fournir une cartographie clinique et psychom\u00e9trique approfondie de la phobie sp\u00e9cifique du vomissement. Historiquement, l’\u00e9m\u00e9tophobie a longtemps \u00e9t\u00e9 sous-diagnostiqu\u00e9e ou m\u00e9connue dans les services psychiatriques et gastro-ent\u00e9rologiques, fr\u00e9quemment confondue avec des troubles du comportement alimentaire (comme l’anorexie mentale<\/a> en raison des restrictions alimentaires s\u00e9v\u00e8res qu’elle engendre), un trouble panique avec agoraphobie (en raison de l’angoisse panique d\u00e9clench\u00e9e dans les lieux confin\u00e9s ou les transports) ou un trouble d’anxi\u00e9t\u00e9 sociale (par peur de vomir en public et d’\u00eatre jug\u00e9 n\u00e9gativement). Le FOV a \u00e9t\u00e9 con\u00e7u pour pallier ce d\u00e9ficit d’instrumentation standardis\u00e9e et isoler la sp\u00e9cificit\u00e9 psychopathologique de cette condition.<\/p>\n Sur le plan clinique, le questionnaire vise plusieurs cibles distinctes :<\/p>\n Le construit mesur\u00e9 par le FOV est multidimensionnel et repose sur une conceptualisation cognitivo-comportementale int\u00e9gr\u00e9e de l’anxi\u00e9t\u00e9 phobique. Il ne se limite pas \u00e0 une simple intensit\u00e9 de frayeur, mais englobe l’ensemble du syst\u00e8me de traitement de l’information pathologique associ\u00e9 \u00e0 l’\u00e9m\u00e9tophobie :<\/p>\n Cette dimension documente l’histoire d\u00e9veloppementale du trouble (\u00e2ge d’\u00e9mergence de la peur, \u00e2ge auquel elle est devenue invalidante, latence d’acc\u00e8s aux soins, nombre d’ann\u00e9es sans \u00e9pisode \u00e9m\u00e9tique effectif) et discrimine la cible phobique (soi-m\u00eame versus autrui ; contexte public versus priv\u00e9). L’exp\u00e9rience clinique montre que nombre de patients n’ont pas vomi depuis plusieurs d\u00e9cennies, ce qui alimente l’absence d’extinction de la peur.<\/p>\n Le FOV explore les souvenirs traumatiques associ\u00e9s aux \u00e9pisodes pass\u00e9s de vomissements r\u00e9els, aux \u00e9pisodes de naus\u00e9es accompagn\u00e9s d’attaques de panique, ou \u00e0 des exp\u00e9riences vicariantes (confrontation visuelle ou auditive au vomi d’un tiers), \u00e9valuant le degr\u00e9 de d\u00e9tresse r\u00e9trospectif sur une \u00e9chelle de 0 \u00e0 10.<\/p>\n Le construit int\u00e8gre une sur\u00e9valuation syst\u00e9matique de la probabilit\u00e9 d’occurrence du vomissement dans la population et pour soi-m\u00eame (ex. lors d’infections, de grossesses, d’interventions chirurgicales) combin\u00e9e \u00e0 une catastrophisation majeure (decatastrophizing deficit<\/em>). Les cons\u00e9quences anticip\u00e9es (\u00ab perdre le contr\u00f4le \u00bb, \u00ab devenir fou \u00bb, \u00ab \u00eatre rejet\u00e9 \u00bb, \u00ab mourir par asphyxie \u00bb) sont cot\u00e9es selon leur probabilit\u00e9 et leur gravit\u00e9 per\u00e7ue.<\/p>\n Lors de l’apparition d’un stimulus visc\u00e9ral int\u00e9roceptif (naus\u00e9e, ballonnement), le patient \u00e9m\u00e9tophobe active des sch\u00e9mas de menace imm\u00e9diate. Le FOV quantifie la fr\u00e9quence d’apparition et le degr\u00e9 de conviction (de 0 \u00e0 100 %) accord\u00e9 \u00e0 ces cognitions catastrophiques, ainsi que les attributions \u00e9tiologiques somatiques (anxi\u00e9t\u00e9, syndrome de l’intestin irritable, cancer, pathologie organique m\u00e9connue).<\/p>\n Sous-\u00e9chelle fondamentale du mod\u00e8le, cette dimension \u00e9value les conduites manifestes et cach\u00e9es destin\u00e9es \u00e0 pr\u00e9venir, neutraliser ou diff\u00e9rer l’acte de vomir : fixation corporelle, recherche d’\u00e9chappatoire, rituels d’apaisement oral (succion de gla\u00e7ons, menthes, pastilles antiacides), v\u00e9rification int\u00e9roceptive compulsive et utilisation pr\u00e9ventive de m\u00e9dications anti\u00e9m\u00e9tiques.<\/p>\n L’\u00e9m\u00e9tophobie engendre un r\u00e9tr\u00e9cissement draconien du r\u00e9pertoire comportemental : \u00e9vitement strict d’aliments jug\u00e9s \u00e0 haut risque microbiologique (fruits de mer, volaille, \u0153ufs), surcuisson syst\u00e9matique, v\u00e9rification excessive des dates de p\u00e9remption, \u00e9vitement des transports en commun, des f\u00eates foraines, des h\u00f4pitaux, des personnes alcoolis\u00e9es ou des enfants malades.<\/p>\n Le construit capture le fardeau psychosocial du trouble : interf\u00e9rence avec la carri\u00e8re professionnelle, limitations s\u00e9v\u00e8res dans la vie conjugale et sexuelle, renoncement \u00e0 la parentalit\u00e9 ou, chez les parents \u00e9m\u00e9tophobes, sur-m\u00e9dication des enfants et restrictions excessives impos\u00e9es \u00e0 la fratrie pour pr\u00e9venir toute gastro-ent\u00e9rite.<\/p>\n Le cadre th\u00e9orique sous-jacent au Fear of Vomiting Questionnaire<\/em> s’ancre directement dans les mod\u00e8les cognitivo-comportementaux contemporains de l’anxi\u00e9t\u00e9 d\u00e9velopp\u00e9s par David M. Clark<\/a> et Paul Salkovskis<\/a>, sp\u00e9cifiquement adapt\u00e9s par Veale et Lambrou (2006) \u00e0 la psychopathologie du vomissement. Ce mod\u00e8le th\u00e9orique conceptualise l’\u00e9m\u00e9tophobie non pas comme une simple peur visc\u00e9rale, mais comme une boucle de r\u00e9troaction cybern\u00e9tique auto-entretenue :<\/p>\n 1. L’interpr\u00e9tation catastrophique des signaux int\u00e9roceptifs :<\/strong> De mani\u00e8re analogue au mod\u00e8le du trouble panique de Clark (1986), le sujet \u00e9m\u00e9tophobe manifeste une hypervigilance int\u00e9roceptive aigu\u00eb \u00e0 l’\u00e9gard de toutes les sensations gastro-intestinales banales (salivation, sensation de gorge nou\u00e9e, reflux gastro-\u0153sophagien, pl\u00e9nitude gastrique, vertiges l\u00e9gers). Ces sensations sont imm\u00e9diatement interpr\u00e9t\u00e9es comme la preuve irr\u00e9futable de l’imminence d’un vomissement catastrophique (\u00ab Je vais vomir maintenant \u00bb, \u00ab Je vais perdre le contr\u00f4le total de mon corps \u00bb).<\/p>\n 2. L’activation autonome et la boucle d’amplification somatique :<\/strong> L’interpr\u00e9tation de menace entra\u00eene instantan\u00e9ment une activation du syst\u00e8me nerveux sympathique, lib\u00e9rant de l’adr\u00e9naline et provoquant des sympt\u00f4mes neurov\u00e9g\u00e9tatifs p\u00e9riph\u00e9riques tels que la tachypn\u00e9e, l’hypersalivation r\u00e9flexe, l’inhibition motrice gastrique et de r\u00e9elles naus\u00e9es secondaires induites par l’anxi\u00e9t\u00e9. Le patient per\u00e7oit cette naus\u00e9e anxieuse comme la confirmation biologique de son hypoth\u00e8se phobique, ce qui pr\u00e9cipite une panique aigu\u00eb.<\/p>\n 3. Le r\u00f4le paradoxal des comportements de s\u00e9curit\u00e9 :<\/strong> Conform\u00e9ment \u00e0 la th\u00e9orie de Salkovskis (1991, 1996), les comportements de s\u00e9curit\u00e9 constituent le moteur central du maintien de la phobie. Lorsqu’un patient suce compulsivement un bonbon \u00e0 la menthe, prend un m\u00e9dicament anti\u00e9m\u00e9tique, s’assoit immens\u00e9ment calme ou quitte un lieu social, et qu’il ne vomit pas, il attribue l’absence de vomissement \u00e0 son comportement de s\u00e9curit\u00e9 plut\u00f4t qu’\u00e0 l’absence de danger r\u00e9el. Ce m\u00e9canisme emp\u00eache toute invalidation des croyances dysfonctionnelles (disconfirmation<\/em>) et renforce l’illusion que le vomissement aurait in\u00e9vitablement eu lieu sans cette man\u0153uvre d’\u00e9vitement actif.<\/p>\n 4. Le mod\u00e8le de conditionnement aversif et d’\u00e9vitement pr\u00e9par\u00e9 :<\/strong> L’approche th\u00e9orique de Seligman sur la pr\u00e9paration biologique s’articule ici avec le conditionnement classique de Pavlov : l’acte de vomir \u00e9tant intrins\u00e8quement d\u00e9sagr\u00e9able et biologiquement reli\u00e9 \u00e0 la survie face aux toxines, il poss\u00e8de une forte propension \u00e0 susciter un conditionnement int\u00e9roceptif durable \u00e0 la suite d’un \u00e9pisode mal v\u00e9cu (ex. intoxication alimentaire s\u00e9v\u00e8re dans l’enfance, punition parentale ou moqueries des pairs).<\/p>\n L’\u00e9valuation psychom\u00e9trique du FOV dans l’\u00e9tude princeps de Veale et Lambrou (2006) ainsi que dans les investigations cliniques ult\u00e9rieures d\u00e9montre d’excellentes qualit\u00e9s de mesure :<\/p>\n Les propri\u00e9t\u00e9s de fid\u00e9lit\u00e9 du Fear of Vomiting Questionnaire<\/em> confirment sa robustesse psychom\u00e9trique \u00e0 travers plusieurs indicateurs :<\/p>\n Les analyses factorielles exploratoires (AFE) et confirmatoires (AFC) conduites sur les composantes quantifiables du FOV confirment une organisation dimensionnelle coh\u00e9rente avec le mod\u00e8le th\u00e9orique :<\/p>\n Le FOV se pr\u00e9sente sous la forme d’un questionnaire complet d’auto-\u00e9valuation clinique combinant des items \u00e0 choix multiples, des \u00e9chelles visuelles analogiques ou ordinales de type Likert, et des questions ouvertes d’exploration anamnestique :<\/p>\n b. When you feel sick\u201a how much do you believe each of the thoughts below to be true? Please rate each thought from 0 to 100 using the scale below; put your rating in the ‘BELIEF’ column. – I am going to vomit Le Questionnaire sur la peur de vomir (Fear of Vomiting Questionnaire, FOV) est l’instrument de r\u00e9f\u00e9rence con\u00e7u par David Veale et Christina Lambrou pour \u00e9valuer l’\u00e9m\u00e9tophobie (phobie sp\u00e9cifique du vomissement). Cet article acad\u00e9mique d\u00e9taille ses fondements th\u00e9oriques, ses propri\u00e9t\u00e9s psychom\u00e9triques et ses applications cliniques.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[31,2,1089],"tags":[586,20754,24542,24563,24562,24536,16,289],"class_list":["post-15527","psych_scale","type-psych_scale","status-publish","hentry","category-evaluations-psychologiques","category-psychometrie","category-troubles-anxieux","tag-comportements-de-securite","tag-david-veale","tag-emetophobie","tag-evitement-cognitivo-comportemental","tag-fov","tag-phobie-specifique","tag-psychometrie","tag-tcc"],"_links":{"self":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale\/15527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale"}],"about":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/types\/psych_scale"}],"author":[{"embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15527"}],"version-history":[{"count":0,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale\/15527\/revisions"}],"wp:attachment":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15527"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15527"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}2. Mots-cl\u00e9s \/ Keywords<\/h2>\n
3. Auteurs \/ Authors<\/h2>\n
\n
david.veale@kcl.ac.uk<\/code>).<\/li>\n4. Objectif \/ Purpose<\/h2>\n
\n
5. Construit psychologique \/ Construct<\/h2>\n
1. Chronologie, trajectoire et focalisation de la phobie<\/h3>\n
2. Exp\u00e9riences d’apprentissage aversif et conditionnement<\/h3>\n
3. Biais cognitifs d’estimation probabiliste et de catastrophisation<\/h3>\n
4. Pens\u00e9es automatiques et attributions somatiques<\/h3>\n
5. Comportements de s\u00e9curit\u00e9 (Safety Behaviours)<\/h3>\n
6. \u00c9vitements alimentaires, comportementaux et environnementaux<\/h3>\n
7. Handicap fonctionnel, relationnel et parental<\/h3>\n
6. Cadre th\u00e9orique \/ Theoretical Framework<\/h2>\n
7. Validit\u00e9 \/ Validity<\/h2>\n
\n
8. Fid\u00e9lit\u00e9 \/ Reliability<\/h2>\n
\n
9. Analyse factorielle \/ Factor Analysis<\/h2>\n
\n
\n
10. Instrument de mesure \/ Instrument<\/h2>\n
\n
\n
11. Permissions, Tarifs et Ann\u00e9e du test \/ Permissions & Fee and Test Year<\/h2>\n
\n
12. R\u00e9f\u00e9rences \/ References<\/h2>\n
\n
13. Questions et items du questionnaire \/ Scale Items<\/h2>\n
\n
\n b) It has been continuous but overall the problem has stayed much the same
\n c) It has been continuous but overall the problem has got better
\n d) It has varied. Although it has never gone away\u201a there have been times when the problem has been much worse and times when it has been much better
\n e) It has varied. At times it has not been a problem at all and at other times it has been worse\n <\/div>\n<\/li>\n
\n b) My main fear is of myself vomiting but I have some fear of others vomiting
\n c) I fear equally myself and others vomiting
\n d) My main fear is of others vomiting but I have some fear of myself vomiting
\n e) I only fear others vomiting (not myself)\n <\/div>\n<\/li>\n
\n a) I may catch something from the person vomiting and then vomit myself
\n b) It makes me think I could vomit one day
\n c) It reminds me of past experiences of vomiting
\n d) Another reason ( Please specify) ____________________________\n <\/div>\n<\/li>\n
\n b) My main fear is of myself vomiting in public but I have some fear of vomiting alone
\n c) I fear myself vomiting whether it is in public\/social situations or alone
\n d) My main fear is vomiting alone but I also have some fear of vomiting in public or social situations
\n e) I fear myself vomiting only when I am alone\n <\/div>\n<\/li>\n
\n How old were you?
\n How distressing is the memory of the experiences on a scale of 0-10 (0 is not at all distressing and 10 is severe)?
\n What were the circumstances or reasons for vomiting (e.g. infection\u201a being drunk\u201a pregnancy\u201a travel sickness\u201a food)?
\n Did you experience any bad consequences from vomiting (e.g. reaction of a relative)? Does the episode carry other associations from that time (e.g. other bad events happening in your life)? Do you have a sense that something bad happened (e.g. you nearly died)?\n <\/div>\n<\/li>\n
\n How old were you?
\n How distressing is the memory of the experience on a scale of 0-10 (0 is not at all distressing and 10 is severe)?
\n What were the circumstances or reasons for you feeling nauseous?
\n Did you have a panic attack at the same time or severe anxiety which came on rapidly?
\n Were there any bad consequences from feeling sick and panicky (e.g. reaction of a relative) or other associations at the time (e.g. other bad events happening in your life?) or a sense that something bad nearly happened because of this experience?\n <\/div>\n<\/li>\n
\n How old were you?
\n How distressing is the memory of the experience on a scale of 0-10 (0 is not at all distressing and 10 is severe)?
\n What were the circumstances surrounding your past experience of vomit or of others vomiting?
\n Were there any bad consequences of the other person vomiting (e.g. reaction of a relative) or other associations at the time (e.g. other bad events happening in your life?) or a sense that something bad nearly happened because of this experience?\n <\/div>\n<\/li>\n
\n Once every _______month(s) OR ________ year(s)\n <\/li>\n
\n Once every _________ month(s) OR _________ year(s)\n <\/li>\n
\n _________ Minutes OR _________ hours OR _________ days\n <\/li>\n
\n _________ Minutes OR _________ hours OR _________ days\n <\/li>\n
\n ________%\n <\/li>\n
\n ________%\n <\/li>\n
\n ________%\n <\/li>\n
\n ________%\n <\/li>\n
\n 1 = Thought never occurs, 2 = Thought rarely occurs, 3 = Thought occurs during half of the times when I feel nauseous, 4 = Thought usually occurs, 5 = Thought always occurs when I feel nauseous<\/p>\n
\n 0 = I do not believe this Thought at all, 20 = I am slightly convinced this thought is true, 50 = I am half convinced this thought is true, 70 = I am very convinced this thought is true, 100 = I am completely convinced this thought is true<\/p>\n
\n – I am going to pass out
\n – I will choke to death
\n – I am going to act foolishly
\n – I will lose control
\n – I will go crazy
\n – I am going to babble or talk strangely
\n – I will be paralysed with fear
\n – I am going to die
\n – I am seriously ill
\n – Other – please state\n <\/div>\n<\/li>\n
\n ________ Days during the past week\n <\/li>\n
\n Please rate the strength of your belief for each of these causes on a scale between 0 -100% where 0% is not at all convinced and 100% is totally convinced.
\n – Anxiety
\n – Irritable Bowel Syndrome
\n – Migraine
\n – Balance Lean Problem??
\n – Cancer
\n – Ulcer or stomach inflammation
\n – Unknown physical cause
\n – Other (Please specify)_____________________\n <\/li>\n
\n – Try to think about other things
\n – Hold on to something tightly
\n – Hold on to or lean on someone
\n – Sit down
\n – Keep still
\n – Move very slowly
\n – Look for an escape route
\n – Make myself do more physical exercise
\n – Focus attention on how I feel physically
\n – Try to keep control of my mind
\n – Try to keep tight control over my vomiting
\n – Talk more
\n – Ask people around for help
\n – Change my breathing
\n – Physically check my body
\n – Eat something
\n – Go to bed
\n – Suck on ice
\n – Read
\n – Suck antacids\/mints
\n – Recite a phrase
\n – Reassure myself no-one will vomit (inc me)
\n – Seek reassurance from others
\n – Take medication
\n What kind of medication do you currently take\u201a how often do you take it and at what dose? ____________________________________\n <\/li>\n
\n 1 ______________________________
\n 2 ______________________________
\n 3 ______________________________
\n 4 ______________________________\n <\/li>\n
\n a) In the second column please rate the likelihood of the consequence occurring if you were to vomit\u201a on a scale between 0 and 100 (0 = Impossible, 25 = Unlikely, 50 = Possible, 75 = Likely, 100 = Certain).
\n b) In the third column rate how awful the consequence would be if it occurred on a scale between 0 and 100 (0 = Not at all bad, 25 = Rather bad, 50 = Bad, 75 = Really awful, 100 = The most awful thing possible).
\n – I will lose control
\n – I will choke
\n – I will become very ill
\n – I will die
\n – I will faint
\n – I will carry on vomiting for ages
\n – Others will not want to know me
\n – Others will find me repulsive
\n – Other (specify): __________________
\n – Other (specify): __________________\n <\/li>\n
\n a) Have you ever been pregnant? Yes \/ No
\n b) If yes\u201a how many times? Yes \/ No
\n c) If yes\u201a did you feel sick during any pregnancy? Yes \/ No
\n d) If yes\u201a did you vomit during any pregnancy or childbirth? Yes \/ No
\n e) Are you avoiding having children because of a fear of vomiting? Yes \/ No
\n f) Have you ever terminated a pregnancy because of a fear of vomiting? Yes \/ No\n <\/li>\n
\n If yes\u201a please describe the situation: ____________________________________\n <\/li>\n
\n Scale: 0 = Never avoid, 25 = Avoid some of the time, 50 = Avoid about half of the time, 75 = Avoid most of the time, 100 = Always avoid.<\/li>\n
\n If yes to either question\u201a please describe what you would eat on a typical day:\n <\/li>\n
\n If you do\u201a please give details: ____________________________________\n <\/li>\n
\n If you do\u201a please give details: ____________________________________\n <\/li>\n
\n If you do\u201a please give details: ____________________________________\n <\/li>\n
\n If you do\u201a please give details: ____________________________________\n <\/li>\n
\n If you do\u201a please give details: ____________________________________\n <\/li>\n
\n b) Do you restrict their movements? (E.g. going to nursery; visiting friends) (Please circle: Never \/ Sometimes \/ Often \/ Always)
\n c) Have you ever abandoned a small child if he or she started to vomit? (Please circle: Never \/ Sometimes \/ Often \/ Always)
\n d) Do you get the children in your care to wash their hands frequently or to use special measures (e.g. anti-bacterial soap or very hot water) or to wash them for an extra long time? (Please circle: Never \/ Sometimes \/ Often \/ Always)
\n e) Is your relationship with your children compromised in any other way because of your fear of vomiting? (Please circle: Never \/ Sometimes \/ Often \/ Always)\n <\/li>\n
\n a) Do you seek reassurance from the person\/people you live with about whether they look ill or could vomit? If yes\u201a how often? (Please circle: Never \/ Sometimes \/ Often \/ Always)
\n b) Do you attempt to restrict their movements or your joint movements? (Please circle: Never \/ Sometimes \/ Often \/ Always)\n <\/li>\n
\n – Public Toilets
\n – Eating at Restaurants
\n – Eating from salad bars or buffets
\n – Eating food that you have not prepared yourself
\n – Speaking in Public
\n – Sitting Exams
\n – Holidays Abroad
\n – Visiting the Dentist
\n – Attending an Interview
\n – Visiting your GP
\n – Illegal Drugs
\n – Alcohol
\n – Crowded Places
\n – Places where I can\u2019t cook for myself
\n – Drunks
\n – Pubs
\n – Public Transportation (buses\u201a trains\u201a etc.)
\n – Sea travel by boat
\n – Travel by aero plane
\n – Driving a car
\n – Being a passenger in a car
\n – Visiting others who are ill in hospital
\n – Receiving treatment in hospital
\n – Adults who are ill or might vomit
\n – Children or babies who are ill or might vomit
\n – Certain Films or television programs
\n – Fairground Rides
\n – Places that smell of vomit
\n – Certain words relating to vomiting
\n – Foreign holidays (even if the travel was possible)
\n – Other\n <\/li>\n
\n a) To what extent does your fear of vomiting currently have an effect on your relationship with an existing partner? (0 = Not at all, 2 = Slightly, 4 = Moderately, 6 = Markedly, 8 = Extremely)
\n b) If you do not have a partner\u201a to what extent does your fear of vomiting currently have an effect on dating or developing a relationship? (0 = Not at all, 2 = Slightly, 4 = Moderately, 6 = Markedly, 8 = Extremely)\n <\/li>\n
\n How many working days have you lost in the past year because of your fear? ________\n <\/li>\n