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Four simple questions can help screen for eating disorders.

Abstract

Current screening instruments for eating disorders are cumbersome to administer and have not been validated in primary care populations. We compared the performance characteristics of 2 screening tools, the SCOFF clinical prediction guide, and a new set of questions, the Eating disorder Screen for Primary care (ESP), using the Questionnaire for Eating Disorders Diagnosis as the independent standard, in 104 consecutive patients from a primary care practice and 129 university students. Twelve percent of the combined population had an eating disorder. One or no abnormal responses to the ESP ruled out an eating disorder (likelihood ratio [LR] 0.0), whereas 3 or more abnormal responses ruled one in (LR 11). The SCOFF questions were less sensitive than predicted (1 or no abnormal responses, LR 0.25), but were as effective at ruling in an eating disorder (3 or more abnormal responses, LR 11).

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  • Authors+Show Affiliations

    ,

    Received from University College London, London. m.a.cotton@doctors.net.uk

    ,

    Source

    MeSH

    Feeding and Eating Disorders
    Humans
    Likelihood Functions
    Mass Screening
    Surveys and Questionnaires

    Pub Type(s)

    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't
    Validation Studies

    Language

    eng

    PubMed ID

    12534764

    Citation

    Cotton, Mary-Anne, et al. "Four Simple Questions Can Help Screen for Eating Disorders." Journal of General Internal Medicine, vol. 18, no. 1, 2003, pp. 53-6.
    Cotton MA, Ball C, Robinson P. Four simple questions can help screen for eating disorders. J Gen Intern Med. 2003;18(1):53-6.
    Cotton, M. A., Ball, C., & Robinson, P. (2003). Four simple questions can help screen for eating disorders. Journal of General Internal Medicine, 18(1), pp. 53-6.
    Cotton MA, Ball C, Robinson P. Four Simple Questions Can Help Screen for Eating Disorders. J Gen Intern Med. 2003;18(1):53-6. PubMed PMID: 12534764.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Four simple questions can help screen for eating disorders. AU - Cotton,Mary-Anne, AU - Ball,Christopher, AU - Robinson,Paul, PY - 2003/1/22/pubmed PY - 2003/5/2/medline PY - 2003/1/22/entrez SP - 53 EP - 6 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 18 IS - 1 N2 - Current screening instruments for eating disorders are cumbersome to administer and have not been validated in primary care populations. We compared the performance characteristics of 2 screening tools, the SCOFF clinical prediction guide, and a new set of questions, the Eating disorder Screen for Primary care (ESP), using the Questionnaire for Eating Disorders Diagnosis as the independent standard, in 104 consecutive patients from a primary care practice and 129 university students. Twelve percent of the combined population had an eating disorder. One or no abnormal responses to the ESP ruled out an eating disorder (likelihood ratio [LR] 0.0), whereas 3 or more abnormal responses ruled one in (LR 11). The SCOFF questions were less sensitive than predicted (1 or no abnormal responses, LR 0.25), but were as effective at ruling in an eating disorder (3 or more abnormal responses, LR 11). SN - 0884-8734 UR - https://www.unboundmedicine.com/medline/citation/12534764/full_citation L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0884-8734&date=2003&volume=18&issue=1&spage=53 DB - PRIME DP - Unbound Medicine ER -