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SCOFF, the development of an eating disorder screening questionnaire.

Abstract

OBJECTIVE

This article describes the three-stage development of the SCOFF, a screening tool for eating disorders.

METHOD

Study 1 details questionnaire development and testing on cases and controls. Study 2 examines reliability of verbal versus written administration in a student population. Study 3 validates the test as a screening tool in primary care.

RESULTS

The SCOFF demonstrates good validity compared with DSM-IV diagnosis on clinical interview. In the primary care setting it had a sensitivity of 84.6% and a specificity of 89.6%, detecting all true cases of anorexia nervosa and bulimia nervosa and seven of nine cases of EDNOS. Reliability between written and verbal versions of the SCOFF was high, with a kappa statistic of 0.82.

DISCUSSION

The SCOFF, which has been adapted for use in diverse languages, appears highly effective as a screening instrument and has been widely adopted to raise the index of suspicion of an eating disorder.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Wonford House Hospital, Exeter, United Kingdom.

    , ,

    Source

    MeSH

    Adolescent
    Adult
    Anorexia Nervosa
    Body Mass Index
    Bulimia Nervosa
    Cross-Sectional Studies
    England
    Feeding and Eating Disorders
    Female
    Humans
    Mass Screening
    Primary Health Care
    Psychometrics
    Reproducibility of Results
    Surveys and Questionnaires
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    19343793

    Citation

    Hill, Laura S., et al. "SCOFF, the Development of an Eating Disorder Screening Questionnaire." The International Journal of Eating Disorders, vol. 43, no. 4, 2010, pp. 344-51.
    Hill LS, Reid F, Morgan JF, et al. SCOFF, the development of an eating disorder screening questionnaire. Int J Eat Disord. 2010;43(4):344-51.
    Hill, L. S., Reid, F., Morgan, J. F., & Lacey, J. H. (2010). SCOFF, the development of an eating disorder screening questionnaire. The International Journal of Eating Disorders, 43(4), pp. 344-51. doi:10.1002/eat.20679.
    Hill LS, et al. SCOFF, the Development of an Eating Disorder Screening Questionnaire. Int J Eat Disord. 2010;43(4):344-51. PubMed PMID: 19343793.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - SCOFF, the development of an eating disorder screening questionnaire. AU - Hill,Laura S, AU - Reid,Fiona, AU - Morgan,John F, AU - Lacey,J Hubert, PY - 2009/4/4/entrez PY - 2009/4/4/pubmed PY - 2010/7/1/medline SP - 344 EP - 51 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 43 IS - 4 N2 - OBJECTIVE: This article describes the three-stage development of the SCOFF, a screening tool for eating disorders. METHOD: Study 1 details questionnaire development and testing on cases and controls. Study 2 examines reliability of verbal versus written administration in a student population. Study 3 validates the test as a screening tool in primary care. RESULTS: The SCOFF demonstrates good validity compared with DSM-IV diagnosis on clinical interview. In the primary care setting it had a sensitivity of 84.6% and a specificity of 89.6%, detecting all true cases of anorexia nervosa and bulimia nervosa and seven of nine cases of EDNOS. Reliability between written and verbal versions of the SCOFF was high, with a kappa statistic of 0.82. DISCUSSION: The SCOFF, which has been adapted for use in diverse languages, appears highly effective as a screening instrument and has been widely adopted to raise the index of suspicion of an eating disorder. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/19343793/full_citation L2 - https://doi.org/10.1002/eat.20679 DB - PRIME DP - Unbound Medicine ER -