The SCOFF questionnaire: a new screening tool for eating disorders

饮食失调 医学 精神科 临床心理学 心理学
作者
J Morgan
出处
期刊:wjm [BMJ]
卷期号:172 (3): 164-165 被引量:206
标识
DOI:10.1136/ewjm.172.3.164
摘要

The SCOFF questionnaire: a new screening tool for eating disorders Eating disorders are among the most common psychiatric disorders in young women.Early detection and treatment improve the prognosis, but the presentation of eating disorders is often cryptic-for example, via physical symptoms in primary care.The ability to diagnose the condition varies and can be inadequate, 1 and existing questionnaires for detection 2,3 are lengthy and may require specialist interpretation.No simple, memorable screening instruments are available for nonspecialists.In alcohol misuse, the CAGE questionnaire (questions about Cutting down, Annoyance with criticism, Guilty feelings, and Eyeopeners) 4 has proved popular with clinicians because of its simplicity.We developed and tested a similar tool for eating disorders, with questions designed to raise the suspicion that an eating disorder might exist before rigorous clinical assessment. PARTICIPANTS, METHODS, AND RESULTSWe developed five questions addressing core features of anorexia nervosa and bulimia nervosa, using focus groups of patients with eating disorders and specialists in eating disorders.We tested the questions in a feasibility study of patients and staff at an eating disorders unit.None of these participants was involved in the subsequent study.We created the acronym SCOFF from the questions (see box).We recruited patients sequentially from referrals to a specialist clinic: 116 women aged 18 to 40 years who were confirmed as having either anorexia nervosa (n=68 [35 binge eaters, and 33 restricted their food intake]) or bulimia (n=48), according to the criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. 5For controls, we recruited 96 women (through advertising at local colleges), aged 18 to 39 years, who were confirmed not to have an eating disorder.Patients and controls were asked the SCOFF questions orally; they also completed the eating disorder inventory 3 and the Bulimic Investigatory Test, Edinburgh (BITE), a self-rating scale for bulimia. 2 No significant differences existed between patients and controls for age or ethnicity.As expected, more patients than controls were in the highest socioeconomic groups (P<0.001; 2 3 =47.4),and patients were more likely to be single, separated, or divorced (P<0.001; 2 1 =13.0).The mean length of illness for patients was 8 years (SD, 4.8; range, 1-25 years).The mean (SD) body mass index (weight [kg]/[height (m)] 2 ) for controls, patients with bulima, and patients with anorexia was 22.3 (1.9), 24.4 (1.8), and 15.1 (0.8), respectively.All scores on the eating disorder inventory and the BITE scale were consistent with published data for women with or without eating disorders. 2,

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Joe发布了新的文献求助10
刚刚
1秒前
1秒前
May发布了新的文献求助10
1秒前
邢文瑞发布了新的文献求助10
1秒前
练习时长两年半应助1111采纳,获得10
1秒前
2秒前
2秒前
飞跃发布了新的文献求助10
2秒前
sonic发布了新的文献求助20
2秒前
curry完成签到 ,获得积分10
2秒前
小二郎应助毛毛虫采纳,获得10
4秒前
4秒前
碧蓝断天完成签到,获得积分10
5秒前
5秒前
量子星尘发布了新的文献求助10
5秒前
乐观小蕊完成签到,获得积分10
7秒前
man完成签到,获得积分10
7秒前
7秒前
共享精神应助1234采纳,获得10
7秒前
SSSShawn发布了新的文献求助10
8秒前
8秒前
充电宝应助淡然的小萱采纳,获得10
8秒前
宁缺毋滥发布了新的文献求助10
10秒前
李健应助May采纳,获得10
10秒前
小章发布了新的文献求助10
10秒前
眯眯眼的宛白完成签到,获得积分20
11秒前
11秒前
玛卡巴卡发布了新的文献求助10
12秒前
胡昕跃发布了新的文献求助10
13秒前
wuli亲故完成签到,获得积分10
14秒前
14秒前
斑ban完成签到,获得积分10
14秒前
可靠的0发布了新的文献求助10
14秒前
甜甜的静柏完成签到 ,获得积分10
15秒前
15秒前
16秒前
18秒前
18秒前
Ricey应助焦立超采纳,获得10
19秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Effective Learning and Mental Wellbeing 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976107
求助须知:如何正确求助?哪些是违规求助? 3520330
关于积分的说明 11202435
捐赠科研通 3256819
什么是DOI,文献DOI怎么找? 1798504
邀请新用户注册赠送积分活动 877642
科研通“疑难数据库(出版商)”最低求助积分说明 806496