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SCOFF, the development of an eating disorder screening questionnaire

SCOFF, the development of an eating disorder screening questionnaire 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. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Eating Disorders Wiley

SCOFF, the development of an eating disorder screening questionnaire

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References (25)

Publisher
Wiley
Copyright
Copyright © 2009 Wiley Periodicals, Inc.
ISSN
0276-3478
eISSN
1098-108X
DOI
10.1002/eat.20679
pmid
19343793
Publisher site
See Article on Publisher Site

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. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010

Journal

International Journal of Eating DisordersWiley

Published: May 1, 2010

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