SCOFF, the development of an eating disorder screening questionnaire
Article first published online: 2 APR 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 4, pages 344–351, May 2010
How to Cite
Hill, L. S., Reid, F., Morgan, J. F. and Lacey, J. H. (2010), SCOFF, the development of an eating disorder screening questionnaire. Int. J. Eat. Disord., 43: 344–351. doi: 10.1002/eat.20679
- Issue published online: 1 APR 2010
- Article first published online: 2 APR 2009
- Manuscript Accepted: 11 FEB 2009
- eating disorder;
- screening questionnaire
This article describes the three-stage development of the SCOFF, a screening tool for eating disorders.
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.
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.
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