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The SCOFF Questionnaire is a five-question screening tool designed to clarify suspicion that an eating disorder might exist rather than to make a diagnosis. The questions can be delivered either verbally or in written form.
Background: The SCOFF questionnaire (Morgan, Reid and Lacey, 1999) is a five item measure, developed to serve as a simple, easy to remember screening tool for eating disorders. The instrument was designed for use by professionals and non-professionals alike and can be used in primary health care settings.
The SCOFF questionnaire utilizes an acronym (Sick, Control, One, Fat, Food), which does not translate perfectly to other countries because of the reference to one stone. It also does not translate exactly as the sick is specifically means vomit. However, the questions themselves are easily adapted to any culture.
The EDE-Q is scored using a 7-point, forced-choice rating scale (06) with scores of 4 or higher indicative of clinical range. The subscale and global scores reflect the severity of eating disorder psychopathology.
The SCOFF questions* Do you make yourself Sick because you feel uncomfortably full? Do you worry that you have lost Control over how much you eat? Have you recently lost more than One stone (14 lb) in a 3-month period? Do you believe yourself to be Fat when others say you are too thin?
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Conclusions. The SCOFF was found to have adequate convergent validity and stable reliability. However, its internal consistency was low. The SCOFF can still be used in clinical practice.
Psychometrics: A meta analyses of 15 studies examining the utility of the SCOFF found that the 5 questions of the SCOFF constitute a highly efficient tool for the detection of eating disorders, even by a non-specialist, in several languages. Its use as a screening tool is highly recommended.
Binge Eating Disorder (BED) is now an actual eating disorder diagnosis in the DSM-5 which was released by the American Psychiatric Association in May 2013. DSM stands for Diagnostic and Statistical Manual of Mental Disorders.
The EDI-3 consists of 91 items organized into 12 primary scales: Drive for Thinness, Bulimia, Body Dissatisfaction, Low Self-Esteem, Personal Alienation, Interpersonal Insecurity, Interpersonal Alienation, Interoceptive Deficits, Emotional Dysregulation, Perfectionism, Asceticism, and Maturity Fears.
The SCOFF questionnaire utilizes an acronym (Sick, Control, One, Fat, Food), which does not translate perfectly to other countries because of the reference to one stone. It also does not translate exactly as the sick is specifically means vomit. However, the questions themselves are easily adapted to any culture.

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