《饮食障碍患者的 SCOFF 问卷与饮食态度测试比较》

Comparison between the SCOFF Questionnaire and the Eating Attitudes Test in patients with eating disorders.

机构信息

Department of Psychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

Int J Psychiatry Clin Pract. 2006;10(1):27-32. doi: 10.1080/13651500500305275.

DOI:10.1080/13651500500305275

PMID:24926765

Abstract

OBJECTIVE

The SCOFF was developed as a simple, five-question screening tool for eating disorders to be used in primary care. The aim of this study was to examine the appropriateness of each question in comparison with the Eating Attitudes Test-26.

METHODS

The SCOFF and the EAT-26 were administered to 80 patients with eating disorders who had received treatment from May through October 2003 in Japan.

RESULTS

The scores of the SCOFF and those of the EAT-26 were positively correlated (P<0.001), and each question of the SCOFF was strongly associated with different items of the EAT-26. The detection rates with the SCOFF of the patients with anorexia nervosa or bulimia nervosa and that of the patients with eating disorders not otherwise specified (EDNOS) were 96.2 and 48.1%, respectively. The scores of the SCOFF and the values of body mass index were significantly correlated (P=0.041), and the detection rate with the SCOFF of patients with low body weight and EDNOS was low (10%).

CONCLUSION

Each question of the SCOFF has been selected appropriately for reflecting characteristics of eating disorders, although one question about body weight loss should be modified to detect patients with anorexia nervosa more accurately.

摘要

目的

SCOFF 是一种简单的、包含五个问题的进食障碍筛查工具，用于初级保健。本研究旨在比较 SCOFF 与 EAT-26，以评估每个问题的恰当性。

方法

2003 年 5 月至 10 月期间，在日本接受治疗的 80 名进食障碍患者接受了 SCOFF 和 EAT-26 评估。

结果

SCOFF 评分与 EAT-26 评分呈正相关（P<0.001），SCOFF 的每个问题均与 EAT-26 的不同项目强烈相关。神经性厌食症或神经性贪食症患者的 SCOFF 检出率分别为 96.2%和 48.1%，而未特指性进食障碍患者的检出率为 48.1%。SCOFF 评分与体重指数显著相关（P=0.041），体重较低患者和未特指性进食障碍患者的 SCOFF 检出率较低（10%）。