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Sick, Control, One, Fat, Food Screening Tool (SCOFF)

Sick, Control, One, Fat, Food Screening Tool (SCOFF)

Morgan, Reid, & Lacey, 1999

The SCOFF is a 5-item self-report measure assessing eating concerns in adults. The SCOFF can be used as a screening tool (Luck et al., 2002). The SCOFF has been used in studies with adolescents (Hautala et al., 2008;) but does not include a separate adolescent version. Sample items include, “Do you make yourself sick because you feel uncomfortably full” and “Would you say food dominates your life?” Each item is a “yes” or “no” question, with two or more endorsements indicating a “likely” case of AN or BN (Morgan et al., 1999). This assessment is designed for use by non-specialists to screen for eating concerns. An individual scoring a two or higher should seek an evaluation by a qualified professional. The SCOFF demonstrates good concurrent validity, detecting diagnoses of AN and BN as determined by the DSM-IV with 100% sensitivity and 87.5% specificity (Hill, Reid, Morgan, & Lacey, 2010). The SCOFF demonstrates good agreement (k = .82) in predicting an eating disorder for 93.8% of participants (Perry et al., 2002). 

The measure is available online 



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