The use and misuse of the SCOFF screening measure over two decades: a systematic literature review

IF 2.9 3区 医学 Q2 PSYCHIATRY
Amy Coop, Amelia Clark, John Morgan, Fiona Reid, J. Hubert Lacey
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引用次数: 0

Abstract

Purpose

The SCOFF questionnaire was designed as a simple, memorable screening tool to raise suspicion that a person might have an eating disorder. It is over 20 years since the creation of the SCOFF, during which time it has been widely used. Considering this, we wish to review the use of the SCOFF in peer-reviewed scientific journals, and to assess whether it is being used appropriately in the manner in which it was originally devised and tested.

Methods

The Preferred Reporting Items for a Systematic Review and Meta-analysis (PRISMA) guidelines were followed, and all search strategies and methods were determined before the onset of the study. PubMed and Wiley Online Library were searched using the terms SCOFF and eating. Two reviewers were involved in the reviewing process. Criteria for appropriate use of the SCOFF were formalised with the tool’s original authors.

Results

180 articles were included in the final review. 48 articles had used the SCOFF appropriately, 117 articles inappropriately and 15 articles had been mixed in the appropriateness of their use.

Conclusion

This systematic review highlights the inappropriate use of the SCOFF in diverse languages and settings. When used correctly the SCOFF has made a significant contribution to the understanding of eating disorders and its simplicity has been applauded and led to widespread use. However in over two-thirds of studies, the use of the SCOFF was inappropriate and the paper highlights how and in what way it was misused, Guidelines for the appropriate use of the SCOFF are stated. Future validation and avenues of research are suggested.

Level of evidence

Level I.

Abstract Image

二十年来 SCOFF 筛查措施的使用和滥用:系统文献综述
目的 SCOFF 问卷是作为一种简单、易记的筛查工具而设计的,用于怀疑某人可能患有饮食失调症。自 SCOFF 问卷问世以来,已有 20 多年的时间,在此期间,它一直被广泛使用。有鉴于此,我们希望对同行评议科学期刊中 "饮食失调筛查工具 "的使用情况进行回顾,并评估该工具是否按照其最初设计和测试的方式得到了恰当的使用。研究方法遵循 "系统综述和元分析的首选报告项目"(PRISMA)指南,并在研究开始前确定了所有的检索策略和方法。使用 SCOFF 和饮食这两个词对 PubMed 和 Wiley 在线图书馆进行了检索。两名审稿人参与了审稿过程。与该工具的原作者一起正式确定了适当使用 SCOFF 的标准。48 篇文章恰当地使用了 SCOFF,117 篇文章使用不当,15 篇文章使用的恰当性参差不齐。在正确使用的情况下,SCOFF 对了解进食障碍做出了重大贡献,其简易性受到了好评,并得到了广泛使用。然而,在超过三分之二的研究中,SCOFF 的使用是不恰当的,本文重点介绍了 SCOFF 如何以及以何种方式被滥用,并提出了适当使用 SCOFF 的指导原则。提出了未来的验证和研究途径。
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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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