Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Liu, Chao Yu; Tseng, Ming-Yuan; Chen, Kuan‐Yu; Chang, Chin Hao; Liao, Shih‐Cheng; Chen, Hsi‐Chung

doi:10.1016/j.comppsych.2014.11.014

Cited by 23 publications

(33 citation statements)

References 44 publications

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“…First, as in most previous studies of screening measures for ED, men were under-represented in the current study sample. Importantly, previous research has suggested that, when compared to thresholds established for women, a lower cut-off score on ED measures may be required to identify clinically significant ED symptoms in men [25,26]. As the number of males with EDs in the current study was insufficient to conduct separate gender segregated analyses, further research will be needed to identify appropriate cut-off points for the EDE-QS (and other screening instruments) for men.…”

Section: Limitations and Directions For Future Researchmentioning

confidence: 87%

Further development of the 12-item EDE-QS: identifying a cut-off for screening purposes

et al. 2020

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Background: The Eating Disorder Examination-Questionnaire Short (EDE-QS) was developed as a 12-item version of the Eating Disorder Examination Questionnaire (EDE-Q) with a 4-point response scale that assesses eating disorder (ED) symptoms over the preceding 7 days. It has demonstrated good psychometric properties at initial testing. The purpose of this brief report is to determine a threshold score that could be used in screening for probable ED cases in community settings. Methods: Data collected from Gideon et al. (2016) were re-analyzed. In their study, 559 participants (80.86% female; 9.66% self-reported ED diagnosis) completed the EDE-Q, EDE-QS, SCOFF, and Clinical Impairment Assessment (CIA). Discriminatory power was compared between ED instruments using receiver operating characteristic (ROC) curve analyses. Results: A score of 15 emerged as the threshold that ensured the best trade-off between sensitivity (.83) and specificity (.85), and good positive predictive value (.37) for the EDE-QS, with discriminatory power comparable to other ED instruments. Conclusion: The EDE-QS appears to be an instrument with good discriminatory power that could be used for ED screening purposes.

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Section: Limitations and Directions For Future Researchmentioning

confidence: 87%

Further development of the 12-item EDE-QS: identifying a cut-off for screening purposes

et al. 2020

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“…This may be due in part to perceptions that ED symptoms are relatively more anomalous in males. Of note, one recent study found that EDs in males were identified with lower cut‐off scores on the SCOFF (a commonly used ED screening measure) compared with the cut‐off for identifying EDs in females (Liu et al, ), which may indicate that lower thresholds on some ED measures are appropriate for establishing clinically significant severity for males. It is not clear, however, whether the lower level of symptom severity on the EDE‐Q and EDI‐3 among males indicates a need for different treatment approaches, or whether the duration of treatment may vary as a function of lower reported severity on these measures.…”

Section: Discussionmentioning

confidence: 99%

“…This may be due in part to perceptions that ED symptoms are relatively more anomalous in males. Of note, one recent study found that EDs in males were identified with lower cut-off scores on the SCOFF (a commonly used ED screening measure) compared with the cut-off for identifying EDs in females (Liu et al, 2015), In addition, the sex differences in EDE-Q global and EDI-3 total scores did not vary across diagnosis, which is consistent with previous research finding no interactions between sex and diagnosis in predicting EDE-Q scores (Mantilla & Birgegård, 2016). However, there was a main effect of diagnosis for EDE-Q global scores.…”

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confidence: 99%

Male clinical norms and sex differences on the Eating Disorder Inventory (EDI) and Eating Disorder Examination Questionnaire (EDE‐Q)

Smith

Mason

Murray

et al. 2017

Intl J Eating Disorders

111

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Objective Evidence indicates that males account for a significant minority of patients with eating disorders (EDs). However, prior research has been limited by inclusion of small and predominantly non-clinical samples of males. This study aimed to (1) provide male clinical norms for widely used ED measures (Eating Disorder Examination Questionnaire [EDE-Q] and Eating Disorder Inventory-3 [EDI-3]) and (2) examine sex differences in overall ED psychopathology. Method Participants were 386 male and 1,487 female patients with an ED diagnosis aged 16 years and older who completed the EDE-Q and EDI-3 upon admission to a residential or partial hospital ED treatment program. Results Normative data were calculated for the EDE-Q (global and subscales) and the EDI-3 (drive for thinness, body dissatisfaction, and bulimia). Analyses of variance (ANOVAs) used to examine sex, ED diagnosis, and their interaction in relation to overall ED psychopathology revealed a consistent pattern of greater severity among females for ED psychopathology. Discussion This study provides clinical norms on the EDE-Q and the EDI-3 for males with clinically diagnosed EDs. It is unclear whether the greater severity observed in females reflects qualitative differences in ED presentation or true quantitative differences in ED severity. Additional research examining the underlying nature of these differences and utilizing male-specific ED measures with clinical samples is warranted.

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Section: Limitations and Directions For Future Researchmentioning

confidence: 88%

Further Development of the 12-item EDE-QS: Identifying a Cut-Off for Screening Purposes

Prnjak

Mitchison

Griffiths

et al. 2020

Preprint

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Background The Eating Disorder Examination -Questionnaire Short (EDE-QS) was developed as a 12item version of the Eating Disorder Examination Questionnaire (EDE-Q) with a 4-point response scale that assesses eating disorder (ED) symptoms over the preceding 7 days. It has demonstrated good psychometric properties at initial testing. The purpose of this brief report is to determine a threshold score that could be used in screening for probable ED cases in community settings.Methods Data collected from Gideon et al. (2016) were re-analyzed. In their study, 559 participants (80.86% female; 9.66% self-reported ED diagnosis) completed the EDE-Q, EDE-QS, SCOFF, and Clinical Impairment Assessment (CIA). Discriminatory power was compared between ED instruments using receiver operating characteristic (ROC) curve analyses.Results A score of 15 emerged as the threshold that ensured the best trade-off between sensitivity (.83) and specificity (.85), and good positive predictive value (.37) for the EDE-QS, with discriminatory power comparable to other ED instruments.Conclusion The EDE-QS appears to be an instrument with good discriminatory power that could be used for ED screening purposes.

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Sex difference in using the SCOFF questionnaire to identify eating disorder patients at a psychiatric outpatient clinic

Cited by 23 publications

References 44 publications

Further development of the 12-item EDE-QS: identifying a cut-off for screening purposes

Further development of the 12-item EDE-QS: identifying a cut-off for screening purposes

Male clinical norms and sex differences on the Eating Disorder Inventory (EDI) and Eating Disorder Examination Questionnaire (EDE‐Q)

Further Development of the 12-item EDE-QS: Identifying a Cut-Off for Screening Purposes

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