Disordered Eating - Part 2 | SCOFF Test for Detecting Eating Disorders

Disordered Eating — Part 2: Binge Eating Disorder (BED)

By A. Michele Tedder, BSN RN

Binge eating disorder (BED) is the newest clinically recognized eating disorder   BED is characterized by repeated episodes of uncontrolled eating.  The person doesn’t stop until he or she is uncomfortably full.  Unlike anorexia and bulimia, purging behaviors are not usually associated with BED. According to some researchers, BED is the most common eating disorder.  It is estimated that BED affects 15-50 percent of participants in weight control programs. People suffering from BED often feel out of control, guilty and disgusted after binging. Research shows that individuals with BED have a high rate of depression (U.S. Department of Health and Human Services, 2000).

While the exact causes of eating disorders are unknown, many psychological, sociocultural, genetic and interpersonal factors can all play a role in the development of disordered eating. Adopting a realistic self-image can help to prevent negative eating behaviors.  Disordered eating is treatable.  Early diagnosis and professional intervention are essential to prevent permanent complications. A comprehensive treatment plan should include a mental health professional, a nutritionist, and a physician with specialized training in the management of eating disorders. With early intervention, people suffering with eating disorders can improve and lead healthy lives.

The following resources can provide help if you or someone you love is suffering from an eating disorder:

• National Eating Disorders Screening Program – (781) 239-0071
• National Institute of Mental Health – (301) 443-4513 or www.nimh.nih.gov
• National Association of Anorexia Nervosa and Associated Disorders –
  (847) 831-3438 or www.anad.org
• You may also talk with your doctor who can refer you to someone who specializes in treating eating disorders.

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SCOFF Questionnaire - Test for Detecting Eating Disorders

The SCOFF Questionnaire, devised by researchers at St George's Hospital Medical School, is a valid and reliable screening tool for detecting the existence of an eating disorder. The questions focus on some key characteristics of anorexia and bulimia.

SCOFF Questionnaire — Answer each question with a “Yes” or a “No.”

1.   Do you make yourself Sick because you feel uncomfortably full?

2.   Do you worry you have lost Control over how much you eat?

3.   Have you recently lost more than One stone (14 pounds) in a 3 month period?

4.   Do you believe yourself to be Fat when others say you are too thin?

5.   Would you say that Food dominates your life?

Interpretation of Results

If you answer “No” to every question, the test indicates you do not have an eating disorder. If you still think you may have an eating disorder, see your doctor.

If you answer “Yes” to one question, with the rest answered as “No,” the test indicates you do not have an eating disorder. However, it does suggest you may have some issues with food or your body image. If you are in any doubt about whether or not you have an eating disorder, see your doctor.

If you answered “Yes” to at least two questions, the test indicates you may have Anorexia Nervosa or Bulimia Nervosa. This is not a diagnosis, but it is possible you have an eating disorder that needs further investigation by a qualified health professional. Please see your doctor.

Adapted from: Morgan, J. F., F. Reid and J. H. Lacey. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 319: 1467 - 1468, Dec 1999.

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Michele Tedder, BSN, RN is the Project Coordinator for Reaching Out to Adolescents with Depression (ROAD) an outreach program serving adolescents with behavioral health issues at UPMC. ROAD also offers workshops to educate the community about mental illness. If you would like to have more information or to schedule an appointment you may reach Michele by calling 1-866-670-ROAD(7623)

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