Abstract
Purpose
To evaluate the criterion validity and diagnostic utility of the SCOFF, a brief eating disorder (ED) screening instrument, in a Mexican sample.
Methods
The study was conducted in two phases in 2012. Phase I involved the administration of self-report measures [the SCOFF and the Eating Disorder Inventory-2, (EDI-2)] to 1057 students aged 17–56 years (M age = 21.0, SD = 3.4; 67 % female) from three colleges at the Universidad Autónoma de San Luis Potosí, Mexico. In Phase II, a random subsample of these students (n = 104) participated in the eating disorder examination, a structured interview that yields ED diagnoses. Analyses were conducted to evaluate the SCOFF’s criterion validity by examining (a) correlations between scores on the SCOFF and the EDI-2 and (b) the SCOFF’s ability to differentiate diagnosed ED cases and non-cases.
Results
EDI-2 subscales showed high correlations with the SCOFF scores proving initial evidence of criterion validity. A score of two points on the SCOFF optimized the sensitivity (78 %) and specificity (84 %). With this cutoff, the SCOFF correctly classified over half the cases (PPV = 58 %) and screened out the majority of non-cases (NPV = 93 %) providing further evidence of criterion validity. Analyses were repeated separately for men and women, yielding gender-specific information on the SCOFF’s performance.
Conclusions
Taken as a whole, results indicated that the SCOFF can be a useful tool for identifying Mexican university students who are at risk of eating disorders.
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Acknowledgments
Manuscript preparation was supported by a Research Travel Grant from the Office of International Programs and Studies at the University of Illinois at Urbana-Champaign (to M. Raffaelli).
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On behalf of all authors, the corresponding author states that there is no conflict of interest
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The study was conducted in 2012 with Institutional Review Board approval.
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Written informed consent was obtained from all the participants included in this study.
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Sanchez-Armass, O., Raffaelli, M., Andrade, F.C.D. et al. Validation of the SCOFF questionnaire for screening of eating disorders among Mexican university students. Eat Weight Disord 22, 153–160 (2017). https://doi.org/10.1007/s40519-016-0259-7
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DOI: https://doi.org/10.1007/s40519-016-0259-7