SCOFF · 1 minute
Eating disorder screener (SCOFF)
Five quick yes/no questions. Two or more 'yes' answers indicates that a structured evaluation for eating disorders is warranted.
Do you make yourself Sick because you feel uncomfortably full?
Educational tool — not a diagnosis. SCOFF, Morgan et al. 1999. Brief screener with reasonable sensitivity for anorexia nervosa, bulimia nervosa and other specified feeding/eating disorders.
Frequently asked
Plain-language answers about eating disorder, this screener, and what evaluation costs at a Class A hospital in China.
- What does a positive SCOFF mean?
- Two or more 'yes' answers is conventionally considered positive and indicates that a structured evaluation for an eating disorder is warranted. SCOFF has reasonable sensitivity but moderate specificity — confirmation requires clinician evaluation.
- What's the standard eating disorder evaluation?
- Comprehensive psychiatric interview, medical examination (vital signs, ECG, weight history), labs (electrolytes, glucose, liver, thyroid), DEXA in chronic restriction, and structured rating scales (EDE-Q). At a Class A psychiatry / endocrinology centre this is $260–500.
- Is treatment available in China?
- Yes. Class A academic psychiatry departments (Shanghai Mental Health Center, Peking University Sixth Hospital) offer multidisciplinary eating disorder programmes — psychiatry, nutrition, family-based therapy, and medical stabilisation.
About this screener
SCOFF, Morgan et al. 1999. Brief screener with reasonable sensitivity for anorexia nervosa, bulimia nervosa and other specified feeding/eating disorders.
What this screener covers
- Anorexia nervosa(ICD-10 F50.0)
- Bulimia nervosa(ICD-10 F50.2)
- Binge eating disorder(ICD-10 F50.81)
Validated source
Medical review
Reviewed by Panda Touring Care medical team (Psychiatry coordinator review) · last reviewed 2025-04-01
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