SCOFF问卷 (sick呕吐,control控制,one stone一英石,fat脂肪,food食物)问卷是一个对于进食障碍的筛查工具,特别适合于在非专科机构中使用。 适用于考虑处于进食障碍高危期的患者。 这一问卷设计的目的在于提高对于进食障碍诊断的怀疑,而非制定一个明确的诊断。
神经性厌食症,简称“厌食症”,是进食障碍的一种类型,患者有意造成自己的体重明显下降至正常生理标准体重以下,并极力维持这种状态的一种心理生理障碍。体重指数(body index mass,BMI)是评估厌食症的重要指标,BMI等于体重(kg)/身高的平方(m2),正常范围18-25Kg/m2,以BMI评估厌食症的严重程度,轻度BMI≥17Kg/m2,中度BMI 16-16.99Kg/m2,重度BMI 15-15.99Kg/m2,极重度BMI<15Kg/m2。
用SCOFF问卷做个早期的评估:
1.你让自己呕吐,是因为觉得身体不舒服么?
2.你是否担心自己失去了对饮食的控制能力?
3.最近3个月的时间内,你的体重是否减少了至少14磅(6.4公斤)?
4.当别人说你苗条时,你是否还是觉得自己很“胖”?
5.你是否觉得“食物”掌控了你的生活?
每回答1个“是”得1分,得到或超过2分可疑罹患厌食症,建议您尽早就医。
The SCOFF questionnaire utilizes an acronym (Sick,Control,One,Fat,;Food), which does not translate perfectly to other countries because of the reference to “one stone.” It also does not translate exactly as the “sick” is specifically means “vomit.” However, the questions themselves are easily adapted to any culture.3
Answering “yes” to two or more of the following questions indicates a possible case of anorexia nervosa, bulimia nervosa, or other eating disorder:
- Do you make yourself Sick (induce vomiting) because you feel uncomfortably full?
- Do you worry you have lost Control over how much you eat?
- Have you recently lost more than One stone [approximately fifteen pounds] in a 3 month period?
- Do you believe yourself to be Fat when others say you are too thin?
- Would you say that Food dominates your life?