验证SCOFF作为一种简单的查工具,用于在COVID-19之前和期间在住院患者样本中的饮食障碍
Clara Sophie Beer1, Luisa Marie Lüken2, Jessica Eggendorf1
1LWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany.
The International journal of eating disorders
|November 6, 2024
概括
随着COVID-19的流行,青少年女孩的饮食障碍 (ED) 增加了. 虽然SCOFF查工具发现了更多的风险患者,但其低特异性和不良一致性质疑其对这些饮食障碍的临床用途.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
- 心理健康查 心理健康查
背景情况:
- 饮食障碍 (ED) 是一个重要的公共卫生问题,特别影响了青少年女孩.
- 随着COVID-19的流行,ED的发病率加剧了,突显了临床实践中需要有效的查工具的需要.
- 斯科夫问卷是一个简短的工具,用于识别患ED风险的个体.
研究的目的:
- 为了比较饮食障碍诊断 (ICD-10) 与SCOFF识别的青少年女性风险患者.
- 在COVID-19大流行之前和期间在临床环境中评估SCOFF查工具的可靠性.
主要方法:
- 对955名参与者在儿童和青少年精神病医院的例行数据的回顾性分析.
- 在流行前 (n=312) 和流行期间 (n=643) 的ED诊断和SCOFF结果的比较.
- 审查SCOFF的敏感性,特异性和内部一致性.
主要成果:
- 在大流行期间观察到ED诊断的显著增加,与大流行前时期相比几乎翻了一番.
- 在两个时间点之间,SCOFF确定了不同数量的风险患者.
- SCOFF在特定切线上显示出高灵敏度,但具有低的特异性和不良的内部一致性.
结论:
- 这项研究证实,在疫情期间,EDs的临床入院率较高,与之前的研究一致.
- 由于SCOFF的低特异性和内部一致性不佳,人们对其在青少年精神病医院的可靠应用提出了担忧.
- 进一步验证查工具是必要的,以准确识别易受伤害的青少年群体中EDs.
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