Clinical Rating Scales for OCD

2017 ◽  
Author(s):  
Joseph F. McGuire ◽  
Eric A. Storch ◽  
Wayne Goodman
Keyword(s):  
Symptom Severity ◽  
Rating Scales ◽  
Self Report ◽  
Evidence Based ◽  
Child Report ◽  
Symptom Dimensions ◽  
Evidence Based Treatment ◽  
Clinical Rating

Evidence-based assessment is a cornerstone for evidence-based treatment. This chapter provides an introduction to commonly used rating scales of OCD symptom severity for an evidence-based assessment. This includes clinician-administered measures, self-report, and parent-and-child report rating scales. Given the importance of OCD symptom dimensions, this chapter also presents measures to assess specific OCD symptom dimensions. The chapter concludes with considerations for selecting rating scales as part of an evidence-based assessment for children and adults with OCD.

Evaluating Clinical Rating Scales for Evidence-Based Dermatology: Some Basic Concepts

2005 ◽  
Vol 23 (4) ◽  
pp. 703-706 ◽  
Author(s):  
Madhulika A. Gupta ◽  
Andrew M. Johnson ◽  
Mary-Margaret Chren
Keyword(s):  
Rating Scales ◽  
Evidence Based ◽  
Clinical Rating ◽  
Basic Concepts

scholarly journals Outreach and screening following the 2005 London bombings: usage and outcomes

2010 ◽  
Vol 40 (12) ◽  
pp. 2049-2057 ◽  
Author(s):  
C. R. Brewin ◽  
N. Fuchkan ◽  
Z. Huntley ◽  
M. Robertson ◽  
M. Thompson ◽  
...  
Keyword(s):  
Mental Health ◽  
Terrorist Attack ◽  
Health Needs ◽  
Self Report ◽  
Evidence Based ◽  
Post Traumatic Stress ◽  
Mental Health Needs ◽  
Evidence Based Treatment ◽  
Cognitive Behaviour ◽  
London Bombings

BackgroundLittle is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings.MethodFollowing a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring ⩾6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year.ResultsCase finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later.ConclusionsOutreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.

Independent validation of the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS)

2011 ◽  
Vol 27 (8) ◽  
pp. 598-604 ◽  
Author(s):  
A. Pertusa ◽  
de la Cruz L. Fernández ◽  
P. Alonso ◽  
J.M. Menchón ◽  
D. Mataix-Cols
Keyword(s):  
Psychometric Properties ◽  
Validation Study ◽  
Symptom Severity ◽  
Discriminant Validity ◽  
Self Report ◽  
Obsessive Compulsive ◽  
Specific Symptom ◽  
Symptom Dimensions ◽  
Compulsive Disorder ◽  
Convergent And Discriminant Validity

AbstractIntroductionObsessive-compulsive disorder (OCD) is a clinically heterogeneous condition characterized by a few consistent, temporally stable symptom dimensions. The Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) is a recently developed instrument that allows patient and clinician ratings of dimension-specific symptom severity, as well as estimates of global symptom severity in patients with OCD.MethodsWe examined the psychometric properties of the DY-BOCS in a sample of 128 European adult patients with OCD.ResultsThe results of the psychometric analyses were overall excellent. The internal consistency across the domains of time, distress and interference for each dimension was high. The subscales of the DY-BOCS were largely independent from one another. The convergent and discriminant validity of the DY-BOCS subscales were adequate. The Global Severity and Interference scales were largely intercorrelated, suggesting that they may be redundant. The level of agreement between self-report and expert ratings was adequate although somewhat lower than in the original validation study.ConclusionThe results of the present study confirm the excellent psychometric properties of the DY-BOCS reported in the original validation study.

scholarly journals Evidence-Based Assessment of Obsessive–Compulsive Disorder

2016 ◽  
Vol 8 ◽  
pp. JCNSD.S38359 ◽  
Author(s):  
Amy M. Rapp ◽  
R. Lindsay Bergman ◽  
John Piacentini ◽  
Joseph F. Mcguire
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Symptom Severity ◽  
Self Report ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Related Factors ◽  
Compulsive Disorder ◽  
Diagnostic Interviews ◽  
Significant Impairment ◽  
Monitoring Treatment

Obsessive–compulsive disorder (OCD) is a neuropsychiatric illness that often develops in childhood, affects 1%–2% of the population, and causes significant impairment across the lifespan. The first step in identifying and treating OCD is a thorough evidence-based assessment. This paper reviews the administration pragmatics, psychometric properties, and limitations of commonly used assessment measures for adults and youths with OCD. This includes diagnostic interviews, clinician-administered symptom severity scales, self-report measures, and parent/child measures. Additionally, adjunctive measures that assess important related factors (ie, impairment, family accommodation, and insight) are also discussed. This paper concludes with recommendations for an evidence-based assessment based on individualized assessment goals that include generating an OCD diagnosis, determining symptom severity, and monitoring treatment progress.

Ten-week Intensive Group Program (IGP) for borderline personality disorder: making the case for more accessible and affordable psychotherapy

2021 ◽  
pp. ebmental-2020-300195
Author(s):  
Dervila Gec ◽  
Jillian Helen Broadbear ◽  
David Bourton ◽  
Sathya Rao
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Symptom Severity ◽  
Integrated Treatment ◽  
Borderline Personality ◽  
Self Report ◽  
Evidence Based ◽  
Short Term ◽  
Intensive Group

BackgroundThe availability of specialist psychotherapies for treating borderline personality disorder (BPD) is limited by costs associated with training, resourcing and treatment duration. Developing a programme that incorporates effective strategies from a range of evidence-based specialist treatments, concentrates their delivery and uses a group-based format will improve treatment access.ObjectiveTo assess the short-term clinical efficacy, acceptability and feasibility of a bespoke manualised programme for the treatment of BPD. This 10-week group-based outpatient programme was delivered 2 days per week in 4 hour sessions; participants received 80 hours of treatment in total.MethodsForty-three participants, many having severe BPD symptomatology, were assessed before and after the 10-week programme using a range of validated self-report questionnaires and a self-appraisal feedback form. The primary outcome measured was BPD symptom severity.FindingsStatistically significant improvements were measured in BPD symptom severity, depression, trait anxiety, emotional regulation, general health, hopefulness, self-compassion and anger, several with moderate to large effect sizes. Many of these improvements remained at 4–6 months post treatment. More than 90% of surveyed participants expressed a moderate or high level of satisfaction with the programme.ConclusionsThis integrated treatment programme delivered in a highly concentrated format demonstrated short-term efficacy across many BPD-relevant endpoints; its acceptability was endorsed by most clients.Clinical implicationsIncorporation of key aspects of evidence-based treatment using a time-intensive group format could greatly enhance the capacity of mental health services to meet the needs of people who experience BPD within a population-based mental health service framework.

Articles Published in EJPA 2009–2010

2011 ◽  
Vol 27 (4) ◽  
pp. 290-298 ◽  
Author(s):  
Tuulia M. Ortner ◽  
Isabella Vormittag
Keyword(s):  
Psychological Assessment ◽  
Rating Scales ◽  
Self Report ◽  
Related Field ◽  
Broad Scope ◽  
Future Challenges ◽  
Health Related ◽  
Report Data ◽  
Self Report Data

With reference to EJPA’s unique and broad scope, the current study analyzed the characteristics of the authors as well as the topics and research aims of the 69 empirical articles published in the years 2009–2010. Results revealed that more than one third of the articles were written by authors affiliated with more than one country. With reference to their research aims, an almost comparable number of articles (1) presented a new measure, (2) dealt with adaptations of measures, or (3) dealt with further research on existing measures. Analyses also revealed that most articles did not address any particular field of application. The second largest group was comprised of articles related to the clinical field, followed by the health-related field of application. The majority of all articles put their focus on investigating questionnaires or rating scales, and only a small number of articles investigated procedures classified as tests or properties of interviews. As to further characteristics of the method(s) used, a majority of EJPA contributions addressed self-report data. Results are discussed with reference to publication demands as well as the current and future challenges and demands of psychological assessment.

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