scholarly journals Validity and clinical utility of the obsessive compulsive inventory - child version: further evaluation in clinical samples

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kristina Aspvall ◽  
Matti Cervin ◽  
Per Andrén ◽  
Sean Perrin ◽  
David Mataix-Cols ◽  
...  

Abstract Background Obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder. Currently, the Obsessive Compulsive Inventory-Child Version (OCI-CV) is the only self-report measure that fully captures this symptom heterogeneity in children and adolescents. The psychometric properties of the OCI-CV are promising but evaluations in large clinical samples are few. Further, no studies have examined whether the measure is valid in both younger and older children with OCD and whether scores on the measure are elevated in youths with OCD compared to youths with other mental disorders. Methods To address these gaps in the literature, we investigated the psychometric properties and validity of a Swedish version of the OCI-CV in a large clinical sample of youth aged 6–18 years with OCD (n = 434), anxiety disorders (n = 84), and chronic tic disorders (n = 45). Results Internal consistency coefficients at the total scale and subscale level were consistent with the English original and in the acceptable range. Confirmatory factor analyses revealed an adequate fit for the original six-factor structure in both younger and older children with OCD. Correlations between total scores on the OCI-CV and the Children’s Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) were small at pre-treatment (r = 0.19) but large at post-treatment (r = 0.62). Youth with OCD scored higher than those with anxiety and chronic tic disorders, and the OCI-CV was sensitive to symptom change for youth undergoing treatment for OCD. Conclusions This Swedish version of the OCI-CV appears to be a valid and reliable measure of the OCD symptom dimensions across age groups and has good clinical utility.

2019 ◽  
Author(s):  
Kristina Aspvall ◽  
Matti Cervin ◽  
Per Andrén ◽  
Sean Perrin ◽  
David Mataix-Cols ◽  
...  

Background: Obsessive-compulsive disorder (OCD) is a clinically heterogeneous disorder. Currently, the Obsessive Compulsive Inventory-Child Version (OCI-CV) is the only self-report measure that fully captures this symptom heterogeneity in children and adolescents. The psychometric properties of the OCI-CV are promising but evaluations in large clinical samples are few. Further, no studies have examined whether the measure is valid in both younger and older children with OCD and whether scores on the measure are elevated in youths with OCD compared to youths with other mental disorders. Methods: To address these gaps in the literature, we investigated the psychometric properties and validity of a Swedish version of the OCI-CV in a large clinical sample of youth aged 6-18 years with OCD (n = 434), anxiety disorders (n = 84), and chronic tic disorders (n = 45). Results: Internal consistency coefficients at the total scale and subscale level were consistent with the English original and in the acceptable range. Confirmatory factor analyses revealed an adequate fit for the original six-factor structure in both younger and older children with OCD. Correlations between total scores on the OCI-CV and the Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) were small at pre-treatment (r = 0.19) but large at post-treatment (r = 0.62). Youth with OCD scored higher than those with anxiety and chronic tic disorders, and the OCI-CV was sensitive to symptom change for youth undergoing treatment for OCD. Conclusions: This Swedish version of the OCI-CV appears to be a valid and reliable measure of the OCD symptom dimensions across age groups and has good clinical utility.


2021 ◽  
Author(s):  
Behrang Mahjani ◽  
Christina Gustavsson Mahjani ◽  
Abraham Reichenberg ◽  
Sven Sandin ◽  
Christina M. Hultman ◽  
...  

Background: We have established an epidemiological obsessive-compulsive disorder (OCD) cohort in Sweden. Individuals contributed DNA for genotyping and sequencing and also completed a Swedish translation of the Obsessive-Compulsive Inventory-Revised (OCI-R), a self-report questionnaire for assessing the severity and type of symptoms of OCD. This study made use of the OCI-R data to examine the severity and symptom dimensions of OCD as well as comorbidity with other psychiatric disorders. Methods: OCI-R data for 1,134 individuals were available for this study, 1,010 diagnosed with OCD, and 124 diagnosed with chronic tic disorders without OCD used as a comparison group. We first evaluated the psychometric properties of the Swedish translation of the OCI-R. Then, we linked data from the Swedish national registries to access and analyze psychiatric comorbidities of OCD. Results: The Swedish translation of OCI-R demonstrated internal consistency (Cronbach's α = 0.9) and clear agreement with the OCI-R six-factor model. The mean total OCI-R score for females was significantly higher than for males. The most comorbid psychiatric condition to OCD were anxiety disorders (13.6%) and major depression (12%). We observed that individuals with OCD frequently had additional comorbid psychiatric disorders and that the severity of OCD was significantly higher in individuals with at least one additional psychiatric comorbidity compared to individuals with no psychiatric comorbidity. Conclusion: We showed that the Swedish translation of the OCI-R has appropriate psychometric properties. Using an epidemiological framework, we were able to assess the severity and symptom dimensions of OCD and comorbidity with other psychiatric disorders.


2020 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
John Paulson

Previous research has documented similarities between symptoms of Obsessive-Compulsive Disorder (OCD), Anorexia Nervosa, and Bulimia Nervosa and elevated comorbidity between these conditions in clinical samples, with the relationship between OCD and Anorexia being stronger than between OCD and Bulimia. Researchers adopting a continuum view of psychopathology have also found that individuals with sub-clinical expressions of obsessive-compulsive symptoms resemble their clinical counterparts in several ways. The goal of the current study was to explore whether or not the observed relationship between obsessive-compulsive symptoms and eating disorder symptoms observed in clinical populations would also be observed in a nonclinical population. 264 participants from a college sample completed self-report measures of these symptoms. A positive correlation was found between scores on obsessive-compulsive, anorexia and bulimia instruments, and reflective of their clinical counterparts the relationship between obsessive-compulsive and anorexia symptoms was more significant than the one between obsessive compulsive symptoms and bulimia symptoms. Implications and limitations for research and clinical practice are discussed.


2020 ◽  
Vol 55 (10) ◽  
pp. 1383-1393 ◽  
Author(s):  
Behrang Mahjani ◽  
Karin Dellenvall ◽  
Anna-Carin Säll Grahnat ◽  
Gun Karlsson ◽  
Aki Tuuliainen ◽  
...  

2011 ◽  
Vol 3 ◽  
pp. JCNSD.S6616 ◽  
Author(s):  
Alessandro S. De Nadai ◽  
Eric A. Storch ◽  
Joseph F. Mcguire ◽  
Adam B. Lewin ◽  
Tanya K. Murphy

In recent years, much progress has been made in pharmacotherapy for pediatric obsessive-compulsive disorder (OCD) and chronic tic disorders (CTDs). What were previously considered relatively intractable conditions now have an array of efficacious medicinal (and psychosocial) interventions available at clinicians' disposal, including selective serotonin reuptake inhibitors, atypical antipsychotics, and alpha-2 agonists. The purpose of this review is to discuss the evidence base for pharmacotherapy with pediatric OCD and CTDs with regard to efficacy, tolerability, and safety, and to put this evidence in the context of clinical management in integrated behavioral healthcare. While there is no single panacea for these disorders, there are a variety of medications that provide considerable relief for children with these disabling conditions.


2021 ◽  
pp. 152291
Author(s):  
David Isaacs ◽  
Alexandra P. Key ◽  
Carissa J. Cascio ◽  
Alexander C. Conley ◽  
Heather Riordan ◽  
...  

Author(s):  
Jose Antonio Piqueras ◽  
David Pineda ◽  
María Martin-Vivar ◽  
Bonifacio Sandín

Abstract: The 30-item shortened version of the Revised Child Anxiety and Depression Scale (RCADS-30) is a self-report instrument to assess symptoms of anxiety and depressive disorders. This study examined the factor structure, reliability, and construct validity of the RCADS-30, based on a sample of children and adolescents in clinical and community settings. Results provide evidence for (a) the six factors of the scale (separation anxiety disorder, generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and major depressive disorder), (b) reliability (alpha and omega), and (c) convergent and discriminant validity against self-report and clinical interview criteria. The RCADS-30 demonstrated sound psychometric properties and that it is a suitable instrument to assess depression and anxiety disorder symptoms. Based on established cut-off scores, the scale also showed adequate capacity to differentiate emotional disorders from other mental disorders or the absence of diagnosis.Resumen: Análisis factorial confirmatorio y propiedades psicométricas de la Revised Child Anxiety and Depression Scale (RCADS-30) en muestras clínicas y no clínicas. La versión abreviada de 30 ítems de la Revised Child Anxiety and Depression Scale (RCADS-30) es un instrumento de autoinforme para evaluar síntomas de los trastornos de ansiedad y depresivos. Este estudio examinó la estructura factorial, la fiabilidad y la validez de constructo de la RCADS-30 en una muestra de niños y adolescentes procedentes de muestras clínicas y comunitarias. Los resultados aportan evidencia sobre (a) los seis factores de la escala (trastorno de ansiedad de separación, trastorno de ansiedad generalizada, trastorno de pánico, fobia social, trastorno obsesivo-compulsivo, y trastorno depresivo mayor), (b) fiabilidad (alfa y omega), y (c) validez convergente y discriminante sobre autoinformes y entrevista clínica. La RCADS-30 demostró poseer buenas propiedades psicométricas y ser adecuada para evaluar los síntomas de los trastornos de ansiedad y depresivos. Sobre la base de puntos de corte establecidos, la escala mostró adecuada capacidad para diferenciar los trastornos emocionales de otros problemas mentales o la ausencia de diagnóstico. 


2011 ◽  
Vol 27 (8) ◽  
pp. 598-604 ◽  
Author(s):  
A. Pertusa ◽  
de la Cruz L. Fernández ◽  
P. Alonso ◽  
J.M. Menchón ◽  
D. Mataix-Cols

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.


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