Amitai Abramovitch1, Jonathan S Abramowitz2, Dean McKay3, Heining Cham3, Kennedy S Anderson4, Lara J Farrell5, Daniel A Geller6, Gregory L Hanna7, Sharna Mathieu5, Joseph F McGuire8, David R Rosenberg9, S Evelyn Stewart10, Eric A Storch11, Sabine Wilhelm6. 1. Department of Psychology, Texas State University, San Marcos, TX, USA; Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA. Electronic address: abramovitch@txstate.edu. 2. Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 3. Department of Psychology Fordham University, Bronx, NY, USA. 4. Department of Psychology, Texas State University, San Marcos, TX, USA. 5. School of Applied Psychology, Griffith University, Gold Coast, Australia. 6. Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. 7. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. 8. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA. 9. Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA. 10. University of British Columbia/British Columbia Children's Hospital, British Columbia Mental Health and Substance Use Services Research Institute, Vancouver, Canada. 11. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Abstract
BACKGROUND: Obsessive-compulsive disorder (OCD) is an often disabling and chronic condition that is normally assessed using diagnostic interviews or lengthy self-report questionnaires. This makes routine screening in general health settings impractical, and as a result OCD is often under-(or mis-)recognized. The present study reports on the development of an ultra-brief version of the Obsessive-Compulsive Inventory-Child Version (OCI-CV) which may be administered routinely as a screener for pediatric OCD. METHOD: A total of 489 youth diagnosed with OCD, 259 non-clinical controls, and 299 youth with other disorders completed the OCI-CV and other indices of psychopathology. Using item analyses, we extracted five items and examined the measure's factor structure, sensitivity and specificity, and convergent and discriminant validity. RESULTS: We extracted five items that assess different dimensions of OCD (washing, checking, ordering, obsessing, neutralizing/counting), termed the OCI-CV-5. Results revealed that the measure possesses good to excellent psychometric properties, and a cutoff off (≥2) yielded optimal sensitivity and specificity. LIMITATIONS: Participants were predominantly White. In addition, more research is needed to examine the OCI-CV-5's test-retest reliability and sensitivity to treatment. CONCLUSIONS: The OCI-CV-5 shows promise as an ultra-brief self-report screener for identifying OCD in youth when in-depth assessment is unfeasible.
BACKGROUND: Obsessive-compulsive disorder (OCD) is an often disabling and chronic condition that is normally assessed using diagnostic interviews or lengthy self-report questionnaires. This makes routine screening in general health settings impractical, and as a result OCD is often under-(or mis-)recognized. The present study reports on the development of an ultra-brief version of the Obsessive-Compulsive Inventory-Child Version (OCI-CV) which may be administered routinely as a screener for pediatric OCD. METHOD: A total of 489 youth diagnosed with OCD, 259 non-clinical controls, and 299 youth with other disorders completed the OCI-CV and other indices of psychopathology. Using item analyses, we extracted five items and examined the measure's factor structure, sensitivity and specificity, and convergent and discriminant validity. RESULTS: We extracted five items that assess different dimensions of OCD (washing, checking, ordering, obsessing, neutralizing/counting), termed the OCI-CV-5. Results revealed that the measure possesses good to excellent psychometric properties, and a cutoff off (≥2) yielded optimal sensitivity and specificity. LIMITATIONS: Participants were predominantly White. In addition, more research is needed to examine the OCI-CV-5's test-retest reliability and sensitivity to treatment. CONCLUSIONS: The OCI-CV-5 shows promise as an ultra-brief self-report screener for identifying OCD in youth when in-depth assessment is unfeasible.
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