Center for Medical Ethics and Health Policy Staff Publications
Publication Date
9-1-2022
Journal
Journal of Affective Disorders
DOI
10.1016/j.jad.2022.06.009
PMID
35697331
PMCID
PMC9286779
PubMedCentral® Posted Date
10-1-2022
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Keywords
Adolescent, Child, Humans, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Surveys and Questionnaires, OCD, Brief screening measure, Assessment, Pediatric, Adolescents
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.