Florida Obsessive-Compulsive Inventory: development, reliability, and validity.
ABSTRACT The Florida Obsessive-Compulsive Inventory (FOCI) is a new self-report questionnaire that has separate scales for symptom enumeration (The Checklist) and evaluation of symptom severity (Severity Scale). The present research investigated the FOCI in a sample of 113 patients with obsessive-compulsive disorder (OCD). The results indicated that the FOCI Severity Scale is internally consistent (alpha = .89) and highly correlated with the total score from the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS; Goodman et al., 1989 a). The correlations of the FOCI Severity Scale with measures of depression and global severity of psychopathology were similar to those obtained with the Y-BOCS Total Severity Score. The FOCI Symptom Checklist had adequate reliability (K-R 20 = .83) and moderate correlations (rs < .45) with the FOCI Severity Scale, the Y-BOCS scales, and measures of depression and severity of psychopathology. These findings imply concurrent validity for the FOCI Severity Scale. A strength of the FOCI is that it offers a quick evaluation of both presence and severity of OCD symptoms. An important limitation is that the FOCI does not assess the severity of individual symptoms.
Full-textDOI: · Available from: Daniel M. Bagner, Feb 11, 2015
SourceAvailable from: scielo.cl[Show abstract] [Hide abstract]
ABSTRACT: The improvement in interater and test-retest reliability could be considered as one of the better conquests for the last-quarter-of-XXth-century Psychiatry. However, this homogeneity and operativizing of diagnostic criteria has added some disadvantages to diagnostic procedure: high ratios of comorbidity and loss of categorial validity could be considered as undesirable consequences of this event. The use of operative diagnostic systems but not the go-deeply-into psychopathological analysis has removed an important and rich information. This loss of information could compromise the study of ethiopatogenia; correlations between symptoms and neurobiological alterations; and prognosis and therapeutic decisions. We analyze the consequences of this event in the validity of diagnosis, from "major depression" (that may be considered as a less valid category than classical melancholia) to anxiety disorders, dysthymia and somatoform disorders (lossing stability and validity in relation to "neurotic general syndrome" or "neuroticism" as an internalizing condition), and also personality disorders (characterized by longitudinal diagnostic unstability and differents ratios of prevalence, excluding antisocial personality disorder).09/2010; 48(3):232-244. DOI:10.4067/S0717-92272010000400008
[Show abstract] [Hide abstract]
ABSTRACT: The identification of the gene mutation causing Huntington disease has raised hopes for new treatments to ease symptoms and slow functional decline. As such, there has been a push towards designing efficient pharmacological trials (i.e., drug trials), especially with regard to selecting outcomes measures that are both brief and sensitive to changes across the course of the disease, from subtle prodromal changes, to more severe end-stage changes.
[Show abstract] [Hide abstract]
ABSTRACT: We assessed correlates of obsessive-compulsive (OCPD), schizotypal (SPD) and borderline (BPD) personality disorders in 110 obsessive-compulsive disorder (OCD) patients. We found OCD patients with OCPD (20.9%) to exhibit higher rates of hoarding and bipolar disorders, increased severity of hoarding and symmetry, lower prevalence of unacceptable thoughts involving sex and religion and less non-planning impulsivity. Conversely, OCD patients with SPD (13.6%) displayed more frequently bipolar disorder, increased severity of depression and OCD neutralization, greater prevalence of "low-order" behaviors (i.e., touching), lower low-planning impulsivity and greater "behavioral" compulsivity. Finally, in exploratory analyses, OCD patients with BPD (21.8%) exhibited lower education, higher rates of several comorbid psychiatric disorders, greater frequency of compulsions involving interpersonal domains (e.g. reassurance seeking), increased severity of depression, anxiety and OCD dimensions other than symmetry and hoarding, more motor and non-planning impulsivity, and greater "cognitive" compulsivity. These findings highlight the importance of assessing personality disorders in OCD samples. Copyright © 2015. Published by Elsevier Ltd.Journal of anxiety disorders 04/2015; 33. DOI:10.1016/j.janxdis.2015.04.004 · 2.68 Impact Factor