Reliability and validity of the Child Behavior Checklist Obsessive-Compulsive Scale.

Department of Pediatrics, University of Florida, Gainesville, 32610, USA.
Journal of Anxiety Disorders (Impact Factor: 2.96). 02/2006; 20(4):473-85. DOI: 10.1016/j.janxdis.2005.06.002
Source: PubMed

ABSTRACT This study examined the psychometric properties of the Obsessive-Compulsive Scale (OCS) of the Child Behavior Checklist (CBCL). Participants included 48 youth with obsessive-compulsive disorder (OCD), 41 with a non-OCD internalizing disorder, and 101 with an externalizing disorder. Confirmatory factor analysis of the 8-item OCS did not result in an adequate fit. Exploratory factor analysis identified a 1-factor model consisting of 6 items. Adequate internal consistency for the revised OCS (OCS-R) was obtained, and convergent validity was supported by moderate relationships with other OCD indices. The OCS-R had stronger associations with measures of OCD symptoms than with measures of depression and externalizing behaviors. Youth with OCD had significantly higher OCS-R scores than those with internalizing and externalizing disorders. Suggestions for cutoff scores are provided using results from ROC analyses. Overall, these findings suggest that the OCS-R is a reliable and valid instrument for the assessment of pediatric OCD.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The assessment of varied psychiatric disorders, including obsessive–compulsive disorder (OCD), is shifting towards the use of evidence-based assessments (EBAs). This shift has fostered the development, validation and adaptation of several measures to rate obsessive–compulsive symptoms and other related problematic areas such as functional impairment or family attitudes among others. The aim of this paper is to present a systematic review of psychometric studies on pediatric OCD-specific measures to classify these according to assessment evidence-based criteria. Selection criteria that determined which studies were included in the review were: (1) analyzing an OCD measure and (2) including participants’ age being 18 years or younger. The literature search procedure was conducted in Medline, PsycINFO, PsycARTICLES, ERIC, Cochrane Library, and Scholar Google databases and enabled us to locate 42 studies which analyzed psychometric properties of 14 OCD measures studied in children and adolescents. Instruments were grouped into the following assessment areas: symptom presence and severity, functional impairment, family functioning and cognitive dimensions of OCD. Psychometric data regarding internal structure, internal consistency, reliability, validity and diagnostic precision were also reported. Further, measures were classified as well-established, approaching well-established and promising assessments in terms of reliability and validity. We concluded that the assessment of OCD in pediatric populations is a growing field that in a short-medium term could provide a wide variety of EBAs for the evaluation obsessive–compulsive symptoms and other OCD-related dimensions. The paper concludes by highlighting directions for future research.
    Journal of Child and Family Studies 11/2014; 23(8). DOI:10.1007/s10826-013-9801-7 · 1.42 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The incidence of ‘pure’ obsessive—compulsive disorders in the clinical population was found to be around 1.2 percent for a clinical sample record — stretching over a 2.5-year period — of around 2500 adolescents in a German child and adolescent psychiatry clinic. Over a 3-month period (time-frame) a sample of 350 new entries to the clinic were given a comprehensive series of questionnaires [Child Behaviour Checklist (YSR), Achenbach, 1991; Symptom Checklist (SCL-90-R)] and clinical assessment measures of socio-psychological, medical and educational attitudes (Englert and Poustka, 1995). Two groups of low and high trait compulsive individuals were generated (using the Symptom Check List, SCL-90-R) and socio-demographic and individual differences examined between these groups. Females were more likely than males to display high compulsive scores. Self-injurious behaviour was higher among the high compulsive group. There was no difference found in cognitive functioning, nor in family functioning, between the low and high trait compulsive groups. Multiple regression analyses using trait compulsivity as a dimensional trait (outcome variable) revealed the significant determinants were anxiety, depression, aggressiveness, phobic anxiety and psychoticism. Furthermore, the SCL Scales most predictive of compulsivity were depression, anxiety, aggression, phobic anxiety and psychoticism. Almost one-half of our patients displayed marked or full recovery after treatment and another 42 percent showed partial improvement (relief of symptoms in terms of reduction of frequency and intensity). The implications for future research are discussed.
    School Psychology International 02/2010; 31(1):42-59. DOI:10.1177/0143034309360437 · 0.59 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The Yale-Brown Obsessive-Compulsive Scale for children and adolescents (CY-BOCS) is a frequently applied test to assess obsessive-compulsive symptoms. We conducted a reliability generalization meta-analysis on the CY-BOCS to estimate the average reliability, search for reliability moderators, and propose a predictive model that researchers and clinicians can use to estimate the expected reliability of the CY-BOCS scores. A total of 47 studies reporting a reliability coefficient with the data at hand were included in the meta-analysis. The results showed good reliability and a large variability associated to the standard deviation of total scores and sample size.
    Journal of Personality Assessment 07/2014; 97(1):1-13. DOI:10.1080/00223891.2014.930470 · 2.01 Impact Factor