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Version française de l'échelle d'obsession-compulsion de Yale-Brown. / Yale-Brown Obsessive-Compulsive Scale: A French version.

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Abstract

Presents a French translation and adaptation of the Yale-Brown Obsessive–Compulsive Scale (W. Goodman et al, 1988) for adults. The use of the French version in studies of fluvoxamine in obsessive–compulsive disorders is considered; and the scale's advantages, link to the Diagnostic and Statistical Manual of Mental Disorders-III—Revised (DSM-III—R), and sensitivity to changes in psychopharmacotherapy are discussed. (English abstract) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
... There are adapted versions for the use with children Scahill et al., 1997;Storch et al., 2019) as well as modifications to other disorders like pathological gambling (Pallanti et al., 2005) and hypochondriasis (Greeven et al., 2009). The Y-BOCS has spawned translations into many languages; major European languages like German and French (Mollard et al., 1989), but also Turkish (Tek et al., 1995), Persian , Mandarin Chinese (Zhang et al., 2019), and ...
... The Y-BOCS subsumes two distinct parts, an assessment of the severity of OCD symptoms, usually viewed as its core section, and an extensive symptom check list to gauge the occurrence of specific OCD symptoms both in the present and the past. Many translations of the English version in various languages are available, like German , French (Mollard et al., 1989), or Persian . When inquiring into the structure of OCD symptomatology and its treatment the Y-BOCS often was an instrument of choice ...
Thesis
Die Zwangsstörung ist durch sehr verschiedenartige Symptome charakterisiert. Diese Symptomheterogenität stellt Herausforderungen für die psychologische Diagnostik dar. Die Yale-Brown Obsessive Compulsive Scale (Y-BOCS) gilt als der Goldstandard bei der Messung von Zwangssymptomen. Mittels einer großen Stichprobe von Zwangspatienten hatte diese Arbeit drei Ziele zur Weiterentwicklungen psychometrischer Methoden: Erstens wurden die Messmodelle von Zwangssymptomen evaluiert und verbessert. Dabei fand eine umfassende Überarbeitung statt, wobei Bayesianische Messmodelle genutzt wurden. Zweitens wurde getestet, ob die Messeigenschaften der Y-BOCS über die Zeit und für weitere klinische relevante Variablen konstant sind. In einer breit angelegten Messinvarianzanalyse wurden nur wenige Verletzungen der Messinvarianz gefunden. Falls solche vorliegen, werden Gruppenvergleiche verzerrt und eventuell falsche Schlussfolgerungen gezogen. Für diese Situationen wurde drittens eine Erweiterung partieller Messinvarianzmodelle entwickelt und angewendet. Partielle Messinvarianzmodelle ermöglichen valide Gruppenvergleiche auch dann, wenn Messinvarianz nur für einige wenige Items hält. Es wurde eine Methode zur Modellmittelung entwickelt, die die Unsicherheit berücksichtigt, die in der Auswahl von Items für partielle Messinvarianz liegt. Das entwickelte Bayesianische Verfahren macht Analyseentscheidungen komplett sichtbar und damit diskutierbar. Die vorgelegten Studien dienen der Weiterentwicklung psychometrischer Analysen in der klinischen Diagnostik im Allgemeinen und stärken die Validität der Messung durch die Y-BOCS im Besonderen. Klinische Studien können vertrauenswürdige Ergebnisse nur aufbauend auf soliden Messverfahren erzielen. Außerdem werden weitere neuere Entwicklungen in der psychometrischen Theorie im Hinblick auf ihren Nutzen in der klinischen Diagnostik und dem Verständnis der Zwangsstörung diskutiert.
... In addition, a "checklist" of symptoms has been added, as well as an open list of four target symptoms for both obsessions and compulsions and an open avoidance item. Despite this apparent complexity, the measuring instrument is reduced to the first ten items that alone have been the subject of psychological investigations" 1 (Mollard et al., 1989). ...
... This measure was used to evaluate OCD severity. The French version has excellent internal consistency, as well as satisfactory convergent and discriminant validity (Mollard et al. 1989). In our sample, this measure showed good internal consistency (α = 0.84). ...
Article
A lack of cognitive confidence (CC), defined as a distrust of one’s attention, perception, and memory, has been implicated in obsessive-compulsive disorder (OCD) and could account for its core symptoms. The early research focus has been on CC in the context of checking OCD, yet research suggests that the construct may also apply to other OCD subtypes. A closely intertwined construct also implicated in OCD is inferential confusion (IC), whereby a distrust of the senses leads to an investment in imaginary possibilities. This study aimed to simultaneously examine these constructs across OCD subtypes. A total of 128 participants with OCD completed a measure of CC (MCQ-65; Metacognitions Questionnaire), IC (ICQ-EV; Inferential Confusion Questionnaire), and OCD symptoms (VOCI; Vancouver Obsessional Compulsive Inventory). TwoStep cluster analyses for CC revealed two clusters: (1) low CC/high checking/ higher OCD symptoms and (2) high CC/low checking/lower OCD symptoms. The analyses for IC resulted in three clusters: (1) average IC/high “just right”/high contamination/low obsessionality, (2) high IC/ high “just right”/high obsessionality, and (3) low IC/low obsessionality/low checking. Results are discussed in terms of the heterogeneity of OCD, which highlight the need to tailor research paradigms and treatment targets to different OCD presentations.
... La sévérité des symptômes obsessionnelscompulsifs chez le patient a été évaluée au moyen de l'échelle d'obsessions-compulsions de Yale Brown (Mollard, Cottraux et Bouvard, 1989). Cette échelle se présente comme un entretien structuré qui permet de mesurer la sévérité des symptômes obsessifs compulsifs indépendamment de leur contenu. ...
... The Y-BOCS is a 10-item scale that rates obsessions and compulsions each on five items on a scale ranging from 0 to 4, for a total score that varies according to item from 0 to 40. The English version (Goodman, Price, Rasmussen, Mazure, Delgado, et al., 1989;Goodman, Price, Rasmussen, Mazure, Fleischmann, et al., 1989;Woody, Steketee, & Chambless, 1995) has established reliability and validity, and the French version (Mollard, Cottraux, & Bouvard, 1989) has also proven convergent, discriminant, and criterion-related validity . Interrater reliability in this sample on 40% of ratings was adequate (rs = .90). ...
... Other scales were used to compare both groups on general clinical measures. The 10-item semi-structured Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was used to assess current OCD severity with scores ranging from 0 to 40 (Goodman et al., 1989;Mollard et al., 1989). This scale was only used for the OCD group. ...
... In order to participate in the current study, only the CBT protocol participants who presented neutralization as the main (compulsive) target on the targetsymptoms list of the scale were considered eligible. The French version (Mollard, et al., 1989) has excellent internal consistency, and convergent and discriminant validity are satisfactory (Bouvard et al., 1992). ...
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To date, evidence for cognitive reactivity in OCD has been provided through laboratory-based investigations assessing the impact of mood-states on obsessional appraisals and behaviours in experimenter controlled scenarios. In order to better grasp the dynamics of cognitive reactivity in OCD, the current study provides an extensive and intensive analysis of the longitudinal and naturalistic covariation between transient mood-states and appraisals across 8 individuals with obsessional rumination. Drawing on current models of cognitive reactivity, the use of different processing styles was hypothesised to differentially affect cognitive reactivity. Participants completed diaries recording mood-states and appraisals over the course of a cognitive behavior therapy (CBT) for OCD. Based on the sequential analysis of conditional probability, contingency magnitude estimations of covariations revealed the presence of cognitive reactivity in 7 out of 8 participants. Further, covariation between mood and cognition showed close relationships to the participants’ neutralization profiles associated with the Systematic, Superficial and Altered processing styles.
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Fear of self is a construct that has received an increasing amount of attention in recent years, which could add to our understanding of obsessive-compulsive disorder (OCD) and its treatment. However, no study has yet experimentally tested the role of feared self-perceptions in a clinical OCD sample. This study aims to test experimentally if priming specific fear of self-perceptions in OCD patients results in an increase in OCD symptoms and related distress. To this end, patients (n=16) with a primary diagnosis of obsessive-compulsive disorder completed a subtle priming task manipulation intended to prime personally relevant fear of self cognitions, as well as a control task during which a neutral theme was primed. Results showed that priming fear of self cognitions in OCD patients significantly increased strength of obsessions, urge to perform compulsions and anxiety levels, supporting a causal link between feared self-perceptions and obsessive-compulsive symptomatology. Clinical implications and key future directions are discussed.
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