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Comparisons Among the Yale–Brown Obsessive–Compulsive Scale, Compulsion Checklist, and Other Measures of Obsessive–Compulsive Disorder

Published online by Cambridge University Press:  02 January 2018

A. Nakagawa ,
I. M. Marks ,
N. Takei ,
L A. de Araujo  and
L M. Ito
A. Nakagawa
Affiliation:
Institute of Psychiatry, London
I. M. Marks*
Affiliation:
Institute of Psychiatry, London
N. Takei
Affiliation:
Institute of Psychiatry, London
L A. de Araujo
Affiliation:
Department of Psychiatry, Faculty of Medicine, São Paulo University, Brazil
L M. Ito
Affiliation:
Department of Psychiatry, Faculty of Medicine, São Paulo University, Brazil
*
Professor I. M. Marks, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Abstract

Background

The Yale–Brown Obsessive–Compulsive Scale (YBOCS) and Compulsion Checklist (CC) were compared with one another and with five other measures to assess their place in measuring the outcome of obsessive–compulsive disorder (OCD).

Method

Data came from a randomised trial of 46 patients with OCD who completed eight weeks of treatment by exposure and response prevention. Using a structured modelling analysis, the YBOCS and the CC were compared with a latent factor derived from five other variables (Target Rituals, Target Obsession, Clinical Global Impression, Avoidance, Disability) of baseline severity and change after treatment, and also directly with those variables.

Results

Both the YBOCS and the CC were accurate and sensitive measures of OCD. The YBOCS related slightly more than did the CC to the latent factor and to Disability directly. The YBOCS related slightly more to Disability than it did to other measures. Inter-assessor and self v. assessor reliability was high.

Conclusions

The 10-item YBOCS plus the 4-item Disability scale are a simple and efficient way to measure important aspects of OCD in clinical practice.

Type
Papers
Information
The British Journal of Psychiatry , Volume 169 , Issue 1 , July 1996 , pp. 108 - 112
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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