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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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References

De Araujo, L. A., Ito, L., Marks, I. M., et al (1995) Does imagined exposure to the consequences of not ritualizing enhance live exposure for OCD? A controlled study: I. Main Outcome. British Journal of Psychiatry, 167, 65–70.Google Scholar
Dunk, G., Everitt, B. & Pickles, A. (1993) Modelling Covariances and Latent Variables Using EQS. London: Chapman & Hall.Google Scholar
Found, B., Steketee, G. S. & Foa, E. B. (1987) Compulsive Activity Checklist (CAC): Psychometric analysis with obsessive–compulsive disorder. Behavioral Assessment, 9, 67–79.Google Scholar
Goodman, W. K., Price, L. H., Rasmussen, S. A., et al (1989a) The Yale–Brown obsessive compulsive scale: I. Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.Google Scholar
Goodman, W. K., Price, L. H., Rasmussen, S. A., et al (1989b) The Yale–Brown obsessive compulsive scale: II. Validity. Archives of General Psychiatry, 46, 1012–1016.Google Scholar
Ito, L. M., Marks, I. M., de Araujo, L. A., et al (1995) Does imagined exposure to the consequence of not ritualising enhance live exposure for OCD? A controlled study: II. Effect on behavioural v. subjective concordance of improvement. British Journal of Psychiatry, 167, 71–75.Google Scholar
Kim, S. W., Dysken, M. W. & Katz, R. (1989) Rating Scales for obsessive compulsive disorder. Psychiatric Annals, 19, 74–79.Google Scholar
Kim, S. W., Dysken, M. W. & Kuskowski, M. (1990) The Yale–Brown obsessive–compulsive scale: A reliability and validity study. Psychiatry Research, 34, 99–106.Google Scholar
Marks, I. M., Connolly, J. & Philpott, R. (1977) Nursing in Behavioural Psychotherapy. London: Royal College of Nursing.Google Scholar
Marks, I. M., Stern, R. S., Mawson, D., et al (1980) Clomipramine and exposure for obsessive-compulsive rituals: I. British Journal of Psychiatry, 136, 1–25.Google Scholar
Oldham, P. D. (1968) Measurement in medicine. The Interpretation of Numerical Data. The English Universities Press.Google Scholar
Sterneerger, L. G. & Burns, G. L. (1990) Compulsion activity checklist and Maudsley obsessional–compulsive disorder. Behaviour Therapy, 21, 117–127.Google Scholar
Taylor, S. (1995) Assessment of obsessions and compulsions: Reliability, validity and sensitivity to treatment effects. Clinical Psychology Review, 15, 261–296.Google Scholar
Watson, J. P. & Markes, I. M. (1971) Relevant and irrelevant fear in flooding – a crossover study of phobic patients. Behaviour Therapy, 2, 275–293.Google Scholar
Woody, S. R., Steketee, O. & Chambless, D. L. (1995) Reliability and validity of Yale–Brown Obsessive Compulsive Scale. Behaviour Research and Therapy, 33, 597–605.Google Scholar
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