University of Pennsylvania School of Medicine, Philadlephia, PA 19104, USA.
Behav Ther. 2010 Mar;41(1):121-32. doi: 10.1016/j.beth.2009.02.001. Epub 2009 Oct 8.
Surprisingly, only 3 self-report measures that directly assess pediatric obsessive-compulsive disorder (OCD) have been developed. In addition, these scales have typically been developed in small samples and fail to provide a quick assessment of symptoms across multiple domains. Therefore, the current paper presents initial psychometric data for a quick assessment of pediatric OCD across multiple symptom domains, a child version of the Obsessive Compulsive Inventory (the OCI-CV). Data from a sample of over 100 youth ages 7 to 17 with a primary DSM-IV diagnosis of OCD support the use of the 21-item OCI-CV. Results support the use of the OCI-CV as a general index of OCD symptom severity and in 6 symptom domains parallel to those assessed by the revised adult version of the scale (OCI-R). The OCI-CV showed strong retest reliability after approximately 1.5 weeks in a subsample of 64 participants and was significantly correlated with clinician-rated OCD symptom severity and parent and child reports of dysfunction related to OCD. Significantly stronger correlations with self-reported anxiety than with depressive symptoms provide initial support for the divergent validity of the measure. Finally, preliminary data with 88 treatment completers suggest that the OCI-CV is sensitive to change.
令人惊讶的是，仅有 3 种自我报告的测量工具直接评估了儿科强迫症 (OCD)。此外，这些量表通常是在小样本中开发的，无法快速评估多个领域的症状。因此，本文提出了一种快速评估儿科 OCD 多个症状领域的初步心理计量学数据，这是强迫症清单的儿童版 (OCI-CV)。来自 100 多名年龄在 7 至 17 岁之间的青少年的样本数据，他们的主要 DSM-IV 诊断为 OCD，支持使用 21 项 OCI-CV。结果支持使用 OCI-CV 作为 OCD 症状严重程度的一般指标，并在 6 个症状领域与量表修订后的成人版 (OCI-R) 评估的症状领域平行。在 64 名参与者的子样本中，大约 1.5 周后进行复测时，OCI-CV 显示出很强的复测信度，并且与临床医生评定的 OCD 症状严重程度以及与 OCD 相关的父母和儿童报告的功能障碍显著相关。与自我报告的焦虑症比与抑郁症的相关性更强，初步支持该测量的区分效度。最后，对 88 名治疗完成者的初步数据表明，OCI-CV 对变化敏感。
