Sternberger L G, Burns G L
Department of Psychology, Washington State University, Pullman 99164-4820.
Behav Res Ther. 1990;28(4):337-40. doi: 10.1016/0005-7967(90)90086-x.
Obsessive-compulsive disorder is increasingly being studied in nonclinical samples. The self-report instruments used to select these samples, however, have not been validated with a diagnostic interview. This study thus investigated the predictive validity of the Maudsley Obsessional-Compulsive Inventory (MOCI) using the Anxiety Disorders Interview Schedule (ADIS), a semi-structured interview created according to DSM-III guidelines. Four sections of the ADIS--generalized anxiety disorder, simple phobia, social phobia and obsessive-compulsive disorder--were administered to 11 individuals who scored in the top 2% and 11 individuals who scored in the normal range of the MOCI 6-7 months prior to the interview. High nonclinical MOCI scorers reported more frequent and severe obsessions and compulsions as well as greater disturbance by these symptoms. In addition, the high MOCI group experienced more general worry and interference from worry, and more frequent and severe physiological symptoms when they worry. However, the two groups did not differ in terms of simple and social phobia symptoms. High MOCI scorers thus did not report a broad range of anxiety symptoms or fears, but specific obsessions and compulsions. These results provide further support for the validity of the MOCI in nonclinical samples over a 6-7 month interval.
强迫症正越来越多地在非临床样本中得到研究。然而，用于选择这些样本的自我报告工具尚未通过诊断访谈进行验证。因此，本研究使用焦虑症访谈量表（ADIS）调查了莫兹利强迫观念及强迫行为问卷（MOCI）的预测效度，ADIS是根据《精神疾病诊断与统计手册》第三版指南编制的半结构化访谈。在访谈前6至7个月，对11名在MOCI得分处于前2%的个体和11名得分处于MOCI正常范围的个体进行了ADIS的四个部分——广泛性焦虑症、单纯恐惧症、社交恐惧症和强迫症——的评估。非临床MOCI高分者报告了更频繁、更严重的强迫观念和强迫行为，以及这些症状带来的更大困扰。此外，MOCI高分组在担心时经历了更多的一般性担忧和担忧带来的干扰，以及更频繁、更严重的生理症状。然而，两组在单纯恐惧症和社交恐惧症症状方面没有差异。因此，MOCI高分者并未报告广泛的焦虑症状或恐惧，而是特定的强迫观念和强迫行为。这些结果为MOCI在6至7个月期间非临床样本中的效度提供了进一步支持。
