Wootton Bethany M, Diefenbach Gretchen J, Bragdon Laura B, Steketee Gail, Frost Randy O, Tolin David F
The Institute of Living.
School of Social Work, Boston University.
Psychol Assess. 2015 Sep;27(3):874-82. doi: 10.1037/pas0000075. Epub 2015 Feb 9.
Traditionally, hoarding symptoms were coded under obsessive-compulsive disorder (OCD), however, in DSM-5 hoarding symptoms are classified as a new independent diagnosis, hoarding disorder (HD). This change will likely have a considerable impact on the self-report scales that assess symptoms of OCD, since these scales often include items measuring symptoms of hoarding. This study evaluated the psychometric properties of one of the most commonly used self-report measures of OCD symptoms, the Obsessive-Compulsive Inventory-Revised (OCI-R), in a sample of 474 individuals with either OCD (n = 118), HD (n = 201), or no current or past psychiatric disorders (n = 155). Participants with HD were diagnosed according to the proposed DSM-5 criteria. For the purposes of this study the OCI-R was divided into two scales: the OCI-OCD (measuring the five dimensions of OCD) and the OCI-HD (measuring the hoarding dimension). Evidence of validity for the OCI-OCD and OCI-HD was obtained by comparing scores with the Saving Inventory Revised (SI-R), the Hoarding Rating Scale (HRS) and the Beck Anxiety Inventory (BAI). Receiver operating curves for both subscales indicated good sensitivity and specificity for cut-scores determining diagnostic status. The results indicated that the OCI-OCD and OCI-HD subscales are reliable and valid measures that adequately differentiate between DSM-5 diagnostic groups. Implications for the future use of the OCI-R in OCD and HD samples are discussed.
传统上,囤积症状被编码在强迫症(OCD)之下,然而,在《精神疾病诊断与统计手册》第五版(DSM - 5)中,囤积症状被归类为一种新的独立诊断——囤积障碍(HD)。这一变化可能会对评估强迫症症状的自我报告量表产生相当大的影响,因为这些量表通常包含测量囤积症状的项目。本研究在474名个体样本中评估了最常用的强迫症症状自我报告量表之一——修订版强迫观念及强迫行为量表(OCI - R)的心理测量特性,这些个体中,有强迫症的118名(n = 118),有囤积障碍的201名(n = 201),或者目前及过去均无精神疾病的155名(n = 155)。患有囤积障碍的参与者是根据提议的DSM - 5标准进行诊断的。为了本研究的目的,OCI - R被分为两个量表:OCI - OCD(测量强迫症的五个维度)和OCI - HD(测量囤积维度)。通过将得分与修订版储蓄量表(SI - R)、囤积评定量表(HRS)和贝克焦虑量表(BAI)进行比较,获得了OCI - OCD和OCI - HD有效性的证据。两个子量表的受试者工作特征曲线表明,用于确定诊断状态的临界分数具有良好的敏感性和特异性。结果表明,OCI - OCD和OCI - HD子量表是可靠且有效的测量工具,能够充分区分DSM - 5诊断组。本文还讨论了OCI - R未来在强迫症和囤积障碍样本中使用的意义。