Department of Psychology, Texas State University, San Marcos, TX, USA; Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA.
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Affect Disord. 2022 Sep 1;312:208-216. doi: 10.1016/j.jad.2022.06.009. Epub 2022 Jun 11.
Obsessive-compulsive disorder (OCD) is an often disabling and chronic condition that is normally assessed using diagnostic interviews or lengthy self-report questionnaires. This makes routine screening in general health settings impractical, and as a result OCD is often under-(or mis-)recognized. The present study reports on the development of an ultra-brief version of the Obsessive-Compulsive Inventory-Child Version (OCI-CV) which may be administered routinely as a screener for pediatric OCD.
A total of 489 youth diagnosed with OCD, 259 non-clinical controls, and 299 youth with other disorders completed the OCI-CV and other indices of psychopathology. Using item analyses, we extracted five items and examined the measure's factor structure, sensitivity and specificity, and convergent and discriminant validity.
We extracted five items that assess different dimensions of OCD (washing, checking, ordering, obsessing, neutralizing/counting), termed the OCI-CV-5. Results revealed that the measure possesses good to excellent psychometric properties, and a cutoff off (≥2) yielded optimal sensitivity and specificity.
Participants were predominantly White. In addition, more research is needed to examine the OCI-CV-5's test-retest reliability and sensitivity to treatment.
The OCI-CV-5 shows promise as an ultra-brief self-report screener for identifying OCD in youth when in-depth assessment is unfeasible.
强迫症（OCD）是一种常见的致残和慢性疾病，通常通过诊断性访谈或冗长的自我报告问卷进行评估。这使得在一般健康环境中进行常规筛查变得不切实际，因此 OCD 常常被低估（或误诊）。本研究报告了一种超简短的强迫症清单儿童版（OCI-CV）的开发，该版本可能作为儿童 OCD 的筛查工具常规使用。
共有 489 名被诊断为 OCD 的青少年、259 名非临床对照者和 299 名患有其他障碍的青少年完成了 OCI-CV 和其他心理病理学指标的测试。通过项目分析，我们提取了 5 个项目，并考察了该测量的结构、敏感性和特异性，以及收敛和区分效度。
我们提取了 5 个项目来评估 OCD 的不同维度（洗涤、检查、排序、痴迷、中和/计数），称为 OCI-CV-5。结果表明，该测量具有良好到优秀的心理测量学特性，而得分≥2 则具有最佳的敏感性和特异性。
参与者主要为白人。此外，还需要更多的研究来检验 OCI-CV-5 的重测信度和对治疗的敏感性。
当深入评估不可行时，OCI-CV-5 作为一种超简短的自我报告筛查工具，有望用于识别青少年中的 OCD。
