Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 550 North Broadway, Baltimore, MD 21224, USA; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Center for OCD, Anxiety, and Related Disorders for Children, Johns Hopkins University School of Medicine, 550 North Broadway, Suite 206, Baltimore, MD 21205, USA.
Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 550 North Broadway, Baltimore, MD 21224, USA; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Center for OCD, Anxiety, and Related Disorders for Children, Johns Hopkins University School of Medicine, 550 North Broadway, Suite 206, Baltimore, MD 21205, USA.
Psychiatr Clin North Am. 2023 Mar;46(1):17-38. doi: 10.1016/j.psc.2022.10.001. Epub 2022 Dec 12.
Obsessive-compulsive disorder (OCD) is an impairing mental health disease, generally beginning in childhood, affecting up to ∼3% of the population. Using evidence-based assessments (EBAs) is the starting point for the accurate diagnosis and treatment of OCD. EBAs consist of structured and semistructured clinician-administered interviews, parent-report and child-report, and self-report for adults. This article details the practical application, psychometric properties, and limitations of available assessments to determine the presence of OCD and evaluate OCD symptom severity. The following reviews measurement of constructs relevant to OCD (ie, insight, family accommodation, impairment) and details considerations for best clinical interview practices.
强迫症（OCD）是一种损害心理健康的疾病，通常在儿童时期开始，影响多达约 3%的人口。使用基于证据的评估（EBAs）是 OCD 准确诊断和治疗的起点。EBAs 包括结构化和半结构化的临床医生管理访谈、父母报告和儿童报告，以及成人的自我报告。本文详细介绍了可用评估的实际应用、心理测量特性和局限性，以确定 OCD 的存在并评估 OCD 症状的严重程度。以下内容回顾了与 OCD 相关的构建（即洞察力、家庭适应、障碍）的测量，并详细说明了最佳临床访谈实践的考虑因素。
