Storch Eric A, Cheng Jessica Sc, Higham Miranda, Muñoz Josselyn S, Cruz Vanessa Zavala, Berrones Dayan, Obando Diana P, Anderberg Jacey L, Frederick Renee M, Tapia-Cuevas Vissente, Muñoz Macarena Churruca, Villar Constanza Uribe, Moya Pablo R, Ochoa-Panaifo Marcos E, Mallen Mayra C Martinez, Wiese Andrew D, Pinciotti Caitlin M, Sagarnaga Melisa N, McGuire Joseph F, Onyeka Ogechi C, Moyano María B, Goodman Wayne K, Crowley James J
Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, United States.
Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, United States.
Psychiatry Res. 2025 Jun;348:116456. doi: 10.1016/j.psychres.2025.116456. Epub 2025 Apr 9.
The Yale-Brown Obsessive-Compulsive Scale, Second Edition (Y-BOCS-II) is an evidence-based clinician-rated measure for assessing the presence and severity of obsessive-compulsive symptoms. The Spanish version of the Y-BOCS-II has not yet been validated. The present study examines the psychometric properties of the Spanish Y-BOCS-II (Spanish-Y-BOCS-II) in adults with obsessive-compulsive disorder (OCD) who are of Hispanic/Latino ancestry. The Spanish-Y-BOCS-II was administered to 1805 adults with OCD. Participants also completed a battery of measures assessing OCD, depression, and anxiety symptoms. The internal consistency for the Symptom Checklist (Kuder-Richardson-20=0.92), Obsession Severity (α=0.87), Compulsion Severity (α=0.86), and Total Severity (α=0.92) were high. The inter-rater reliability for the Severity Scale (intraclass correlations=0.98) was excellent. Confirmatory factor analyses showed a marginally acceptable fit with the Obsessions and Compulsions two-factor model; subsequent exploratory factor analysis revealed a one-factor solution consistent with a Total score including all items. Satisfactory construct validity was observed, supported by the strong correlations with other measures of obsessive-compulsive symptom severity and moderate correlations with measures of depression and anxiety symptoms. Overall, the Spanish-Y-BOCS-II demonstrates acceptable reliability and validity properties.
耶鲁-布朗强迫症状量表第二版（Y-BOCS-II）是一种基于证据的由临床医生评定的工具，用于评估强迫症状的存在及严重程度。Y-BOCS-II的西班牙语版本尚未经过验证。本研究考察了西班牙语版Y-BOCS-II（Spanish-Y-BOCS-II）在患有强迫症（OCD）的西班牙裔/拉丁裔成年患者中的心理测量学特性。对1805名患有强迫症的成年人施测了Spanish-Y-BOCS-II。参与者还完成了一系列评估强迫症、抑郁和焦虑症状的测量。症状清单的内部一致性（库德-理查森-20系数=0.92）、强迫观念严重程度（α=0.87）、强迫行为严重程度（α=0.86）和总严重程度（α=0.92）都很高。严重程度量表的评分者间信度（组内相关系数=0.98）极佳。验证性因素分析显示与强迫观念和强迫行为两因素模型的拟合勉强可以接受；随后的探索性因素分析揭示了一个单因素解决方案，与包含所有项目的总分一致。观察到满意的结构效度，这得到了与其他强迫症状严重程度测量指标的强相关性以及与抑郁和焦虑症状测量指标的中度相关性的支持。总体而言，Spanish-Y-BOCS-II表现出可接受的信度和效度特性。
