Consistency between self-report and clinician-administered versions of the Yale-Brown Obsessive–Compulsive Scale

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• 作者：Anita Federici ; Laura J. Summerfeldt ; Jennifer L. Harrington ; R ; i E. McCabe ; Christine L. Purdon ; Karen Rowa ; Martin M. Antony
• 刊名：Journal of Anxiety Disorders
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：24
• 期：7
• 页码：729-733
• 全文大小：140 K

文摘

Background

Preliminary efforts to demonstrate the utility of a self-rated version of the Yale-Brown Obsessive–Compulsive Scale (Y-BOCS) have been promising; however, earlier reports are based on small clinical samples. The objective of the present study was to evaluate the level of agreement between the clinician-administered Y-BOCS and a self-report version.

Methods

Participants included 86 individuals with a principal diagnosis of obsessive–compulsive disorder (OCD). All participants were given the self-report version of the Y-BOCS to complete offsite and instructed to return it at a second assessment session (within a 2-week time frame), at which time a trained and experienced clinician administered the Y-BOCS interview.

Results

The two versions were moderately correlated with the highest correlation observed for the Compulsions subscale. Comparison of scores for individual items revealed several inconsistencies between the two measures: level of agreement was low for resistance items, and the interview version generated higher compulsion severity ratings.

Conclusions

The study provided moderate support for the convergence of the self-report and clinician-administered version of the Y-BOCS, however, important difference were detected between the two assessment methods.