An ultra-brief screening scale for pediatric obsessive-compulsive disorder: The OCI-CV-5

Amitai Abramovitch; Jonathan S Abramowitz; Dean McKay; Heining Cham; Kennedy S Anderson; Lara J Farrell; Daniel A Geller; Gregory L Hanna; Sharna Mathieu; Joseph F McGuire; David R Rosenberg; S Evelyn Stewart; Eric A Storch; Sabine Wilhelm

doi:10.1016/j.jad.2022.06.009

An ultra-brief screening scale for pediatric obsessive-compulsive disorder: The OCI-CV-5

J Affect Disord. 2022 Sep 1:312:208-216. doi: 10.1016/j.jad.2022.06.009. Epub 2022 Jun 11.

Authors

Affiliations

¹ Department of Psychology, Texas State University, San Marcos, TX, USA; Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA. Electronic address: abramovitch@txstate.edu.
² Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
³ Department of Psychology Fordham University, Bronx, NY, USA.
⁴ Department of Psychology, Texas State University, San Marcos, TX, USA.
⁵ School of Applied Psychology, Griffith University, Gold Coast, Australia.
⁶ Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
⁷ Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
⁸ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA.
⁹ Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA.
¹⁰ University of British Columbia/British Columbia Children's Hospital, British Columbia Mental Health and Substance Use Services Research Institute, Vancouver, Canada.
¹¹ Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.

Abstract

Background: 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.

Method: 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.

Results: 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.

Limitations: Participants were predominantly White. In addition, more research is needed to examine the OCI-CV-5's test-retest reliability and sensitivity to treatment.

Conclusions: The OCI-CV-5 shows promise as an ultra-brief self-report screener for identifying OCD in youth when in-depth assessment is unfeasible.

Keywords: Adolescents; Assessment; Brief screening measure; OCD; Pediatric.

Publication types

Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Adolescent
Child
Humans
Obsessive-Compulsive Disorder* / diagnosis
Psychiatric Status Rating Scales
Psychometrics / methods
Reproducibility of Results
Surveys and Questionnaires

Abstract

Publication types

MeSH terms

Grants and funding