The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders

BACKGROUND: The Brief Obsessive Compulsive Scale (BOCS), derived from the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) and the children’s version (CY-BOCS), is a short self-report tool used to aid in the assessment of obsessive–compulsive symptoms and diagnosis of obsessive–compulsive disorder (OC...

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Autores principales: Bejerot, Susanne, Edman, Gunnar, Anckarsäter, Henrik, Berglund, Gunilla, Gillberg, Christopher, Hofvander, Björn, Humble, Mats B., Mörtberg, Ewa, Råstam, Maria, Ståhlberg, Ola, Frisén, Louise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4221004/
https://www.ncbi.nlm.nih.gov/pubmed/24568661
http://dx.doi.org/10.3109/08039488.2014.884631
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author Bejerot, Susanne
Edman, Gunnar
Anckarsäter, Henrik
Berglund, Gunilla
Gillberg, Christopher
Hofvander, Björn
Humble, Mats B.
Mörtberg, Ewa
Råstam, Maria
Ståhlberg, Ola
Frisén, Louise
author_facet Bejerot, Susanne
Edman, Gunnar
Anckarsäter, Henrik
Berglund, Gunilla
Gillberg, Christopher
Hofvander, Björn
Humble, Mats B.
Mörtberg, Ewa
Råstam, Maria
Ståhlberg, Ola
Frisén, Louise
author_sort Bejerot, Susanne
collection PubMed
description BACKGROUND: The Brief Obsessive Compulsive Scale (BOCS), derived from the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) and the children’s version (CY-BOCS), is a short self-report tool used to aid in the assessment of obsessive–compulsive symptoms and diagnosis of obsessive–compulsive disorder (OCD). It is widely used throughout child, adolescent and adult psychiatry settings in Sweden but has not been validated up to date. AIM: The aim of the current study was to examine the psychometric properties of the BOCS amongst a psychiatric outpatient population. METHOD: The BOCS consists of a 15-item Symptom Checklist including three items (hoarding, dysmorphophobia and self-harm) related to the DSM-5 category “Obsessive–compulsive related disorders”, accompanied by a single six-item Severity Scale for obsessions and compulsions combined. It encompasses the revisions made in the Y-BOCS-II severity scale by including obsessive–compulsive free intervals, extent of avoidance and excluding the resistance item. 402 adult psychiatric outpatients with OCD, attention-deficit/hyperactivity disorder, autism spectrum disorder and other psychiatric disorders completed the BOCS. RESULTS: Principal component factor analysis produced five subscales titled “Symmetry”, “Forbidden thoughts”, “Contamination”, “Magical thoughts” and “Dysmorphic thoughts”. The OCD group scored higher than the other diagnostic groups in all subscales (P < 0.001). Sensitivities, specificities and internal consistency for both the Symptom Checklist and the Severity Scale emerged high (Symptom Checklist: sensitivity = 85%, specificities = 62–70% Cronbach’s α = 0.81; Severity Scale: sensitivity = 72%, specificities = 75–84%, Cronbach’s α = 0.94). CONCLUSIONS: The BOCS has the ability to discriminate OCD from other non-OCD related psychiatric disorders. The current study provides strong support for the utility of the BOCS in the assessment of obsessive–compulsive symptoms in clinical psychiatry.
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spelling pubmed-42210042014-11-06 The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders Bejerot, Susanne Edman, Gunnar Anckarsäter, Henrik Berglund, Gunilla Gillberg, Christopher Hofvander, Björn Humble, Mats B. Mörtberg, Ewa Råstam, Maria Ståhlberg, Ola Frisén, Louise Nord J Psychiatry Original Article BACKGROUND: The Brief Obsessive Compulsive Scale (BOCS), derived from the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) and the children’s version (CY-BOCS), is a short self-report tool used to aid in the assessment of obsessive–compulsive symptoms and diagnosis of obsessive–compulsive disorder (OCD). It is widely used throughout child, adolescent and adult psychiatry settings in Sweden but has not been validated up to date. AIM: The aim of the current study was to examine the psychometric properties of the BOCS amongst a psychiatric outpatient population. METHOD: The BOCS consists of a 15-item Symptom Checklist including three items (hoarding, dysmorphophobia and self-harm) related to the DSM-5 category “Obsessive–compulsive related disorders”, accompanied by a single six-item Severity Scale for obsessions and compulsions combined. It encompasses the revisions made in the Y-BOCS-II severity scale by including obsessive–compulsive free intervals, extent of avoidance and excluding the resistance item. 402 adult psychiatric outpatients with OCD, attention-deficit/hyperactivity disorder, autism spectrum disorder and other psychiatric disorders completed the BOCS. RESULTS: Principal component factor analysis produced five subscales titled “Symmetry”, “Forbidden thoughts”, “Contamination”, “Magical thoughts” and “Dysmorphic thoughts”. The OCD group scored higher than the other diagnostic groups in all subscales (P < 0.001). Sensitivities, specificities and internal consistency for both the Symptom Checklist and the Severity Scale emerged high (Symptom Checklist: sensitivity = 85%, specificities = 62–70% Cronbach’s α = 0.81; Severity Scale: sensitivity = 72%, specificities = 75–84%, Cronbach’s α = 0.94). CONCLUSIONS: The BOCS has the ability to discriminate OCD from other non-OCD related psychiatric disorders. The current study provides strong support for the utility of the BOCS in the assessment of obsessive–compulsive symptoms in clinical psychiatry. Informa Healthcare 2014-11 2014-02-25 /pmc/articles/PMC4221004/ /pubmed/24568661 http://dx.doi.org/10.3109/08039488.2014.884631 Text en © 2014 Informa Healthcare http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the CC-BY-NC-ND 3.0 License which permits users to download and share the article for non-commercial purposes, so long as the article is reproduced in the whole without changes, and provided the original source is credited.
spellingShingle Original Article
Bejerot, Susanne
Edman, Gunnar
Anckarsäter, Henrik
Berglund, Gunilla
Gillberg, Christopher
Hofvander, Björn
Humble, Mats B.
Mörtberg, Ewa
Råstam, Maria
Ståhlberg, Ola
Frisén, Louise
The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title_full The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title_fullStr The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title_full_unstemmed The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title_short The Brief Obsessive–Compulsive Scale (BOCS): A self-report scale for OCD and obsessive–compulsive related disorders
title_sort brief obsessive–compulsive scale (bocs): a self-report scale for ocd and obsessive–compulsive related disorders
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4221004/
https://www.ncbi.nlm.nih.gov/pubmed/24568661
http://dx.doi.org/10.3109/08039488.2014.884631
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