An ultra-brief screening scale for pediatric obsessive-compulsive disorder: The OCI-CV-5.
Amitai Abramovitch1, Jonathan S Abramowitz2, Dean McKay3
1Department of Psychology, Texas State University, San Marcos, TX, USA; Department of Psychiatry, Massachusetts General Hospital Boston, MA, USA.
Journal of Affective Disorders
|June 13, 2022
Summary
A new ultra-brief Obsessive-Compulsive Inventory-Child Version (OCI-CV-5) effectively screens for pediatric obsessive-compulsive disorder (OCD). This five-item tool aids in early identification when lengthy assessments are not feasible.
Area of Science:
- Child and Adolescent Psychiatry
- Psychometric Measurement
- Mental Health Screening
Background:
- Obsessive-compulsive disorder (OCD) is a chronic condition often underdiagnosed due to lengthy assessment methods.
- Routine screening for pediatric OCD in general health settings is challenging.
- Current diagnostic interviews and questionnaires are impractical for frequent use.
Purpose of the Study:
- To develop an ultra-brief screening tool for pediatric OCD.
- To create a version of the Obsessive-Compulsive Inventory-Child Version (OCI-CV) suitable for rapid administration.
- To facilitate early identification of OCD in youth.
Main Methods:
- Development of a five-item measure (OCI-CV-5) from the original OCI-CV.
- Analysis of data from 489 youth with OCD, 259 controls, and 299 with other disorders.
- Examination of factor structure, sensitivity, specificity, and validity.
Main Results:
- The OCI-CV-5 effectively assesses different dimensions of OCD.
- The measure demonstrated good to excellent psychometric properties.
- A cutoff score of ≥2 achieved optimal sensitivity and specificity for identifying OCD.
Conclusions:
- The OCI-CV-5 is a promising ultra-brief self-report screener for pediatric OCD.
- This tool can aid in identifying youth with OCD when in-depth assessment is not feasible.
- Further research on test-retest reliability and treatment sensitivity is warranted.
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