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Clinical Considerations for an Evidence-Based Assessment for Obsessive-Compulsive Disorder
Ainsley K Patrick1, Kesley A Ramsey1, Joey K-Y Essoe1
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 550 North Broadway, Baltimore, MD 21224, USA; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Center for OCD, Anxiety, and Related Disorders for Children, Johns Hopkins University School of Medicine, 550 North Broadway, Suite 206, Baltimore, MD 21205, USA.
Accurate diagnosis of obsessive-compulsive disorder (OCD) relies on evidence-based assessments (EBAs). This review details practical applications, properties, and limitations of available OCD diagnostic tools for children and adults.
Area of Science:
- Psychiatry
- Clinical Psychology
- Child and Adolescent Mental Health
Background:
- Obsessive-compulsive disorder (OCD) is a prevalent and impairing mental health condition, often emerging in childhood.
- Effective diagnosis and treatment of OCD necessitate the use of evidence-based assessments (EBAs).
Purpose of the Study:
- To provide a comprehensive review of available EBAs for OCD diagnosis and symptom severity evaluation.
- To detail the practical application, psychometric properties, and limitations of various OCD assessment tools.
- To discuss the measurement of OCD-related constructs and best clinical interview practices.
Main Methods:
- Review of existing literature on EBAs for OCD.
- Analysis of structured and semi-structured interviews (clinician, parent, child, and adult self-report).
- Examination of psychometric properties and practical considerations for assessment tools.
Main Results:
- EBAs are crucial for accurate OCD diagnosis and treatment planning.
- A range of assessment tools exist, including interviews and self-report measures, each with specific applications and limitations.
- Measurement of related constructs like insight, family accommodation, and impairment is also reviewed.
Conclusions:
- The selection and application of appropriate EBAs are fundamental for the effective management of OCD.
- Understanding the strengths and weaknesses of different assessment methods is vital for clinicians.
- This review serves as a practical guide for utilizing EBAs in OCD assessment.
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