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Assessing Core Affective Dimensions in OCD: Development and Validation of the Obsessive-Compulsive Core Dimensions
Gabriele Melli1, Claudia Carraresi1, Antonella Lebruto1
1Institute for Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy.
The Obsessive-Compulsive Core Dimensions Scale (OC-CDS) effectively measures guilt, disgust, and not just right experiences in obsessive-compulsive disorder (OCD). This validated tool aids in understanding OCD
Area of Science:
- Psychiatry and Clinical Psychology
- Psychometrics
Background:
- Obsessive-compulsive disorder (OCD) involves obsessions and compulsions linked to guilt, disgust, and not just right experiences (NJREs).
- Previous research often analyzed these affective dimensions separately, neglecting their interactions.
- A validated scale is needed to simultaneously assess these core dimensions driving OCD symptoms.
Purpose of the Study:
- To develop and validate the Obsessive-Compulsive Core Dimensions Scale (OC-CDS).
- To simultaneously assess guilt avoidance, disgust avoidance, and NJRE avoidance in individuals with OCD.
- To provide a tool for a more comprehensive understanding of OCD's affective motivations.
Main Methods:
- Two studies were conducted on Italian non-clinical samples.
- Scale development involved item refinement, resulting in an 18-item measure.
- Factorial validity was confirmed using exploratory and confirmatory factor analysis.
Main Results:
- The OC-CDS demonstrated a robust three-factor structure with excellent fit indices.
- The scale exhibited good reliability, temporal stability, construct validity, and predictive validity.
- The findings support the scale's psychometric robustness in assessing OCD's core affective dimensions.
Conclusions:
- The OC-CDS is a psychometrically sound self-report measure for assessing guilt, disgust, and NJRE avoidance in OCD.
- The scale facilitates a more comprehensive evaluation of OCD's underlying affective motivations.
- Findings suggest clinical utility for personalized OCD interventions based on predominant emotional drivers.
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