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Behavioral avoidance test for obsessive compulsive disorder

G Steketee1, D L Chambless, G Q Tran

  • 1Boston University School of Social Work, MA 02215, USA.

Behaviour Research and Therapy
|January 1, 1996
PubMed
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This study introduces a versatile Behavioral Avoidance Test (BAT) for Obsessive Compulsive Disorder (OCD), demonstrating its effectiveness in measuring treatment outcomes across diverse symptoms and validating its psychometric properties for clinical research.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Behavioral Avoidance Tests (BATs) are rarely used in Obsessive Compulsive Disorder (OCD) treatment studies due to symptom variability.
  • Existing BATs for OCD show mixed validity but good treatment sensitivity.

Purpose of the Study:

  • To present psychometric findings for a novel multi-step/multi-task BAT for OCD.
  • To assess the validity and treatment sensitivity of this comprehensive behavioral measure.
  • To provide practical examples and scoring strategies for researchers.

Main Methods:

  • A multi-step/multi-task BAT was administered to 50 clients diagnosed with OCD.
  • The BAT assessed percentage of steps completed, subjective anxiety, global avoidance, and rituals.

Related Experiment Videos

  • Psychometric properties, including convergent and divergent validity and treatment sensitivity, were evaluated using effect size calculations.

    • Main Results:

    • The BAT demonstrated good convergent and divergent validity.
    • The measure showed significant treatment sensitivity.
    • A composite score combining behavioral and subjective measures also performed well psychometrically.

    Conclusions:

    • The developed multi-step/multi-task BAT is a psychometrically sound measure for assessing OCD treatment outcomes.
    • This BAT is sensitive to treatment changes and adaptable to diverse OCD symptom presentations.
    • The study provides practical guidance for implementing BATs in OCD research.