Symptom correspondence between clinicians and patients on the Yale–Brown Obsessive Compulsive Scale |
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| Institution: | 1. Department of Pediatrics, University of South Florida, St. Petersburg, FL, USA;2. Department of Health Management and Policy, University of South Florida, Tampa, FL, USA;3. Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA;4. Department of Psychology, University of South Florida, Tampa, FL, USA;5. Rogers Behavioral Health – Tampa Bay, Tampa, FL, USA;6. All Children''s Hospital—Johns Hopkins Medicine, St. Petersburg, FL, USA;7. Rogers Memorial Hospital, Oconomowoc, WI, USA;8. OCD and Anxiety Psychiatry of Westchester, P.C., Hawthorne, NY, USA;1. Interdisciplinary Laboratory of Clinical Neurosciences (LiNC), Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, SP, Brazil;2. Schizophrenia Program (Proesq), Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, SP, Brazil;3. Department of Mental Health, Mogi das Cruzes School of Medicine (FMUMC)–Hospital das Clínicas Luzia de Pinho Melo–SPDM, Mogi das Cruzes, SP, Brazil;1. Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clínic Universitari, c/ Villarroel 170, 08036 Barcelona, Spain;2. Institut d''Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain;3. Centro de Investigación en Red de Salud Mental (CIBERSAM), Instituto Carlos III, Spain;4. Obsessive-Compulsive Clinical and Research Unit, Department of Psychiatry, Hospital de Bellvitge, Hospitalet de Llobregat, Feixa Llarga s/n, 08907, Hospitalet de Llobregat, Barcelona, Spain;5. Bellvitge Biomedical Research Institute-IDIBELL & Department of Clinical Sciences, Bellvitge Campus, University of Barcelona, Barcelona, Spain;6. Child and Adolescent Psychiatry Unit (UPIA), Department of Psychiatry, Federal University of São Paulo (UNIFESP), Rua Pedro de Toledo 590, 04038-020, São Paulo, Brazil;7. Department of Psychiatry and Clinical Psychobiology, University of Barcelona, c/ Casanova 143, 08036 Barcelona, Spain;1. University of Pennsylvania School of Nursing;2. Department of Psychiatry, Center for Weight and Eating Disorders at the University of Pennsylvania Perelman School of Medicine;3. Department of Medicine, University of Pennsylvania Perelman School of Medicine;4. Department of Psychiatry, The Children''s Hospital of Philadelphia;1. Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy;2. Department of Health Sciences, University of Firenze, via di San Salvi 12, Complesso di San Salvi Padiglione 26, 50135 Firenze, Italy;3. Institute of Neuroscience, (Ridley Building, 4th Floor), Faculty of Medical Sciences, University of Newcastle, Newcastle upon Tyne, Tyne and Wear NE1 7RU, United Kingdom |
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| Abstract: | The present study examined concordance between the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) and its self-report version (Y-BOCS-SR), as well as theoretically derived moderators. Sixty-seven adults (ages 18–67) with obsessive–compulsive disorder (OCD) were administered the Y-BOCS prior to completing self-report measures. The Y-BOCS-SR generated lower scores relative to the clinician-administered Y-BOCS (5.3 points lower). Strong correspondence was shown between the Y-BOCS and Y-BOCS-SR; however, many items exhibited fair to moderate agreement, particularly the resistance and control against obsessions/compulsions items. Depression significantly moderated correspondence such that Y-BOCS-SR scores significantly predicted Y-BOCS scores in the presence of low and average depression levels in our sample, but not for patients with high levels of depression relative to the rest of our sample; gender, generalized anxiety and obsessionality did not significantly impact agreement. Synthesizing the present data, the Y-BOCS-SR demonstrates modest agreement with the Y-BOCS and may underestimate clinical severity especially for those with high levels of depression. |
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