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The Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) is the instrument of choice for assessing symptom severity in older children (i.e., 8–18 years) diagnosed with obsessive-compulsive disorder (OCD). The reliability and validity of this measure for use among younger children (i.e., 5–8 years of age), however, has never been examined. The primary aim of this study was to examine this scale’s use among those presenting with early childhood OCD. Forty-two children with OCD between the ages of 4 and 8 years of age were recruited as part of a larger treatment outcome study, and the reliability and validity of the CY-BOCS was examined. Results revealed questionable reliability for the measure’s 5-item Obsessions subscale but good reliability (i.e., internal consistency, temporal stability) for the 5-item Compulsions subscale and 10-item total scale. Results also revealed that the CY-BOCS total scale demonstrated mixed discriminant validity but strong convergent validity and sensitive to change. Collectively, the 10-item, CY-BOCS total score yields a reliable and valid scale for the assessment of symptom severity in early childhood OCD. However, we urge caution in use of the Obsessions subscale in isolation for either clinical or research purposes. Limitations and future areas of research are discussed including the potential benefit of developing a measure of OCD-related symptom severity specifically for younger children with greater attention to developmental differences among children within this population.
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Adams, G., Waas, G., March, J., & Smith, M. (1994). Obsessive-compulsive disorder in children and adolescents: the role of the school psychologist in identification, assessment, and treatment. School Psychology Quarterly, 9, 274–294. CrossRef
Freeman, J. B., Garcia, A. M., Coyne, L., & Leonard, H. L. (2007). Family-based cognitive-behavioral treatment for early childhood OCD: Preliminary findings.Unpublished manuscript.
Insel, T. R., Murphy, D. L., Cohen, R. M., Alterman, I., Kilts, C., & Linniola, M. (1983). Obsessive-compulsive disorder: a double blind trial of clomipramine and clorgyline. Archives of General Psychiatry, 40, 605–612. PubMed
Leonard, H. L., Lenane, M., & Swedo, S. E. (1993). Obsessive-compulsive disorder. Child and Adolescent Psychiatric Clinics of North America, 2(4), 655–665.
Pediatric OCD Treatment Study (POTS) Team. (2004). Cognitive-behavior therapy, sertraline, and their combination with children and adolescents with Obessive-Compulsive Disorder: The Pediatric OCD Treatment Study (POTS) randomized controlled trial. JAMA, 292(16), 1969–1976. CrossRef
Secord, P., & Peevers, B. (1974). The development and attribution of person concepts. In T. Mischel (Ed.), Understanding other persons (pp. 117–142). Oxford: Blackwell Scientific Publications.
Selman, R. (1980). The growth of interpersonal understanding. New York: Academic.
Valleni-Basile, L. A., Garrison, C. Z., Jackson, K. L., Waller, J. L., McKeown, R. E., Addy, C. L., et al. (1995). Frequency of obsessive-compulsive disorder in a community sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(2), 128–129. PubMedCrossRef
Zohar, A. H. (1999). The epidemiology of obsessive-compulsive disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 8(3), 445–461. PubMed
- The Children’s Yale-Brown Obsessive Compulsive Scale: Reliability and Validity for Use Among 5 to 8 Year Olds with Obsessive-Compulsive Disorder
Christopher A. Flessner
- Springer US