在寻求治疗的青少年样本中对维度强迫症量表进行心理计量学测试

Nicholas R. Farrell, Catherine W MacDonald, Mia Nuñez, Andreas Rhode, Nicholas Lume, Patrick B. McGrath, Marina Baskova, Eli Wilson, Jonathan S. Abramowitz, Jamie D. Feusner
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摘要

维度强迫量表(DOCS)是针对现有强迫症(OCD)症状自我报告量表的一些局限性而开发的,它被认为是一种在心理计量学上对成人强迫症症状进行评估的可靠方法。然而,迄今为止,DOCS 的心理测量性能尚未在青少年样本中进行过研究。本研究针对文献中的这一空白,通过对大量样本(182 人)中被诊断为强迫症的寻求治疗的青少年进行研究,考察了 DOCS 的心理测量特性。结果表明,DOCS 与青少年强迫症评估量表具有良好的趋同效度,对治疗相关症状严重程度变化的影响也具有类似的敏感性。在青少年样本中,DOCS 还保持了其原有的四因素结构,这与成人样本中的结果相似,支持了所包含的四个子量表的一致性。总的来说,DOCS 似乎是一种很有前途的评估青少年强迫症症状严重程度和强迫症治疗反应的方法。
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A Psychometric Examination of the Dimensional Obsessive Compulsive Scale in a Treatment-Seeking Youth Sample
The Dimensional Obsessive Compulsive Scale (DOCS) was developed to address several limitations of existing self-report measures of obsessive compulsive disorder (OCD) symptoms, and has been found to be a psychometrically sound method of assessing OCD symptoms in adults. However, to date, the psychometric performance of the DOCS has not been studied in a youth sample. The present study addressed this gap in the literature by examining the psychometric properties of the DOCS in a large sample (n=182) of treatment-seeking youth diagnosed with OCD. Results indicated that the DOCS showed good convergent validity with a youth OCD assessment scale, as well as similar sensitivity to the effects of treatment-related change in symptom severity. The DOCS also maintained its original four-factor structure in the youth sample, similar to findings in adults, supporting the consistency of the four subscales included. Overall, the DOCS appears to represent a promising method for assessing OCD symptom severity and response to treatment of OCD in youth.
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