TY - JOUR
T1 - Children's Yale-Brown Obsessive Compulsive Scale
T2 - Reliability and validity
AU - Scahill, Lawrence
AU - Riddle, Mark A.
AU - McSwiggin-Hardin, Maureen
AU - Ort, Sharon I.
AU - King, Robert A.
AU - Goodman, Wayne K.
AU - Cicchetti, Domenic
AU - Leckman, James F.
N1 - Funding Information:
Mr. Scahill is Associate Research Scientist and Associate Clinical Profissor of Nursing, Yale Child Study Center and Yale School of Nursing, New Haven, C7: Dr. Riddle is Associate Projssor and Director, Division of Child and Adolescent Psychiatry, Johns Hopkins Medical Institutions, Baltimore. Ms. Ort is Associate Research Scientist, Dr. King is Associate Profissor, Dr. Leckman is Neison Harris Projssor of Child Psychiaty, and Dr. Cicchetti is a Senior Research Scientist in the Department of Psychiatry and the Yale Child Study Center. Ms. McSwigin-Hardin is Assistant Profisso, Medical College of Georgia,A ugusta. Dr. Goodman is Profisso, Department of Psychiatry, University of Florida, Gainesville. This study was supported in part by Ciba-Geigy Pharmaceuticals and the following USPHSgrants: HD 03008, MH30929, and Program Project 49351 from the NIMH and Research Resources Grant RR00125fiom the NIH. The authors thank Robert T Schultz, Ph.D., Neil1 Epperson, M.D., David Pauls, Ph. D., Bradley S. Peterson, M. D., and Donald J. Cohen, M. D., for sugestions on this manuscript and Derrick Hickey fir technical assistance. Reprint requests to Mr. Scahill, Yale Child Study Center, P.O. BOX 207900, New Haven, CT 06520-7900.
PY - 1997/6
Y1 - 1997/6
N2 - Objective: To evaluate the reliability and validity of a semistructured measure of obsessive-compulsive symptom severity in children and adolescents with obsessive-compulsive disorder (OCD). Method: Sixty-five children with OCD (25 girls and 40 boys, aged 8 to 17 years) were assessed with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Interrater agreement was assessed by four raters in a subsample (n = 24). Discriminant and convergent validity were assessed by comparing CY-BOCS scores to self- ratings of depression, anxiety, and obsessive-compulsive symptoms. Results: Internal consistency was high, measuring .87 for the 10 items. The intraclass correlations for the CY-BOCS Total, Obsession, and Compulsion scores were .84, .91, and .66, suggesting good to excellent interrater agreement for subscale and total scores. The CY-BOCS Total score showed a significantly higher correlation with a self-report of obsessive-compulsive symptoms (r = .62 for the Layton survey) compared with the Children's Depression Inventory (r = .34) and the Children's Manifest Anxiety Scale (r = .37) (p = .02 and .05, respectively). Conclusions: The CY-BOCS yields reliable and valid subscale and total scores for obsessive-compulsive symptom severity in children and adolescents with OCD. Reliability and validity appear to be influenced by age of the child and the hazards associated with integrating data from parental and patient sources.
AB - Objective: To evaluate the reliability and validity of a semistructured measure of obsessive-compulsive symptom severity in children and adolescents with obsessive-compulsive disorder (OCD). Method: Sixty-five children with OCD (25 girls and 40 boys, aged 8 to 17 years) were assessed with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Interrater agreement was assessed by four raters in a subsample (n = 24). Discriminant and convergent validity were assessed by comparing CY-BOCS scores to self- ratings of depression, anxiety, and obsessive-compulsive symptoms. Results: Internal consistency was high, measuring .87 for the 10 items. The intraclass correlations for the CY-BOCS Total, Obsession, and Compulsion scores were .84, .91, and .66, suggesting good to excellent interrater agreement for subscale and total scores. The CY-BOCS Total score showed a significantly higher correlation with a self-report of obsessive-compulsive symptoms (r = .62 for the Layton survey) compared with the Children's Depression Inventory (r = .34) and the Children's Manifest Anxiety Scale (r = .37) (p = .02 and .05, respectively). Conclusions: The CY-BOCS yields reliable and valid subscale and total scores for obsessive-compulsive symptom severity in children and adolescents with OCD. Reliability and validity appear to be influenced by age of the child and the hazards associated with integrating data from parental and patient sources.
KW - Obsessive-compulsive disorder
KW - Psychiatric disorders in children and adolescents
KW - Psychiatric rating scales
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U2 - 10.1097/00004583-199706000-00023
DO - 10.1097/00004583-199706000-00023
M3 - Article
C2 - 9183141
AN - SCOPUS:0030916657
SN - 0890-8567
VL - 36
SP - 844
EP - 852
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 6
ER -