Performance of clinician versus self-report measures to identify obsessive-compulsive disorder in children and adolescents
The aim of this study was to study agreement between clinician-rated measures and self-report measures previously used in epidemiologic studies to identify obsessive-compulsive disorder (OCD) in youth and to determine the adequacy of self-report measures as screening instruments. Leyton Obsessional...
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| Veröffentlicht in: | Journal of child and adolescent psychopharmacology 2005-12, Vol.15 (6), p.956-963 |
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| creator | Stewart, S Evelyn Ceranoglu, T Atilla O'Hanley, Tara Geller, Daniel A |
| description | The aim of this study was to study agreement between clinician-rated measures and self-report measures previously used in epidemiologic studies to identify obsessive-compulsive disorder (OCD) in youth and to determine the adequacy of self-report measures as screening instruments.
Leyton Obsessional Inventory-Child Version (LOI-CV) survey form self-report and Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) clinician-report measures were compared in a sample of 81 OCD-affected youths diagnosed using structured diagnostic interviews and the best-estimate method. Sensitivities and agreement between tests are determined for different cutoff scores.
The LOI-CV survey form total (item+interference) score is correlated with KSADS-E OCD severity (r=0.37, p=0.001) but not clinician-rated GAF scores (r=-0.18, p=0.12). LOI-CV survey form sensitivities at cutoff scores of 15, 20, 25, and 30 are 55%, 36%, 28%, and 19%, respectively. CY-BOCS scores are correlated with subject-rated interview severity (p |
| doi_str_mv | 10.1089/cap.2005.15.956 |
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Leyton Obsessional Inventory-Child Version (LOI-CV) survey form self-report and Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) clinician-report measures were compared in a sample of 81 OCD-affected youths diagnosed using structured diagnostic interviews and the best-estimate method. Sensitivities and agreement between tests are determined for different cutoff scores.
The LOI-CV survey form total (item+interference) score is correlated with KSADS-E OCD severity (r=0.37, p=0.001) but not clinician-rated GAF scores (r=-0.18, p=0.12). LOI-CV survey form sensitivities at cutoff scores of 15, 20, 25, and 30 are 55%, 36%, 28%, and 19%, respectively. CY-BOCS scores are correlated with subject-rated interview severity (p<0.001) and clinician-rated GAF scores (p<or=0.05). CY-BOCS sensitivities at cutoff scores of 8, 10, 12, and 14 are 100%, 99%, 98%, and 90%. The cutoff scores required for greater than 95% sensitivity of the LOI-CV survey form and the CY-BOCS, respectively, are 2 and 12. LOI-CV survey form total scores do not correlate with CY-BOCS total or obsession subscores (p>or=0.03), but correlate with the CY-BOCS compulsion subscore.
The clinician-rated CY-BOCS measure using parent and child reporting performs superiorly to the subject-rated LOI-CV measure using child reporting to identify pediatric OCD in a clinically referred population. Because self-report measures have been used in epidemiological studies, youth OCD prevalence rates may be higher than previously reported.</description><identifier>ISSN: 1044-5463</identifier><identifier>EISSN: 1557-8992</identifier><identifier>DOI: 10.1089/cap.2005.15.956</identifier><identifier>PMID: 16379516</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adolescent ; Child ; Children & youth ; Epidemiology ; Female ; Humans ; Male ; Medical diagnosis ; Neuroses ; Obsessive-Compulsive Disorder - diagnosis ; Obsessive-Compulsive Disorder - parasitology ; Personality Assessment - statistics & numerical data ; Personality Inventory - statistics & numerical data ; Psychometrics - statistics & numerical data ; Reproducibility of Results ; Statistics as Topic ; Teenagers</subject><ispartof>Journal of child and adolescent psychopharmacology, 2005-12, Vol.15 (6), p.956-963</ispartof><rights>(©) Copyright 2005, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-be417b2bb7e2838edefef0ac14672ea2236c9fd001a1e47870921753fded4eb73</citedby><cites>FETCH-LOGICAL-c322t-be417b2bb7e2838edefef0ac14672ea2236c9fd001a1e47870921753fded4eb73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3028,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16379516$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stewart, S Evelyn</creatorcontrib><creatorcontrib>Ceranoglu, T Atilla</creatorcontrib><creatorcontrib>O'Hanley, Tara</creatorcontrib><creatorcontrib>Geller, Daniel A</creatorcontrib><title>Performance of clinician versus self-report measures to identify obsessive-compulsive disorder in children and adolescents</title><title>Journal of child and adolescent psychopharmacology</title><addtitle>J Child Adolesc Psychopharmacol</addtitle><description>The aim of this study was to study agreement between clinician-rated measures and self-report measures previously used in epidemiologic studies to identify obsessive-compulsive disorder (OCD) in youth and to determine the adequacy of self-report measures as screening instruments.
Leyton Obsessional Inventory-Child Version (LOI-CV) survey form self-report and Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) clinician-report measures were compared in a sample of 81 OCD-affected youths diagnosed using structured diagnostic interviews and the best-estimate method. Sensitivities and agreement between tests are determined for different cutoff scores.
The LOI-CV survey form total (item+interference) score is correlated with KSADS-E OCD severity (r=0.37, p=0.001) but not clinician-rated GAF scores (r=-0.18, p=0.12). LOI-CV survey form sensitivities at cutoff scores of 15, 20, 25, and 30 are 55%, 36%, 28%, and 19%, respectively. CY-BOCS scores are correlated with subject-rated interview severity (p<0.001) and clinician-rated GAF scores (p<or=0.05). CY-BOCS sensitivities at cutoff scores of 8, 10, 12, and 14 are 100%, 99%, 98%, and 90%. The cutoff scores required for greater than 95% sensitivity of the LOI-CV survey form and the CY-BOCS, respectively, are 2 and 12. LOI-CV survey form total scores do not correlate with CY-BOCS total or obsession subscores (p>or=0.03), but correlate with the CY-BOCS compulsion subscore.
The clinician-rated CY-BOCS measure using parent and child reporting performs superiorly to the subject-rated LOI-CV measure using child reporting to identify pediatric OCD in a clinically referred population. Because self-report measures have been used in epidemiological studies, youth OCD prevalence rates may be higher than previously reported.</description><subject>Adolescent</subject><subject>Child</subject><subject>Children & youth</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Neuroses</subject><subject>Obsessive-Compulsive Disorder - diagnosis</subject><subject>Obsessive-Compulsive Disorder - parasitology</subject><subject>Personality Assessment - statistics & numerical data</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Reproducibility of Results</subject><subject>Statistics as Topic</subject><subject>Teenagers</subject><issn>1044-5463</issn><issn>1557-8992</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkc9rFTEQx4Motn169ibBg7d9zY9NsnuUUq1Q0IOeQzaZYMpusmZ2C_WvN48-EGQO8z18Z_jOfAh5x9mRs2G89m49CsbUkavjqPQLcsmVMt0wjuJl06zvO9VreUGuEB8Y41Iz_ZpccC3NqLi-JH--Q42lLi57oCVSP6ecfHKZPkLFHSnCHLsKa6kbXcDhXgHpVmgKkLcUn2iZEBDTI3S-LOs-nyQNCUsNUGnK1P9Kc6iQqcuBulBmQN9m8Q15Fd2M8PbcD-Tn59sfN3fd_bcvX28-3XdeCrF1E_TcTGKaDIhBDhAgQmTO814bAU4Iqf0YQzvOcejNYNgouFEyBgg9TEYeyMfnvWstv3fAzS6pJZhnl6HsaPXY3iRH2Ywf_jM-lL3mls0K1mslT3Ug188mXwtihWjXmhZXnyxn9sTENib2xMRyZRuTNvH-vHafFgj__GcI8i9r94rg</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Stewart, S Evelyn</creator><creator>Ceranoglu, T Atilla</creator><creator>O'Hanley, Tara</creator><creator>Geller, Daniel A</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7RV</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Performance of clinician versus self-report measures to identify obsessive-compulsive disorder in children and adolescents</title><author>Stewart, S Evelyn ; Ceranoglu, T Atilla ; O'Hanley, Tara ; Geller, Daniel A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-be417b2bb7e2838edefef0ac14672ea2236c9fd001a1e47870921753fded4eb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Children & youth</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Neuroses</topic><topic>Obsessive-Compulsive Disorder - diagnosis</topic><topic>Obsessive-Compulsive Disorder - parasitology</topic><topic>Personality Assessment - statistics & numerical data</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Psychometrics - statistics & numerical data</topic><topic>Reproducibility of Results</topic><topic>Statistics as Topic</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stewart, S Evelyn</creatorcontrib><creatorcontrib>Ceranoglu, T Atilla</creatorcontrib><creatorcontrib>O'Hanley, Tara</creatorcontrib><creatorcontrib>Geller, Daniel A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of child and adolescent psychopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stewart, S Evelyn</au><au>Ceranoglu, T Atilla</au><au>O'Hanley, Tara</au><au>Geller, Daniel A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of clinician versus self-report measures to identify obsessive-compulsive disorder in children and adolescents</atitle><jtitle>Journal of child and adolescent psychopharmacology</jtitle><addtitle>J Child Adolesc Psychopharmacol</addtitle><date>2005-12</date><risdate>2005</risdate><volume>15</volume><issue>6</issue><spage>956</spage><epage>963</epage><pages>956-963</pages><issn>1044-5463</issn><eissn>1557-8992</eissn><abstract>The aim of this study was to study agreement between clinician-rated measures and self-report measures previously used in epidemiologic studies to identify obsessive-compulsive disorder (OCD) in youth and to determine the adequacy of self-report measures as screening instruments.
Leyton Obsessional Inventory-Child Version (LOI-CV) survey form self-report and Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) clinician-report measures were compared in a sample of 81 OCD-affected youths diagnosed using structured diagnostic interviews and the best-estimate method. Sensitivities and agreement between tests are determined for different cutoff scores.
The LOI-CV survey form total (item+interference) score is correlated with KSADS-E OCD severity (r=0.37, p=0.001) but not clinician-rated GAF scores (r=-0.18, p=0.12). LOI-CV survey form sensitivities at cutoff scores of 15, 20, 25, and 30 are 55%, 36%, 28%, and 19%, respectively. CY-BOCS scores are correlated with subject-rated interview severity (p<0.001) and clinician-rated GAF scores (p<or=0.05). CY-BOCS sensitivities at cutoff scores of 8, 10, 12, and 14 are 100%, 99%, 98%, and 90%. The cutoff scores required for greater than 95% sensitivity of the LOI-CV survey form and the CY-BOCS, respectively, are 2 and 12. LOI-CV survey form total scores do not correlate with CY-BOCS total or obsession subscores (p>or=0.03), but correlate with the CY-BOCS compulsion subscore.
The clinician-rated CY-BOCS measure using parent and child reporting performs superiorly to the subject-rated LOI-CV measure using child reporting to identify pediatric OCD in a clinically referred population. Because self-report measures have been used in epidemiological studies, youth OCD prevalence rates may be higher than previously reported.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>16379516</pmid><doi>10.1089/cap.2005.15.956</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Child Children & youth Epidemiology Female Humans Male Medical diagnosis Neuroses Obsessive-Compulsive Disorder - diagnosis Obsessive-Compulsive Disorder - parasitology Personality Assessment - statistics & numerical data Personality Inventory - statistics & numerical data Psychometrics - statistics & numerical data Reproducibility of Results Statistics as Topic Teenagers |
| title | Performance of clinician versus self-report measures to identify obsessive-compulsive disorder in children and adolescents |
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