THE OBSESSIVE-COMPULSIVE DRINKING SCALE - A SELF-RATED INSTRUMENT FOR THE QUANTIFICATION OF THOUGHTS ABOUT ALCOHOL AND DRINKING BEHAVIOR
THE OBSESSIVE-COMPULSIVE DRINKING SCALE - A SELF-RATED INSTRUMENT FOR THE QUANTIFICATION OF THOUGHTS ABOUT ALCOHOL AND DRINKING BEHAVIOR
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DOI：
10.1111/j.1530-0277.1995.tb01475.x
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发表时间：
1995-02-01
影响因子：
3.2
通讯作者：
LATHAM, P
中科院分区：
文献类型：
--
作者：
ANTON, RF;MOAK, DH;LATHAM, P
有人提出，酒精“渴望”的一个重要方面包括对酒精使用的强迫性思维和对饮酒的强迫性行为。一种基于访谈的评定量表，耶鲁-布朗强迫量表-重度饮酒者(YBOCS-HD)，被发现在量化酒精依赖个人的这一概念方面很有用。强迫性饮酒量表(OCDS)是我们在YBOCS-HD的基础上开发的一种自我评定量表。YBOCS-HD在我们手中显示了极好的评分器可靠性。60名酒精依赖者的YBOCS-HD与OCDs总分的相关系数为0.83。强迫症总分的重测相关系数为0.96，强迫和强迫分量表的重测相关系数分别为0.94和0.86。OCDs条目的内部一致性很高(0.86)，并且不会随着个别条目的移除而显著提高。在评估期间，强迫症评分和饮酒量之间的共同方差仅为20%，表明该量表测量的维度在一定程度上独立于实际饮酒量。因此，它可以作为酒精依赖者“疾病状态”的独立衡量标准。在一项为期12周的前瞻性治疗研究中使用时，初步结果表明，OCDS似乎有效地衡量了酒精依赖的一个维度，因为在戒酒期间，它比基线有所下降，与再次饮酒的关系增加。OCDs的简便性(5分钟)、可靠性和同时有效性使其特别适合作为各种类型的临床治疗和研究方案的筛查和结果测量工具。
It has been suggested that a crucial dimension of alcohol ''craving'' includes the concept of both obsessive thoughts about alcohol use and compulsive behaviors toward drinking. An interview-based rating scale, the Yale-Brown Obsessive Compulsive Scale-heavy drinkers (YBOCS-hd), has been found useful in quantifying this concept in alcohol-dependent individuals. A self-rating scale, the Obsessive Compulsive Drinking Scale (OCDS) has been developed by us as a modification of the YBOCS-hd. The YBOCS-hd showed excellent interrater reliability in our hands. The correlation between the YBOCS-hd and the OCDS total scores obtained on 60 alcohol-dependent individuals was 0.83. The test-retest correlation for the OCDS total score was 0.96, and the obsessive and compulsive subscales test-retest correlations were 0.94 and 0.86, respectively. The internal consistency of the items in the OCDS was high (0.86) and did not improve significantly with removal of individual items. The shared variance between the OCDS scores and alcohol consumption during the period of evaluation was only similar to 20%, indicating that the dimension measured by the scale was somewhat independent of actual drinking. As such, it might act as an independent measure of the ''state of illness'' for alcohol-dependent individuals.When used during a prospective 12-week treatment research study, initial results indicate that the OCDS seems to validly measure a dimension of alcohol dependence, because it decreased from baseline during alcohol reduction and increased in relationship to relapse drinking. The ease of administration (5 min), reliability, and concurrent validity of the OCDS makes it particularly suitable as a screening and outcome measurement tool for various types of clinical treatment and research protocols.