Interrater reliability and clinical efficacy of Children's Yale-Brown Obsessive-Compulsive Scale in an outpatient setting
Interrater reliability and clinical efficacy of Children's Yale-Brown Obsessive-Compulsive Scale in an outpatient setting
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DOI：
10.1016/j.comppsych.2005.04.005
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发表时间：
2006-01-01
影响因子：
7.3
通讯作者：
Fisek, G
中科院分区：
文献类型：
--
作者：
Yucelen, AG;Rodopman-Arman, A;Fisek, G
目的：为了评估的土耳其版本的儿童耶鲁-布朗强迫症量表（CY-BOCS）的评分者间的可靠性和测量的临床疗效使用linician-rated印象量表在临床outpatient setting.Method：数据收集自19 nonmedicated儿童和青少年（6名女孩，13名男孩，平均年龄14 +/- 2.25岁）与强迫症（OCD）。评价者间信度由3名评价者通过评价录像进行评价。相关性分析通过比较CY-BOCS评分与儿童抑郁量表（抑郁）、20项莱顿强迫量表儿童版（强迫症状）和儿童行为检查表（父母对行为问题的评分）的自评进行。结果：CY-BOCS量表10个条目的内部一致性为0.77。被定义为强迫分量表、强迫分量表和CY-BOCS总分的组内相关性的评定者间信度分别为0.85、0.94和0.89。虽然样本量较小，但CY-BOCS总分与临床总体印象评分相关（P < .01），与儿童版莱顿强迫量表得分的相关性显著高于儿童抑郁量表和儿童行为量表得分。我们的研究结果表明，土耳其版本的CY-BOCS产生了良好的评价者间的可靠性，并与临床医生评定的全球印象量表显着相关。虽然小样本量阻碍了结论，CY-BOCS显示了显着的结果，有效性措施。因此，我们的研究结果支持CY-BOCS有潜力满足临床研究的需要。(c)2005年爱思唯尔公司All rights reserved.
Objective: To evaluate the interrater reliability of the Turkish version of the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) and to measure the clinical efficacy using a linician-rated impression scale in a clinical outpatient setting.Method: Data were collected from 19 nonmedicated children and adolescents (6 girls, 13 boys, mean age 14 +/- 2.25 years) with obsessive-compulsive disorder (OCD). Interrater reliability was assessed by 3 raters through videotape recordings of evaluation. Correlational analyses were maintained by comparing CY-BOCS scores to self-ratings of Children's Depression Inventory (depression), 20-item Leyton Obsessional Inventory-Child Version (obsessive-compulsive symptoms), and Child Behavior Checklist (parent ratings of behavioral problems). The Clinical Global Impression for OCD was administered to measure the clinical efficacy of CY-BOCS.Results: Internal consistency was .77 for the total 10 items. The interrater reliabilities, defined as the intraclass correlation for the compulsion subscale, the obsession subscale, and the CY-BOCS total scores were .85, .94, and .89, respectively. Although the sample size was small, CY-BOCS total score was correlated with the Clinical Global Impression score (P < .01) and showed a significantly higher correlation with Leyton Obsessional Inventory-Child Version scores when compared with Children's Depression Inventory and Child Behavior Checklist scores.Conclusion: Our results indicate that the Turkish version of CY-BOCS yielded good interrater reliability and was significantly correlated with a clinician-rated global impression scale. Although the small sample size hinders a conclusion, CY-BOCS showed significant results regarding validity measures. Therefore, our results support that CY-BOCS has the potential to fulfill the need in clinical research settings. (c) 2005 Elsevier Inc. All rights reserved.