The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability.
The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability.
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DOI：
10.1001/archpsyc.1989.01810110048007
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发表时间：
1989-11
影响因子：
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通讯作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne
中科院分区：
文献类型：
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作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne
耶鲁棕褐色强迫性量表旨在通过对不受存在的强迫症或强迫性类型影响的强迫症症状的严重程度进行特定量度来解决现有评级量表的问题。该量表是一个临床医生等级的10个项目量表，每个项目的评分从0（无症状）到4（极端症状）（总范围为0到40），具有单独的小计，以实现痴迷和强迫的严重程度。在一项涉及四名评估者和40例强迫症的患者的研究中，在各个治疗阶段，耶鲁棕色总量表评分的间可靠性以及10个单独的项目中的每一个都非常出色，并且在Cronbach的Alpha的Alpha系数中，所有项目得分中的内部一致性都很高。基于对42例强迫症患者的预处理评估，每个项目经常被认可并在一系列严重程度上进行测量。这些发现表明，耶鲁棕色量表是一种可靠的工具，用于衡量具有多种严重程度和强迫症症状类型的强迫症患者的疾病严重程度。
The Yale-Brown Obsessive Compulsive Scale was designed to remedy the problems of existing rating scales by providing a specific measure of the severity of symptoms of obsessive-compulsive disorder that is not influenced by the type of obsessions or compulsions present. The scale is a clinician-rated, 10-item scale, each item rated from 0 (no symptoms) to 4 (extreme symptoms) (total range, 0 to 40), with separate subtotals for severity of obsessions and compulsions. In a study involving four raters and 40 patients with obsessive-compulsive disorder at various stages of treatment, interrater reliability for the total Yale-Brown Scale score and each of the 10 individual items was excellent, with a high degree of internal consistency among all item scores demonstrated with Cronbach's alpha coefficient. Based on pretreatment assessment of 42 patients with obsessive-compulsive disorder, each item was frequently endorsed and measured across a range of severity. These findings suggest that the Yale-Brown Scale is a reliable instrument for measuring the severity of illness in patients with obsessive-compulsive disorder with a range of severity and types of obsessive-compulsive symptoms.