The OCI-CV-R: A Revision of the Obsessive-Compulsive Inventory - Child Version

Amitai Abramovitch; Jonathan S Abramowitz; Dean McKay; Heining Cham; Kennedy S Anderson; Lara Farrell; Daniel A Geller; Gregory L Hanna; Sharna Mathieu; Joseph F McGuire; David R Rosenberg; S Evelyn Stewart; Eric A Storch; Sabine Wilhelm

doi:10.1016/j.janxdis.2022.102532

The OCI-CV-R: A Revision of the Obsessive-Compulsive Inventory - Child Version

J Anxiety Disord. 2022 Mar:86:102532. doi: 10.1016/j.janxdis.2022.102532. Epub 2022 Jan 15.

Authors

Affiliations

¹ Department of Psychology, Texas State University, San Marcos, TX, USA; Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA. Electronic address: abramovitch@txstate.edu.
² Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
³ Department of Psychology, Fordham University, Bronx, NY, USA.
⁴ Department of Psychology, Texas State University, San Marcos, TX, USA.
⁵ School of Applied Psychology, Griffith University, Gold Coast, Australia.
⁶ Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
⁷ Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
⁸ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA.
⁹ Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA.
¹⁰ University of British Columbia/British Columbia Children's Hospital, British Columbia Mental Health and Substance Use Services Research Institute, Vancouver, Canada.
¹¹ Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.

Abstract

Background: The Obsessive-Compulsive Inventory-Children's Version (OCI-CV) was developed to assess obsessive-compulsive symptoms in youth. Recent changes in the Diagnostic and Statistical Manual (DSM-5) exclude hoarding from inclusion in the diagnosis of obsessive-compulsive disorder (OCD). Accordingly, the present study examined the reliability, validity, factorial structure, and diagnostic sensitivity of a revised version of the scale - the OCI-CV-R- that excludes items assessing hoarding.

Methods: Participant were 1047 youth, including 489 meeting DSM criteria for primary OCD, 298 clinical controls, and 260 nonclinical controls, who completed the OCI-CV and measures of obsessive-compulsive symptom severity, depression, and anxiety at various treatment and research centers.

Results: Findings support a five-factor structure (doubting/checking, obsessing, washing, ordering, and neutralizing), with a higher order factor. Factorial invariance was found for older (12-17 years) and younger (7-11 years) children. Internal consistency of the OCI-CV-R was acceptable, and discriminant and convergent validity were adequate and akin to that of its progenitor. Diagnostic sensitivity and specificity were found for a total score of 8 and higher.

Conclusion: It is recommended that the OCI-CV-R replace the former version, and that this measure serve as part of a comprehensive clinical assessment of youth with OCD. Recommendations for further research with ethnically and racially diverse samples, as well as the need to establish benchmark scores are discussed.

Keywords: Assessment; Diagnostic sensitivity; Factor analysis; Obsessive compulsive disorder; Youth.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Adolescent
Anxiety
Humans
Obsessive-Compulsive Disorder* / diagnosis
Psychiatric Status Rating Scales
Psychometrics
Reproducibility of Results
Surveys and Questionnaires

Abstract

Publication types

MeSH terms

Grants and funding