Preliminary assessment of obsessive-compulsive spectrum disorder scales for DSM-5

R. T. LeBeau, E. R. Mischel, H. B. Simpson, D. Mataix-Cols, K. A. Phillips, D. J. Stein, M. G. Craske

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

There will be several changes to the diagnosis of obsessive-compulsive and related disorders (OCRDs) in DSM-5. Several disorders, including body dysmorphic disorder (BDD), hoarding disorder (HD), trichotillomania (hair-pulling disorder) (TTM), and excoriation (skin-picking) disorder (SPD), will be included alongside obsessive compulsive disorder (OCD) in a distinct diagnostic category of OCRDs. Also, dimensional assessments of psychopathology will be included to supplement traditional categorical diagnoses. The DSM-5 subworkgroup on obsessive-compulsive spectrum disorders developed a set of brief self-rated scales for BDD, HD, TTM, and SPD that are consistent in content and structure, reflect DSM-5 criteria, and can be used by clinicians to help generate a dimensional severity rating for the disorders. In the present paper, we discuss the scales' creation and examine their psychometric properties in a large non-clinical sample (n=296). The scales each demonstrated a single factor structure, strong internal consistency (α=.80-.89), convergent validity (rs=.74-.92), and significantly higher total scores in individuals who indicated the presence of the respective disorder's core symptom on a binary diagnostic screener (Cohen's d=0.57-2.18). The results provide support for further evaluation of these scales in clinical samples and take an important step toward the integration of standardized dimensional measurement into DSM-5.

Original languageEnglish
Pages (from-to)114-118
Number of pages5
JournalJournal of Obsessive-Compulsive and Related Disorders
Volume2
Issue number2
DOIs
StatePublished - Apr 2013
Externally publishedYes

Keywords

  • Body dysmorphic disorder
  • DSM-5
  • Excoriation (skin-picking) disorder
  • Hoarding disorder
  • Self-report scales
  • Trichotillomania (hair-pulling disorder)

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