Psychometric properties of the Swedish translation of the Obsessive–Compulsive Inventory-Revised and the population characteristics of the symptom dimensions of OCD

Behrang Mahjani, Christina Gustavsson Mahjani, Abraham Reichenberg, Sven Sandin, Christina M. Hultman, Joseph D. Buxbaum, Dorothy E. Grice

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: EGOS is an epidemiological obsessive–compulsive disorder (OCD) cohort in Sweden. Individuals contributed DNA for genotyping and sequencing and completed a Swedish translation of the Obsessive–Compulsive Inventory-Revised (OCI-R), a self-report questionnaire for assessing the severity of OCD. This study aimed first to evaluate the psychometric properties of the Swedish translation of the OCI-R and then shed light on the frequency, severity, and symptom dimensions of OCD comorbid with other psychiatric disorders. Methods: OCI-R data were available for 1010 individuals diagnosed with OCD, and 124 individuals diagnosed with chronic tic disorders without OCD used as a comparison group. We first performed a confirmatory factor analysis to confirm the six-factor structure of OCI-R. Then, we estimated Cronbach’s α coefficient and the generalizability coefficient to evaluate the internal consistency of the OCI-R. We linked the data from the Swedish national registries to access and analyze psychiatric comorbidities of OCD. Results: The Swedish translation of OCI-R demonstrated internal consistency and clear agreement with the OCI-R six-factor model. The mean total OCI-R score for females was significantly higher than for males. The most comorbid psychiatric condition to OCD were anxiety disorders (13.6%) and major depression (12%). Conclusion: The Swedish translation of OCI-R was a valid and reliable measure for assessing the severity of OCD. We observed that individuals with OCD frequently had additional comorbid psychiatric disorders and that the severity of OCD was significantly higher in individuals with at least one additional psychiatric comorbidity as compared to individuals with no psychiatric comorbidity.

Original languageEnglish
Pages (from-to)2147-2155
Number of pages9
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume57
Issue number10
DOIs
StatePublished - Oct 2022

Keywords

  • Comorbidities
  • Obsessive–compulsive inventory-revised
  • Swedish translation
  • Symptoms dimension

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