Diagnostic discrimination of patients with different OCD main symptom domains from each other and from anxious and depressive controls.

The extent to which the subscales of multidimensional OCD measures accurately distinguish patients with specific OCD main symptom domains from controls at different cutscores has not yet been examined. Diagnostic accuracy of OCD measures usually is determined by comparing the total scores of heterog...

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Publicado en:Journal of Psychopathology & Behavioral Assessment Vol. 31; no. 3; pp. 159 - 168
Autores principales: Gönner S, Ecker W, Leonhart R
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2009
      vid: 31
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      pub: Springer Nature
      place: New York, New York
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        105377836
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        2010338063
        10.1007/s10862-008-9114-0
        105377836
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        atl: Diagnostic discrimination of patients with different OCD main symptom domains from each other and from anxious and depressive controls.
      aug:
        au:
          Gönner S
          Ecker W
          Leonhart R
        affil: Psychosomatic Clinic of Bad Dürkheim, Bad Dürkheim, Germany
      sug:
        subj:
          Clinical Assessment Tools Evaluation
          Obsessive-Compulsive Disorder Diagnosis
          Obsessive-Compulsive Disorder Symptoms
          Validation Studies
          Adult
          Analysis of Variance
          Anxiety Disorders
          Checklists
          Coefficient alpha
          Comorbidity
          Comparative Studies
          Criterion-Related Validity
          Data Analysis Software
          Depression
          Descriptive Statistics
          DSM
          Female
          Germany
          Inpatients
          International Classification of Diseases
          Male
          Middle Age
          Prospective Studies
          Self Report
          Sensitivity and Specificity
          Type I Error
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The extent to which the subscales of multidimensional OCD measures accurately distinguish patients with specific OCD main symptom domains from controls at different cutscores has not yet been examined. Diagnostic accuracy of OCD measures usually is determined by comparing the total scores of heterogeneous OCD samples and controls and therefore may underestimate the measures’ discrimination potential. In the current study, subtype-specific diagnostic accuracy and criterion-related validity of the Obsessive-Compulsive Inventory-Revised (OCI-R) subscales were examined in 327 patients with OCD, anxiety, and/or depressive disorders. All subscales demonstrated good to excellent criterion-related validity and diagnostic accuracy for distinguishing patients with specific OCD main symptom domains from controls. As expected, the single OCI-R subscales lead to more accurate diagnostic decisions than the total scale. Thus, the subscale-specific cutscores significantly improve the OCI-R’s utility for subtype-specific treatment planning and outcome measurement. Furthermore, an alternative classification algorithm distinguishing patients with OCD from controls based on subscale cutscores leads to a better sensitivity, but also to a lower specificity than discrimination based on the total scale cutscore.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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