Children's Yale-Brown Obsessive Compulsive Scale: Reliability and validity

Lawrence Scahill, Mark A. Riddle, Maureen McSwiggin-Hardin, Sharon I. Ort, Robert A. King, Wayne K. Goodman, Domenic Cicchetti, James F. Leckman

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate the reliability and validity of a semistructured measure of obsessive-compulsive symptom severity in children and adolescents with obsessive-compulsive disorder (OCD). Method: Sixty-five children with OCD (25 girls and 40 boys, aged 8 to 17 years) were assessed with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Interrater agreement was assessed by four raters in a subsample (n = 24). Discriminant and convergent validity were assessed by comparing CY-BOCS scores to self- ratings of depression, anxiety, and obsessive-compulsive symptoms. Results: Internal consistency was high, measuring .87 for the 10 items. The intraclass correlations for the CY-BOCS Total, Obsession, and Compulsion scores were .84, .91, and .66, suggesting good to excellent interrater agreement for subscale and total scores. The CY-BOCS Total score showed a significantly higher correlation with a self-report of obsessive-compulsive symptoms (r = .62 for the Layton survey) compared with the Children's Depression Inventory (r = .34) and the Children's Manifest Anxiety Scale (r = .37) (p = .02 and .05, respectively). Conclusions: The CY-BOCS yields reliable and valid subscale and total scores for obsessive-compulsive symptom severity in children and adolescents with OCD. Reliability and validity appear to be influenced by age of the child and the hazards associated with integrating data from parental and patient sources.

Original languageEnglish (US)
Pages (from-to)844-852
Number of pages9
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume36
Issue number6
DOIs
StatePublished - Jun 1997

Keywords

  • Obsessive-compulsive disorder
  • Psychiatric disorders in children and adolescents
  • Psychiatric rating scales

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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