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

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

Amitai Abramovitch  1 , Jonathan S Abramowitz  2 , Dean McKay  3 , Heining Cham  3 , Kennedy S Anderson  4 , Lara Farrell  5 , Daniel A Geller  6 , Gregory L Hanna  7 , Sharna Mathieu  5 , Joseph F McGuire  8 , David R Rosenberg  9 , S Evelyn Stewart  10 , Eric A Storch  11 , Sabine Wilhelm  6
Affiliations

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

Amitai Abramovitch et al. J Anxiety Disord. 2022 Mar.

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.

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Figures

Figure 1.
Figure 1.
Standardized factor loadings and factor correlations of the correlated five-factor model of the entire sample (N = 489).
Figure 2.
Figure 2.
Standardized factor loadings of the second-order factor model of the entire sample (N = 489).
Figure 3.
Figure 3.
Standardized factor loadings of the bifactor model of the entire sample (N = 489).
Fig. 4
Fig. 4
Receiver operating characteristics (ROC) curves for the (a) OCD-NCC samples and (b) OCD-CC, samples. (OCD: obsessive-compulsive disorder; NCC: nonclinical sample; CC: clinical control sample).
See this image and copyright information in PMC

References

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