Item-by-Item Factor Analysis of the Yale-Brown Obsessive Compulsive Scale Symptom Checklist
Abstract
Clinical subtypes of obsessive-compulsive disorder may have differing pathophysiological mechanisms and treatment outcomes. The subtypes identified by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) Symptom Checklist, clustered by clinical consensus, have never been subject to statistical validation. A factor analysis using a sample of 160 patients with OCD was conducted to determine whether factor analytically derived categories are identical to extant clinically determined categories. Our analysis revealed that the contamination subtype of the Y-BOCS Symptom Checklist contains two distinct subgroups: one relating to discomfort and the other to fear of harm. If replicated on a larger scale, the finding of new subtype groupings would have important implications for future research in obsessive-compulsive disorder.
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The mean duration between onset of first OCD symptoms and presentation for treatment is around seven years.
“The mean duration between onset of first OCD symptoms and presentation for treatment is around seven years [19, 20].”
From Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder (2014) · cites this paper as [19]
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Mariaskin, A. (2009) · DukeSpace (Duke University) · Cited by 3 · see citing works
Solem, S. (2010) · NORA - Norwegian Open Research Archives · Cited by 2 · see citing works
Bloch, M. H. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09020287r · Cited by 1 · see citing works
Symptom Dimensions and Clinical Presentations in Obsessive Compulsive Disorder
Kumar, H. (2016) · International Journal of Indian Psychology · doi:10.25215/0304.069 · Cited by 1 · see citing works
Session 4: Exposure and Ritual Prevention—Introducing Imaginal Exposure
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0007 · Cited by 1 · see citing works
Linking betrayal and mental contamination in OCD: A mixed-methods systematic narrative review
Nielsen, V. S., Bream, V., & Salkovskis, P. M. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100862 · Cited by 1 · see citing works
Neurological soft signs and insight in obsessive–compulsive disorder
Elmasry, N., Youssef, A., Mohamed, A., & Ashour, W. M. R. (2016) · Egyptian Journal of Psychiatry · doi:10.4103/1110-1105.195543 · Cited by 1 · see citing works
An examination of intrusion-related shame in obsessive-compulsive disorder
Wallace, A. N. (2017) · Swinburne figshare (Swinburne University of Technology) · doi:10.25916/sut.26279059 · Cited by 1 · see citing works
Danger appraisals as prospective predictors of disgust and avoidance
Dorfan, N. M. (2008) · cIRcle (University of British Columbia) · doi:10.14288/1.0066438 · Cited by 1 · see citing works
Underlying factor structures of the Stanford-Binet Intelligence Scales - Fifth Edition
Chase, D., & Chute, D. L. (2005) · doi:10.17918/etd-863 · Cited by 1 · see citing works
(2012) · doi:10.1093/med:psych/9780195335286.002.0005 · Cited by 1 · see citing works
Analyzing the underlying symptom-dimensions of Gilles de la Tourette Syndrome.
de Jong (2011) · Utrecht University Repository (Utrecht University)
Symptom dimensions in obsessive-compulsive disorder
Löchner, C. (2005) · SUNScholar (Stellenbosch University)
Phenomenology, etiology, and the religious counterpart of Obsessive-Compulsive Disorder (OCD)
Overduin, M. (2013) · UCL Discovery (University College London)
Session 3: Exposure and Ritual Prevention—Introducing In Vivo Exposure
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0006
Intermediate Sessions: Continuing Exposure and Ritual Prevention
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0008
Problems Commonly Encountered during Exposure and Ritual Prevention (EX/RP)
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0010
Session 2: Treatment Planning Part II
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0005
Session 1: Treatment Planning Part I
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0004
Treatment Components of Exposure and Ritual Prevention
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0003
Contamination Concerns in Children and Adolescents
Selles, R. R., Arnold, E. A., & Storch, E. A. (2017) · doi:10.1002/9781118890233.ch18
Zu lieben und zu arbeiten: Was Freud right all along?
Cucina, J. M., Hayes, T. L., & Walmsley, P. T. (2019) · Industrial and Organizational Psychology · doi:10.1017/iop.2019.39
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · doi:10.1093/med:psych/9780195335286.003.0009
- Authors
- Feinstein, S. B., Fallon, B. A., Petkova, E., & Liebowitz, M. R.
- Affiliations
- New York State Psychiatric Institute (US)
- Venue
- The Journal of Neuropsychiatry and Clinical Neurosciences
- Published
- 2003-05
- Volume
- 15
- Issue
- 2
- Pages
- 187-193
- ISSN
- 0895-0172 (ISSN-L)
- 1545-7222
- OpenAlex
- W2145192427
- Cited by
- 122
- References
- 18
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 7 · 2015: 2 · 2014: 6 · 2013: 6 · 2012: 35
- FWCI
- 7.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neuropsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01MH055842)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, Yale-Brown Obsessive Compulsive Scale, symptom checklist, clinical subtypes, fear of harm, factor structure, symptom clustering
- MeSH terms
- Adolescent, Adult, Child, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Models, Psychological, Obsessive-Compulsive Disorder, Personality Assessment, Psychiatric Status Rating Scales, Sensitivity and Specificity, Reproducibility of Results, Observer Variation
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