Core OCD symptoms: Exploration of specificity and relations with psychopathology

Sara M. Stasik, Kristin Naragon-Gainey, Michael Chmielewski, David Watson

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Obsessive-compulsive disorder (OCD) is a heterogeneous condition, comprised of multiple symptom domains. This study used aggregate composite scales representing three core OCD dimensions (Checking, Cleaning, and Rituals), as well as Hoarding, to examine the discriminant validity, diagnostic specificity, and predictive ability of OCD symptom scales. The core OCD scales demonstrated strong patterns of convergent and discriminant validity - suggesting that these dimensions are distinct from other self-reported symptoms - whereas hoarding symptoms correlated just as strongly with OCD and non-OCD symptoms in most analyses. Across analyses, our results indicated that Checking is a particularly strong, specific marker of OCD diagnosis, whereas the specificity of Cleaning and Hoarding to OCD was less strong. Finally, the OCD Checking scale was the only significant predictor of OCD diagnosis in logistic regression analyses. Results are discussed with regard to the importance of assessing OCD symptom dimensions separately and implications for classification.

Original languageEnglish
Pages (from-to)859-870
Number of pages12
JournalJournal of Anxiety Disorders
Volume26
Issue number8
DOIs
Publication statusPublished - 1 Dec 2012
Externally publishedYes

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