Child Psychiatry & Human Development

, Volume 44, Issue 1, pp 137–151 | Cite as

Psychometric Properties of the Obsessive Compulsive Inventory: Child Version in Children and Adolescents with Obsessive–Compulsive Disorder

  • Anna M. Jones
  • Alessandro S. De Nadai
  • Elysse B. Arnold
  • Joseph F. McGuire
  • Adam B. Lewin
  • Tanya K. Murphy
  • Eric A. StorchEmail author
Original Article


The psychometric properties of the Obsessive Compulsive Inventory–Child Version (OCI-CV) were examined in ninety-six youth with a primary/co-primary diagnosis of obsessive–compulsive disorder (OCD). A confirmatory factor analysis revealed an acceptable model of fit with factors consisting of doubting/checking, obsessing, hoarding, washing, ordering, and neutralizing. The internal consistency of the OCI-CV total score was good, while internal consistency for subscale scores ranged from poor to good. The OCI-CV was modestly correlated with obsessive–compulsive symptom severity on the Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) Severity Scale, as well as with clinician-reported OCD severity. All OCI-CV subscales significantly correlated with the corresponding CY-BOCS Symptom Checklist dimension. The OCI-CV significantly correlated with child-reported depressive symptoms and OCD-related functional impairment, but was not significantly correlated with parent-reported irritability or clinician-reported overall functioning. Taken together, these data suggest the psychometric properties of the OCI-CV are adequate for assessing obsessive–compulsive symptom presence among youth with OCD.


Obsessive–compulsive disorder Children Assessment Validity 


  1. 1.
    Zohar AH (1999) The epidemiology of obsessive-compulsive disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 8:445–460PubMedGoogle Scholar
  2. 2.
    Piacentini J, Bergman RL, Keller M, Mccracken J (2003) Functional impairment in children and adolescents with obsessive-compulsive disorder. J Child Adolesc Psychopharmacol 13(Suppl 1):S61–S69PubMedCrossRefGoogle Scholar
  3. 3.
    Piacentini J, Peris TS, Bergman RL, Chang S, Jaffer M (2007) Functional impairment in childhood ocd: development and psychometrics properties of the child obsessive-compulsive impact scale-revised (cois-r). J Clin Child Adolesc Psychol 36:645–653PubMedCrossRefGoogle Scholar
  4. 4.
    Bloch MH, Peterson BS, Scahill L, Otka J, Katsovich L, Zhang H, Leckman JF (2006) Adulthood outcome of tic and obsessive-compulsive symptom severity in children with tourette syndrome. Arch Pediatr Adolesc Med 160:65–69PubMedCrossRefGoogle Scholar
  5. 5.
    Lewin AB, Bergman RL, Peris TS, Chang S, Mccracken JT, Piacentini J (2010) Correlates of insight among youth with obsessive-compulsive disorder. J Child Psychol Psychiatr 51:603–611CrossRefGoogle Scholar
  6. 6.
    Storch EA, Milsom VA, Merlo LJ, Larson M, Geffken GR, Jacob ML, Murphy TK, Goodman WK (2008) Insight in pediatric obsessive-compulsive disorder: associations with clinical presentation. Psychiatr Res 160:212–220CrossRefGoogle Scholar
  7. 7.
    Rapoport JL, Inoff-Germain G, Weissman MM, Greenwald S, Narrow WE, Jensen PS, Lahey BB, Canino G (2000) Childhood obsessive-compulsive disorder in the nimh meca study: parent versus child identification of cases. Methods for the epidemiology of child and adolescent mental disorders. J Anxiety Disord 14:535–548PubMedCrossRefGoogle Scholar
  8. 8.
    Storch EA, Khanna M, Merlo LJ, Loew BA, Franklin M, Reid JM, Goodman WK, Murphy TK (2009) Children’s florida obsessive compulsive inventory: psychometric properties and feasibility of a self-report measure of obsessive-compulsive symptoms in youth. Child Psychiatr Hum Dev 40:467–483CrossRefGoogle Scholar
  9. 9.
    Shafran R, Frampton I, Heyman I, Reynolds M, Teachman B, Rachman S (2003) The preliminary development of a new self-report measure for ocd in young people. J Adolesc 26:137–142PubMedCrossRefGoogle Scholar
  10. 10.
    Berg CJ, Rapoport JL, Flament M (1986) The leyton obsessional inventory-child version. J Am Acad Child Psychiatr 25:84–91CrossRefGoogle Scholar
  11. 11.
    Foa EB, Coles M, Huppert JD, Pasupuleti RV, Franklin ME, March J (2010) Development and validation of a child version of the obsessive compulsive inventory. Behav Ther 41:121–132PubMedCrossRefGoogle Scholar
  12. 12.
    Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G, Salkovskis PM (2002) The obsessive-compulsive inventory: development and validation of a short version. Psychol Assess 14:485–496PubMedCrossRefGoogle Scholar
  13. 13.
    Hajcak G, Huppert JD, Simons RF, Foa EB (2004) Psychometric properties of the oci-r in a college sample. Behav Res Ther 42:115–123PubMedCrossRefGoogle Scholar
  14. 14.
    Abramowitz JS, Deacon BJ (2006) Psychometric properties and construct validity of the obsessive-compulsive inventory–revised: replication and extension with a clinical sample. J Anxiety Disord 20:1016–1035PubMedCrossRefGoogle Scholar
  15. 15.
    Huppert JD, Walther MR, Hajcak G, Yadin E, Foa EB, Simpson HB, Liebowitz MR (2007) The oci-r: validation of the subscales in a clinical sample. J Anxiety Disord 21:394–406PubMedCrossRefGoogle Scholar
  16. 16.
    Scahill L, Riddle MA, Mcswiggin-Hardin M, Ort SI, King RA, Goodman WK, Cicchetti D, Leckman JF (1997) Children’s yale-brown obsessive compulsive scale: reliability and validity. J Am Acad Child Adolesc Psychiatr 36:844–852CrossRefGoogle Scholar
  17. 17.
    Insel TR, Murphy DL, Cohen RM, Alterman I, Kilts C, Linnoila M (1983) Obsessive-compulsive disorder. A double-blind trial of clomipramine and clorgyline. Arch Gen Psychiatr 40:605–612PubMedCrossRefGoogle Scholar
  18. 18.
    Mash EJ, Hunsley J (2005) Evidence-based assessment of child and adolescent disorders: issues and challenges. J Clin Child Adolesc Psychol 34:362–379PubMedCrossRefGoogle Scholar
  19. 19.
    Cohen LL, La Greca AM, Blount RL, Kazak AE, Holmbeck GN, Lemanek KL (2008) Introduction to special issue: evidence-based assessment in pediatric psychology. J Pediatr Psychol 33:911–915PubMedCrossRefGoogle Scholar
  20. 20.
    Mcguire JF, Kugler BB, Park JM, Horng B, Lewin AB, Murphy TK, Storch EA Evidence-based assessment of compulsive skin picking, chronic tic disorders, and trichotillomania in children. Child Psychiatry Hum Dev (in press)Google Scholar
  21. 21.
    American Education Research Association APA, Council on Measurement in Education (1999) Standards for educational and psychological testing. American Education Research Association, Washington DCGoogle Scholar
  22. 22.
    Storch EA, Masia-Warner C, Heidgerken AD, Fisher PH, Pincus DB, Liebowitz MR (2006) Factor structure of the liebowitz social anxiety scale for children and adolescents. Child Psychiatry Hum Dev 37:25–37PubMedCrossRefGoogle Scholar
  23. 23.
    Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P, Roberti JW, Killiany EM, Goodman WK (2004) Psychometric evaluation of the children’s yale-brown obsessive-compulsive scale. Psychiatr Res 129:91–98CrossRefGoogle Scholar
  24. 24.
    Stewart SE, Rosario MC, Baer L, Carter AS, Brown TA, Scharf JM, Illmann C, Leckman JF, Sukhodolsky D, Katsovich L, Rasmussen S, Goodman W, Delorme R, Leboyer M, Chabane N, Jenike MA, Geller DA, Pauls DL (2008) Four-factor structure of obsessive-compulsive disorder symptoms in children, adolescents, and adults. J Am Acad Child Adolesc Psychiatr 47:763–772CrossRefGoogle Scholar
  25. 25.
    Mckay D, Piacentini J, Greisberg S, Graae F, Jaffer M, Miller J, Neziroglu F, Yaryura-Tobias JA (2003) The children’s yale-brown obsessive-compulsive scale: item structure in an outpatient setting. Psychol Assess 15:578–581PubMedCrossRefGoogle Scholar
  26. 26.
    Gallant J, Storch EA, Merlo LJ, Ricketts ED, Geffken GR, Goodman WK, Murphy TK (2008) Convergent and discriminant validity of the children’s yale-brown obsessive compulsive scale-symptom checklist. J Anxiety Disord 22:1369–1376PubMedCrossRefGoogle Scholar
  27. 27.
    NIMH (1985) Special feature: rating scales and assessment instruments for use in pediatric psychopharmacology research. Pharmacology Bulletin 21:839–843Google Scholar
  28. 28.
    Zaider TI, Heimberg RG, Fresco DM, Schneier FR, Liebowitz MR (2003) Evaluation of the clinical global impression scale among individuals with social anxiety disorder. Psychol Med 33:611–622PubMedCrossRefGoogle Scholar
  29. 29.
    Storch EA, Lewin AB, De Nadai AS, Murphy TK (2010) Defining treatment response and remission in obsessive-compulsive disorder: a signal detection analysis of the children’s yale-brown obsessive compulsive scale. J Am Acad Child Adolesc Psychiatr 49:708–717Google Scholar
  30. 30.
    Jones SH, Thornicroft G, Coffey M, Dunn G (1995) A brief mental health outcome scale-reliability and validity of the global assessment of functioning (gaf). Br J Psychiatr 166:654–659CrossRefGoogle Scholar
  31. 31.
    Whiteside SP (2009) Adapting the sheehan disability scale to assess child and parent impairment related to childhood anxiety disorders. J Clin Child Adolesc Psychol 38:721–730PubMedCrossRefGoogle Scholar
  32. 32.
    Aman MG, Burrow WH, Wolford PL (1995) The aberrant behavior checklist-community: factor validity and effect of subject variables for adults in group homes. Am J Ment Retard 100:283–292PubMedGoogle Scholar
  33. 33.
    Brown EC, Aman MG, Havercamp SM (2002) Factor analysis and norms for parent ratings on the aberrant behavior checklist-community for young people in special education. Res Dev Disabil 23:45–60PubMedCrossRefGoogle Scholar
  34. 34.
    Ono Y (1996) Factor validity and reliability for the aberrant behavior checklist-community in a japanese population with mental retardation. Res Dev Disabil 17:303–309PubMedCrossRefGoogle Scholar
  35. 35.
    Faulstich ME, Carey MP, Ruggiero L, Enyart P, Gresham F (1986) Assessment of depression in childhood and adolescence: an evaluation of the center for epidemiological studies depression scale for children (ces-dc). Am J Psychiatr 143:1024–1027PubMedGoogle Scholar
  36. 36.
    Hudson DB, Elek SM, Campbell-Grossman C (2000) Depression, self-esteem, loneliness, and social support among adolescent mothers participating in the new parents project. Adolescence 35:445–453PubMedGoogle Scholar
  37. 37.
    Roberts RE, Andrews JA, Lewinsohn PM, Hops H (1990) Assessment of depression in adolescents using the center for epidemiologic studies depression scale. Psychol Assess 2:122–128CrossRefGoogle Scholar
  38. 38.
    Storch EA, Murphy TK, Goodman WK, Geffken GR, Lewin AB, Henin A, Micco JA, Sprich S, Wilhelm S, Bengtson M, Geller DA (2010) A preliminary study of d-cycloserine augmentation of cognitive-behavioral therapy in pediatric obsessive-compulsive disorder. Biol Psychiatr 68:1073–1076CrossRefGoogle Scholar
  39. 39.
    Raykov T, Marcoulides G (2006) A first course in structural equation modeling. Lawrence Erlbaum Associates, Inc., Mahwah, NJGoogle Scholar
  40. 40.
    Bentler PM (1990) Comparative fit indexes in structural models. Psychol Bull 107:238–246PubMedCrossRefGoogle Scholar
  41. 41.
    Steiger JH (1990) Structural model evaluation and modification: an interval estimation. Multivar Behav Res 25:173–180CrossRefGoogle Scholar
  42. 42.
    Bentler PM (1995) Eqs for windows user’s guide. Multivariate Software, Encino, CAGoogle Scholar
  43. 43.
    Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling Multidiscip J 6:1–55CrossRefGoogle Scholar
  44. 44.
    Raykov T (2009) Evaluation of scale reliability for unidimensional measures using latent variable modeling. Meas Eval Couns Dev 42:223–232CrossRefGoogle Scholar
  45. 45.
    Raykov T (1997) Scale reliability, cronbach’s coefficient alpha, and violations of essential tau-equivalence for fixed congeneric components. Multivar Behav Res 32:329–353CrossRefGoogle Scholar
  46. 46.
    Nunally JC, Bernstein IH (1994) Psychometric theory. McGraw-Hill, New YorkGoogle Scholar
  47. 47.
    Raykov T, Marcoulides G (2004) Using the delta method for approximate interval estimation of parametric functions in covariance structure models. Struct Equ Modeling Multidiscip J 11:659–675Google Scholar
  48. 48.
    Muthén BO, Muthén LK (2010) Mplus. Los Angeles, 6.12Google Scholar
  49. 49.
    Pertusa A, Fullana MA, Singh S, Alonso P, Menchon JM, Mataix-Cols D (2008) Compulsive hoarding: ocd symptom, distinct clinical syndrome, or both? Am J Psychiatr 165:1289–1298PubMedCrossRefGoogle Scholar
  50. 50.
    Storch EA, Lewin AB, Larson MJ, Geffken GR, Murphy TK, Geller DA (2012) Depression in youth with obsessive-compulsive disorder: clinical phenomenology and correlates. Psychiatr Res 196:83–89CrossRefGoogle Scholar
  51. 51.
    Peris TS, Bergman RL, Asarnow JR, Langley A, Mccracken JT, Piacentini J (2010) Clinical and cognitive correlates of depressive symptoms among youth with obsessive compulsive disorder. J Clin Child Adolesc Psychol 39:616–626PubMedCrossRefGoogle Scholar
  52. 52.
    Rentfrow PJ, Gosling SD, Potter J (2008) A theory of the emergence, persistence, and expression of geographic variation in psychological characteristics. Perspect Psychol Sci 3:339–369CrossRefGoogle Scholar
  53. 53.
    Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, Timpano KR, Mcgrath PB, Riemann BC, Adams T, Bjorgvinsson T, Storch EA, Hale LR (2010) Assessment of obsessive-compulsive symptom dimensions: develop ment and evaluation of the dimensional obsessive-compulsive scale. Psychol Assess 22:180–198PubMedCrossRefGoogle Scholar
  54. 54.
    Rosario-Campos MC, Miguel EC, Quatrano S, Chacon P, Ferrao Y, Findley D, Katsovich L, Scahill L, King RA, Woody SR, Tolin D, Hollander E, Kano Y, Leckman JF (2006) The dimensional yale-brown obsessive-compulsive scale (dy-bocs): an instrument for assessing obsessive-compulsive symptom dimensions. Mol Psychiatr 11:495–504CrossRefGoogle Scholar
  55. 55.
    Storch EA, Merlo LJ, Larson MJ, Bloss CS, Geffken GR, Jacob ML, Murphy TK, Goodman WK (2008) Symptom dimensions and cognitive-behavioural therapy outcome for pediatric obsessive-compulsive disorder. Acta Psychiatr Scand 117:67–75PubMedGoogle Scholar
  56. 56.
    Sookman D, Abramowitz JS, Calamari JE, Wilhelm S, Mckay D (2005) Subtypes of obsessive-compulsive disorder: implications for specialized cognitive behavior therapy. Behav Ther 36:393–400CrossRefGoogle Scholar
  57. 57.
    Merlo LJ, Storch EA, Murphy TK, Goodman WK, Geffken GR (2005) Assessment of pediatric obsessive-compulsive disorder: a critical review of current methodology. Child Psychiatr Hum Dev 36:195–214CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Anna M. Jones
    • 1
  • Alessandro S. De Nadai
    • 2
  • Elysse B. Arnold
    • 1
  • Joseph F. McGuire
    • 2
  • Adam B. Lewin
    • 1
  • Tanya K. Murphy
    • 1
    • 3
  • Eric A. Storch
    • 1
    • 2
    • 3
    • 4
    Email author
  1. 1.Department of PediatricsUniversity of South Florida Morsani College of MedicineTampaUSA
  2. 2.Department of PsychologyUniversity of South FloridaTampaUSA
  3. 3.Department of Psychiatry and Behavioral NeurosciencesUniversity of South Florida Morsani College of MedicineTampaUSA
  4. 4.Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South FloridaSt. PetersburgUSA

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