Children’s Florida Obsessive Compulsive Inventory: Psychometric Properties and Feasibility of a Self-Report Measure of Obsessive–Compulsive Symptoms in Youth

Abstract

This report describes the development and psychometric properties of the Children's Florida Obsessive Compulsive Inventory (C-FOCI). Designed specifically as a brief measure for assessing obsessive-compulsive symptoms, the C-FOCI was created for use in both clinical and community settings. Study 1 included 82 children and adolescents diagnosed with primary Obsessive-Compulsive Disorder, and their parents. The Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) was administered to assess symptom severity. Thereafter, parents completed the Child Obsessive-Compulsive Impact Scale-Parent Version and Child Behavior Checklist, and youth completed the C-FOCI, Child Obsessive-Compulsive Impact Scale-Child Version, Multidimensional Anxiety Scale for Children, and Children's Depression Inventory-Short Form. A subgroup of 21 individuals was retested with the C-FOCI after completing 14 sessions of intensive cognitive-behavioral therapy. Construct validity of the C-FOCI was supported vis-à-vis evidence of treatment sensitivity, and moderate relations with clinician-rated symptom severity, the CY-BOCS Symptom Checklist, child- and parent-rated functional impairment, child-rated anxiety, and parent-rated internalizing symptoms. Discriminant validity was evidenced by weak relationships with parent-reports of externalizing symptoms. For Study 2, 191 non-clinical adolescents completed the C-FOCI to assess the feasibility of internet administration. Overall, internal consistency was acceptable for the C-FOCI Symptom Checklist and Severity Scale, and respondents were able to complete the measure with little difficulty. Taken together, the findings of Studies 1 and 2 provide initial support for the reliability and validity of the C-FOCI for the assessment of pediatric obsessive-compulsive symptoms.

Cognitive-Behavioral Therapy of Obsessive-Compulsive Disorder in Children and Adolescents

“…It involves two subscales for Obsessions Severity and Compulsions Severity, and total score is estimating with these two subscales [65,66]. Also there are some other assessment tools like the Children's Florida Obsessive Compulsive Inventory (C-FOCI), Leyton Obsessional Inventory-Child Version, the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Version (ADIS-C/P) which could be used for OCD assessment in pediatric population [67][68][69].…”

Obsessive Compulsive Disorder (OCD) In Childhood and Adolescence

“…The CY-BOCS is the most commonly used measure of pediatric OCD severity, and is often referred to as the 'gold standard' measure in this area [18]. Child or parent reported inventories for pediatric OCD are also available such as the Children's Florida Obsessive Compulsive Inventory (C-FOCI) [20] with 17 self-report items and the 44 items, Leyton Obsessional Inventory-Child Version [21]. Alternatively, clinician-administered, structured diagnostic interviews such as the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Version (ADIS-C/P) [22] may also be used for pediatric OCD assessment.…”

Obsessive–Compulsive Disorder

“…Children's Florida Obsessive-Compulsive Inventory (C-FOCI; Storch et al, 2009). The C-FOCI is a selfreport measure composed of a 17-item symptom checklist and a 5-item severity scale.…”

“…On the one hand, obsessions are composed of recurrent and persistent thoughts, impulses, and/or images that are experienced as intrusive and unwanted by the individual, with the most common including thoughts of contamination and images of violence (Leonard, Ale, Freeman, Garcia, & Ng, 2005;March & Leonard, 1996;Storch et al, 2009). Compulsions, on the other hand, are repetitive behaviors or mental acts that the individual feels compelled to perform (Carter & Pollock, 2000;Leonard et al, 2005;March & Leonard, 1996;Riddle et al, 1990), with the most common being excessive washing of the hands and a repetitive checking or touching of objects .…”