Yale-Brown Obsessive-Compulsive Scale – Chinese Version

Description

The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is a widely used assessment tool for measuring the severity of obsessive-compulsive symptoms. Developed by Goodman et al., it is recognized internationally for its clarity and practicality in clinical settings.

Authors and Contact Email

Goodman et al. (contact email information not available)

Purpose

The Y-BOCS is primarily used to assess the severity of obsessive-compulsive symptoms.

Test Year

Information not available.

Administration Method and Scoring

The tool consists of 10 items, with 5 assessing obsessive thoughts and 5 assessing compulsive behaviors. Each item is scored on a scale from 0 (indicating no symptoms) to 4 (indicating very severe symptoms). The total score is used to categorize the severity of obsessive-compulsive disorder (OCD):

– 总分31 (Total score >31): 极重度 (Extreme severity)

In clinical practice, improvement in OCD symptoms is quantified by calculating the reduction rate:
减分率 = (治疗前总分 – 治疗后总分) / 治疗前总分 × 10%.
– 减分率≥35% (Reduction rate ≥ 35%): 显著有效 (Significantly effective)
– 20%≤减分率Reliability and Validity
The Y-BOCS demonstrates good reliability and validity for assessing obsessive-compulsive symptoms.

Factors and Subscales

The scale is divided into two subscales: one for obsessive thoughts and one for compulsive behaviors.

Keywords

Yale-Brown Obsessive-Compulsive Scale, Y-BOCS, obsessive-compulsive disorder, assessment tool, severity evaluation

Items in Chinese

1. 您每天花多少时间在强迫思维上？每天强迫思维出现的频率有多高？
2. 您的强迫思维对社交、学业成就或工作能力有多大妨碍？
3. 您的强迫思维给您带来多大的苦恼或困扰？
4. 您有多少努力对抗强迫思维？你是否尝试转移注意力或不去想它呢？
5. 您控制强迫思维的能力有多少？

6. 您每天花多少时间在强迫行为上？每天做出强迫行为的频率有多高？
7. 您的强迫行为对社交、学业成就或工作能力有多大妨碍？
8. 假如被制止从事强迫行为时，您有什么感觉？您会有多焦虑？
9. 您有多努力去对抗强迫行为？或尝试停止强迫行为的频率？
10. 您控制强迫行为的能力如何？您停止强迫（仪式）行为的效果如何？

Items in English

1. How much time do you spend on obsessive thoughts each day? How frequent do they occur daily?
2. How much do your obsessive thoughts interfere with your social, academic, or work functioning?
3. How much distress do your obsessive thoughts cause you?
4. How much effort do you make to resist these obsessive thoughts? Do you try to distract yourself or not think about them?
5. How well can you control your obsessive thoughts?

6. How much time do you spend on compulsive behaviors each day? How frequent do they occur daily?
7. How much do your compulsive behaviors interfere with your social, academic, or work functioning?
8. How do you feel if you are prevented from engaging in compulsive behaviors? How anxious do you feel?
9. How much effort do you make to resist your compulsive behaviors? Or how frequently do you attempt to stop them?
10. How well can you control your compulsive behaviors? How effective are you in stopping these rituals?

References

魏晓旭. 元认知干预技术中布置作业环节对强迫症治疗效果的影响[D]. 辽宁师范大学, 2010.