Dimension: Characteristics of use
Area
Craving and abstinence
Specificity
Alcohol
Year
1995
Author
Anton, R. F., Moak, D. H. and Latham, P. (1995).
Obsessive component and compulsive component of alchol use.
This instrument was developed as a modification of the Yale-Brown Obsessive Compulsive Scale-heavy drinkers or YBOC-hd, reflecting these components of intake and appetite for alcohol. This scale consists of 14 questions that assess the obsessive thoughts and compulsive behaviours of alcohol use (ideas about drinking, how these ideas will affect the subject, resistance to use, frequency of use and interference of alcohol use in the subject's functioning).
In the original article, the authors found an excellent inter-rater reliability in YBOCS-hd. The correlation between the scores of YBOCS-hd and OCDS obtained in 60 subjects with alcohol dependence was 0.83. The test-retest correlation for the OCDS total score was 0.96 and test-retest correlations of the subscales were 0.94 and 0.86, respectively. The internal consistency of the items of ECOCA was high (0.86) and did not improve significantly by removing individual items. The shared variance between the scores on this scale and use of alcohol during the evaluation period was only 20% indicating that the dimension measured by the scale was somehow independent of the actual use of alcohol. So that as such it could be an independent measure of \ disease state \ "of subjects with alcohol dependence. Additionally, the scores of OCDS correlated significantly with the scores of the Alcohol Dependence Scale, the number of items covered with DSM IV for alcohol dependence and the days in a week when the subject used alcohol heavily, indicating concurrent validity.
Self-administered. No training is required for the administrator.
This scale consists of 14 questions that assess the obsessive thoughts and compulsive behaviors by consuming alcohol. This scale is divided into two subscales: obsessive component (Questions 1-6) and compulsive component (questions 7-14). The questions are scored from 0 to 4 and each subscale score is obtained by adding five values. The obsessive subscale is obtained by adding the values of questions 3,4,5,6 and the highest score in question 1 or 2. Furthermore, the Compulsive subscale is the result of the sum of the scores of questions 11 and 12 plus the highest scores in the pairs of questions 7 or 8; 9 or 10; and 13 or 14.
Additional information on this instrument can be found at: http://pubs.niaaa.nih.gov/publications/AssessingAlcohol/InstrumentPDFs/45_OCDS.pdf