Factor Structure, Validity and Reliability of the Modified Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder in Students

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1 -0 Iranian Journal of Psychiatry and Clinical Psychology, Vol., No., Winter 00, Original Article Factor Structure, Validity and Reliability of the Modified Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder in Students Mehdi Rabiee*, Kazem Khorramdel a, Mehrdad Kalantari b, Hossein Molavi c Abstract Objectives: The aim of the present study was to examine the factor structure, validity and reliability of the Modified Yale- Brown Obsessive-Compulsive Scale in a sample of Iranian students. Method: The method of this study was standardization. After the translation of the original version of the mentioned Scale to Farsi and confirming it by three psychology and English language professors, the final version was administered to 00 students (0 males, 0 females) of Isfahan University who were selected through stratified-cluster sampling. The age range of the participants was between to years. To assess reliability, internal consistency and split half methods were used. Also, concurrent validity and validity of diagnostic factorial structure were used to determine reliability. Results: The range of Cronbach s alpha was from 0. for factor of power of thought control to 0. for obsessive thoughts and behaviors. Also, the coefficients of Cronbach s alpha reliability, split half, and Gotman coefficient were 0., 0., and 0. respectively. The correlation coefficient of this questionnaire with Padua Inventory and Body Satisfaction Scale was 0. and 0. respectively. Factor analysis of two factors, namely power of thought control and obsessive thoughts and behaviours, accounted for % of questionnaire variance in total. Conclusion: Modified Yale- Brown Obsessive-compulsive Scale for body dysmorphic disorder has satisfactory reliability and validity in the sample of Iranian students, and could be used for diagnostic and therapeutic purposes. Key words: body dysmorphic disorder; Obsession Compulsion standardization [Received: December 00; Accepted: March 00] : - - :. 00 ( 0 0). -.» 0/ :. 0/ «.. 0/ 0/ 0/». 0/ 0/ % «: : [// : // : ].( ). rabieipsychology@yahoo.com. * Corresponding author: MS. in Clinical Psychology. School of Psychology and Educational Sciences, Isfahan University, Hezar Jarib St., Isfahan, Iran, IR. rabieipsychology@yahoo.com; a MS. in General Psychology; b PhD. in Child Clinical Psychology, Associate Prof. of Isfahan University; c PhD. in Psychology, Professor of Isfahan University.

2 - -.OCD - BDD.( ) BDD ) OCD (.( ) BDD. Y-BOCS (). BDD Y-BOCS-BDD ) BDD 0 ().(00 Y-BOCS-BDD BDD ( ). ( ) DSM-IV ( ). / Y-BOCS-BDD. BDD () - Body Dysmorphic Disorder - dysmorphophobia - Philips - Diaz - Clinical Global Impression - McElroy - Keck - Pope - Hudson 0- Symptom Checklist-0-Revised - single-item - Yale-Brown Obsessive Compulsive Scale for BDD - Yale-Brown Obsessive Compulsive Scale - Goodman - Obsessive-Compulsive Disorder - ego-dystonic - Sadock - Menard - Fay 0- Wesber - Diagnostic and Statistical Manual of Mental Disorders (th. ed.) (BDD). ).(000 ).( BDD ) (CGI) BDD ( 0. SCL-0-R.. SCL-0-R. BDD BDD - -. (Y-BOCS-BDD) (Y-BOCS) - - Y-BOCS. ( ) OCD - Y-BOCS.. OCD BDD ) BDD.( OCD () BDD Vol. / No. / Winter 00 / /

3 / / Vol. / No. / Winter ) 00. ( Y-BOCS-BDD (000 ) DSM-IV-TR.... BDD -. BDD : ) (Y-BOCS-BDD) :(. BDD ( ) - Global Assessment of Functioning - Brief Psychiatric Rating Scale - sensitivity - luvox - Bordner - metacognitive 0/ 0/0. (GAF) Y-BOCS-BDD. -0/ DSM-IV (BPRS).( ) 0/ Y-BOCS-BDD BPRS Y-BOCS-BDD.( ). BDD ) BDD 0.( (00 ). BDD Y-BOCS-BDD. BDD Y-BOCS-BDD ) (.....

4 - - 0/ 0/..(0 ) BSS (0/ 0/).( ) - ) BSS.( ) BDD 0/ BSS.( ( ) 0/ 0/ KMO.. Y-BOCS-BDD 0/ 0/. Y-BOCS-BDD. 0/ 0/.. - insight - avoidance - Padua Inventory - Van Oppen - Kyrios - Bahar - Wade - Mataix-Cols - Sonchez-Tart 0- Vallejo - Body Satisfaction Scale - Slade - Dewey - Newton - Brodie - Khelmani-Patel - Yaryura-Tobias - Kaiser Meyer Olkin Y-BOCS-BDD BDD. - - :. -. Y-BOCS-BDD.( 00 ) :(PI) ) (). 0. ( (00) 0/ 0/ (). %/ ().. 0/0 0/ - () 0 (00) - OCD BDD. OCD. OCD.( ) - ) (BSS) - (0.. Vol. / No. / Winter 00 / /

5 - - ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/0 ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ - ** 0/ ** 0/ ** 0/0 ** 0/ ** 0/ ** 0/ ** 0/ ** p< 0 / 0 ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ ** 0/ %/.. Y-BOCS-BDD. ( - ) ( ). (/) (0/) KMO. 0/ KMO 0/ 0/ 0/ 0/.( ).. Y-BOCS-BDD / / Vol. / No. / Winter /0 /0 / / / / / / /0 / / /0 - Kaiser - Cerny

6 / 0/ 0/ 0/ Y-BOCS-BDD 0/ 0/ 0/ 0/ 0/ 0/ 0/ 0/ 0 BDD. - BDD -. Y-BOCS-BDD (). (00) (00) Y-BOCS-BDD 00 ) BDD.(00 BDD Y-BOCS-BDD BDD T Z T / /0 /0 / / 0/ / /0 / /0 / / / / / / 0/ /0 / / / / /0 / 0/ / / /0 /0 Z -/ -/ -/ -/ -/0-0/ -0/ -0/ -0/ -0/ -0/0-0/ -0/ -0/ -0/ -/0 0/0 0/0 0/ 0/ 0/ 0/ 0/0 0/ /0 / / / / Y-BOCS-BDD. / 0. BDD % (00). BDD Vol. / No. / Winter 00 / /

7 / / Vol. / No. / Winter 00..(). :. :.()...()..-.(). :.. /.(). :.. American Psychiatric Association (000). Diagnostic and statistical manual of mental disorders (th. ed., text revision). Washington, DC: American Psychiatric Association. American Psychiatric Association (). Diagnostic and statistical manual of mental disorders (th. ed.) Washington, DC: American Psychiatric Association. Bordner, A. M. (00). A cognitive-behavioral treatment program for body dysmorphic disorder. San Francisco: Valliant International University. Goodarzi, M. A., & Firoozabadi, A. (00). Reliability of the Padua Inventory in an Iranian population. Behavior Research and Therapy,, -. Goodman, W. K., Rasmussen, S. A., Price, L. H., Mazure, C., Hennger, G. R., & Chare, Y. D. S. (). Yale- Brown Obsessive Compulsive Scale. New Haven. CT: Department of Psychiatry Yale University School of Medicine. Kaiser, H. F., & Cerny, B. A. (). A study of a measure of sampling adequacy for factor analytic correlation matrices. Multivariate Behavioral Research,, -. Kyrios, M., Bahar, S., & Wade, D. (). The assessment of obsessive-compulsive phenomena: Psychometric and normative data on the Padua Inventory from an Australian non-clinical student sample. Behavior Research and Therapy,, -. - obsessive and compulsive about appearance - power of thought control Y-BOCS-BDD. (00) (00). 0/. 0/ 0/ 0/ 0/. (). -. Y-BOCS-BDD 0/ () (00) (00) Y-BOCS-BDD ) % ( -. BDD -.. OCD (00 ). BDD KMO.. Y-BOCS-BDD. ] [.

8 - - Mataix-Cols, D., Sonchez-Tart, M., & Vallejo, J. A. (00). Spanish of the Padua Inventory, factor structure and psychometric properties. Behavior and Cognitive Psychotherapy, 0, -. Neziroglu, F., & Khemlani-Patel, S. (00). A review of cognitive and behavioral treatment for body dysmorphic disorder. CNS Spectrums,, -. Neziroglu, F., Khemlani-Patel, S., & Yaryura-Tobias, J. A. (00). Incidence of abuse in body dysmorphic disorder. Behavioral Psychotherapy,, -. Phillips, K. A. (). Body dysmorphic disorder: Diagnosis and treatment of imagined ugliness. Journal of Clinical Psychiatry,, -. Phillips, K. A. (00). Pharmacologic treatment of body dysmorphic disorder: Review of the evidence and are commended treatment approach. CNS Spectrums,, -. Phillips, K. A., & Diaz, S. F. (). Gender differences in body dysmorphic disorder. Journal of Nervous & Mental Disease,, 0-. Phillips, K. A., McElroy, S. L., Keck, P. E., Pope., H. G., & Hudson, J. I. (). Body dysmorphic disorder: 0 cases of imagined ugliness. American Journal of Psychiatry, 0, 0-0. Phillips, K. A., Menard, W., Fay, C., & Wesber, G. R. (00). Demographic characteristics, phenomenology, comorbidity, and family history in 00 individuals with BDD. Journal of Consultation Liaison Psychiatry,, -. Phillips, K. A., Hollander, E., Rasmussen, S. A., Aronowitz, B. R., DeCaria, C., & Goodman, W. K. (). A severity rating scale for body dysmorphic disorder: Development, reliability, and validity of a modified version of the Yale- Brown Obsessive-Compulsive Scale. Psychopharmacological Bulletin,, -. Slade, P. D., Dewey, M. E., Newton, T., Brodie, D., & Kiemle, G. (0). Development and preliminary validation of the Body Satisfaction Scale. Psychology and Health,, -0. Van Oppen, P. (). Obsession and compulsions: Dimensional structure, reliability, convergent and divergent validity of the Padua Inventory. Behavior Research and Therapy, 0, -. Veale, D., & Neziroglu, F. (00). Body dysmorphic disorder: A treatment manual. Chichester: Wiley. 0 0 / / Vol. / No. / Winter 00

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