Clark-Beck Obsessive-Compulsive Inventory (CBOCI)

Purpose

Efficient, comprehensive self-report screening instrument for obsessive-compulsive symptoms

Prior to CBOCI, there was no self-report measure that identified OC symptoms and severity

level

Written at 8th grade reading level

Individuals who are experiencing obsessions or compulsions that prohibit normal daily

functioning

Administration
Recommended administrator is present
Respondent reads instructions and definitions
Discuss last two weeks and ensure understanding of what is being assessed
Tell respondent to respond to questions as they pertain to their main obsession or compulsion
Can be read if person cannot read
Allow more time as necessary

Conditions & Setting

Quiet place with good lighting and minimal distractions
Typically takes 10-15 minutes to complete
Takes 10-30 minutes for OCD individuals
Choose based on first instinct
If individual is stuck between two choices, encourage to choose highest number
Be mindful of false positives

Scoring
Score is on a 4-point Likert scale
Two subscales (obsessions and compulsions) and a total score
0 is absence of symptoms and 3 is high difficulty with symptoms
If respondent chooses more than one option, select higher score

Obsession Scale
First 14 questions with maximum score of 42

Compulsion Scale
Last 11 questions with maximum score of 33
Total possible score is 75

Interpretation of Scores
Total score is used for initial screening and diagnostic impression because it taps into both

system domains (obsessions and compulsions)

Obsession Subscale
0-9, minimal, nonclinical
10-28, mild to moderate, clinical
29-42, severe, clinical

Compulsion Subscale
0-9, minimal, nonclinical
10-25, mild to moderate, clinical
26-33, severe, clinical

Total Score
0-20, minimal, nonclinical
21-52, mild to moderate, clinical
53-75, severe, clinical

90% of OCD patients score in clinical range of this CBOCI Inventory

Psychometrics
5 different samples
OCD, anxiety, depression, adults, students
0CD sample: 83 patients at Anxiety Treatment and Research Center in Canada
32 males, 51 females, mean age of 34 (age range from 17-61)
Ethnicity: All White except 1 Black, 2 Native Canadian, 2 Asians, and 3 other
Varied educational level (most college grads)
68 patients had comorbid diagnosis (panic disorder, phobia, anxiety, depression, psychotic)

Reliability
CBOCI Obsessions= alpha coefficient .90
CBOCI Compulsion= alpha coefficient .93
Over .80 so considered to have high internal reliability

Test-Retest Stability
No test-retest data for OCD sample

Convergent Validity
High convergent validity against YBOCS and PI-R

Administering the CBOCI

White female, age 29
Administered in work office with minimal distractions
Read through questions carefully
Did not pause between answering test items
Took approximately 15 mins

Community Response
STRENGTHS
1st screening measure with validated obsession and compulsion scales
Good reliability
Convergent validity
Equally measures both obsessions and compulsions

Weaknesses
Doesn't distinguish well between OCD patients and those with anxiety/mood disorders
Lacks data about treatment sensitivity
No test-retest data