Children’s Yale-Brown Obsessive Compulsive Scale Children’s Yale-Brown Obsessive Compulsive Scale Administering the CY-BOCS Symptom Checklist and CY-BOCS Severity Ratings Establish the diagnosis of obsessive compulsive disorder. Using the CY-BOCS Symptom Checklist (below), ascertain current and past symptoms. Next, administer the 10 item severity ratings (other form) to assess the severity of the OCD during the last week. Re-administer the CY-BOCS Severity Rating Scale to monitor progress. Email Address Patient Date CY-BOCS Obsessions Checklist Check all symptoms that apply (Items marked “*” mayor may not be OCD Phenomena) Contamination Obsessions Concern with dirt, germs, certain illnesses (e.g., AIDS) Current Past Concerns or disgust with bodily waste or secretions (e.g. urine, feces, saliva) Current Past Excessive concern with environmental contaminants (e.g., asbestos, radiation, toxic waste) Current Past Excessive concern with household items (e.g., cleaners, solvents) Current Past Excessive concern about animals / insects Current Past Excessively bothered by sticky substances or residues Current Past Concerned will get ill because of contaminant Current Past Concerned will get others ill by spreading contaminant (aggressive) Current Past No concern with consequences of contamination other than how it might feel * Current Past Other (describe) Aggressive Obsessions Fear might harm self Current Past Fear might harm others Current Past Fear harm will come to self Current Past Fear harm will come to others (maybe because of something child did or did not do) Current Past Violent or horrific images Current Past Fear of blurting out obscenities or insults Current Past Fear of doing something embarrassing * Current Past Fear will act on unwanted impulses (e.g., to stab a family member) Current Past Fear will steal things Current Past Fear will be responsible for something else terrible happening (e.g. ,fire, burglary, flood) Current Past Other (describe) Sexual Obsessions Forbidden or perverse sexual thoughts, images, impulses Current Past Content involves homosexuality Current Past Sexual behavior towards others (aggressive) Current Past Other (describe) Hoarding / Saving Obsessions Fear of losing things Current Past Other (describe) Magical Thoughts / Superstitious Obsessions Lucky / unlucky numbers, colors, words Current Past Other (describe) Somatic Obsessions Excessive concern with illness or disease * Current Past Excessive concern with body part or aspect of appearance (e.g. dysmorphophobia) * Current Past Other (describe) Religious Obsessions Excessive concern or fear of offending religious objects Current Past Excessive concern with right / wrong morally Current Past Other (describe) Miscellaneous Obsessions The need to know or remember Current Past Fear of saying certain things Current Past Fear of not saying just the right thing Current Past Intrusive (non-violent) images Current Past Intrusive sounds, words, music or numbers Current Past Other (describe) Target Symptom List for Obsessions CY-BOCS Compulsions Checklist Check all symptoms that apply (Items marked “*” may or may not be OCD Phenomena) Washing / Cleaning Compulsions Excessive or ritualized hand washing Current Past Excessive or ritualized showering, bathing, tooth brushing, grooming, toilet routine Current Past Excessive cleaning of items, such as personal clothes or important objects Current Past Other measures to prevent or remove contact with contaminants Current Past Other (describe) Checking Compulsions Checking locks, toys, school books / items, etc. Current Past Checking associated with getting washed, dressed, or undressed Current Past Checking that did not / will not harm others Current Past Checking that did not / will not harm self Current Past Checking that nothing terrible did / will happen Current Past Checking that did not make mistake Current Past Checking tied to somatic obsessions Current Past Other (describe) Repeating Rituals Rereading, erasing, or rewriting Current Past Need to repeat activities (e.g. in / out of doorway, up / down from chair) Current Past Other (describe) Counting Compulsions Objects, certain numbers, words, etc. Current Past Other (describe) Ordering / Arranging Need for symmetry / evening up (e.g. lining items up a certain way or arranging personal items in specific patterns) Current Past Other (describe) Hoarding / Saving Compulsions Distinguish from hobbies and concern with objects of monetary or sentimental value. Current Past Difficulty throwing things away, saving bits of paper, string, etc. Current Past Other (describe) Excessive Games / Superstitious Behaviors Distinguish from age appropriate magical games (e.g. array of behavior, such as sleeping over certain spots on a floor, touching an object / self certain number of times as a routine game to avoid something bad from happening Current Past Other (describe) Rituals Involving Other Persons The need to involve another person (usually a parent) in ritual (e.g. asking a parent to repeatedly answer the same question, making mother perform certain mealtime rituals involving specific utensils) * Current Past Other (describe) Miscellaneous Compulsions Mental rituals other than checking / counting Current Past Need to tell, ask or confess Current Past Measures (not checking) to prevent : Current Past harm to self Current Past harm to others Current Past terrible consequences Current Past Ritualized eating behaviors * Current Past Excessive list making * Current Past Need to touch, tap, rub * Current Past Need to do things (e.g. touch or arrange until it feels just right) * Current Past Rituals involving blinking or staring * Current Past Trichotillomania (hair-pulling) Current Past Other self-damaging or self-mutilating behaviors * Current Past Other (describe) Target Symptom List for Compulsions Developer Reference: Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R., Secnik, K., Spencer, T., Ustun, T. B., & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256. https://doi.org/10.1017/s0033291704002892 Submit If you are human, leave this field blank. Δ
