Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T05:33:28.952Z Has data issue: false hasContentIssue false
  • English
  • Français

Validation of the University of São Paulo Sensory Phenomena Scale:Initial Psychometric Properties

Published online by Cambridge University Press:  07 November 2014

Maria Conceição Rosario ,
Helena Silva Prado ,
Sonia Borcato ,
Juliana Belo Diniz ,
Roseli Gedanki Shavitt ,
Ana Gabriela Hounie ,
Maria Eugênia Mathis ,
Rosana Savio Mastrorosa ,
Patricia Velloso  and
Eduardo Alliende Perin
...Show all authors
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: Although obsessions and compulsions comprise the main features of obsessive-compulsive disorder (OCD), many patients report that their compulsions are preceded by a sense of “incompleteness” or other unpleasant feelings such as premonitory urges or a need perform actions until feeling “just right.” These manifestations have been characterized as Sensory Phenomena (SP). The current study presents initial psychometric data for a new scale designed to measure SP.

Methods: Seventy-six adult OCD subjects were probed twice. Patients were assessed with an open clinical interview (considered as the “gold standard”) and with the following standardized instruments: Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I Disorders, Yale-Brown Obsessive-Compulsive Scale, Dimensional Yale-Brown Obsessive-Compulsive Scale, Yale Global Tic Severity Scale, Beck Anxiety Inventory, and Beck Depression Inventory.

Results: SP were present in 51 OCD patients (67.1%). Tics were present in 16 (21.1%) of the overall sample. The presence of SP was significantly higher in early-onset OCD patients. There were no significant differences in the presence of SP according to comorbidity with tics or gender. The comparison between the results from the open clinical interviews and the University of São Paulo Sensory Phenomena Scale (USP-SPS) showed an excellent concordance between them, with no significant differences between interviewers. The inter-rater reliability between the expert raters for the USP-SPS was high, with K=.92. The Pearson correlation coefficient between the SP severity scores given by the two raters was .89.

Conclusion: Preliminary results suggest that the USP-SPS is a valid and reliable instrument for assessing the presence and severity of SP in OCD subjects.

Type
Original Research
Information
CNS Spectrums , Volume 14 , Issue 6 , June 2009 , pp. 315 - 323
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Kessler, RC, Chiu, WT, Dernler, O, Merikangas, KR, Walters, EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617–627.CrossRefGoogle ScholarPubMed
2.Diagnostic and Statistical Manual of Mental Disorders. 4th ed, text rev. Washington, DC: American Psychiatric Association; 2000.Google Scholar
3.Torres, AR, Prince, MJ, Bebbington, PE, et al.Obsessive-Compulsive Disorder: prevalence, comorbidity, impact, and help-seeking in the British National Psychiatry Morbidity Survey of 2000. Am J Psychiatry. 2006;163:1978–1985.CrossRefGoogle ScholarPubMed
4.Cohen, AJ, Leckman, JF. Sensory phenomena associated with Gilles de la Tourette's Syndrome. J Clin Psychiatry. 1992;53:319–323.Google ScholarPubMed
5.Rosario-Campos, MC, Leckman, JF, Mercadante, MT, et al.Adults with early-onset obsessive-compulsive disorder. Am J Psychiatry. 2001;158:1899–1903.CrossRefGoogle ScholarPubMed
6.Ferrão, YA, Shavitt, RG, Bedin, NR, et al.Clinical features associated to refractory obsessive-compulsive disorder. J Affect Disord. 2006;94:199–209.Google ScholarPubMed
7.Shavitt, RG, Belotto, C, Curi, M, et al.Clinical features associated with treatment response in obsessive-compulsive disorder. Compr Psychiatry. 2006;47:276–281.CrossRefGoogle ScholarPubMed
8.Leckman, JF, Pauls, DL, Peterson, BS, Riddle, MA, Anderson, GM, Cohen, DJ. Pathogenesis of Tourette syndrome – Clues from the Clinical Phenotype and Natural History. Adv Neurol. 1992;58:15–24.Google ScholarPubMed
9.Shavitt, RG. Fatores Preditivos de Resposta ao Tratamento em Pacientes com Transtorno Obsessivo-Compulsivo [PhD thesis] (in Portuguese). São Paulo, Brazil: Universidade de São Paulo; 2002.Google Scholar
10.Miguel, EC, Coffey, BJ, Baer, L, Savage, CR, Rauch, SL, Jenike, MA. Phenomenology of Intentional Repetitive Behaviors in Obsessive-Compulsive Disorder and Tourette's syndrome. J Clin Psychiatry. 1995;56:420–430.Google Scholar
11.Miguel, EC, Baer, L, Coffey, BJ, et al.Phenomenological differences appearing with repetitive behaviors in obsessive-compulsive disorder and Gilles de la Tourette syndrome. Br J Psychiatry. 1997;170:140–145.CrossRefGoogle Scholar
12.Miguel, EC, do Rosário-Campos, MC, Prado, HS, et al.Sensory Phenomena in Obsessive-Compulsive Disorder and Tourette's Disorder. J Clin Psychiatry. 2000; 61:150–156.CrossRefGoogle ScholarPubMed
13.Prado, HS, Rosario, MC, Lee, J, Hounie, AG, Shavitt, RG, Miguel, EC. Sensory Phenomena in Obsessive-Compulsive Disorders and Tic Disorders: A Review of the Literature. CNS Spectr. 2008;13:425–432.CrossRefGoogle ScholarPubMed
14.Leckman, JF, Walker, DE, Goodman, WK, Pauls, DL, Cohen, DJ. “Just-Right” perceptions associated with compulsive behaviors in Tourette's syndrome. Am J Psychiatry. 1994;151:675–680.Google ScholarPubMed
15.Leckman, JF, Grice, DE, Boardman, J, et al.Symptoms of obsessive-compulsive disorder. Am J Psychiatry. 1997;154:911–917.Google ScholarPubMed
16.Coles, ME, Frost, RO, Heimberg, RG, Rhéaume, J. “Not Just Right Experiences”: perfectionism, obsessive-compulsive features and general psychopathology. Behav Res Ther. 2003;41:681–700.CrossRefGoogle ScholarPubMed
17.Woods, DW, Piacentini, J, Himle, MB, Chang, S. Premonitory Urge for Tics Scale (PUTS): Initial Psychometric Results and Examination of Premonitory Urge Phenomenon in Youth with Tic Disorders. J Dev Behav Pediatr. 2005;26:397–403.CrossRefGoogle ScholarPubMed
18.De Mathis, MA, Rosario, MC, Diniz, JB, et al.Obsessive-compulsive disorder: influence of age at onset on comorbidity patterns. Eur Psychiatry. 2008;23:187–194.CrossRefGoogle ScholarPubMed
19.Pauls, DL, Towbin, KE, Leckman, JF, Zahner, GE, Cohen, DJ. Gilles de la Tourette's syndrome and obsessive-compulsive disorder. Evidence supporting a genetic relationship. Arch Gen Psychiatry. 1986;43:1180–1182.CrossRefGoogle ScholarPubMed
20.First, MB, Spitzer, RL, Gibbon, M, Williams, JBW. Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition (SCID-I/P, Version 2.0). 4th ed. Washington, DC: American Psychiatry Press; 1994.Google Scholar
21.Goodman, WK, Price, LH, Rasmussen, SA, et al.The Yale-Brown Obsessive-Compulsive Scale: Development use and reliability. Arch Gen Psychiatry. 1989;46:1006–1011.CrossRefGoogle ScholarPubMed
22.Goodman, WK, Price, LH, Rasmussen, SA, et al.The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS): II. Validity. Arch Gen Psychiatry. 1989;46:1012–1016.CrossRefGoogle Scholar
23.Scahill, L, Riddle, MA, McSwiggin-Hardin, M, et al.Children's Yale-Brown Obsessive Compulsive Scale: Reliability and Validity. J Am Acad Child Adolesc Psychiatry. 1997;36:844–852.CrossRefGoogle ScholarPubMed
24.Rosario-Campos, MC, Miguel, EC, Quatrano, S, et al.The Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS): an instrument for assessing obsessive-compulsive symptom dimensions. Mol Psychiatry. 2006;11:495–504.CrossRefGoogle ScholarPubMed
25.Leckman, JF, Riddle, MA, Hardin, MT, et al.The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry. 1989; 28:566–573.CrossRefGoogle ScholarPubMed
26.Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961;4:561–571.CrossRefGoogle ScholarPubMed
27.Beck, AT, Epstein, N, Brown, G, Steer, RA. An Inventory for Measuring Clinical Anxiety: Psychometric Properties. J Consult Clin Psychol. 1988;56:893–897.CrossRefGoogle ScholarPubMed
28.Leckman, JF, Grice, DE, Barr, LC, et al.Tic-Related vs. Non-Tic-Related Obsessive-Compulsive Disorder. Anxiety. 1994/1995;1:208–215.CrossRefGoogle ScholarPubMed
29.Miguel, EC, Leckman, JF, Rauch, S, et al.Obsessive-compulsive disorder phenotypes: implications for genetic studies. Mol Psychiatry. 2005;10:258–275.CrossRefGoogle ScholarPubMed
30.Mataix-Cols, D. Deconstructing obsessive-compulsive disorder: a multidimensional perspective. Curr Opin Psychiatry. 2006;19:84–89.CrossRefGoogle ScholarPubMed
31.Lee, J, Prado, HS, Diniz, JB, et al.Perfectionism and Sensory Phenomena: Phenotypic Components of Obsessive-Compulsive Disorder. Compr Psychiatry. In press.Google Scholar