Assessing Core Affective Dimensions in OCD: Development and Validation of the Obsessive–Compulsive Core Dimensions Scale (OC-CDS)

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-06-30 DOI:10.1002/cpp.70113

Gabriele Melli, Claudia Carraresi, Antonella Lebruto, Laura Caccico, Andrea Galleschi

{"title":"Assessing Core Affective Dimensions in OCD: Development and Validation of the Obsessive–Compulsive Core Dimensions Scale (OC-CDS)","authors":"Gabriele Melli, Claudia Carraresi, Antonella Lebruto, Laura Caccico, Andrea Galleschi","doi":"10.1002/cpp.70113","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <p>Obsessive–compulsive disorder (OCD) is a complex condition characterized by obsessions and compulsions driven by different affective dimensions, including guilt, disgust and not just right experiences (NJREs). However, research has often examined these factors separately, without analysing their interaction. To address this gap, we developed and validated the Obsessive–Compulsive Core Dimensions Scale (OC-CDS), a self-report measure designed to simultaneously assess guilt avoidance, disgust avoidance and NJRE avoidance that drive OCD symptoms. Two studies conducted on Italian non-clinical samples confirmed the factorial validity and psychometric robustness of the OC-CDS. The first study refined the scale to 18 items, revealing a three-factor structure with excellent fit indices. The second study confirmed this structure through confirmatory factor analysis, demonstrating good reliability, temporal stability, construct and predictive validity. The findings support the use of the OC-CDS for a more comprehensive assessment of the affective motivations underlying OCD, with clinical implications for personalized interventions. Future research should explore the applicability of the scale in clinical settings and the role of interactions among these dimensions in maintaining OCD symptoms.</p>\n </section>\n \n <section>\n \n <h3> Summary</h3>\n \n <div>\n \n <ul>\n \n \n <li>The Obsessive–Compulsive Core Dimensions Scale (OC-CDS) is a validated self-report tool that assesses three key affective dimensions underlying OCD: guilt avoidance, disgust avoidance and not just right experiences (NJREs).</li>\n \n \n <li>The OC-CDS demonstrated strong psychometric properties, including a stable three-factor structure, high internal consistency and moderate test–retest reliability.</li>\n \n \n <li>The scale provides a more comprehensive assessment of OCD-related motivations, allowing clinicians to tailor interventions based on the predominant emotional drivers of compulsive behaviours.</li>\n \n \n <li>Future research should validate the OC-CDS in clinical populations and explore the interactions among guilt, disgust and NJRE in maintaining OCD symptoms.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70113","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Obsessive–compulsive disorder (OCD) is a complex condition characterized by obsessions and compulsions driven by different affective dimensions, including guilt, disgust and not just right experiences (NJREs). However, research has often examined these factors separately, without analysing their interaction. To address this gap, we developed and validated the Obsessive–Compulsive Core Dimensions Scale (OC-CDS), a self-report measure designed to simultaneously assess guilt avoidance, disgust avoidance and NJRE avoidance that drive OCD symptoms. Two studies conducted on Italian non-clinical samples confirmed the factorial validity and psychometric robustness of the OC-CDS. The first study refined the scale to 18 items, revealing a three-factor structure with excellent fit indices. The second study confirmed this structure through confirmatory factor analysis, demonstrating good reliability, temporal stability, construct and predictive validity. The findings support the use of the OC-CDS for a more comprehensive assessment of the affective motivations underlying OCD, with clinical implications for personalized interventions. Future research should explore the applicability of the scale in clinical settings and the role of interactions among these dimensions in maintaining OCD symptoms.

Summary

The Obsessive–Compulsive Core Dimensions Scale (OC-CDS) is a validated self-report tool that assesses three key affective dimensions underlying OCD: guilt avoidance, disgust avoidance and not just right experiences (NJREs).
The OC-CDS demonstrated strong psychometric properties, including a stable three-factor structure, high internal consistency and moderate test–retest reliability.
The scale provides a more comprehensive assessment of OCD-related motivations, allowing clinicians to tailor interventions based on the predominant emotional drivers of compulsive behaviours.
Future research should validate the OC-CDS in clinical populations and explore the interactions among guilt, disgust and NJRE in maintaining OCD symptoms.

查看原文本刊更多论文

强迫症核心情感维度评估：强迫症核心维度量表（occ - cds）的编制与验证

强迫症（OCD）是一种复杂的疾病，其特征是由不同的情感维度驱动的强迫和强迫，包括内疚、厌恶和不只是正确的经历（NJREs）。然而，研究往往是单独考察这些因素，而没有分析它们之间的相互作用。为了解决这一差距，我们开发并验证了强迫症核心维度量表（OC-CDS），这是一种自我报告测量，旨在同时评估驱动强迫症症状的内疚回避、厌恶回避和NJRE回避。对意大利非临床样本进行的两项研究证实了OC-CDS的析因效度和心理测量稳健性。第一项研究将量表细化到18个项目，揭示了一个具有良好拟合指数的三因素结构。第二项研究通过验证性因子分析证实了该结构，具有良好的信度、时间稳定性、建构性和预测效度。研究结果支持使用occ - cds对OCD潜在的情感动机进行更全面的评估，并具有个性化干预的临床意义。未来的研究应该探索该量表在临床环境中的适用性，以及这些维度之间的相互作用在维持强迫症症状中的作用。强迫症核心维度量表（occ - cds）是一种经过验证的自我报告工具，它评估了强迫症的三个关键情感维度：内疚回避、厌恶回避和不只是正确的经历（NJREs）。occ - cds具有较强的心理测量特性，包括稳定的三因子结构、较高的内部一致性和中等的重测信度。该量表为强迫症相关动机提供了更全面的评估，允许临床医生根据强迫行为的主要情感驱动因素量身定制干预措施。未来的研究应在临床人群中验证OCD - cds，并探索内疚、厌恶和NJRE在维持OCD症状中的相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.