Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD
Abstract Background and objectives Obsessive-compulsive disorder (OCD) is recognized globally as a serious mental health concern among children and adolescents. Accurate early diagnosis and intervention are crucial for effective management and improving patient outcomes. The primary objective of thi...
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BMC
2025-04-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-025-06724-4 |
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| author | Rongkun Su Xu Hong Hanxue Yang Wanling Zhang Na Hu Xiuzhen Wang Ying Li |
| author_facet | Rongkun Su Xu Hong Hanxue Yang Wanling Zhang Na Hu Xiuzhen Wang Ying Li |
| author_sort | Rongkun Su |
| collection | DOAJ |
| description | Abstract Background and objectives Obsessive-compulsive disorder (OCD) is recognized globally as a serious mental health concern among children and adolescents. Accurate early diagnosis and intervention are crucial for effective management and improving patient outcomes. The primary objective of this study was to evaluate the diagnostic validity of the Child Behavior Checklist-Obsessive Compulsive Scale (CBCL-OCS) in Chinese children and adolescents, ensuring its cultural adaptability. The secondary objective was to explore the clinical characteristics of OCD, including prevalence, symptom severity, and comorbidities. Methods A cross-sectional epidemiological survey was conducted among 8,595 middle school students in Liaoning Province, China. The CBCL-OCS was employed as the primary screening tool. The optimal cutoff value for OCD screening was determined through receiver operating characteristic (ROC) curve analysis. Results The study found an OCD prevalence of 1.710%, which was consistent with the global estimation. ROC analysis determined a cutoff score of 2.5 for CBCL-OCS, with a sensitivity of 0.789 and a specificity of 0.899. Furthermore, adolescents exhibited significantly higher CBCL-OCS scores compared to younger children, suggesting an increase in OCD severity with age. Significant associations were also found between OCD symptoms and comorbid emotional disorders, behavioral problems, and anxiety symptoms. Conclusions This study confirms the utility of CBCL-OCS as an effective early screening tool for OCD in Chinese middle school students, highlighting its sensitivity and specificity, and cultural adaptability. Results contributed valuable insights to the epidemiology of OCD among children and adolescents, underscoring the need for targeted interventions during critical developmental periods, especially in adolescence. |
| format | Article |
| id | doaj-art-dcd33527cdee418c800eae0acafa4ca7 |
| institution | DOAJ |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-dcd33527cdee418c800eae0acafa4ca72025-08-20T03:10:08ZengBMCBMC Psychiatry1471-244X2025-04-0125111010.1186/s12888-025-06724-4Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCDRongkun Su0Xu Hong1Hanxue Yang2Wanling Zhang3Na Hu4Xiuzhen Wang5Ying Li6Shenyang Mental Health Center, Mental Health Management CenterCloud Services Innovation Laboratory, Institute of Intelligent Science and Technology, China Electronics Technology Group CorporationSchool of Psychology, Beijing Language and Culture UniversityDepartment of Psychosomatic Medicine, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Psychosomatic Medicine, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthShenyang Mental Health Center, Mental Health Management CenterDepartment of Psychosomatic Medicine, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthAbstract Background and objectives Obsessive-compulsive disorder (OCD) is recognized globally as a serious mental health concern among children and adolescents. Accurate early diagnosis and intervention are crucial for effective management and improving patient outcomes. The primary objective of this study was to evaluate the diagnostic validity of the Child Behavior Checklist-Obsessive Compulsive Scale (CBCL-OCS) in Chinese children and adolescents, ensuring its cultural adaptability. The secondary objective was to explore the clinical characteristics of OCD, including prevalence, symptom severity, and comorbidities. Methods A cross-sectional epidemiological survey was conducted among 8,595 middle school students in Liaoning Province, China. The CBCL-OCS was employed as the primary screening tool. The optimal cutoff value for OCD screening was determined through receiver operating characteristic (ROC) curve analysis. Results The study found an OCD prevalence of 1.710%, which was consistent with the global estimation. ROC analysis determined a cutoff score of 2.5 for CBCL-OCS, with a sensitivity of 0.789 and a specificity of 0.899. Furthermore, adolescents exhibited significantly higher CBCL-OCS scores compared to younger children, suggesting an increase in OCD severity with age. Significant associations were also found between OCD symptoms and comorbid emotional disorders, behavioral problems, and anxiety symptoms. Conclusions This study confirms the utility of CBCL-OCS as an effective early screening tool for OCD in Chinese middle school students, highlighting its sensitivity and specificity, and cultural adaptability. Results contributed valuable insights to the epidemiology of OCD among children and adolescents, underscoring the need for targeted interventions during critical developmental periods, especially in adolescence.https://doi.org/10.1186/s12888-025-06724-4Children and adolescentsOCDCBCL-OCSEpidemiology |
| spellingShingle | Rongkun Su Xu Hong Hanxue Yang Wanling Zhang Na Hu Xiuzhen Wang Ying Li Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD BMC Psychiatry Children and adolescents OCD CBCL-OCS Epidemiology |
| title | Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD |
| title_full | Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD |
| title_fullStr | Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD |
| title_full_unstemmed | Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD |
| title_short | Evaluating the diagnostic validity of CBCL-OCS in Chinese children and adolescents with OCD |
| title_sort | evaluating the diagnostic validity of cbcl ocs in chinese children and adolescents with ocd |
| topic | Children and adolescents OCD CBCL-OCS Epidemiology |
| url | https://doi.org/10.1186/s12888-025-06724-4 |
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