{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T05:35:34Z","timestamp":1777440934092,"version":"3.51.4"},"reference-count":60,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Assessment"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>\n                    Objective: We investigated the diagnostic efficiency and clinical utility of the Dimensional Obsessive\u2013Compulsive Scale (DOCS) and subscales for distinguishing obsessive\u2013compulsive disorder (OCD) from anxiety disorders (ADs). Method: A total of 369 participants (167 male, M\n                    <jats:sub>age<\/jats:sub>\n                    = 29.61 years) diagnosed with DSM-IV OCD or AD, recruited from specialty clinics across the United States, completed clinical interviews and self-report questionnaires, including the DOCS. Receiver operating characteristic analyses and diagnostic likelihood ratios (DiLRs) determined discriminative validity and provided clinical utility. Logistic regressions tested for incremental validity in the DOCS-total scale and subscales in predicting OCD status. Results: The DOCS-total scale and Contamination subscale performed best in differentiating between OCD and AD diagnosis (DOCS-total: Area under curve [AUC] = .75, p &lt; .001; Contamination: AUC = .70, p &lt; .001) as compared with the other subscales. At high scores (DOCS-total: 28+, Contamination: 6+), Contamination was more effective than the DOCS-total in differentiating OCD from ADs, with high scores in Contamination quadrupling OCD odds and DOCS-total by about threefold (Contamination DiLR+ = 4.04, DOCS-total DiLR+ = 2.82). At low scores (DOCS-total: 0-9, Contamination: 0-2), the converse was true, with low scores in Contamination cutting OCD odds by half and DOCS-total by one fifths (Contamination DiLR\u2212 = 0.52, DOCS-total DiLR\u2212 = 0.23). Conclusion: At high scores, the Contamination subscale is the most helpful subscale to differentiate OCD and ADs. For low scores, the DOCS-total scale performs the best among the scales.\n                  <\/jats:p>","DOI":"10.1177\/1073191118791039","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T07:05:34Z","timestamp":1532502334000},"page":"810-821","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Discriminative Validity of the Dimensional Obsessive\u2013Compulsive Scale for Separating Obsessive\u2013Compulsive Disorder From Anxiety Disorders"],"prefix":"10.1177","volume":"27","author":[{"given":"Mian-Li","family":"Ong","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Reuman","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Youngstrom","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan S.","family":"Abramowitz","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,25]]},"reference":[{"key":"bibr1-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/a0018260"},{"key":"bibr2-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032813-153713"},{"key":"bibr3-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.05.006"},{"key":"bibr4-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"bibr5-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(98)00083-7"},{"key":"bibr6-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1002\/da.21955"},{"key":"bibr7-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(01)00571-5"},{"key":"bibr8-1073191118791039","volume-title":"Confirmatory factor analysis for applied research","author":"Brown T. A.","year":"2006"},{"key":"bibr9-1073191118791039","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988","edition":"2"},{"key":"bibr10-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200308000-00003"},{"key":"bibr11-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1891\/0889-8391.22.2.115"},{"key":"bibr12-1073191118791039","volume-title":"Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)","author":"DiNardo P. A.","year":"1994"},{"issue":"4","key":"bibr13-1073191118791039","first-page":"102","volume":"8","author":"DuPont R. L.","year":"1995","journal-title":"Medical Interface"},{"key":"bibr14-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.14.4.485"},{"key":"bibr15-1073191118791039","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1176\/ajp.152.1.90","volume":"152","author":"Foa E. B.","year":"1995","journal-title":"American Journal of Psychiatry"},{"key":"bibr16-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.3.206"},{"key":"bibr17-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2009.04.005"},{"key":"bibr18-1073191118791039","first-page":"17","volume-title":"Science and pseudoscience in clinical psychology","author":"Garb H. N.","year":"2003"},{"key":"bibr19-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"bibr20-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"bibr21-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2007.01.012"},{"key":"bibr22-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.103.2.265"},{"key":"bibr23-1073191118791039","volume-title":"Users\u2019 guides to the medical literature: A manual for evidence-based clinical practice","author":"Guyatt G. H.","year":"2002"},{"key":"bibr24-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.148.3.6878708"},{"key":"bibr25-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03320430047030"},{"key":"bibr26-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.03.014"},{"key":"bibr27-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1002\/0471722146"},{"key":"bibr28-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.67.3.300"},{"key":"bibr29-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03510290071040"},{"key":"bibr30-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/a0022506"},{"key":"bibr31-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.617"},{"key":"bibr32-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(05)70177-5"},{"key":"bibr33-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr2401_4"},{"key":"bibr34-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.228"},{"key":"bibr35-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-014-9450-1"},{"key":"bibr36-1073191118791039","volume-title":"Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder","author":"National Collaborating Centre for Mental Health","year":"2006"},{"key":"bibr37-1073191118791039","volume-title":"Psychometric theory","author":"Nunnally J. C.","year":"1994","edition":"3"},{"key":"bibr38-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2291010898"},{"key":"bibr39-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/11856-000"},{"key":"bibr40-1073191118791039","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2011.00070"},{"key":"bibr41-1073191118791039","unstructured":"R Development Core Team. (2014). A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Retrieved from http:\/\/www.R-project.org"},{"key":"bibr42-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2105-12-77"},{"key":"bibr43-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2008.94"},{"key":"bibr44-1073191118791039","volume-title":"Evidence-based medicine: How to practice and teach EBM","author":"Sackett D. L.","year":"2000","edition":"2"},{"key":"bibr45-1073191118791039","volume-title":"Evidence-based medicine: How to practice and teach evidence-based medicine","author":"Straus S. E.","year":"2011"},{"key":"bibr46-1073191118791039","volume-title":"Multiple factor analysis","author":"Thurstone L. L.","year":"1947"},{"key":"bibr47-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.03.007"},{"key":"bibr48-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.11.017"},{"key":"bibr49-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(03)00119-0"},{"key":"bibr50-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.01134.x"},{"key":"bibr51-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/83.4.835"},{"key":"bibr52-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1159\/000348582"},{"key":"bibr53-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2012.736358"},{"key":"bibr54-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jst062"},{"key":"bibr55-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2013.12.005"},{"key":"bibr56-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2014.913252"},{"key":"bibr57-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.12.002"},{"key":"bibr58-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.06.023"},{"key":"bibr59-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1002\/9780470906514"},{"key":"bibr60-1073191118791039","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.99.3.432"}],"container-title":["Assessment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1073191118791039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1073191118791039","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1073191118791039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:13:04Z","timestamp":1777378384000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1073191118791039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,25]]},"references-count":60,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/1073191118791039"],"URL":"https:\/\/doi.org\/10.1177\/1073191118791039","relation":{},"ISSN":["1073-1911","1552-3489"],"issn-type":[{"value":"1073-1911","type":"print"},{"value":"1552-3489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,25]]}}}