Computer-assisted assessment of obsessive-compulsive disorder in young people: a preliminary evaluation of the Development and Well-Being Assessment

作者：Krebs Georgina^*; Liang Holan; Hilton Kristina; Macdiarmid Fiona; Heyman Isobel

来源：Child and Adolescent Mental Health, 2012, 17(4): 246-251.

DOI：10.1111/j.1475-3588.2012.00651.x

• Obsessive-compulsive disorder
• paediatric
• diagnosis
• computer-assisted
• assessment

Background Paediatric obsessive-compulsive disorder (OCD) often goes undetected, delaying access to evidence-based treatment. This study aimed to assess the utility of a computerised diagnostic tool, the Development and Well-Being Assessment (DAWBA), in detecting OCD and comorbidity in youth. Method A total of 51 young people referred to a specialist OCD service between September 2007 and July 2008 completed the DAWBA prior to clinical assessment. Computer-rated and clinician-rated DAWBA diagnoses were compared with those assigned by the specialist clinic. Results The computer-rated and clinician-rated DAWBA correctly classified OCD in 71% and 77% of cases respectively. Compared to consensus diagnoses, the computer-rated DAWBA tended to over-diagnose comorbidity, while the clinician-rated DAWBA diagnoses of comorbidity corresponded well with the consensus. Conclusions The DAWBA has potential value in detecting OCD as well as comorbid disorders, and could be a cost-effective method for diagnosing OCD and related problems.

• 出版日期2012-11