Escala desenvolvida pela equipe de Jonathan Abramowitz (Psychol Assess. 2010) que classifica a gravidade do TOC em 4 dimensões de sintomas delimitadas com base em evidências empíricas e cujo uso já demonstrou também coerência biológica (Biol Psychiatry CNN 2019).
O escore varia de 0 a 80, sendo 20 pontos para cada sub-categoria:
Referências:
1. Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, Timpano KR, McGrath PB, Riemann BC, Adams T, Björgvinsson T, Storch EA, Hale LR. Assessment of obsessive-compulsive symptom dimensions: development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychol Assess. 2010 Mar;22(1):180-98. doi: 10.1037/a0018260. PMID: 20230164.
"A cutoff score of 18 provided the best balance between sensitivity and specificity in classifying OCD patients from nonclinical adults. This cutoff score correctly classified about 78% (sensitivity) of OCD patients and 78% of nonclinical adults (specificity).
A cutoff score of 21 provided the best balance between sensitivity and specificity in classifying OCD patients from those with other anxiety disorders. This cutoff score correctly classified about 70% of OCD patients (sensitivity) and 70% of patients with other anxiety disorders (specificity). "
2. Brennan BP, Wang D, Li M, Perriello C, Ren J, Elias JA, Van Kirk NP, Krompinger JW, Pope HG Jr, Haber SN, Rauch SL, Baker JT, Liu H. Use of an Individual-Level Approach to Identify Cortical Connectivity Biomarkers in Obsessive-Compulsive Disorder. Biol Psychiatry Cogn Neurosci Neuroimaging. 2019 Jan;4(1):27-38. doi: 10.1016/j.bpsc.2018.07.014. Epub 2018 Aug 16. PMID: 30262337; PMCID: PMC6324977.