Assessment & Research

Assessment of obsessive-compulsive disorder.

Emmelkamp et al. (1999) · Behavior modification 1999
★ The Verdict

The MOCI is a sturdy adult self-report for OCD, but add direct behavior counts and switch to the CY-BOCS-ASD for youth.

✓ Read this if BCBAs who assess or treat OCD in adults or teens.
✗ Skip if Clinicians working only with autistic children under 12—use CY-BOCS-ASD instead.

01Research in Context

01

What this study did

The team checked if the Maudsley Obsessive-Compulsive Inventory (MOCI) really works. They looked at test-retest scores, internal consistency, and how well it tells OCD apart from other problems.

Adults with anxiety or OCD filled out the short yes-no checklist twice. The study did not test a treatment; it only tested the ruler.

02

What they found

The MOCI scores stayed stable across time and the items hung together nicely. It clearly flagged people with OCD versus those without it, except when depression was in the mix.

The scale is good enough to track change during therapy, but you should add direct counts of target rituals for extra sensitivity.

03

How this fits with other research

Scahill et al. (2016) later showed the kid version, CY-BOCS-ASD, catches big drops in repetitive behavior during drug trials. Their work extends the MOCI downward in age and upward in sensitivity.

Gutierrez et al. (1998) found the Motivation Assessment Scale failed on reliability. Together with the MOCI paper, the pair warns us: some checklists work, some do not—always read the psychometric fine print.

Busch et al. (2010) later validated REDSOCS for preschool disruptive behavior using the same playbook: interobserver checks, convergent validity, treatment sensitivity. The two studies mirror each other across different ages and problems.

04

Why it matters

If you run OCD treatment, keep the MOCI in your toolbox for a quick self-report baseline. Pair it with real-time behavior counts to catch small changes the scale might miss. And remember: a solid ruler in adults does not guarantee a solid ruler in kids—pick the CY-BOCS-ASD for children and always check reliability data before you trust any form.

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Give the MOCI pre-treatment, then pick one ritual and count its daily frequency for a clearer progress line.

02At a glance

Intervention
not applicable
Design
other
Population
anxiety disorder, not specified
Finding
positive

03Original abstract

Self-report assessment devices of obsessive-compulsive symptoms are widely used by behavior therapists. In the present investigation, psychometric characteristics and concurrent, discriminant, and factorial validity of the Maudsley Obsessional Compulsive Inventory (MOCI) were studied in clinical samples. Test-retest reliability was high. The internal consistency was high for the total score and moderate for the subscales, checking and cleaning. The slowness and doubting subscales appeared to be less useful. The MOCI was found to reliably discriminate between obsessional patients on one hand and normals, patients with anorexia nervosa and anxiety disorders, on the other, but failed to discriminate obsessionals from depressives. Concurrent validity and factorial validity were satisfactory. The MOCI may be used to evaluate effects of treatment, but it is less sensitive than target ratings of obsessional problems.

Behavior modification, 1999 · doi:10.1177/0145445599232005