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Chapter 130 - Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS)

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Virginia Ramseyer Winter
Affiliation:
University of Minnesota
Tracy L. Tylka
Affiliation:
Ohio State University
Antoinette M. Landor
Affiliation:
University of Missouri
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Summary

The 12-item Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS; Phillips et al., 1997) is a widely used, semi-structured, clinician or rater-administered measure of a person’s current severity of body dysmorphic disorder (BDD). To emphasize, the BDD-YBOCS is a severity measure and not a screening or diagnostic measure of BDD, and it should be used only in individuals who have already been diagnosed with BDD. The BDD-YBOCS has been the primary outcome measure in most treatment studies of BDD and is also used in clinical settings. It can be administered online or in-person to children, adolescents, and adults and is free to use, although a fee may be charged for more than a certain number of free uses. This chapter first discusses the development of the BDD-YBOCS and then provides evidence of its psychometrics. It has three factors: a core symptoms factor (BDD diagnostic criteria), a resistance-control factor (for thoughts/preoccupation), and a repetitive behaviors factor. Internal consistency, interrater reliability, test-retest reliability, convergent validity, and discriminant validity support the use of the BDD-YBOCS. It is sensitive to change as a result of clinical intervention. This chapter directs readers for how to obtain the full list of items. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Fernandez de la Cruz, L., Enander, J., Rück, C., Wilhelm, S., Phillips, K. A., Steketee, G., et al. (2021). Empirically defining treatment response and remission in body dysmorphic disorder. Psychological Medicine, 51, 8389. https://doi.org/10.1017%2FS0033291719003003.CrossRefGoogle ScholarPubMed
Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale-Brown Obsessive-Compulsive Scale: I. Development, use, and reliability. Archives of General Psychiatry, 46, 10061011. https://doi.org/10.1001/archpsyc.1989.01810110048007.CrossRefGoogle ScholarPubMed
Kollei, I., Ritter, V., Schüller, J., Martin, A., Grocholewski, A., Heinrichs, N., et al. (2023). Psychometric evaluation of the German version of the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS). Journal of Obsessive-Compulsive and Related Disorders, 100790. https://doi.org/10.1016/j.jocrd.2023.100790.Google Scholar
Mataix-Cols, D., Andersson, P., Rautio, D., Flygare, O., Greenberg, J.L., Hoeppner, S.S., et al. (2025). Empirically informed symptom severity cutoffs for body dysmorphic disorder. Journal of Psychiatric Research, 189, 382-387. doi: 10.1016/j.jpsychires.2025.06.019.CrossRefGoogle Scholar
Monzani, B., Fallah, D., Rautio, D., Gumpert, M., Jassi, A., Fernandez de la Cruz, L., et al. (2023). Psychometric Evaluation of the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder for Adolescents (BDD-YBOCS-A). Child Psychiatry & Human Development, 54, 17991806. https://doi.org/10.1007/s10578-022-01376-x.CrossRefGoogle ScholarPubMed
Phillips, K. A., Hart, A. S., & Menard, W. (2014). Psychometric evaluation of the Yale–Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS). Journal of Obsessive-Compulsive and Related Disorders, 3, 205208. https://doi.org/10.1016/j.jocrd.2014.04.004.CrossRefGoogle Scholar
Phillips, K. A., Hollander, E., Rasmussen, S. A., Aronowitz, B. R., DeCaria, C., & Goodman, W. K. (1997). A severity rating scale for body dysmorphic disorder: Development, reliability, and validity of a modified version of the Yale-Brown Obsessive-Compulsive Scale. Psychopharmacology Bulletin, 33, 1722.Google ScholarPubMed
Snorrason, I., Jaroszewski, A. C., Greenberg, J. L., Weingarden, H., Summers, B. J., Fang, A., et al. (2024). Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder: Factor structure and construct validity of subfactors. Journal of Obsessive-Compulsive and Related Disorders, 42, 100881. https://doi.org/10.1016/j.jocrd.2024.100881.CrossRefGoogle ScholarPubMed

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