Misplaced Pages

Yale–Brown Obsessive–Compulsive Scale

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.

The Yale–Brown Obsessive–Compulsive Scale ( Y-BOCS ) is a test to rate the severity of obsessive–compulsive disorder (OCD) symptoms.

#728271

41-397: The scale, which was designed by Wayne K. Goodman and his colleagues, is used extensively in research and clinical practice to both determine severity of OCD and to monitor improvement during treatment. This scale, which measures obsessions separately from compulsions , specifically measures the severity of symptoms of obsessive–compulsive disorder without being biased towards or against

82-486: A combined MD and Ph.D. in a medical science to be earned in 7–9 total years. Typically, 8–12 students matriculate into this program per year and receive free tuition in addition to a stipend of $ 29,000 per academic year. The GSBS ranks 25th for best Ph.D. program in the biological sciences. Overall, in 2018 BCM ranked 20th in terms of research funding from the National Institutes of Health based on rankings done by

123-575: A new affiliation with Baylor Scott & White Health . This will result in the development of a new regional medical school campus in Temple, Texas , which will enroll 40 students per year starting in fall 2023. The Baylor College of Medicine was originally founded in 1900 in Dallas, Texas , by a group of Dallas physicians as the University of Dallas Medical Department , despite the absence of any institution under

164-713: A new generation of DBS technology. The funding, which was re-issued by the NIH for 2017, is part of President Obama's Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative. Goodman served as chair of the FDA Psychopharmacology Drug Advisory Committee (PDAC) from 2004 to 2008. During that time period, the FDA deliberated and eventually decided to require a Black Box warning on suicidality for all antidepressant drugs. Goodman voted in favor of

205-444: A scale of 0–4. Based on research, this assessment has been found to be statistically valid and reliable , but not necessarily helpful. The CY-BOCS has been adapted into several self- and parent-report versions, designed to be completed by parent and child working together, although most have not been psychometrically validated. However, these versions still ask the child to rate the severity of their obsessive–compulsive behaviors and

246-463: Is a 30-month program, where the first 12 months are dedicated to the didactic curriculum, and the following 18 months are spent on clinical rotations and research. It Is the only program in the country to integrate a series of full-time clinical rotations exposing students to six core areas of expertise designed to meet the requirements of the NCOPE-approved residency. Genetic Counseling In 2018,

287-421: Is a clinician-report questionnaire designed to assess symptoms of obsessive–compulsive disorder from childhood through early adolescence. The CY-BOCS contains 70 questions and takes about 15 to 25 minutes. Each question is designed to ask about symptoms of obsessive–compulsive behavior, though the exact breakdown of questions is unknown. For each question, children rate the degree to which the question applies on

328-706: The Baylor University College of Medicine from 1903 to 1969, the college became independent with the current name and has been separate from Baylor University since 1969. The college consists of four schools: the School of Medicine, the Graduate School of Biomedical Sciences, the School of Health Professions, and the National School of Tropical Medicine. The school is part owner, alongside Catholic Health Initiatives (CHI), of Baylor St. Luke's Medical Center ,

369-604: The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) . In 2016, Goodman was appointed the D.C and Irene Ellwood Professor and chair of the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine . He is also an adjunct professor in the Department of Electrical and Computer Engineering at Rice University . Prior to joining Baylor, Goodman was professor and chairman of

410-613: The gold standard measure of obsessive–compulsive disorder (OCD) symptom severity". In creating the Y-BOCS-II, changes were made "to the Severity Scale item content and scoring framework, integrating avoidance into the scoring of Severity Scale items, and modifying the Symptom Checklist content and format". After reliability tests, Goodman concluded that "Taken together, the Y-BOCS-II has excellent psychometric properties in assessing

451-633: The Black Box warning for the pediatric population in 2004. Two years later, he voted that the warning be extended up to age 24. He has also served on the FDA Neurological Devices Advisory Committee. Baylor College of Medicine 1,151 clinical residents 507 clinical fellows 552 postdoctoral fellows The Baylor College of Medicine ( BCM ) is a private medical school in Houston , Texas , United States. Originally as

SECTION 10

#1732917477729

492-473: The Blue Ridge Institute. Physician Assistant The School's Physician Assistant Program which began in 1971 as a certificate program, was elevated to Bachelor of Science status in 1975, and on to a Master of Science program in 1989. Today, this program ranks 3rd among the nation's physician assistant programs according to U.S. News & World Report . Nurse Anesthesia The 2012 graduates of

533-683: The Department of Psychiatry at the Icahn School of Medicine at Mount Sinai and The Mount Sinai Behavioral Health System for seven years. During his tenure, the department rose to be among the top ten in the nation in research funding from the National Institutes of Health . Goodman also served as director of the Division of Adult Translational Research and Treatment Development at the National Institute of Mental Health from 2007 to 2009. He

574-726: The Genetic Counseling Program welcomed its first students. It is a 21-month program consisting of didactic coursework, clinical rotations, and a student thesis. Genetic counseling students rotate through prenatal, pediatric, adult, cancer, and specialty clinics at Baylor College of Medicine and its affiliated hospitals in and around the Texas Medical Center. Baylor College of Medicine sponsors Graduate Medical Education in more than 80 ACGME-accredited, and 40 Texas Medical Board (TMB)-approved training programs. At Baylor College of Medicine residents and fellows learn from one of

615-943: The Graduate Program in Nurse Anesthesia Program were the first to earn their doctorate of nursing practice from the Program. Developed from a 1968 a certificate program that was offered by the Harris County Hospital District, now the Harris Health System, in 1983, it became a Master of Science degree program under the auspices of Baylor. This program ranks 2nd in the nation among training programs in nurse anesthesia according to U.S. News & World Report . Orthotics and Prosethetics The Orthotics and Prosthetics Program welcomed its first students in June 2013. It

656-671: The OCD Clinic at Yale University . During this time, along with his colleagues Lawrence Price and Steven Rasmussen , he developed the Y-BOCS , which is widely used in research and clinical practice to determine the severity of OCD and to monitor improvement during treatment. It has since been translated into numerous languages. Goodman and his colleagues have also developed the Yale-Brown Obsessive-Compulsive Scale—Second Edition (Y-BOCS-II) in an effort to modify

697-503: The Roy and Lillie Cullen Building, the first building completed in the Texas Medical Center. In 1948, Michael E. DeBakey joined the faculty as chair of the Department of Surgery, and the following year, the Graduate School of Biomedical Sciences was established. Baylor's rise in prominence began in the 1950s when DeBakey's surgical techniques garnered international attention. In the 1960s, the college underwent its first major expansion. In 1969,

738-592: The United States that is structured with an accelerated 1.5 year preclinical curriculum. Baylor offers four programs that give medical students the opportunity to earn a second degree alongside the Doctor of Medicine (MD) degree. Baylor College of Medicine is one of only 51 medical institutions in the United States to offer a Medical Scientist Training Program . This federally sponsored and highly competitive program allows exceptionally well-qualified students to study for

779-463: The University of Dallas name. This occurred following a meeting of Dallas area physicians on August 16, 1900, for the purpose taking the preliminary steps to establish a medical college. The majority of physicians in attendance opposed the creation of a medical college; however, the remaining physicians in favor set up a committee of medical professional and three laymen to secure a board of directors for

820-568: The college postponed construction for financial reasons, with the outer shell of the hospital completed but the interiors remaining unfinished. In March 2012, BCM decided to convert the building to an outpatient clinic center. In 2009, BCM entered into discussions with Rice University regarding a potential merger between the two Houston institutions. After extensive meetings, the boards at both institutions decided that each school would remain independent. In 2010, Baylor University entered into talks with BCM to strengthening ties to each other; however,

861-529: The college separated from Baylor University and became an independent institution, which allowed it access to federal research funding, changing its name to Baylor College of Medicine . Also in 1969, BCM negotiated with the Texas Legislature to double its class size in order to increase the number of physicians in Texas. In 2004, Baylor did not renew its affiliation agreement with Houston Methodist Hospital ,

SECTION 20

#1732917477729

902-405: The degree to which each has been impairing. While this measure has been found to be useful in a clinic setting, scores and interpretations are taken with a grain of salt , given the lack of validation. Another version, which is parent-focused, is similar to the original CY-BOCS and is administered to both parent and child by the clinician. This version was distributed by Solvay Pharmaceuticals in

943-423: The first class. Each year the medical school matriculates around 185 students, around 75% of whom are Texas residents. As of April 2020, Baylor College of Medicine is the third least expensive private medical school in the country in terms of tuition. The MD curriculum consists of 1.5 years of preclinical foundational sciences, followed by 2.5 years of clinical curriculum. It is one of the few medical schools in

984-632: The first ten years. Goodman received the Lifetime Career Achievement Award from the International OCD Foundation in 2012. Goodman conducts research in the use of Deep Brain Stimulation (DBS) for treatment-resistant psychiatric disorders. He has published on the use of DBS for intractable OCD. In October 2016, The National Institute of Neurological Disorders and Stroke awarded him a grant for research aimed at developing

1025-659: The flagship hospital of the CHI St. Luke's Health system. Other affiliated teaching hospitals and research institutes include Harris Health System's Ben Taub Hospital , Texas Children's Hospital , The University of Texas MD Anderson Cancer Center , TIRR Memorial Hermann , the Menninger Clinic , the Michael E. DeBakey VA Medical Center , and the Children's Hospital of San Antonio . On November 18, 2020, Baylor College of Medicine announced

1066-506: The late 1990s, creating an association between the measure and a number of pharmaceutical groups that has caused it to be avoided by most clinicians. Severity cutoff scores for this version have not been empirically determined. Wayne K. Goodman Wayne Goodman is an American psychiatrist and researcher who specializes in Obsessive-Compulsive Disorder (OCD) . He is the principal developer, along with his colleagues, of

1107-596: The merger did not occur. Baylor University Board of Regents appoints 25% of the Baylor College of Medicine's board of trustees. On June 21, 2010, Dr. Paul Klotman was named as the President and CEO of the Baylor College of Medicine. In January 2014, BCM and CHI St. Luke's announced they would become joint owners of Baylor St. Luke's Medical Center , a hospital at the Texas Medical Center (formerly known as St. Luke's Episcopal Hospital, then St. Luke's Medical Center after it

1148-421: The most diverse patient populations anywhere in the country. This is partially due to the diversity found within the city of Houston, which has no single majority ethnic group. The hospitals of the Texas Medical Center and Houston's status as a hub for international industry also draw patients from every corner of the globe. Adding to this diversity are the many and varied settings in which residents and fellows have

1189-513: The nonprofit OCD Foundation (now named the International OCD Foundation). While on faculty at Yale University, he had the idea to bring together a group of dedicated individuals with OCD who were participating in research studies for a self-help group. They later expanded and started a foundation to help reach a wider audience and educate the public about OCD and treatment options. He served as chair of its scientific advisory board for

1230-419: The opportunity to train, including Baylor St. Luke's Medical Center and Baylor's many affiliated hospitals. In 2013, Baylor College of Medicine ranked 19th in terms of research funding from the National Institutes of Health based on rankings done by the Blue Ridge Institute. In July 2024, the first-ever mRNA vaccine for elephant endotheliotropic herpesvirus (EEHV), developed by Baylor College of Medicine,

1271-627: The original scale. Other rating scales developed by Goodman and his colleagues include: the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), Florida Obsessive Compulsive Inventory (FOCI), the Children's Florida Obsessive Compulsive Inventory (C-FOCI), Level 2—Repetitive Thoughts and Behaviors (Cross-cutting symptom measure used in the DSM-5 ), and the Treatment-Emergent Activation and Suicidality Assessment Profile (TEASAP). Goodman

Yale–Brown Obsessive–Compulsive Scale - Misplaced Pages Continue

1312-650: The presence and severity, of obsessive–compulsive symptoms. Although the Y-BOCS remains a reliable and valid measure, the Y-BOCS-II may provide an alternative method of assessing symptom presence and severity." Studies have been conducted by members of the Iranian Journal of Psychiatry and Clinical Psychology to determine the accuracy of the Yale–Brown Obsessive–Compulsive Scale (specifically as it appears in its Persian format). The members applied

1353-543: The proposed college. The school's charter was filed with the Texas Secretary of State on September 15, 1900, with three physicians as the incorporators: Drs. Samuel E. Milliken, J. B. Titterington, and Lawrence Ashton. The school opened on November 19, 1900, with 81 students in a former synagogue, Temple Emanu-el, located at 292 Commerce Street (today 1306 Commerce Street). In 1903, an alliance with Baylor University in Waco

1394-443: The scale to a group of individuals and, after ensuring a normal distribution of data, a series of reliability tests were performed. According to the authors, "[the] results supported satisfactory validity and reliability of translated form of Yale–Brown Obsessive–Compulsive Scale for research and clinical diagnostic applications". The children's version of the Y-BOCS, or the Children's Yale–Brown Obsessive–Compulsive Scales (CY-BOCS),

1435-526: The school's primary private adult teaching hospital, following contentious discussions between the two institutions. This split is notable as the only instance in American medical history of a medical school and one of its primary teaching hospitals parting ways. In 2005, Baylor College of Medicine began building a hospital and clinic, to be called the Baylor Clinic and Hospital, slated to open in 2011. In 2009,

1476-795: The top 25 graduate programs in Biological Sciences in the United States according to a 2022 survey. Within the School of Health Professions, the Nurse anesthetist program ranks 2nd and the physician assistant program ranks 3rd. A program in Orthotics and Prosthetics began in 2013, with 18 students in the first class. The National School of Tropical Medicine is the only school in the nation dedicated exclusively to patient care, research, education and policy related to neglected tropical diseases. A program in Genetic Counseling began in 2018, with 8 students in

1517-533: The type of content the obsessions or compulsions might present. Following the original publication, the total score is usually computed from the subscales for obsessions (items 1–5) and compulsions (items 6–10), but other algorithms exist. Goodman and his colleagues have developed the Yale–Brown Obsessive–Compulsive Scale—Second Edition (Y-BOCS-II) in an effort to modify the original scale which, according to Goodman, "[has become]

1558-604: Was chairman of the Department of Psychiatry at the University of Florida in Gainesville for nine years. A native of New York City, Goodman attended the Bronx High School of Science and graduated from Columbia University with a degree in electrical engineering. He received his medical degree from Boston University School of Medicine and completed his internship, residency, and research fellowship at Yale School of Medicine . In 1985, Goodman founded and served as chief of

1599-519: Was formed and the name was changed to Baylor University College of Medicine . By 1918, Baylor University College of Medicine was the only private medical school in Texas. The M.D. Anderson Foundation invited Baylor to join the newly formed Texas Medical Center in Houston in 1943. The school opened in the medical center July 12, 1943, in a converted Sears, Roebuck & Co. warehouse, with 131 students. Four years later, Baylor moved to its present site in

1640-594: Was one of the first investigators to test and establish the efficacy of Selective Serotonin Reuptake Inhibitors (SSRIs) in OCD and show their comparative advantage over other antidepressant medications. He also developed the use of adjunctive antipsychotic medications in SSRI-resistant OCD and found that patients with comorbid tic disorders are most likely to respond to this combination. In 1986, Goodman co-founded

1681-599: Was purchased by Catholic Health Initiatives in 2013). A partially completed hospital building on the BCM–McNair Campus is slated to open in 2015 and will become BCM's acute-care hospital and main medical teaching facility. On November 18, 2020, Baylor College of Medicine announced a new affiliation with Baylor Scott & White Health that will result in the development of a new regional medical school campus in Temple, Texas which will enroll 40 students per year starting in fall 2023. Baylor College of Medicine ranks among

Yale–Brown Obsessive–Compulsive Scale - Misplaced Pages Continue

#728271