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International Journal of Behavioral Medicine

Published in:

01-12-2013

The German Version of the H-YBOCS for the Assessment of Hypochondriacal Cognitions and Behaviors: Development, Reliability and Validity

Authors: Florian Weck, Maria Gropalis, Julia M. B. Neng, Michael Witthöft

Published in: International Journal of Behavioral Medicine | Issue 4/2013

Abstract

Background

Clinician-administered interviews are essential for assessing the efficacy of treatment studies and constitute an important instrument for clinical practice. Recently, the Yale–Brown Obsessive Compulsive Scale was adapted for the dimensional assessment of hypochondriacal characteristics (H-YBOCS) and yielded promising results.

Purpose

This study aimed to develop and validate a German version of the H-YBOCS.

Method

Altogether, 101 patients with hypochondriasis and 49 patients with anxiety disorders were diagnosed using the German version of the H-YBOCS. Well-established questionnaires for assessing hypochondriacal characteristics and the general psychopathology were administered as well.

Results

Exploratory and confirmatory factor analyses suggested a three-factor structure for the German version of the H-YBOCS (cognitive factor, behavioral factor, and insight factor). The current version of H-YBOCS demonstrated high internal consistency (α = 0.93) and inter-rater reliability (ICC = .97). Convergent and discriminant validity were also confirmed by high correlations with questionnaires such as the Illness Attitudes Scales (r = 0.81) and non-significant correlations with the Brief Symptom Inventory (r = 0.12). The H-YBOCS discriminated between patients with hypochondriasis and those with anxiety disorder, with high sensitivity (0.94) and specificity (0.78).

Conclusion

The German version of the H-YBOCS proved to be a highly effective interview instrument for the dimensional assessment of hypochondriacal characteristics and therefore constitutes an important contribution to scientific research and clinical practice.

Note that rarely used categories (≤0.06 %) were recorded in the next lower response category. Due to shared systematic variance, two correlated error terms were allowed between items 6 and 1 (assessing the amount of time spent thinking about illness and on reassurance seeking behavior, respectively) and between the items 7 and 2 (assessing the level of impairment associated with illness-related thoughts and reassurance seeking behavior, respectively).

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Title: The German Version of the H-YBOCS for the Assessment of Hypochondriacal Cognitions and Behaviors: Development, Reliability and Validity
Authors: Florian Weck
Maria Gropalis
Julia M. B. Neng
Michael Witthöft
Publication date: 01-12-2013
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 4/2013
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-012-9276-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The German Version of the H-YBOCS for the Assessment of Hypochondriacal Cognitions and Behaviors: Development, Reliability and Validity

Abstract

Background

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Method

Results

Conclusion

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