Hamburg compulsory inventory
The Hamburg Compulsory Inventory ( HZI for short ) is a clinical questionnaire that uses self- assessment to determine whether an obsessive-compulsive disorder is present and what the compulsions are. Both obsessive thoughts and compulsive actions are asked for. The self-reports are assigned to one of 6 groups of compulsory content during the evaluation. The questionnaire is available in a long form (188 questions), a short form HZI-K (72 questions) and an ultra-short version (27 questions). The English version is called the Hamburg Obsession Compulsion Inventory ( HOCI for short ).
Comparison with other test methods
The following points differ from other test procedures:
- Thinking and acting constraints are equally taken into account.
- Only phenomenological self-descriptions are asked and no personality-psychological or neurosis-theoretical constructs.
- The entire spectrum from normally common everyday habits to pathological compulsions that represent a severe hindrance to everyday life is recorded.
- With the specific evaluation methods, ratings that are too high or too low can tend to be identified.
- By breaking down into 6 factors, shifts in the compulsory content could also be determined.
Contraindication
The test designers point out that while completing the test in patients with deep depression or marked control compulsions, a worsening of symptoms was observed in rare cases. At the time of publication it was still unclear whether this was due to coincidence. In case of doubt, you therefore advise to use the questionnaire in the interview.
execution
188 examples of thought and action are given. The test person should assess whether these apply to him. According to the manual, the test duration is between 20 and 30 minutes. However, a longer test duration could also be related to more pronounced compulsions or depression.
Scales
After evaluating the answers, you get 6 scales that provide information about the content of the constraints:
- control, repeat, think after an action
- wash, clean
- organize
- count, touch, speak
- think of words, pictures, chains of thought, thoughts of an action
- Thoughts of causing harm to yourself or others
In addition, an overall value can be determined.
evaluation
The evaluation takes place with the help of a template. The answers are assigned to one of the 6 scales, which in turn are divided into 4 levels according to their severity. This results in an assignment to one of 24 categories. The raw values of the categories that belong to a scale are then added up to raw scale values. The raw scores of the categories that correspond to the same level of difficulty are added to 4 test scale raw scores. The raw values of all categories added together result in the total raw value. These raw values are then compared with the values of the norm sample from 223 obsessive-compulsive neurotic patients and thus assigned to Stanine values. These values can be illustrated in a graphic.
Individual evidence
- ↑ Jürgen Hoyer, Silvia Schneider 6 Jürgen Margraf: Questionnaires, rating scales and diaries for behavioral therapy practice . In: Jürgen Margraf & Silvia Schneider (ed.): Textbook of behavior therapy. Basics, diagnostics, procedures, framework conditions . 3. Edition. tape 1 . Springer Medicine, Heidelberg 2009, ISBN 978-3-540-79540-7 , p. 380 ( limited preview in Google Book search).
- ^ I. Hand & H. Büttner-Westühal: The Yale-Brown Obsessive Compulsive Scale (Y-BOCS). A semi-structured interview to assess the severity of the compulsions to think and act . In: behavior therapy . 1991, p. 223-225 ( online ). online ( memento of the original from January 30, 2015 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice.
- ^ A b c d e W. Zaworka, I. Hand, G. Jauering and K. Lünenschloß: Hamburger Zwangsinventar. Manual . Beltz, Weinheim 1983.
