Evaluation
“All the information contained in this section is for guidance only. Psious environments are therapy supporting tools that must be used by the healthcare professional within an evaluation and intervention process designed according to the characteristics and needs of the user.
Also remember that you have the General Clinical Guide in which you have more information on how to adapt psychological intervention techniques (exposure, systematic desensitization, cognitive restructuring, chip economy…) to Psious environments.”
OCD Evaluation
Evaluation objectives
- Evaluate presence and comorbidity with other emotional disorders.
- Evaluate the presence of obsessions, compulsions and neutralizations.
- Define anxiogenic stimular settings on the side of the patient and in what degree. Elaboration hierarchy of exposure.
- evaluate the presence of distorted thoughts. In case of OCD, those associated with obsessions and compulsions.
Useful tools for the OCD evaluation
Considering the evaluation objectives, we will enumerate some of the tools that can be useful to obtain relevant information about the characteristics of your user. Remember that good objectives definitions, patient characterization and planification of the intervention are important for therapeutic efficiency and effectiveness just like the user satisfaction. In the bibliography you will find articles where you can revise the characteristics of the proposed tools:
- Open or semi-structured interview.
- Structured interview ADIS-IV
SELF-REPORT
- Obsessive Beliefs Questionnaire (OBQ-44)
- The Brief Obsessive–Compulsive Scale (BOCS)
- Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)
- Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
- The Maudsley Obsessive-Compulsive Inventory (MOCI).
- Leyton Obsessional Inventory (LOI).
- Psious self-reports for the elaboration of the hierarchy.
TEST FOR BEHAVIORAL APPROACH
- Behavioral avoidance test for obsessive compulsive disorder (BATs).
Exposure hierarchy elaboration with Psious’ environments
Once we have all the evaluation information we can proceed to elaborate an exposure hierarchy. For that, we need to make some questions made to plan the intervention with virtual reality: e.g. what level of discomfort, on a scale from 0 to 100, does it cause you to be sitting on a toilet? What level of discomfort from 0 to 100 does it cause you to wash your hands? Do you think there’s something that can cause you even more discomfort than that?