Lampiran 2

Lampiran 1
Y BOCS Symptom Checklist
(Yale-Brown Obsessive Compulsive Scale)

Contamination Obsessions

Aggressive Obsessions

Current Past

Current

Past

Concerns or disgust with bodily waste or secretions

Violent or horrific images

Fear will act on unwanted

Concerned with dirt or germs.

Excessive concern with environmental contaminants

impulses (eg, to stab friend)

Fear will harm others because not

Excessive concern with household items (cleaners)

Bothered by sticky substances or residues

careful enough (eg, hit and run motor

Concerned with getting ill (eg, AIDS)

vehicle accident, putting poison in food)

Fear will be responsible for something else

Concerned will get others ill by spreading germs

Somatic obsession

terrible happening (eg, fire, burglary)

Other

Other

Sexual Obsession

Religious Obsessions (Scrupulosity)

Current Past

Current

Past

Personally unacceptable sexual thoughts

Concerned with sacrilege and blasphemy

Excess concern with right and wrong, morality

Hoarding/Saving Obsessions

Pathological Doubt

Current Past

Current Past
Collects useless items, eg, old newspapers

After completing routine activities, doubts

(distinguish from hobbies; concern with objects

whether performed or not (eg, whether signed

of monetary or sentimental value)

check to pay bill)

Concerned with losing or throwing out items by

Other

mistake
Other

Obsession With Need for Symmetry or Exactness

Other Obsessions

Current Past

Current Past
Bothered by things not lined up or being

in order
Other

Superstitious fears (eg, luck or unlucky

numbers or colors)
Other

Cleaning/Washing Compulsions

Checking Compulsions

Current Past

Current
Excessive or ritualized hand washing

Past
Checking locks, stove, appliances, water

Excessive or ritualized showering, bathing,

faucets, emergency brake

Checking that did not harm others

tooth brushing, grooming

Checking that did not make mistake (eg,

Cleaning of household items or other inanimate

objects

balancing checkbooks over and over)

Other measures to prevent or remove contact with

Checking tied to somatic obsessions (eg,

contaminants

self for signs of cancer)

Other

Other

Repeating Rituals

Hoarding/Collecting Compulsions

Current Past

Current
Rereading or rewriting

Repeats same questions

Past
Inspecting household trash and
accumulating useless objects

Need to repeat routine activities (eg, in and outdoor)

Other

Ordering/Arranging Compulsions
Current Past
Lines up clothes, canned goods, shoes in fixed order
Need for symmetry (eg, shoelaces must be at same
tension, socks at same height)
Cant complete activity until just right

Other Compulsions
Current Past

Superstitious behaviors (eg, stepping on

Mental rituals (eg, silently reciting prayers to

neutralize a bad thought)

Counting compulsions (eg, count ceiling tiles)

cracks, bedtime rituals

Asking for reassurance over and over
Self-damaging behaviors

Excessive list making

Pathological slowness (pervades most routine

Rituals involving blinking or staring

Need to touch, tap, or rub
Other

activities
Need to tell, ask, confess

Comments

Individuals with any current symptoms warrant further assessment.

Lampiran 3

Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

PSYCHIATRIC ASSOCIATES OF ATLANTA, LLC

NAME:___________________________________________
DATE:___________________________________________

PHYSICIAN:__________________________________