Most individuals with OCD report experiencing impairment in functioning, which may limit individuals' engagement in valued behaviors, leading to worsened life satisfaction and sustained impairment in avoided domains of functioning. OCD-related impairment in intimacy, specifically, has been understudied despite evidence suggesting long-lasting impairment even with improvements in OCD symptoms through treatment. At present, no tools measure levels of OCD-related functional impairment in psychosocial domains for adults with OCD. Such a tool might benefit clinicians/researchers in guiding treatment and monitoring change, would provide more information about the ways in which intimacy is impacted by OCD, and could assist in identifying specific functional deficits when used in conjunction with a measure of valued living to pinpoint areas of function that patients would like to improve through treatment. The 48-item Adult OCD Impact Scale (AOIS) was developed to assess individuals’ experience with difficulty completing activities in four different psychosocial areas: work/school problems, home/family problems, close/intimate relationships, and social problems. AOIS item structure was established and basic psychometric properties were evaluated from 153 participants recruited from OCD-related websites (e.g., International Obsessive-Compulsive Disorder Foundation [IOCDF]) with a self-reported diagnosis of OCD. Respondents completed a battery of self-report measures. Reliability and convergent validity were demonstrated with existing severity and psychosocial measures, including measures of valued living and psychological inflexibility. Of the four domains of functioning, work was found to be most impaired by OCD. Implication of findings, future directions, and limitations are discussed.

大多数患有强迫症的人表示其功能受损，这可能会限制其参与有价值行为的行为，从而导致生活满意度恶化，并在避免的功能范围内持续受损。尽管有证据表明，即使通过治疗改善强迫症症状，也存在长期的损害，但仍未充分研究强迫症相关的亲密性损害。目前，尚无任何工具可测量成年强迫症成年人心理社会领域与强迫症相关的功能障碍水平。这种工具可能有益于临床医生/研究人员指导治疗和监测变化，将提供更多有关强迫症对亲密关系产生影响的方式的信息，当与有价值的生活措施结合使用时，可以帮助确定特定的功能缺陷，以查明患者希望通过治疗改善的功能领域。48项成人强迫症影响量表（AOIS）的开发旨在评估个人在四个不同的社会心理领域完成活动时遇到的困难：工作/学校问题，家庭/家庭问题，亲密/亲密关系和社会问题。建立了AOIS的项目结构，并从OCD相关网站（例如国际强迫症基金会[IOCDF]）招募的153名参与者进行了基本的心理计量学评估，并自我报告了他们对OCD的诊断。受访者完成了一系列自我报告措施。信度和收敛效度通过现有的严重程度和社会心理测验得到了证明，包括对有价值的生活和心理僵化的测验。在职能的四个领域中，OCD发现工作受到的损害最大。结果的含义，未来的方向，