Question 112 marks
Question
(a) Explain what is meant by ‘hoarding’ disorder. [2] (b) Describe the Maudsley Obsessive-Compulsive Inventory (MOCI). [4] (c) Explain one similarity and one difference between the Maudsley Obsessive-Compulsive Inventory (MOCI) and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). [6]
Mark scheme
1(a) Explain what is meant by ‘hoarding’ disorder. 2 Award 1 mark for a basic explanation of the term/concept. Award 2 marks for a detailed explanation of the term/concept. For example: Hoarding disorder is a persistent difficulty discarding or parting with possessions, such as clothing/newspapers, because of a perceived need to save them. (2) A person with hoarding disorder experiences distress at the thought of getting rid of the items, whether useful or not. (2) Other appropriate responses should also be credited. 1(b) Describe the Maudsley Obsessive-Compulsive Inventory (MOCI). 4 Award 1–2 marks for a basic answer with some understanding of the topic area. Award 3–4 marks for a detailed answer with clear understanding of the topic area. For example: 30 item questionnaire with true/false responses. 4 sub-scales: Major/minor subscales • Checking compulsions – major (9 items) • Washing/cleaning compulsions – major (11) • Slowness – minor (7) • Doubting – minor (7) Four items are included in two subscales Takes five minutes to complete and produces a score of 0–30. The higher the score the more obsessive-compulsive the person is. Examples of items – • I frequently have to check things (e.g. gas or water taps, doors, etc.) several times. (Checking) • I am not unduly concerned about germs and diseases. (Washing/Cleaning) (reverse scored) • I am often late because I can't seem to get through everything on time. (Slowness) • I have a very strict conscience. (Doubting) Other appropriate responses should also be credited. 1(c) Explain one similarity and one difference between the Maudsley 6 Obsessive-Compulsive Inventory (MOCI) and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Similarities could include- • Both do a quantitative measure • Both a useful diagnostic tool (or useful to use during therapy to assess symptoms) • Both have good levels of concurrent validity • Offer good test re-test reliability • Subjective tests as it requires the patient with OCD to give honest and accurate responses Differences could include – • The Y-BOCS takes longer (about 30 minutes) as opposed to the 5 minutes for the Maudsley. • Scores range from 0–30 Maudsley and 0–40 (Y-BOCS). • Y-BOCS is semi-structured interview plus the questionnaire whereas Maudsley is a questionnaire • Y-BOCS collects qualitative as well as quantitative measures whereas Maudsley is just quantitative. • Y-BOCS has a children’s version and the Maudsley does not (although can be used with children) Mark according to the levels of response criteria below: Level 3 (5–6 marks) • Candidates will show a clear understanding of the question and will include one similarity and one difference. • Candidates will provide a good explanation with clear detail. Level 2 (3–4 marks) • Candidates will show an understanding of the question and will include one appropriate similarity in detail or one appropriate difference in detail. OR one similarity and one difference in less detail. • Candidates will provide a good explanation. Level 1 (1–2 marks) • Candidates will show a basic understanding of the question and will attempt a similarity and/or difference. This could include both but just as an attempt. • Candidates will provide a limited explanation. Level 0 (0 marks) • No response worthy of credit. Other appropriate responses should also be credited