478 The Professional Counselor | Volume 13, Issue 4 Assessment of ODD and OCD. To determine the overlap of symptoms related to ODD and OCD for children and adolescents, the following symptoms were collected from the responses to the CliniCom items: easily annoyed, bothered, or upset by others (ODD Symptom 1), often angry or resentful (ODD Symptom 2), often spiteful or vindictive (ODD Symptom 3), and frustrated and/or angry with relation to obsessions and compulsions (OCD Symptom 1). Descriptions of symptoms can be viewed in Table 1. To respond to the ODD symptom items in the assessment, participants submitted a rating between 1 and 10. A rating of 10 represents the most severe presentation of the symptom and 4 or higher represents a moderate to severe presentation; a score of 4 is the threshold to be considered positive for the symptom. Responses to the OCD symptom item were dichotomous, wherein participants indicated “yes” or “no” if they were experiencing the symptom. OCD and ODD severity ratings for each participant were recorded. Table 1 Description of Symptoms Collected Disorder Term Description from CliniCom™ Psychiatric Assessment ODD Symptom 1 “Easily annoyed, bothered, or upset by others” ODD Symptom 2 “Often angry and resentful” ODD Symptom 3 “Often spiteful or vindictive” OCD Symptom 1 “Frustrated and/or angry with relation to obsessions and compulsions” Data Analysis IBM SPSS 27 software was used for data analysis. Preliminary analysis included all clients in the sample. The Kolmogorov-Smirnov test of normality was conducted to determine the numerical distribution of variables. The test of normality showed that none of the variables were normally distributed, p < .05. Spearman correlation coefficients were calculated to determine significant associations between variables. Fisher’s exact tests were conducted to determine non-random associations between variables. Phi was used to calculate the effect size for the Fisher’s exact test. A Wilcoxon signed-rank test was performed to analyze other variables in the sample through comparison of groups. The first group included participants who endorsed a score between 1–3 on the CGI-S for OCD severity (n = 47). The second group was composed of participants who reported a score between 4–7 on the CGI-S for OCD severity (n = 132). Correlation coefficients were calculated to determine the effect sizes for the Wilcoxon signed-rank test.
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