Skala Klepto PDF

Yale-Brown Obsessive-Compulsive Scale Modified for Kleptomania
Initials/ID:_________________________ Date:______________________
FOR EACH ITEM CIRCLE THE NUMBER IDENTIFYING THE RESPONSE WHICH BEST CHARACTERIZES
THE PATIENT
1. TIME OCCUPIED BY 0 = None
URGES/THOUGHTS ABOUT 1 = Mild (less than 1 hr/day), or occasional u/t (< 8 x/day).
STEALING 2 = Moderate (1-3 hrs/day), or frequent u/t (> 8 x/day, but most hrs/day are
How much of your time is occupied by free of u/t)
urges/thoughts (u/t) related to stealing and/ 3 = Severe (>3 = up to 8 hrs/day) or very frequent u/t (>8 x/day & occur
or stealing-related activities? most hrs of day).
How frequently does this occur? 4 = Extreme (> 8 hrs/day), or near constant u/t (too numerous to count and
an hour rarely passes w/o several such u/t occurring).
2. INTERFERENCE DUE TO URGES/ 0 = None
THOUGHTS ABOUT STEALING 1 = Mild, slight interference with social or occupational activity but
How much do your urges/thoughts (u/t) overall performance not impaired.
interfere with your social or work (or role) 2 = Moderate, definite interference with social or occupational
functioning? performance, but manageable.
Is there anything that you don’t do because 3 = Severe, causes substantial impairment in social or occupational
of this? (If not currently working determine performance.
how much performance would be affected 4 = Extreme, incapacitating.
if employed).
3. DISTRESS ASSOCIATED WITH 0 = None
URGES/THOUGHTS ABOUT 1 = Mild, infrequent, and not too disturbing.
STEALING 2 = Moderate, frequent, & disturbing, but still manageable.
How much distress do your urges/ 3 = Severe, very frequent, and very disturbing.
thoughts about stealing cause you? (Rate 4 = Extreme, near constant, and disabling distress.
“disturbing” feeling or anxiety that seems
to be triggered by these thoughts, not
generalized anxiety or anxiety associated
w/other symptoms).
4. RESISTANCE AGAINST URGES/ 0 = Makes effort to always resist, symptoms so minimal doesn’t need to
THOUGHTS OF STEALING actively resist.
How much of an effort do you make to 1 = Tries to resist most of the time.
resist these urges/thoughts? How often do 2 = Makes some effort to resist.
you try to disregard them: (Only rate effort 3 = Yields to all such urges/ thoughts without attempting to control them,
made to resist, not success or failure in but does so with some reluctance.
actually controlling these thoughts. How 4 = Completely and willingly yields to all such urges/ thoughts.
much one resists the urges/thoughts may/
may not correlate w/ability to control them
5. DEGREE OR CONTROL OVER URGES/ 0 = Complete control.

THOUGHTS ABOUT STEALING 1 = Much control, usually able to stop/divert urges/thoughts with some
How much control do you have over urges/ effort & consideration.
thoughts about stealing? How successful 2 = Moderate control, sometimes able to stop/divert these urges/thoughts.
are you in stopping or diverting these 3 = Little control, rarely successful in stopping these urges/thoughts, can
urges/thoughts? only divert attention with difficulty.
4 = No control, experienced as completely involuntary, rarely able to even
momentarily divert urges/thoughts.
6. TIME SPENT IN ACTIVITIES 0 = None
Yale-Brown Obsessive-Compulsive Scale Modified for Kleptomania
RELATED TO STEALING 1 = Mild (spends less than 1 hr/day in these activities, or occasional
How much time do you spend in activities involvement in these activities (< 8 times/day).
related to stealing? (directly related 2 = Moderate (1-3 hrs/day) or > 8 times/day, but most hours are free of
to stealing itself or activities such as such activities.
negotiating financial transactions or 3 = Severe (spends > 3 and up to 8 hrs/day), or very frequent involvement
searching for financial resources related to (> 8 times/day and activities performed most hours of the day).
stealing). 4 = Extreme (spends > 8 hrs/day in these activities), or near constant
involvement (too numerous to count and an hour rarely passes without
engaging in several such activities).
7. INTERFERENCE DUE TO ACTIVITIES 0 = None.
RELATED TO STEALING 1 = Mild, slight interference with social or occupational activities, but
How much do the above activities interfere overall performance not impaired.
with you social/work (or role) functioning? 2 = Moderate, definite interference with social/occupational performance,
Is there anything that you don’t do but still manageable.
because of them? If currently not working 3 = Severe, causes substantial impairment in social/occupational
determine how much performance would performance.
be affected if patient were employed. 4 = Extreme, incapacitating.
8. DISTRESS ASSOCIATED WITH 0 = None.

BEHAVIOR RELATED TO STEALING 1 = Mild, only slightly anxious if behavior prevented, or only slight
How would you feel if prevented from anxiety during the behavior.
performing these activities? (Pause) How 2 = Moderate, reports that anxiety would mount but remains manageable
anxious would you become? if behavior is prevented, or that anxiety increases but remains
manageable during such behaviors.
3 = Severe, prominent and very disturbing increase in anxiety if behavior
is interrupted, or prominent and very disturbing increase in anxiety
during the behavior.
4 = Extreme, incapacitating anxiety from any intervention aimed at
modifying activity, or incapacitating anxiety develops during behavior
related to stealing.
9. RESISTANCE AGAINST STEALING 0 = Makes an effort to always resist, or symptoms so minimal doesn’t need
How much of an effort do you make to to actively resist
resist these activities? How much the 1 = Tries to resist most of the time
patient resists behaviors may/may not 2 = Makes some effort to resist.
correlate w/ability to control them. 3 = Yields to almost all of these behaviors without attempting to control
them, but does so with some reluctance.
4 = Completely and willingly yields to all behaviors related to stealing.
10. DEGREE OF CONTROL OVER 0 = Complete control.
STEALING BEHAVIOR 1 = Much control, experiences pressure to steal, but usually able to
How strong is the drive to steal? How much exercise voluntary control over it.
control do you have over the behaviors 2 = Moderate control, strong pressure to steal, must be carried to
associated with stealing-related activities? completion, can only delay with difficulty.
3 = Little control, very strong drive to steal, must be carried to completion,
can only delay with difficulty,
4 = No control, drive to steal experienced as completely involuntary &
overpowering, rarely able to even momentarily delay stealing activity
Thought/Urge Subscale Score ______
Behavior Subscale Score ______
Total Score _____

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Yale-Brown Obsessive-Compulsive Scale Modified for Kleptomania

5. DEGREE OR CONTROL OVER URGES/ 0 = Complete control.

8. DISTRESS ASSOCIATED WITH 0 = None.

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