Few treatment outcome studies of Obsessive Compulsive Disorder (OCD) h
ave employed Behavioral Avoidance Tests (BATs) to assess changes in sy
mptomatology, probably because of the difficulty of constructing such
tests for a disorder which has widely varying symptoms. The few studie
s that have examined the psychometric properties of BATs for OCD have
found mixed evidence for validity but good treatment sensitivity. The
present study presents psychometric findings for a multi-step/multi-ta
sk BAT that assessed percentage of steps completed, subjective anxiety
, global avoidance, and rituals. This measure was used with 50 clients
diagnosed with OCD whose symptoms varied widely. The BAT demonstrated
good convergent and divergent validity, as well as treatment sensitiv
ity according to effect size calculations. A composite score combining
steps, anxiety level, avoidance and rituals also performed well in ps
ychometric tests. Strategies to reduce the complexity of scoring are p
resented, along with examples of several BAT tasks to enable researche
rs to employ this behavioral measure.