Predictive validity of the Obsessive-Compulsive Inventory-4 and Florida Obsessive-Compulsive Inventory-II severity scale

IF 3.6 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2026-03-01 Epub Date: 2025-12-13 DOI:10.1016/j.jpsychires.2025.12.011

Eric A. Storch , Ryan J. McCarty , Maya Zehavi , Mahnoor Ahmad , Vanessa Zavala Cruz , Dayan Berrones , Josselyn S. Muñoz , Diana Obando , Servando Rodriguez Barajas , Renee M. Frederick , Jacey L. Anderberg , Hannah C. Moore , Marcos E. Ochoa-Panaifo , Mayra C. Martinez Mallen , Ogechi C. Onyeka , Andrew D. Wiese , Melisa N. Sagarnaga , Joseph F. McGuire , Ygor Arzeno Ferrão , James J. Crowley

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引用次数: 0

Abstract

Efficient and accurate screening tools are crucial for improving early identification and treatment outcomes among individuals with obsessive-compulsive disorder (OCD). This study evaluated the sensitivity and specificity of two OCD screening measures: the Obsessive-Compulsive Inventory-4 (OCI-4) and the Florida Obsessive-Compulsive Inventory-II (FOCI-II) severity scale. The measures were administered in a large transnational sample of Spanish speaking Latin American adults (N = 1696) with elevated obsessive-compulsive symptomatology. Participants completed diagnostic interviews (MINI and Y-BOCS) and self-report assessments across 23 sites in 11 countries. Both measures significantly distinguished OCD from non-OCD cases, with the FOCI-II demonstrating somewhat better predictive performance (AUC = .79) compared to the OCI-4 (AUC = .69). A score of 7 or greater for both the OCI-4 (64 % sensitivity, 66 % specificity) and FOCI-II severity scale (74 % sensitivity, 70 % specificity) were found to be the most appropriate cutoffs across the overall sample. Findings provide some support in the use of both tools in clinical and research contexts, with some comparative benefits of the FOCI-II.

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强迫量表-4和佛罗里达强迫量表- ii严重性量表的预测效度。

有效和准确的筛查工具对于提高强迫症患者的早期识别和治疗效果至关重要。本研究评估了两种强迫症筛查方法的敏感性和特异性：强迫症量表-4 （OCI-4）和佛罗里达强迫症量表- ii （FOCI-II）严重程度量表。这些措施是在一个大型跨国样本中实施的，这些样本是讲西班牙语的拉丁美洲成年人（N = 1696），他们的强迫症症状升高。参与者在11个国家的23个地点完成了诊断访谈（MINI和Y-BOCS）和自我报告评估。两种测量方法都能显著区分强迫症和非强迫症，与OCI-4 （AUC = 0.69）相比，FOCI-II表现出更好的预测性能（AUC = 0.79）。OCI-4（敏感性64%，特异性66%）和FOCI-II严重程度量表（敏感性74%，特异性70%）的评分为7分或更高是整个样本中最合适的截止值。研究结果为在临床和研究背景下使用这两种工具提供了一些支持，并显示了FOCI-II的一些相对优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;