Psychometric properties of the OCI-4: a brief screening tool for perinatal obsessive-compulsive disorder.

Autor: Abramowitz JS; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. jabramowitz@unc.edu.; University of North Carolina at Chapel Hill, Department of Psychology and Neuroscience, Chapel Hill, USA, CB 3270 (Davie Hall), NC, 27599. jabramowitz@unc.edu., Myers NS; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Friedman JB; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Juel EK; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Nestadt G; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Kimmel M; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA., Osborne LM; Department of Obstetrics and Gynecology, Weil Cornell Medicine, New York, NY, USA., Storch EA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA., Samuels J; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Nestadt PS; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Musci R; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jazyk: angličtina
Zdroj: Archives of women's mental health [Arch Womens Ment Health] 2024 Nov 30. Date of Electronic Publication: 2024 Nov 30.
DOI: 10.1007/s00737-024-01539-w
Abstrakt: Purpose: Obsessive-compulsive disorder (OCD) has an elevated prevalence among pregnant and postpartum women, with negative impacts on both mother and child. There is a need for brief, efficient screening tools for OCD in perinatal care because OCD is underrecognized. We evaluated the psychometric properties of the 4-item Obsessive Compulsive Inventory (OCI-4), and investigated it as a screening measure, in a perinatal sample.
Methods: Pregnant women were assessed at 20- and 34-weeks' gestation, 6 weeks postpartum, and 6 months postpartum. Reliability was assessed via test-retest analyses, and validity was examined through correlations with established measures. Criterion-related validity and diagnostic sensitivity were also examined.
Results: The OCI-4 demonstrated good test-retest reliability, convergent and discriminant validity, and criterion-related validity. The measure also showed moderate to high diagnostic sensitivity. A score of 3 provided the best balance of sensitivity and specificity for screening.
Conclusion: The OCI-4 is an effective screener that should be used for identifying OCD symptoms in perinatal settings. Despite the need for further study, its ease of use and quick administration make it a valuable tool for early detection and referral for assessment intervention.
Competing Interests: Declarations. Competing interests: Jonathan Abramowitz is funded by National Institute of Mental Health grant #R01 MH118249. Joseph Friedman is funded by National Institute of Mental Health grant #R01 MH118249. Emily Juel has no disclosures. Mary Kimmel is funded by National Institute of Mental Health grant #R01 MH118249. Rashelle Musci has no disclosures. Nicholas Myers has no disclosures. Gerald Nestadt is funded by National Institute of Mental Health grant #R01 MH118249. Paul Nestadt has no disclosures. Lauren Osborne is funded by National Institute of Mental Health grant #R01 MH118249. Jack Samuels has no disclosures. Eric Storch reports receiving research funding to his institution from the Ream Foundation, International OCD Foundation, and NIH. He was formerly a consultant for Brainsway and Biohaven Pharmaceuticals in the past 12 months. He owns stock less than $5000 in NView/Proem for distribution related to the YBOCS scales. He receives book royalties from Elsevier, Wiley, Oxford, American Psychological Association, Guildford, Springer, Routledge, and Jessica Kingsley. All authors confirm that the above interests have not influenced the design, conduct, or reporting of this study. The authors have no other relationships or activities that could appear to have influenced the submitted work. The OCI-4 is a freely available instrument and the authors receive no financial (or other) gain from its use.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
Databáze: MEDLINE
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