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

Jonathan S Abramowitz1,2, Nicholas S Myers3, Joseph B Friedman3

  • 1Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. jabramowitz@unc.edu.

Archives of Women'S Mental Health
|November 29, 2024
PubMed

Insights

The 4-item Obsessive Compulsive Inventory (OCI-4) effectively screens for obsessive-compulsive disorder (OCD) in pregnant and postpartum women. This tool aids early detection of OCD symptoms in perinatal care.

Area of Science:

  • Perinatal mental health
  • Psychiatry
  • Clinical psychology

Background:

  • Obsessive-compulsive disorder (OCD) is prevalent in pregnant and postpartum women, negatively impacting maternal and child well-being.
  • OCD is often underrecognized in perinatal care, necessitating efficient screening tools.

Purpose of the Study:

  • To evaluate the psychometric properties of the 4-item Obsessive Compulsive Inventory (OCI-4).
  • To assess the OCI-4 as a screening measure for OCD in a perinatal sample.

Main Methods:

  • Assessed pregnant women at multiple time points: 20- and 34-weeks' gestation, 6 weeks postpartum, and 6 months postpartum.
  • Evaluated reliability using test-retest analyses.
  • Examined validity through correlations with established measures, criterion-related validity, and diagnostic sensitivity.

Main Results:

  • The OCI-4 demonstrated good test-retest reliability, convergent validity, discriminant validity, and criterion-related validity.
  • The OCI-4 showed moderate to high diagnostic sensitivity.
  • A cutoff score of 3 on the OCI-4 offered the optimal balance between sensitivity and specificity for screening.

Conclusions:

  • The OCI-4 is an effective screening tool for identifying OCD symptoms in perinatal settings.
  • Its ease of use and rapid administration make it valuable for early detection and referral.
  • Further research is warranted, but the OCI-4 is recommended for clinical use in perinatal care.
Abstract

Keywords:
AnxietyOCDObsessive-compulsive disorderPerinatal OCDScreening

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