Evidence map›Paper›PMID 39613898›Full record

ArticleArchives of women's mental health2025

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

Jonathan S Abramowitz, Nicholas S Myers, Joseph B Friedman, Emily K Juel, Gerald Nestadt, Mary Kimmel, Lauren M Osborne, Eric A Storch, Jack Samuels, Paul S Nestadt and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jonathan S AbramowitzDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. jabramowitz@unc.edu.
Nicholas S MyersDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Joseph B FriedmanDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Emily K JuelDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Gerald NestadtDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mary KimmelDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lauren M OsborneDepartment of Obstetrics and Gynecology, Weil Cornell Medicine, New York, NY, USA.
Eric A StorchDepartment of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Jack SamuelsDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Paul S NestadtDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rashelle MusciDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

2/2 Predictors and Course of Postpartum Obsessions and CompulsionsR01MH118261 · NIMH · JOHNS HOPKINS UNIVERSITY · PI NESTADT, GERALD · 2019 to 2023
$2.1M
1/2 Predictors and Course of Postpartum Obsessions and CompulsionsR01MH118249 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ABRAMOWITZ, JONATHAN S. · 2019 to 2023
$1.5M
NIMH NIH HHS R01 MH118249NIMH NIH HHS R01 MH118261
6 · The paper itself

Abstract

purposeObsessive-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.

methodsPregnant 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.

resultsThe 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.

conclusionThe 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.

Indexed as

Mass ScreeningObsessive-Compulsive DisorderPregnancy ComplicationsPsychiatric Status Rating ScalesAdultFemaleHumansPostpartum PeriodPregnancyPsychometricsReproducibility of ResultsSensitivity and SpecificitySurveys and QuestionnairesYoung AdultAnxietyObsessive-compulsive disorderOCDPerinatal OCDScreening

Identifiers

PMID39613898
PMCPMC12303159

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.