Predictive Validity of the Obsessive-Compulsive Inventory-4 and Florida Obsessive-Compulsive Inventory-II Severity Scale

Authors

• 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
• Latin American Trans-Ancestry INitiative for OCD genomics (LATINO)
• Wayne K Goodman
• James J Crowley
• Brazilian Obsessive-Compulsive Spectrum Disorder Working Group (GTTOC)

Language

English

Publication Date

3-1-2026

Journal

Journal of Psychiatric Research

DOI

10.1016/j.jpsychires.2025.12.011

PMID

41483998

PMCID

PMC12978204

PubMedCentral® Posted Date

3-12-2026

PubMedCentral® Full Text Version

Author MSS

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.

Keywords

Humans, Obsessive-Compulsive Disorder, Female, Male, Adult, Psychiatric Status Rating Scales, Middle Aged, Severity of Illness Index, Young Adult, Reproducibility of Results, Sensitivity and Specificity, Predictive Value of Tests, Adolescent, Obsessive-compulsive disorder, Assessment, Screening, Treatment

Published Open-Access

yes

Recommended Citation

Storch, Eric A; McCarty, Ryan J; Zehavi, Maya; et al., "Predictive Validity of the Obsessive-Compulsive Inventory-4 and Florida Obsessive-Compulsive Inventory-II Severity Scale" (2026). Faculty, Staff and Students Publications. 7918.
https://digitalcommons.library.tmc.edu/baylor_docs/7918