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Fathers' Experience of Perinatal Obsessive-Compulsive Symptoms: A Systematic Literature Review.父亲围产期强迫症状的经历：一项系统文献综述
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Peripartum complications associated with obsessive compulsive disorder exacerbation during pregnancy.与孕期强迫症加重相关的围产期并发症。
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The OCI-4: An ultra-brief screening scale for obsessive-compulsive disorder.OCI-4：用于强迫症的超简短筛查量表。
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Women Are at Greater Risk of OCD Than Men: A Meta-Analytic Review of OCD Prevalence Worldwide.女性患强迫症的风险高于男性：全球强迫症患病率的荟萃分析综述。
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Perinatal anxiety disorder prevalence and incidence.围产期焦虑症的患病率和发病率。
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Predictors of quality of life and functional impairment in obsessive-compulsive disorder.强迫症患者生活质量和功能损害的预测因素。
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围产期强迫症简易筛查工具OCI-4的心理测量特性

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

作者信息

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

机构信息

Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

University of North Carolina at Chapel Hill, Department of Psychology and Neuroscience, Chapel Hill, USA, CB 3270 (Davie Hall), NC, 27599.

出版信息

Arch Womens Ment Health. 2025 Aug;28(4):895-902. doi: 10.1007/s00737-024-01539-w. Epub 2024 Nov 30.

DOI:10.1007/s00737-024-01539-w
PMID:39613898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12303159/
Abstract

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.

摘要

目的

强迫症（OCD）在孕妇和产后妇女中的患病率较高，对母亲和孩子均有负面影响。由于强迫症未得到充分认识，围产期护理中需要简短、有效的强迫症筛查工具。我们评估了4项强迫症量表（OCI-4）的心理测量特性，并在围产期样本中将其作为一种筛查手段进行研究。

方法

对孕妇在妊娠20周和34周、产后6周和产后6个月进行评估。通过重测分析评估信度，并通过与既定测量方法的相关性检验效度。还检验了与标准相关的效度和诊断敏感性。

结果

OCI-4显示出良好的重测信度、聚合效度和区分效度，以及与标准相关的效度。该测量方法还显示出中度至高诊断敏感性。得分为3时，筛查的敏感性和特异性达到最佳平衡。

结论

OCI-4是一种有效的筛查工具，应用于在围产期环境中识别强迫症症状。尽管需要进一步研究，但其易于使用和快速施测使其成为早期检测及转介评估干预的有价值工具。