Obsessive-compulsive disorder (OCD) is a prevalent and burdensome condition that is typically assessed using in-depth interviews or lengthy self-report measures. Accordingly, routine screening in busy non-mental health settings is impractical, and OCD is often under- (or mis-) recognized. We evaluated an ultra-brief version of a widely used self-report measure, the Obsessive-Compulsive Inventory-Revised (OCI-R), which may be employed as a routine screener for OCD. A total of 1087 adults diagnosed with OCD, 1306 unselected adults from the community, and 423 adults with anxiety related disorders completed the OCI-R along with measures of anxiety and mood. Analyses were conducted to reduce the number of items and examine evidence for sensitivity and specificity to OCD clinical status, test-retest reliability, sensitivity to treatment, and convergent and discriminant validity. Four items that optimally assess different dimensions of OCD (washing, checking, ordering, obsessing) were identified. Psychometric evaluation revealed good to excellent test-retest reliability, validity, prediction of clinical OCD status, and sensitivity to treatment. A 4-item version of the OCI-R, called the OCI-4, shows promise as an ultra-brief screening tool for identifying likely OCD in settings where in-depth assessment is impractical. Patients with a positive screen may be referred for further evaluation and appropriate treatment.

强迫症（OCD）是一种普遍且繁重的疾病，通常使用深度访谈或冗长的自我报告方法进行评估。因此，在繁忙的非心理健康环境中进行常规筛查是不切实际的，并且OCD常常被误诊（或误诊）。我们评估了一种广泛使用的自我报告测评的超简略版本，即强迫症性清单修订版（OCI-R），可以用作强迫症的例行检查者。总共1087名被诊断为强迫症的成年人，1306名社区未选成年人和423名与焦虑症相关的成年人完成了OCI-R以及焦虑和情绪的测量。进行了分析以减少项目数量，并检查了对强迫症临床状态的敏感性和特异性，重测信度，对治疗的敏感性，并具有收敛性和区分性。确定了四个可以最佳评估强迫症不同方面（洗涤，检查，订购，困扰）的项目。心理测验评估显示，重测信度，效度，临床强迫症状态的预测以及对治疗的敏感性均达到了极好。OCI-R的4个项目版本称为OCI-4，它有望作为一种超简短的筛选工具，用于在无法进行深入评估的环境中识别可能的OCD。筛查阳性的患者可以转诊接受进一步评估和适当治疗。和对治疗的敏感性。OCI-R的4个项目版本称为OCI-4，它有望成为一种超简短的筛选工具，用于在无法进行深入评估的环境中识别可能的OCD。筛查阳性的患者可以转诊接受进一步评估和适当治疗。和对治疗的敏感性。OCI-R的4个项目版本称为OCI-4，它有望成为一种超简短的筛选工具，用于在无法进行深入评估的环境中识别可能的OCD。筛查阳性的患者可以转诊接受进一步评估和适当治疗。