[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-c-foci":3,"all-assessments-nav":306,"related-assessments-query":953},{"id":4,"title":5,"body":6,"category":260,"categoryTitle":261,"clinicalCitations":262,"copyright":260,"description":270,"disclaimer":260,"downloadLink":260,"extension":271,"faqs":272,"featured":285,"i18nReady":285,"icon":260,"interpreter":260,"lastReviewed":286,"meta":287,"navigation":288,"path":289,"permissionsNote":260,"published":288,"recommendedFrequency":260,"relatedCodes":260,"relatedConditions":260,"reviewedBy":260,"seo":290,"slug":291,"stem":292,"summary":293,"takeaways":260,"timeline":294,"type":304,"usedToDiagnose":260,"__hash__":305},"assessments\u002Fassessments\u002Fc-foci.md","C-FOCI: Children's Florida Obsessive Compulsive Inventory",{"type":7,"value":8,"toc":248},"minimark",[9,14,18,21,25,28,35,54,60,78,82,88,148,151,155,158,172,175,179,194,198,201,215,220],[10,11,13],"h3",{"id":12},"about-the-c-foci","About the C-FOCI",[15,16,17],"p",{},"The Children's Florida Obsessive Compulsive Inventory (C-FOCI) was developed by Eric Storch and colleagues as a brief, self-report screening and monitoring tool for obsessive-compulsive disorder (OCD) in youth. It was designed to be practical for both clinical settings and research, requiring minimal administration time while providing meaningful information about symptom presence and severity.",[15,19,20],{},"The C-FOCI is the child-adapted version of the Florida Obsessive Compulsive Inventory (FOCI) and is appropriate for youth from approximately age 7 through 17, depending on reading level and cognitive ability. For younger children or those with limited literacy, clinician-administered or parent-assisted administration is recommended.",[10,22,24],{"id":23},"what-the-assessment-measures","What the Assessment Measures",[15,26,27],{},"The C-FOCI consists of two components:",[15,29,30,34],{},[31,32,33],"strong",{},"Part 1, Symptom Checklist","\nA list of common OCD symptoms that the child marks as present or absent. Items span:",[36,37,38,42,45,48,51],"ul",{},[39,40,41],"li",{},"Contamination obsessions and cleaning\u002Fwashing compulsions",[39,43,44],{},"Checking and ordering behaviors",[39,46,47],{},"Intrusive thoughts (harm, religion, sexuality)",[39,49,50],{},"Hoarding and collecting behaviors",[39,52,53],{},"Repeating and counting rituals",[15,55,56,59],{},[31,57,58],{},"Part 2, Severity Scale (5 items)","\nRated on a 0–4 scale, assessing:",[61,62,63,66,69,72,75],"ol",{},[39,64,65],{},"Time occupied by obsessions and compulsions",[39,67,68],{},"Distress caused by symptoms",[39,70,71],{},"Interference with daily functioning",[39,73,74],{},"Difficulty resisting symptoms",[39,76,77],{},"Degree of control over symptoms",[10,79,81],{"id":80},"scoring","Scoring",[15,83,84,87],{},[31,85,86],{},"Severity Scale total score",": 0–20",[89,90,91,104],"table",{},[92,93,94],"thead",{},[95,96,97,101],"tr",{},[98,99,100],"th",{},"Score Range",[98,102,103],{},"Interpretation",[105,106,107,116,124,132,140],"tbody",{},[95,108,109,113],{},[110,111,112],"td",{},"0–7",[110,114,115],{},"Subclinical\u002FMinimal",[95,117,118,121],{},[110,119,120],{},"8–11",[110,122,123],{},"Mild OCD",[95,125,126,129],{},[110,127,128],{},"12–15",[110,130,131],{},"Moderate OCD",[95,133,134,137],{},[110,135,136],{},"16–19",[110,138,139],{},"Severe OCD",[95,141,142,145],{},[110,143,144],{},"20",[110,146,147],{},"Extreme OCD",[15,149,150],{},"A positive screen requires both the presence of at least one symptom on the checklist AND a severity scale score ≥8.",[10,152,154],{"id":153},"psychometric-properties","Psychometric Properties",[15,156,157],{},"The C-FOCI has demonstrated strong psychometric properties across clinical and community samples:",[36,159,160,163,166,169],{},[39,161,162],{},"Good internal consistency (Cronbach's α ≈ 0.80–0.87)",[39,164,165],{},"Adequate test-retest reliability",[39,167,168],{},"Significant correlation with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), supporting convergent validity",[39,170,171],{},"Sensitivity and specificity for OCD diagnosis comparable to lengthier measures",[15,173,174],{},"(Storch et al., 2009; Piqueras et al., 2017)",[10,176,178],{"id":177},"clinical-considerations","Clinical Considerations",[36,180,181,188,191],{},[39,182,183,184,187],{},"The C-FOCI is a ",[31,185,186],{},"screening and monitoring tool",", not a diagnostic instrument. A positive screen should prompt further clinical evaluation.",[39,189,190],{},"The severity scale is particularly useful for tracking treatment response over time.",[39,192,193],{},"Children with limited self-awareness about their symptoms may underreport; parental report and direct observation should supplement self-report data.",[10,195,197],{"id":196},"who-the-c-foci-is-for","Who the C-FOCI Is For",[15,199,200],{},"Appropriate when:",[36,202,203,209,212],{},[39,204,205,206],{},"The client is a ",[31,207,208],{},"child or adolescent (approximately ages 7–17)",[39,210,211],{},"You are screening for OCD symptom presence or monitoring treatment response",[39,213,214],{},"A brief, self-administered measure is needed in a clinical or research context",[216,217,219],"h2",{"id":218},"references","References",[36,221,222,237],{},[39,223,224,225,229,230],{},"Storch EA, Khanna M, Merlo LJ, et al. (2009). Children's Florida Obsessive Compulsive Inventory: psychometric properties and feasibility of a self-report measure of obsessive-compulsive symptoms in youth. ",[226,227,228],"em",{},"Child Psychiatry and Human Development",", 40(3), 467–483. PMID: ",[231,232,236],"a",{"href":233,"rel":234},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F19326209\u002F",[235],"nofollow","19326209",[39,238,239,240,242,243],{},"Piqueras JA, Rodríguez-Jiménez T, Ortiz AG, et al. (2017). Factor Structure, Reliability, and Validity of the Spanish Version of the Children's Florida Obsessive Compulsive Inventory (C-FOCI). ",[226,241,228],{},", 48(1), 116–127. PMID: ",[231,244,247],{"href":245,"rel":246},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F27283942\u002F",[235],"27283942",{"title":249,"searchDepth":250,"depth":250,"links":251},"",2,[252,254,255,256,257,258,259],{"id":12,"depth":253,"text":13},3,{"id":23,"depth":253,"text":24},{"id":80,"depth":253,"text":81},{"id":153,"depth":253,"text":154},{"id":177,"depth":253,"text":178},{"id":196,"depth":253,"text":197},{"id":218,"depth":250,"text":219},null,"OCD & Compulsive Behaviors",[263,265,267],{"text":264,"link":233},"Storch EA, Khanna M, Merlo LJ, Loew BA, Franklin M, Reid JM, Goodman WK, Murphy TK. Children's Florida Obsessive Compulsive Inventory: psychometric properties and feasibility of a self-report measure of obsessive-compulsive symptoms in youth. Child Psychiatry Hum Dev. 2009;40(3):467-483.",{"text":266,"link":245},"Piqueras JA, Rodríguez-Jiménez T, Ortiz AG, Moreno E, Lázaro L, Storch EA. Factor Structure, Reliability, and Validity of the Spanish Version of the Children's Florida Obsessive Compulsive Inventory (C-FOCI). Child Psychiatry Hum Dev. 2017;48(1):166-179.",{"text":268,"link":269},"Sandoval-Lentisco A, López-Nicolás R, López-López JA, Sánchez-Meca J. Florida Obsessive-Compulsive Inventory and Children's Florida Obsessive Compulsive Inventory: A reliability generalization meta-analysis. J Clin Psychol. 2023;79(1):28-42.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F35849418\u002F","C-FOCI: brief OCD severity measure for children and adolescents aged 7–17. Symptom checklist + 5-item severity scale. Clinician scoring guide.","md",[273,276,279,282],{"question":274,"answer":275},"Is the C-FOCI self-report or clinician-administered?","The C-FOCI is designed as a self-report measure, completed directly by the child or adolescent. For younger children or those with limited reading ability, clinician-assisted or parent-assisted administration is recommended to ensure accurate responses.",{"question":277,"answer":278},"How is the C-FOCI severity scale scored?","The C-FOCI Severity Scale consists of 5 items, each rated 0–4, yielding a total score of 0–20. Higher scores indicate greater symptom severity and interference. A positive screen also requires at least one symptom to be endorsed on the accompanying Symptom Checklist.",{"question":280,"answer":281},"Can the C-FOCI diagnose OCD?","No. The C-FOCI is a screening and monitoring tool, not a diagnostic instrument. A positive screen indicates that a comprehensive clinical assessment is appropriate; diagnosis requires a structured clinical interview by a qualified professional.",{"question":283,"answer":284},"How reliable is the C-FOCI?","A 2023 reliability generalization meta-analysis (Sandoval-Lentisco et al.) found average internal consistency coefficients of KR-20 = 0.74 for the Symptom Checklist and α = 0.79 for the Severity Scale across multiple independent samples, supporting its use as a brief screening tool in research and clinical contexts.",false,"2026-06-03",{},true,"\u002Fassessments\u002Fc-foci",{"title":5,"description":270},"c-foci","assessments\u002Fc-foci","A brief self-report measure of OCD symptom severity in children and adolescents aged 7–17. Comprises a symptom checklist and a 5-item severity scale.",[295,298,301],{"year":296,"label":297},"2009","Original C-FOCI developed and validated by Storch et al. — psychometric properties established in clinical and community youth samples",{"year":299,"label":300},"2017","Spanish-language validation by Piqueras et al. confirmed factor structure, reliability, and validity across clinical and community samples aged 8–19",{"year":302,"label":303},"2023","Reliability generalization meta-analysis (Sandoval-Lentisco et al.) synthesized reliability data across 13+ studies, confirming the C-FOCI's suitability for OCD screening in 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