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The DOCS assesses four OCD symptom dimensions. For each dimension, rate 5 items about the past month.
1.[Concerns about germs and contamination] Time occupied by concerns about germs and contamination and related compulsions in the past month
2.[Concerns about germs and contamination] Avoidance of situations related to concerns about germs and contamination
3.[Concerns about germs and contamination] Distress caused by concerns about germs and contamination
4.[Concerns about germs and contamination] Functional interference caused by concerns about germs and contamination
5.[Concerns about germs and contamination] Difficulty disregarding these thoughts and refraining from compulsions related to concerns about germs and contamination
6.[Concerns about being responsible for harm, injury, or bad luck] Time occupied by concerns about being responsible for harm, injury, or bad luck and related compulsions in the past month
7.[Concerns about being responsible for harm, injury, or bad luck] Avoidance of situations related to concerns about being responsible for harm, injury, or bad luck
8.[Concerns about being responsible for harm, injury, or bad luck] Distress caused by concerns about being responsible for harm, injury, or bad luck
9.[Concerns about being responsible for harm, injury, or bad luck] Functional interference caused by concerns about being responsible for harm, injury, or bad luck
10.[Concerns about being responsible for harm, injury, or bad luck] Difficulty disregarding these thoughts and refraining from compulsions related to concerns about being responsible for harm, injury, or bad luck
11.[Unacceptable thoughts (e.g., violent, sexual, or blasphemous)] Time occupied by unacceptable thoughts (e.g., violent, sexual, or blasphemous) and related compulsions in the past month
12.[Unacceptable thoughts (e.g., violent, sexual, or blasphemous)] Avoidance of situations related to unacceptable thoughts (e.g., violent, sexual, or blasphemous)
13.[Unacceptable thoughts (e.g., violent, sexual, or blasphemous)] Distress caused by unacceptable thoughts (e.g., violent, sexual, or blasphemous)
14.[Unacceptable thoughts (e.g., violent, sexual, or blasphemous)] Functional interference caused by unacceptable thoughts (e.g., violent, sexual, or blasphemous)
15.[Unacceptable thoughts (e.g., violent, sexual, or blasphemous)] Difficulty disregarding these thoughts and refraining from compulsions related to unacceptable thoughts (e.g., violent, sexual, or blasphemous)
16.[Concerns about symmetry, completeness, and the need for things to be 'just right'] Time occupied by concerns about symmetry, completeness, and the need for things to be 'just right' and related compulsions in the past month
17.[Concerns about symmetry, completeness, and the need for things to be 'just right'] Avoidance of situations related to concerns about symmetry, completeness, and the need for things to be 'just right'
18.[Concerns about symmetry, completeness, and the need for things to be 'just right'] Distress caused by concerns about symmetry, completeness, and the need for things to be 'just right'
19.[Concerns about symmetry, completeness, and the need for things to be 'just right'] Functional interference caused by concerns about symmetry, completeness, and the need for things to be 'just right'
20.[Concerns about symmetry, completeness, and the need for things to be 'just right'] Difficulty disregarding these thoughts and refraining from compulsions related to concerns about symmetry, completeness, and the need for things to be 'just right'
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