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The OCI-R: Validation of the subscales in a clinical sample
Abstract
The psychometric properties of the Obsessive-Compulsive Inventory-Revised (OCI-R) subscales have not been validated in a clinical sample of individuals diagnosed with obsessive-compulsive disorder (OCD). Data were collected on 186 patients diagnosed with OCD and 17 patients diagnosed with generalized anxiety disorder (GAD) using the OCI-R and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Confirmatory factor analysis revealed an acceptable factor structure. Patients with a given primary symptom subtype were elevated on the corresponding subscale of the OCI-R compared to other OCD patients and patients with GAD. In addition, patients who acknowledged that symptom subtype as present but not primary on the Y-BOCS had elevated OCI-R scores on that scale compared to patients who did not endorse that symptom subtype and patients with GAD. Results indicate that the subscales of the OCI-R are valid measures of six symptom subtypes of OCD. The OCI-R is a psychometrically sound, brief instrument. The current data combined with previous efforts suggest that it is appropriate for clinical and non-clinical populations, and for clinical and research purposes. Further research should examine the sensitivity of the specific subscales to treatment effects, and the potential for adding more items to account for other symptom domains of OCD.
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“The OCI-R contains good psychometric properties [74, 76, 77] that have been confirmed for the German version [75, 78].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [77]
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Zaccari, V., Rogier, G., Pulsinelli, D., Mancini, F., & D’Olimpio, F. (2022) · PubMed Central · doi:10.36131/cnfioritieditore20220106 · Cited by 5
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Exploring the Parsing of Dynamic Action in Checking Proneness
Belayachi, S., & der Linden, M. V. (2015) · Behaviour Change · doi:10.1017/bec.2015.2 · Cited by 4
“…test of homogeneity confirmed that the mean OCI-R checking score of participants whose checking scores fell within the top quartile of the distribution (N = 15; M = 5.9; SD = 1.3) was comparable to that reported by Huppert et al. (2007) for 186 OCD patients (M = 4.4; SD = 3.6; p = .111).”
ResultInfluentialKhaiatova, Z., & Zalyalova, Z. A. (2020) · V M BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY · doi:10.31363/2313-7053-2020-2-47-56 · Cited by 4
Zhang, X., Chye, Y., Braganza, L., Fontenelle, L. F., Harrison, B. J., Parkes, L., Sabaroedin, K., Maleki, S., Yücel, M., & Suo, C. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100129 · Cited by 4
Siev, J., Darst-Campbell, M., Rouder, I. C., & Schlaudt, V. A. (2022) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2022.86.1.20 · Cited by 4
The Placement of Obsessive-Compulsive Symptoms Within a Five-Factor Model of Maladaptive Personality
Cooper, S. E., Hunt, C., Stasik-O’Brien, S. M., Berg, H. E., Lissek, S. M., Watson, D., & Krueger, R. F. (2022) · Assessment · doi:10.1177/10731911211070623 · Cited by 4
“The OCI-R has been successfully used to assess continuously measured OCD symptoms in community and outpatient samples (Huppert et al., 2007; Watson, 2009) and compares favorably with standardized interviews for OCD in terms of utility and psychometric strength.”
MethodWho guards over obsessive fear of guilt? The case of Not Just Right Experiences and disgust
Ferrante, D., & D’Olimpio, F. (2022) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2022.100364 · Cited by 4
Assessment Tools in Psychiatry
Demyttenaere, K., & Heirman, E. (2023) · Springer eBooks · doi:10.1007/978-3-030-42825-9_101-1 · Cited by 4
Merling, L. F., Siev, J., & Lit, K. R. (2018) · Current Psychology · doi:10.1007/s12144-018-0029-y · Cited by 4
Schirmbeck, F. N., Konijn, M., Hoetjes, V., Vermeulen, J. M., Zink, M., Dekker, J., & de Haan, L. (2020) · Schizophrenia Research · doi:10.1016/j.schres.2019.12.032 · Cited by 4
Valenta, S. T., Beghelli, V., Marcolini, F., Rosińska, M., Ronchi, D. D., Fernández‐Aranda, F., & Atti, A. R. (2025) · Journal of Endocrinological Investigation · doi:10.1007/s40618-025-02617-1 · Cited by 3
“The OCI-R is an 18-item self-report questionnaire designed to assess distress associated with obsessive-compulsive and hoarding symptoms, as defined by the DSM-5 [ 40].”
Strauss, A. Y., Barzilay, S., & Huppert, J. D. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.04.010 · Cited by 3
Self-citationThe Etiology, Assessment and Treatment of Compulsive Checking: A Review
Guo, S., Yadegar, M., Khaw, H., & Chang, S. W. (2025) · Psychology Research and Behavior Management · doi:10.2147/prbm.s431339 · Cited by 3
McCarthy, K. S. (2009) · Scholarly Commons (University of Pennsylvania) · Cited by 3
Cao, X., Gao, R., Liu, Y., Zhou, Y., Wang, J., Chen, Y., Wang, Z., Guzick, A. G., Goodman, W. K., Storch, E. A., et al. (2021) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2021.100623 · Cited by 3
Strauss, A. Y., Fradkin, I., & Huppert, J. D. (2021) · Clinical Psychological Science · doi:10.1177/2167702621993868 · Cited by 3
“It has demonstrated sound psychometric properties in clinical and student populations (Foa et al., 2002; Huppert et al., 2007).”
BackgroundSelf-citationMicha, M., Drakos, I., Bacopoulou, F., Kritseli, E., Kokka, I., Tigani, X., Chrousos, G. P., & Kanaka‐Gantenbein, C. (2021) · Psychology · doi:10.4236/psych.2021.1211112 · Cited by 3
“However, according to OCI-R self-rating scale there was a significantly greater decrease of OCD symptomatology in the MBCT group compared to the OCD-EP group.”
MethodInfluentialI Think I Can: The Role of Self-Efficacy in Exposure to Contamination
Merling, L. F., Siev, J., DeLucia, C., & Davidtz, J. (2022) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2022.41.5.423 · Cited by 3
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Obsessive-Compulsive Tendencies Shift the Balance Between Competitive Neurocognitive FunctionsPreprint
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Autism Spectrum Disorder Versus Obsessive-Compulsive Disorder and Tourette’s Disorder
McNeel, M. M., Grebe, S. C., Clayton, R. J., Schneider, S. C., Viana, A. G., Mire, S. S., Omar, Y., Goodman, W. K., & Storch, E. A. (2022) · doi:10.1093/med-psych/9780197516881.003.0008 · Cited by 2
Nisyraiou, A., Simou, M., & Simos, G. (2024) · Psychiatry International · doi:10.3390/psychiatryint5010009 · Cited by 2
“Only three (hoarding, neutralising, obsessing) subscales of the OCI-R reported lower Cronbach’s alpha, which is consistent with previous findings that also showed lower values that were still above 0.50 [77–80].”
ResultInfluentialDisgust Imagery in Contamination-Related Symptoms in a non-Clinical Sample
Lerh, J. W., & Sündermann, O. (2024) · Imagination Cognition and Personality · doi:10.1177/02762366241279989 · Cited by 2
“The OCI-R has high internal consistency and test-retest reliability, satisfactory convergent validity with other OCD measures, and high diagnostic sensitivity in clinical and student samples across English-speaking countries (Foa et al., 2002; Huppert et al., 2007).”
Storch, E. A., McCarty, R. J., Zehavi, M., Ahmad, M., Cruz, V. Z., Berrones, D., Muñoz, J. S., Obando, D., Barajas, S. R., Frederick, R. M., et al. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.12.011 · Cited by 2
Objective measures of sensory gating capacity do not predict the severity of misophonia symptoms
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Bredemeier, K., Mu, W., Mayinja, L. S., & Brown, L. A. (2022) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2022.07.001 · Cited by 2
Asharani, P. V., Tan, Y. W. B., Samari, E., Wang, P., Cetty, L., Satghare, P., Ho, J., Koh, S. A., Yi, L. Z., Tang, C. Y. Z., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.952666 · Cited by 3
“The scale has been validated in several studies (30, 31).”
MethodKillingly, C., Bielinski, D., & Lacherez, P. F. (2024) · Psychology of Music · doi:10.1177/03057356241300425 · Cited by 3
“These are based on commonly found symptom categories in OCD, with each subscale being found to successfully discriminate between clients presenting with the six primary areas of OCD and patients with other psychiatric disorders displaying similar symptoms (Huppert et al., 2007).”
Song, L.-L., Peel, A. J., Veale, D. M., Eley, T. C., & Krebs, G. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.01.146 · Cited by 2
“The OCI-R has shown to have good internal consistency ( α = 0.84 – 0.90) and test-retest reliability ( α = 0.70 – 0.82) in a mixed clinical sample of OCD, other anxiety disorders, controls and college samples (Foa et al., 2002; Huppert et al., 2007; Hajcak et al., 2004).”
InfluentialMears, K., Rai, D., Shah, P., & Ashwin, C. (2025) · Molecular Autism · doi:10.1186/s13229-025-00649-1 · Cited by 3
“In addition to a total score, the measure can be divided into six subscales: washing, checking, ordering, obsessing, hoarding and neutralising [28].”
InfluentialAssessment Strategies for Moody ADHD in Children, Adolescents, and Adults
Daviss, W. B., & Bond, J. B. (2017) · Springer eBooks · doi:10.1007/978-3-319-64251-2_2 · Cited by 2
Pozza, A., Ferretti, F., Carabellese, F., Gualtieri, G., Masti, A., Carabellese, F., & Coluccia, A. (2020) · doi:10.21203/rs.3.rs-83482/v1 · Cited by 2
“For example, the Obsessive Compulsive Inventory-Revised (OCI-R; Huppert et al. 2007) is a short self-report questionnaire, easy to administer periodically; it might be used to monitor the levels of contamination fears, a psychological subjective experience frequently occurring during a pandemic like the present one (C…”
MethodInfluentialSolem, S. (2010) · NORA - Norwegian Open Research Archives · Cited by 2
Clarke, A. T., Fineberg, N. A., Pellegrini, L., Leuzzi, R., & Laws, K. R. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.05.003 · Cited by 1
“The OCI-R is an 18-item self-report tool measuring OCD symptom severity, validated in clinical and general populations (Huppert et al., 2007).”
Eken, H. N., Hossein, S., Freeman, A. M., Nebril, D., Do-Nguyen, K., Bell, E., Malloy, L. T., Aslam, M., Mcdonald, N., Renard, M., et al. (2025) · Journal of Mood and Anxiety Disorders · doi:10.1016/j.xjmad.2025.100155 · Cited by 2
“…symptom scale, expressed as the number of standard deviations above or below a healthy control sample ’ s mean score on that scale, using previously published normative data for each of our self-report symptom scales: OCI total scores and subscales [35], MGH-HPS [26], SPS [27], and TRRSS [28].”
Grassi, G., Moradei, C., Cavaliere, S., & Cecchelli, C. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.11.025 · Cited by 2
Beyond the surface: Neurocognitive deficits in body-focused repetitive behaviors
Moritz, S., Borgmann, L., Alfawal, A., & Schmotz, S. (2025) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617725101574 · Cited by 1
“The OCI-R (Foa et al., 2002; German version by Gönner et al., 2008), which has good psychometric properties (Abramowitz & Deacon, 2006; Foa et al., 2002; Gönner et al., 2007, 2008; Huppert et al., 2007), was administered to assess OCD symptoms.”
How valid is obsessive-compulsive inventory-revised scale among Sri Lankan adults?
Senanayake, B., Rajasuriya, M., Suraweera, C., & Arambepola, C. (2018) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_171_18 · Cited by 1
“[13] OCI-R has been validated in different regions, including Western and Asian countries, with demonstrably good validity and reliability.[14-16] However, its authors have emphasized on modifying this tool when applied in other countries to further enhance its validity.”
Session 4: Exposure and Ritual Prevention—Introducing Imaginal Exposure
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Self-citationAssessment Tools in Psychiatry
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Imai, H., Luo, Y., Funada, S., Hashimoto, T., Matsuishi, K., Takamatsu, T., Yoshihara, Y., Hiraoka, Y., Mizui, Y., Hayasaka, Y., et al. (2025) · Psychiatry and Clinical Neurosciences Reports · doi:10.1002/pcn5.70065 · Cited by 1
“R), 23 which consists of 18 items rated on a five ‐ point scale from 0 to 4, with higher total scores indicating greater severity.”
The Relationship Between Obsessive-Compulsive Disorder and Depression in the General Population
Moroney, K. J. (2017) · Cited by 1
Bambo, S. C., & Mashegoane, S. (2020) · South African Journal of Psychology · doi:10.1177/0081246320961535 · Cited by 1
“The internal consistency of each of the subscales ranged from .57 to .93 (Huppert et al., 2007; Williams et al., 2013).”
BackgroundThe brief obsessive-compulsive scale: Development and validation of a self-report (BOCS-SR)
Patel, S. R., Basaraba, C. N., Rose, S. V., Meter, P. E. V., Wall, M. M., & Simpson, H. B. (2022) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100730 · Cited by 1
Self-citationAttachment security, self-concept clarity and beliefs in obsessive-compulsive disorder
May, E. R. (2007) · University of Hertfordshire Research Archive (University of Hertfordshire) · Cited by 1
Kaczkurkin, A. N. (2014) · University of Minnesota Digital Conservancy (University of Minnesota) · Cited by 1
Mahjani, B., Mahjani, C. G., Reichenberg, A., Sandin, S., Hultman, C. M., Buxbaum, J. D., & Grice, D. E. (2021) · medRxiv · doi:10.1101/2021.06.28.21259652 · Cited by 1
“It has high test-retest reliability, convergent validity, good internal consistency, and solid factor structure according to both clinical and non-clinical studies (Gönner, Leonhart, & Ecker, 2008; Grabill et al., 2008; Hajcak, Huppert, Simons, & Foa, 2004; Huppert et al., 2007).”
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Bednarek, L., Glover, S. J., Ma, X., Pittenger, C., & Pushkarskaya, H. (2022) · medRxiv · doi:10.1101/2022.09.20.22279936 · Cited by 1
“The OCI-R includes six subscales (3 items each) that have been shown to map well onto items from Y-BOCS symptom checklist (Huppert et al., 2007): washing, obsessing, hoarding, checking, ordering, and neutralizing.”
MethodKról, M., Cao, Y., & Kirkham, E. (2022) · medRxiv · doi:10.1101/2022.11.03.22281919 · Cited by 1
“The OCI-R has been found to be psychometrically sound and appropriate for clinical and non-clinical populations and research purposes (Hajcak et al., 2004; Huppert et al., 2007).”
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Conway-Williams, E. (2011) · Digital Commons - East Tennessee State University (East Tennessee State University)
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Session 3: Exposure and Ritual Prevention—Introducing In Vivo Exposure
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0006
Self-citationIntermediate Sessions: Continuing Exposure and Ritual Prevention
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0008
Self-citationProblems Commonly Encountered during Exposure and Ritual Prevention (EX/RP)
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0010
Self-citationSession 2: Treatment Planning Part II
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0005
Self-citationSession 1: Treatment Planning Part I
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0004
Self-citationTreatment Components of Exposure and Ritual Prevention
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0003
Self-citationAssessment Instruments for Obsessive-Compulsive Disorder
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Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0009
Self-citationFoa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0002
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Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.003.0001
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Medved, S., Palavra, I. R., Gerlach, J., Levaj, S., Shields‐Zeeman, L., Bolinski, F., Bradaš, Z., Madžarac, Z., Filipčić, I., & Kuzman, M. R. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1264875
Liao, Z., Birgegård, A., Monell, E., Borg, S., Bulik, C. M., & Mantilla, E. F. (2024) · Research Square · doi:10.21203/rs.3.rs-4187314/v1
Prevalência de compulsão em migranosos e sua associação com uso excessivo de analgesia
Braz, A. C. M., Filho, J. C. C. P., de Barros, M. C. L., Ribeiro, M. H. V., Sousa, M. S., dos Santos, V. H., da Silva, D. J., & Jurno, M. E. (2024) · Headache Medicine/Revista Headache Medicine · doi:10.48208/headachemed.2024.19
Levinson, A. R., Preis, H., Lobel, M., Philippopoulos, A. J., Law, K., & Mahaffey, B. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01524-3
“The OCI-4 is a four-item self-report measure of OC symp - toms derived from the Obsessive-Compulsive Inventory Revised (OCI-R; Abramovitch et al. 2020; Huppert et al. 2007).”
Zinbarg, R. E., Kramer, A., Kelley, N. J., Williams, A., Schmidt, M., Chat, I., Young, K. S., Kleijnen, B. J., Nusslock, R., & Craske, M. (2024) · Clinical psychological science : a journal of the Association for Psychological Science · doi:10.1177/21677026241301048 · Cited by 1
“The exceptions stemmed from the fact that the OCI-R has six well-established subscales (e.g., Foa et al., 2002; Huppert et al., 2007).”
Tully, P. J., Cosh, S., Wittert, G., Martin, S., Vincent, A. D., Mikocka‐Walus, A. A., & Turnbull, D. A. (2025) · JMIR Research Protocols · doi:10.2196/58655
“Fear of contamination was quantified with 3 items comprising the contamination subscale of the Obsessive-Compulsive Inventory-Revised as validated by Huppert et al [74].”
Perceived moral objectivity: Why some moral issues seem more objective than others
Schulman, R., Liberman, N., & Eyal, T. (2026) · Cognition · doi:10.1016/j.cognition.2026.106642
Hoffman, K. L., García‐Torres, E., Basurto, E., & Cano-Ramírez, H. (2025) · Journal of Global Health Neurology and Psychiatry · doi:10.52872/001c.138831
Imaginal Exposure Homework Recording Form
Foa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.005.0015
Self-citationFoa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.005.0004
Self-citationFoa, E. B., Yadin, E., & Lichner, T. K. (2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.005.0010
Self-citation(2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.005.0020
(2012) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195335286.002.0004
Metadata
- Authors
- Huppert, J. D., Walther, M. R., Hajcak, G., Yadin, E., Foa, E. B., Simpson, H. B., & Liebowitz, M. R.
- Affiliations
- University of Pennsylvania (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Huppert, Jonathan D.
- ORCID
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2007
- Volume
- 21
- Issue
- 3
- Pages
- 394-406
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W1976550676
- Cited by
- 325
- References
- 22
- Citations by year
- 2026: 7 · 2025: 22 · 2024: 19 · 2023: 12 · 2022: 23 · 2021: 21 · 2020: 20 · 2019: 14 · 2018: 14 · 2017: 9 · 2016: 11 · 2015: 16 · 2014: 13 · 2013: 16 · 2012: 39
- FWCI
- 7.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- National Institute of Mental Health (R01MH045404, K23MH064491, R01MH045436)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Obsessive-Compulsive Inventory-Revised, obsessive-compulsive disorder, psychometric properties, generalized anxiety disorder, factor structure, Yale-Brown Obsessive Compulsive Scale, clinical samples
- MeSH terms
- Adult, Female, Humans, Male, Obsessive-Compulsive Disorder, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, Reproducibility of Results, Cognitive Behavioral Therapy
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