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Joseph Friedman is funded by National Institute of Mental Health grant #R01 MH118249. Emily Juel has no disclosures. Mary Kimmel is funded by National Institute of Mental Health grant #R01 MH118249. Rashelle Musci has no disclosures. Nicholas Myers has no disclosures. Gerald Nestadt is funded by National Institute of Mental Health grant #R01 MH118249. Paul Nestadt has no disclosures. Lauren Osborne is funded by National Institute of Mental Health grant #R01 MH118249. Jack Samuels has no disclosures. Eric Storch reports receiving research funding to his institution from the Ream Foundation, International OCD Foundation, and NIH. He was formerly a consultant for Brainsway and Biohaven Pharmaceuticals in the past 12 months. He owns stock less than $5000 in NView\/Proem for distribution related to the YBOCS scales. He receives book royalties from Elsevier, Wiley, Oxford, American Psychological Association, Guildford, Springer, Routledge, and Jessica Kingsley. All authors confirm that the above interests have not influenced the design, conduct, or reporting of this study. The authors have no other relationships or activities that could appear to have influenced the submitted work. The OCI-4 is a freely available instrument and the authors receive no financial (or other) gain from its use.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}