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The latent symptom structure of OCD was best defined by four specific dimensions: (a) obsessions and checking (e.g., aggressive, sexual, religious, and somatic obsessions and checking compulsions); (b) symmetry and ordering (e.g., symmetry and exactness obsessions, repeating, counting, and arranging compulsions); (c) contamination and cleaning (e.g., contamination obsessions and cleaning/washing compulsions); and (d) hoarding [2]. In patients with OCD, obsessions and checking were found to be more diffuse (92.78%) and associated with a greater overall functional and lifestyle impairment than other categories of symptoms [4].

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