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morphing fears also called transformation obsessions involve concerns person may become contaminated acquire undesirable characteristics others symptoms found patients obsessivecompulsive disorder ocd thought related mental contamination given high levels distress interference morphing fears cause reliable valid assessment measure needed article describes development evaluation morphing fear questionnaire mfq 13item measure designed assess presence severity morphing fears sample 900 participants took part research 140 reported current diagnosis ocd srocd 760 reported never ocd nocd 24 reported diagnosis anxiety disorder 23 reported diagnosis depression factor structure reliability construct criterionrelated validity investigated exploratory confirmatory factor analyses supported onefactor structure replicable across nocd srocd group mfq found high internal consistency good temporal stability showed significantly greater associations convergent measures assessing obsessivecompulsive symptoms mental contamination thoughtaction fusion magical thinking divergent measures assessing depression anxiety moreover mfq successfully discriminated srocd sample nocd group anxiety disorder sample depression sample findings suggest mfq sound psychometric properties used assess morphing fear clinical implications discussed copyright 2015 john wiley sons ltd little remains known morphing fears important area investigation due symptoms highly distressing often debilitating morphing fears commonly present obscure symptoms may recognized type ocd mfq robust measure clinical utility facilitate recognition assessment morphing fears mfq allow investigations prevalence correlates treatment outcomes morphing fears