%0 Journal Article
%T Understanding Behavioral Manifestations of Obsessive-Compulsive Disorder in People with Intellectual Disabilities¡ªA Qualitative Study
%A Lena Gr¨¹ter
%A Matthias Gr¨¹nke
%J Open Journal of Psychiatry
%P 67-90
%@ 2161-7333
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojpsych.2024.142005
%X <strong>Background</strong><span style=\"font-family:;\" \"=\"\"><strong>:</strong></span><span style=\"font-family:;\" \"=\"\"> There is limited knowledge
about obsessive-compulsive disorder (OCD) in people with intellectual
disabilities (ID</span><span><span style=\"font-family:;\" \"=\"\">s</span></span><span><span style=\"font-family:;\" \"=\"\">). This paper de</span></span><span><span style=\"font-family:;\" \"=\"\">scribes</span></span><span><span style=\"font-family:;\" \"=\"\"> the manifestation of
compulsive behaviors associated with OCD at</span></span><span><span style=\"font-family:;\" \"=\"\"> the behavioral level in people
with ID in institutionalized settings. The aim was to gain nuanced insight into
appropriate understanding and classification in this specific context, and
derive implications for research and practice.</span></span><span style=\"font-family:;\" \"=\"\"> <b><span>Methods</span></b></span><b><span style=\"font-family:;\" \"=\"\">:</span></b><span style=\"font-family:;\" \"=\"\"> Individual cases of people with ID (<i>n</i> = 7) were studied to as<span>sess compulsive
symptoms through two days of <span>on-site
observation </span>of th</span>e person with ID <span>within the institution</span>, guided group discussions (<i>n </i>= 28), and semi-structured interviews
with key informants and caregivers of the person <span>with ID (<i>n</i> = 20). Caregiver
ratings of the compulsive behavior checklist </span><span>were compiled. Data were analyzed using qualitative content analysis.</span><span><span> <b><span>Re</span></b></span><b><span>sults:</span></b><span> All forms of OCD were present. Characteristics of
compulsive</span><span> behaviors in people with ID
at the behavioral level included&nbsp;less complex and </span><span><span>more </span><span>obvious compulsive acts, immediate responses,
signs of </span><span>tension,</span><span> mo</span>tor<span> restlessness, facial expression changes, repetition, need for predictabili</span><span>ty, time-consuming behaviors, and aggressive
reactions when these acts were interrupted. Some of the compulsive behaviors
corresponded to the ICD-11 OCD code 6B20, </span></span></span></span><span><span><span style=\"font-family:;\" \"=\"\">and </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">others to compulsions as a psychological symptom
(MB23.4). </span></span></span><span><span><b><span style=\"font-family:;\" \"=\"\">Conclusions</span></b></span></span><span><span><b><span style=\"font-family:;\" \"=\"\">:</span></b></span></span><span><span><span
%K People with Intellectual Disabilities
%K Obsessive-Compulsive Disorder
%K Compulsive Behavior
%K Diagnostics
%K Differential Diagnosis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131376