Obsessive-compulsive disorder in mentally retarded patients

Benedetto Vitiello, Scott Spreat, David Behar

Research output: Contribution to journalArticle

Abstract

Of 283 mildly to profoundly retarded patients, 10 (3.5%) presented with compulsive behavior that significantly interfered with their daily functioning. Compulsions occurred in the context of obvious cerebral dysfunction and in the absence of anxiety or "ego-dystonic" qualities. The interrater reliability of the differential diagnosis between compulsions, stereotypies, and other repetitive behaviors was good (kappa =.82). A severity rating scale for the compulsive behavior yielded total scores with good interrater reliability (intraclass correlation coefficient =.82). Single items that described observable behaviors had good reliability, while inner resistance and subjective distress were not reliably assessed and contributed little to the total score. The authors suggest that the DSM-III-R diagnosis of obsessive-compulsive disorder be considered in mentally retarded patients, despite the absence of recognizable ego dystonic characteristics. Emphasis should be on the behavioral, externally observable components of the disorder, rather than on inner conflicts and anxiety. Such a diagnostic approach may also benefit nonretarded compulsive patients.

Original languageEnglish (US)
Pages (from-to)232-236
Number of pages5
JournalJournal of Nervous and Mental Disease
Volume177
Issue number4
StatePublished - 1989
Externally publishedYes

Fingerprint

Obsessive-Compulsive Disorder
Mentally Disabled Persons
Compulsive Behavior
Ego
Anxiety
Diagnostic and Statistical Manual of Mental Disorders
Differential Diagnosis

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Vitiello, B., Spreat, S., & Behar, D. (1989). Obsessive-compulsive disorder in mentally retarded patients. Journal of Nervous and Mental Disease, 177(4), 232-236.

Obsessive-compulsive disorder in mentally retarded patients. / Vitiello, Benedetto; Spreat, Scott; Behar, David.

In: Journal of Nervous and Mental Disease, Vol. 177, No. 4, 1989, p. 232-236.

Research output: Contribution to journalArticle

Vitiello, B, Spreat, S & Behar, D 1989, 'Obsessive-compulsive disorder in mentally retarded patients', Journal of Nervous and Mental Disease, vol. 177, no. 4, pp. 232-236.
Vitiello, Benedetto ; Spreat, Scott ; Behar, David. / Obsessive-compulsive disorder in mentally retarded patients. In: Journal of Nervous and Mental Disease. 1989 ; Vol. 177, No. 4. pp. 232-236.
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