Compulsions in adults with mental retardation: prevalence, phenomenology, and comorbidity with stereotypy and self-injury.
Compulsions in adults with mental retardation: prevalence, phenomenology, and comorbidity with stereotypy and self-injury.
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发表时间：
1995-09
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通讯作者：
J. Bodfish;T. Crawford;S. Powell;D. E. Parker;R. Golden;M. Lewis
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作者：
J. Bodfish;T. Crawford;S. Powell;D. E. Parker;R. Golden;M. Lewis
强迫症患者的强迫行为与精神发育迟滞患者的刻板行为和自伤行为之间存在着许多概念上的相似之处，这促使我们对重度或极重度精神发育迟滞成人中强迫行为的患病率、现象学和共病性进行了调查。我们开发了简单的评估筛选仪器的刻板印象和自伤，并使用Gedye的强迫行为检查表，发现可接受的水平的可靠性，稳定性和有效性的每一个工具。患病率如下：刻板：60.9%;自伤：46.6%;强迫：40%。强迫行为的发生与刻板、自伤和刻板加自伤的发生显著正相关。
A variety of conceptual similarities between compulsions seen in individuals with obsessive compulsive disorder and stereotypy and self-injury seen in individuals with mental retardation led us to investigate the prevalence, phenomenology, and comorbidity of compulsions in adults with severe or profound mental retardation. We developed simple assessment screening instruments for stereotypy and self-injury and used Gedye's Compulsive Behavior Checklist and found acceptable levels of reliability, stability, and validity for each instrument. Prevalences were as follows: stereotypy: 60.9%; self-injury: 46.6%; and compulsion: 40%. The occurrence of compulsions was significantly positively associated with the occurrence of stereotypy, self-injury, and stereotypy plus self-injury.