Al-Abdullah Zainab, Nawaz Faisal A, Kair Hawk M, Sultan Meshal A
College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.
Mental Health Centre of Excellence, Al Jalila Children's Specialty Hospital, Dubai, UAE.
Case Rep Psychiatry. 2022 Mar 22;2022:4943485. doi: 10.1155/2022/4943485. eCollection 2022.
Individuals with intellectual disability (ID) experience various psychiatric comorbidities including anxiety, depression, and obsessive-compulsive disorder (OCD) in a rate that is equivalent or higher than individuals without ID. Unfortunately, these cooccurring conditions are often missed during the evaluations due to various reasons, including their atypical presentation. In this case report, we present the clinical symptoms of an adolescent with mild ID who presented with irritability and was diagnosed with OCD following a comprehensive assessment. The treatment course is also summarized as well as the positive outcome to selective serotonin reuptake inhibitor (SSRI) medication. In this report, we discuss potential factors that increase the rate of psychiatric comorbidities including OCD in individuals with ID. Furthermore, in the context of limited research in this area, we recommend additional studies in order to build a detailed understanding of the clinical presentation of psychiatric cooccurring disorders in individuals with ID with the goal of enhancing assessment tools in the future.
智力残疾（ID）个体经历各种精神共病，包括焦虑、抑郁和强迫症（OCD），其发生率等同于或高于无ID个体。不幸的是，由于各种原因，包括其非典型表现，这些共病情况在评估过程中常常被漏诊。在本病例报告中，我们呈现了一名轻度ID青少年的临床症状，该青少年表现为易怒，经全面评估后被诊断为强迫症。还总结了治疗过程以及选择性5-羟色胺再摄取抑制剂（SSRI）药物治疗的积极效果。在本报告中，我们讨论了增加ID个体精神共病（包括强迫症）发生率的潜在因素。此外，鉴于该领域研究有限，我们建议开展更多研究，以便深入了解ID个体精神共病的临床表现，目标是未来改进评估工具。
