Faktorer som möjliggör och hindrar aktivitetsutförande hos personer med tvångssyndrom : En litteraturstudie baserad på bloggar och självbiografi

Sammanfattning: Background: Obsessive-compulsive disorder (OCD) affects 2 % of the population and leads to restrictions in many occupations, in many life domains and environments. In half of the cases the existing treatment is not enough and leads to emotional and physical exhaustion. The underlying causes behind the diagnosis is not fully clarified but methods in occupational therapy has the potential for evaluation and development in symptom management. Purpose: To identify and describe the experiences in persons with OCD regarding supporting and hindering factors in occupational performance. Method: A literature review with data from three personal blogs and one self-biography was analyzed using a qualitative content analysis leading to five categories. Result: The five categories are: Occupations are restricted or can’t be performed as preferred; Strategies are used to control occupational performance but could trigger compulsions; Meaningful occupation bridges difficult tasks and promotes occupation. The degree of anticipation controls if external stimuli inspires activity or triggers compulsions; Social support increases the ability to carry out activity. The result depicts both hindering and supporting factors affecting occupational performance. Still factors are too complex to divide because supporting strategies also are self-destructive or only work in some situations. Conclusion: Persons with OCD have supporting, hindering and paradoxical strategies and there were factors to facilitate occupational performance in preferred and necessary activities. The social support was the most prominent supporting factor for quality of life and occupational performance.