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Étude de l'équilibre de vie des personnes présentant des troubles obsessionnels compulsifs : utilisation de stratégies d'adaptation pour faire face aux situations de déséquilibre occupationnel

Abstract : Due to compulsive rituals and obsessive thoughts, people with OCD are concerned about their level of functioning in all spheres of life. Occupational imbalance and impaired quality of life may appear in these individuals when their routine is perceived as unsatisfactory. This thesis has three main objectives: (1) to determine the situations of occupational imbalance of people with OCD, (2) to identify the adaptation strategies used at home and (3) to develop and document the use of technical and technological devices to maintain a life balance through the promotion of occupations. A scoping review was first conducted to determine existing data in international scientific literature related to quality of life indicators for people with OCD (Chapter 1). The objectives are: (1) to explore the quality of life components of people with Obsessive Compulsive Disorders (OCD); (2) identify the variables that modify their quality of life; (3) analyze the impact of OCD on activities of daily living. The second chapter presents an innovative approach and was the subject of an article published in a collective work. This one deals with the description of the research project of the project Disability Analysis Associated with Compulsive Obsessive Disorders [AHATOC] (Morgiève and Briffault, 2015). This project is a participatory clinical research that aims to identify the environmental factors related to OCD and to design technical and technological devices for the compensation of disability situations. The article also proposes two environmental assessment tools: (1) a chrono-ergometer is a circadian disk for mapping the daily routines ; (2) a methodology has been developed to map in 2D and 3D rituals. The third chapter concerns a study that identifies the coping strategies used by people with OCD (Chapter 3) and documents the altered dimensions of life balance (Chapter 4). For this, semi-directed interviews were conducted in the homes of eight participants with OCD to explore the fallout of obsessions and compulsions in activities of daily living. In addition, a questionnaire titled Life Balance Inventory [LBI] (Larivière and Levasseur, 2016, Matuska, 2012) has documented the attacks or disruption of daily occupations. The interviews revealed a degree of dissatisfaction among the respondents with respect to the time they spent in their occupations (equivalence). The LBI data revealed a favorable evolution of the life balance, although the level of imbalance remains important for all activities of daily life of the participants. Chapter 5 discusses a case study of two participants with OCD who have experimented with technical / technological devices proposed by the AHATOC project. Three tools were used to document these two situations: (1) semi-structured interviews using the SWOT matrix (Strengths Weaknesses Opportunities and Threats); (2) the Inventory of the Balance of Life; (3) mapping of OCDs over time. According to the observations made, the occupations of the two participants evolved favorably thanks to the use of technical and technological compensation devices. In addition, their active participation in the implementation of these devices was a favorable element for their acceptance and integration.
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Yannick Ung. Étude de l'équilibre de vie des personnes présentant des troubles obsessionnels compulsifs : utilisation de stratégies d'adaptation pour faire face aux situations de déséquilibre occupationnel. Sociologie. Université Sorbonne Paris Cité, 2018. Français. ⟨NNT : 2018USPCB186⟩. ⟨tel-02521142⟩



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