480 The Professional Counselor | Volume 13, Issue 4 Table 3 Wilcoxon Signed-Rank Test for OCD Severity Measure Ranks Mean Rank Sum of Rank Z p ODD Severity Negative Ranks 47.64 667.00 −8.083 < 0.001 Positive Ranks 64.94 7208.00 ODD Symptom 1 Negative Ranks 61.72 987.50 −9.834 < 0.001 Positive Ranks 88.51 13718.50 ODD Symptom 2 Negative Ranks 76.86 3766.00 −5.114 < 0.001 Positive Ranks 86.28 10095.00 ODD Symptom 3 Negative Ranks 85.56 7700.50 −0.266 0.790 Positive Ranks 88.56 7350.50 Discussion The objective of the present study was to identify and assess children and adolescents for overlap in symptoms and severity of ODD and OCD to determine potential comorbidity and suggest misdiagnosis. The aim of this study was to better understand the potential for children and adolescents to be misdiagnosed with ODD rather than OCD based on the premise that OCDdiagnosed children and adolescents experience symptoms that mimic ODD, such as anger and frustration, because of the inability to perform compulsions. According to the results of this study, there was a significant relationship between OCD Symptom 1 and ODD Symptom 1. This finding suggested that youth diagnosed with ODD demonstrated significant associations with anger/frustration related to obsessions, compulsions, and annoyance. Additionally, the results suggested a significant relationship between OCD Symptom 1 (feels very frustrated and or angry with relation to obsession and compulsions) and ODD Symptom 2 (often angry and resentful). These results are similar to the prior research conducted by Ezpeleta et al. (2022), which revealed that children with OCP and ODD experienced heightened severity with relation to irritability and defiance, which may be due to the inability to act on a compulsion or perform a ritual. Moreover, researchers have conceptualized that the inability to complete compulsions may result in defiance or temper/anger outbursts (Ale & Krackow, 2011; Krebs et al., 2013; Painuly et al., 2011). Perhaps the children and adolescents in this study were diagnosed with ODD because of the endorsement of symptoms associated with frustration and anger; however, these symptoms might be a result of the inability to complete compulsions. Findings from this study suggested that ODD Severity, ODD Symptom 1 (easily annoyed, bothered, or upset by others), and ODD Symptom 2 (often angry and resentful) increased when OCD Severity was considered. The heightened severity and symptoms of ODD when OCD Severity was included
RkJQdWJsaXNoZXIy NDU5MTM1