Obsessive-Compulsive Disorder (OCD): Pathogenesis and clinical findings
Psychological Hypothesis
• Cognitive behavioral model: Emotional disturbance arising from dysfunctional beliefs about situations or stimuli
• Avoidance/Compulsions maintain maladaptive beliefs and anxiety
Biological Hypotheses
• Serotonin: Hypersensitivity of postsynaptic serotonin receptors -> Dysregulation of anxiety
• Structural model: Dysfunction of brain circuits in the oribito-frontal-subcortical regions suspected
Genetics
• 27-47% heritability in twin studies
-> Obsessive-Compulsive Disorder (OCD)
Obsessions - Unwanted/intrusive thoughts, ideas, images, impulses that intrude into consciousness
Compulsions - Urges to perform overt behavioural or mental rituals to reduce obsessional anxiety or distress about feared consequences
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