Biological Approach in OCD Flashcards

1
Q

How do we treat OCD using ideas of the biological approach?

A

Drug Therapy

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2
Q

What does drug therapy in mental disorders aim to achieve?

A

increase or decrease levels of or activity of neurotransmitters to restore a normal balance

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3
Q

How is OCD and serotonin associated?

A

low levels of serotonin related to OCD

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4
Q

What standard medical treatment is used to tackle symptoms of OCD?

A

SSRIs
(selective serotonin reuptake inhibitor)

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5
Q

How do SSRIs treat OCD?

A

prevent reabsorption and breakdown of serotonin at presynaptic neurone, increase levels of serotonin in synapse and thus stimulates postsynaptic neurone

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6
Q

What do drug therapies reduce?

A

emotional symptoms (anxiety and depression)

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7
Q

What is used alongside SSRIs to benefit OCD patients?

A

Cognitive Behavioural Therapy

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8
Q

What are the alternatives to SSRIs?

A

TRICYCLICS
SNRIs

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9
Q

What are tricyclics?

A

type of antidepressant which acts on various system including the serotonin regulating system

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10
Q

What are SNRIs?

A

serotonin-noradrenaline reuptake inhibitors which increase levels of serotonin and noradrenaline

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11
Q

Why are OCD patients prescribed SSRIs alternatives?

A

the current prescription is not effective for the patient and so instead of increasing dosage other drugs are trialled as people’s bodies respond differently to each drug

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12
Q

How can we evaluate the BIOLOGICAL APPROACH in treating OCD?

A

R: Clear evidence- Mustafa Soomro et al. reviewed 17 studies comparing SSRIs to placebos- All 17 studies showed significantly better outcomes with SSRIs, symptoms reduced for 70% people- Remaining 30% helped through alternative drug therapies, combining drugs and psychological therapies- Validities effectiveness of drugs in treating OCD
Bias- Goldacre posed wether researchers selectively publish positive outcomes for drugs they are sponsored by- are these drugs truly effective or have we been lead to believe they are? lowers validity greatly, criticises reliability
A: Doesn’t treat ALL with OCD- small minority receive NO benefit from use of SSRIs- limits generalisability of drug therapies
I: Cost-effective- thousands of drug products manufactured in time it takes for ONE psychological therapy session- good value for public health systems like NHS who endure limited funds- economical validity
Non-disruptive- no need to organise and plan for psychological therapies- drug therapy easily accessible- psychological therapies time-consuming- drug therapies do not affect work/social life
Serious side effects- indigestion, blurred vision, lower sex drive- distressing even if temporary, small minority permanent effects- tricyclic clomipramine associated with weight gain and heart-related issues- reduced quality of life DAMAGING applicability and questioning potential risk vs benefit
S: Biological Approach heavily scientific- clear link between regulation of serotonin and OCD- SSRIs apply objective measures to target and reduce symptoms of OCD- high validity

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13
Q

Who researched the genetic explanation for OCD?

A

Lewis 1936

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14
Q

Outline Lewis’ study into the genetic explanation for OCD?

A

observed 37% had parents with OCD and 21% also had siblings with OCD- demonstrated it ran in families

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15
Q

What are candidate genes for OCD?

A

identified genes which create vulnerability for OCD

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16
Q

What gene is implicated in the transport of serotonin?

A

5HT1-D beta

17
Q

What is meant by OCD being polygenic?

A

OCD not caused by one single gene but a combination of genetic variations

18
Q

How many genes did Taylor determine to cause OCD?

A

230 genes

19
Q

What neurotransmitters are involved in OCD?

A

dopamine
serotonin

20
Q

How are there different types of OCD?

A

one group of genes may cause OCD in one person yet another set may cause the disorder in another person- KNOWN AS AETIOLOGICALLY HETEROGENOUS

21
Q

What is meant by aetiologically heterogenous in relation to OCD?

A

origins of OCD vary from one person to another

22
Q

How is serotonin involved with OCD?

A

low levels of serotonin then normal-transmission of mood-relevant information does not take place and the person may experience low moods

23
Q

What is impaired decision-making associated with in OCD?

A

abnormal functioning of lateral frontal lobes of the brain which are typically responsible for logical thinking and making decisions

24
Q

How are unpleasant emotions associated in OCD?

A

abnormally functioning of parahippocampal gyrus

25
Q

How can we evaluate genetic explanations for OCD?

A

R: Nestadt et al- reviewed twin studies, found 68% identical twins (monozygotic share 100% genes) shared OCD as opposed to 31% non-identical twins- clear evidence for genetic explanation- high validity
Evidence from animal studies- Amhari- mice- found candidate genes, particular genes associated with repetitive behaviours- increases validity through supporting research
HOWEVER
Human mind more complex than mice- even if they share majority of genes- less generalisable from animal repetitive behaviours to humans and OCD
A:
I:
S:
E: Environmental risk factors- not wholly genetics- environment can trigger or increase risk of developing OCD- Cromer et al- half OCD participants in sample experienced traumatic event in past- OCD more severe in those who had multiple traumas- genetic only partial explanation- limits applicability and validity

26
Q

What are the two main explanations for OCD?

A

-genetic explanations
-neural explanations

27
Q

How can we evaluate a neural explanation for OCD?

A

R: antidepressants for serotonin- effective in reducing OCD symptoms- further suggests influence of serotonin- provides validity
A: serotonin-OCD link may not be unique to OCD- many with OCD also have clinical depression- having two disorder called co-morbidity- depression most likely to disrupt action of serotonin- confusion as to whether serotonin basis for OCD- serotonin may not be relevant to OCD symptoms- damages validity
I:
S: correlation and causality- some evidence show neural systems work abnormally- according to biological model of mental disorder most easily explained by brain dysfunction causing OCD- simply correlation between neural abnormality and OCD- doesn’t indicate causal relationship- criticises validity
E: