biological approach to explaining/ treating OCD Flashcards

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1
Q

what approach is used to explain OCD?

A

the biological explanation

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2
Q

what are candidate genes?

A

they are inherited genes which are vulnerable to OCD. some of these are involved in the production of serotonin.

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3
Q

ODC is p…..

A

polygenic

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4
Q

what does OCD is polygenic mean?

A

it is caused by combinations of genes not just one.

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5
Q

who researched OCD being polygenic?

A

Taylor (2013) found that up to 230 different genes may be involved in OCD.
they have found to be associated with dopamine and serotonin

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6
Q

how many different genes may be involved in OCD?

A

230

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7
Q

different types of OCD

A

one group of genes may cause OCD in one person but a different group of genes may cause OCD in another person.

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8
Q

what is the main aspect of the neural explanation?

A

the role of serotonin, neurotransmitters

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9
Q

what is the role of serotonin in OCD?

A

it is thought that OCD could be caused by serotonin being absorbed faster than it is being produced, causing depleted serotonin levels

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10
Q

what are the two studies done on genetics?

A

•lewis (1936)
•Nestadt (2010)

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11
Q

what was Lewis’ study?

A

he conducted a family study (on parents/ siblings) and looked at incidence rates
he found that 37% of people with OCD had parents with the condition, and 21% had siblings with OCD as well
•shows a genetic link

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12
Q

what was Nestadt’s study?

A

he conducted a twin study, using identical and non-identical twins
•68% of identical twins shared OCD
•31% of non-identical twins shared OCD

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13
Q

what do vesicles do?

A

produce, release and re absorb neurotransmitters

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14
Q

evaluation points for the biological explanation of OCD

A

strength: drug therapies (SSRI)
limitation: co-morbidity with depression (might be treating depression not OCD)
limitation: we should not assume neural mechanisms cause OCD (they may be a consequence of OCD rather than the cause)

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15
Q

what is the biological approach to treating OCD?

A

drug therapy

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16
Q

what drug is used to treat OCD

A

an SSRI

17
Q

what does SSRI stand for?

A

selective serotonin reuptake inhibitors

18
Q

what theory is the drug therapy based upon?

A

that OCD is caused by depleted serotonin in the synapse, as it is absorbed faster than it is being produced

19
Q

how would SSRI’s help treat OCD?

A

it increases the levels of serotonin in the synapse while continuing to stimulate the postsynaptic neuron

20
Q

what are SSRI’s often combined with?

A

CBT therapy to give a more holistic approach

21
Q

evaluation points for drug therapy

A

strength: drug therapy is effective
strength: cost-effective and non-disruptive
limitation: side effects
limitation: sceptical about drug research

22
Q

strength: drug therapy is effective

A

•Soomro conducted a study which showed that the SSRI was more effective than the placebo drug
•typically symptoms decline significantly for 70% of patients taking SSRI’s
•shows SSRIs are effective in reducing OCD symptoms
•the other 30% can benefit from a combination of drugs and CBT

23
Q

what was Soomro’s study?

A

•he conducted a meta analysis on 17 studies and concluded that they all showed the SSRI was more effective than a placebo drug
•typically symptoms decline significantly for 70% of patients taking SSRI’s
•shows they are effective in reducing OCD symptoms
•the other patients can benefit from a combination of drugs and CBT

24
Q

strength: cost effective and non-disruptive

A

•they are inexpensive
•the require a lot less effort in comparison to engaging in a regular talking therapy, so they are more accessible for the more severe cases
•suitable for a diverse range of patients

25
Q

limitation: side effects

A

•can cause side effects like blurred vision, loss of sex drive, erection problems, tremors, weight gain
•such factors reduce the effectiveness because people stop taking the medication

26
Q

limitation: sceptical about drug research

A

•drug trials are conducted by pharmaceutical companies
•70% of drug research does not get published, so Soomra’s meta analysis was only based on 30% of total research
•publisher bias, they only publish flattering research to make a profit

27
Q

what is the neural approach referring to?

A

SEROTONIN
synaptic connections and neurotransmitters