Biological approach to OCD Flashcards
what does the biological approach assume?
that psychological disorders are psychological illnesses with physical causes
what are the 3 biological explanations for OCD?
genetic factors
biochemical factors
neurological factors
how are genetic factors related to OCD?
some researchers believe that genetics play a role in OCD
studies have looked at OCD rates among people who are related to see if having a relitive with OCD significantly increases your chances of getting OCD
how are biochemical factors related to OCD?
PET scans have shown that levels of seretonin are lower in OCD sufferers
how are neurological factors related to OCD?
some research using PET scans has found that abnormality in the basal ganglia within the brain may be linked to OCD
what is evidence for genetic factors?
billet et al
pauls et al
what did billet et al do?
did a meta analysis of twin studies that had been carried out over a long period of time.
they found for identical twins if one twin had OCD then 68% of the time both twins had it compared to 31% for non identical
what did pauls et al do?
found that 10% of people with an immediate relative who had ocd also suffered from the disorder. this is compared to around 2% of people in general population
what is the evidence against genetic factors?
- no study has found a 100% concordance rate so genetics can’t be the full story in OCD
- concordance rates dont prove OCD is caused by genetics. it may be that general anxiety is genetic and that going on to develop OCD itself has other contributing factors
what is the evidence for biochemical factors?
insel 1991
zohar et al 1996
what did insel 1991 do?
found that a class of drugs called SSRIs which increase levels of serotonin can reduce symptoms of OCD in 50 to 60% of cases
what did zohar et al find?
also found that SSRIs alleviated symptoms in 60% of patients with OCD.
what is the evidence against biochemical factors?
SSRIs appear to offer some relief to sufferers of OCD however this is not true in 100% of cases
the link with serotonin is correlational so it doesn’t show cause and effect it may be that decreased serotonin is a symptom of OCD rather than a cause
what is the evidence for neurological factors?
max et al (1995) found increased rates of OCD in people after head injuries that caused brain damage to the basal ganglia
other researchers have also found increased activity in this area during OCD related thoughts
what is the evidence against neurological factors?
alyward et al didn’t find a significant difference in basal ganglia impairment between OCD patients and controls
basal ganglia damage hasn’t been found in 100% of people with ocd so it can’t be the full story