biological explanations for ocd Flashcards
What are the two explanations for OCD?
Genetic
Neural
Describe Lewis’ gene research
37% OCD patients had parents with OCD
21% had siblings
Genetic vulnerability passed on
What is the diathesis stress model?
Genes leave people more likely to suffer OCD
Environmental stress triggers condition
What are candidate genes?
Genes that create OCD vulnerability
Involved in regulating serotonin system
5HT1-D Beta
How is OCD polygenic?
Several genes involved
Taylor - 230 different genes
Involved in serotonin and dopamine
How is OCD aetiologically heterogeneous?
Origin of OCD has different causes
One group of genes causes OCD in one person but different group in another
Different types of OCD related to different groups of genes
Genetic evaluation - supportive evidence
Twin studies
Nestadt - 68% of identical twins shared OCD
31% non identical twins
Genetic evaluation - too many candidate genes
Hard to know all genes involved
Many genes
Not very useful - little predictive value
Genetic evaluation - environmental risk factors
Cromer - over half OCD patients had traumatic past event
OCD more severe in those with multiple traumas
Not entirely genetic
How does serotonin affect OCD?
Regulates mood
Neurotransmitters relay info from one neuron to another
Low serotonin - transmission of mood relevant info is abnormal
Explains some OCD
How is OCD related to decision making systems in the brain?
OCD - impaired decision making
Abnormal functioning of lateral of frontal lobes
Frontal lobes responsible for logic
Left parahippocampul gyrus function abnormally - associated with processing unpleasant emotions
Neural evaluation - supporting evaluation
Some antidepressants target serotonin system
Reduce OCD
Neural evaluation - not clear what neural mechanisms are involved
Decision making systems are the ones that function abnormally in OCD
Research identified other systems that are involved sometimes
No system that always plays a role
Neural evaluation - should not assume neural mechanisms cause OCD
Biological abnormalities may be a result of OCD instead
Neural evaluation - serotonin link may be comorbidity with depression
OCD sufferers often have depression
Depression involves serotonin system
Comorbidity not OCD