OCD Flashcards

1
Q

What does OCD stand for

A

Obsessive - complusive disorder

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2
Q

Defination of OCD

A

Where people experinces persistant and instrusive thought and complusions

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3
Q

What ype of disorder is OCD

A

Anxiety disorder

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4
Q

What percentage if the population does OCD affect

A

2%

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5
Q

What is an obession

A

Pesistant and intrusive thought - what a person think

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6
Q

What do obessions lead to

A

Feeling of extreme anxiety

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7
Q

What to obessions include

A
  • contamintion
  • fear of loosing control
  • perfections
  • religion
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8
Q

What are complusions

A

Uncontrollable urges to repetitley perform tasks and behaviours

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9
Q

What does sufferer do this

A

As a result of the obessions at a atempt to reduce distress

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10
Q

Wht do complusions incude

A
  • excess washing
  • excess checking
  • repition
  • mental compulsions
  • hoarding
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11
Q

External component of OCD

A

Compulsions

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12
Q

Internal cmponent of OCD

A

Obessions

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13
Q

Behavioural Characteristics of OCD

A
  • hinder everyday functioning
  • social impairment
  • repetitive behaviours
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14
Q

Emotional characteristics of OCD

A
  • repetitive behaviours

- extreme anxiety

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15
Q

Cognitive characteristics of OCD

A
  • recurrent and persistent thoughts
  • recogisned as self - generated
  • realistaion of inappropriateness
  • attention bias
  • uncontroble urges
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16
Q

What is the explanation of OCD

A

The biological approach

17
Q

What is the gentic explanation

A

OCD assumed to be due to gentic inhertiance

18
Q

What studies are used as evidence

A

Twin and family studies but more recently gene mapping studies

19
Q

Describe Twin studies

A

Genetic link for OCD more present in MZ than DZ twins

  • MZ share 100% genes DZ share 50% genes
  • Concordance rate higher in MZ than DZ
20
Q

Supporting evidence for Twin studies

A

Groothest et al
Reviewed 28 twin studies
Both children and adults OCD is inheritable
gentic influence ranging from45%-65%in children
and in adults 27%-47%
Genetic component of OCD genes appear to play a greater role in children than in development of the condition in adult hood

21
Q

Describe gene mapping

A
  • Comparing Genetic material of OCD sufferers with non OCD sufferers to see if there is a difference
  • specific genes variants are found to be more common in OCD sufferers than non OCD sufferers
22
Q

Supporting evidence for gene mapping studies

A

Stewart et al
Gene mapping studies on OCD patients and family members
OLIG- gene commonly occurred suggest genetic link

23
Q

Evaluation of genetic explanations - criticisms

A

Unclear different types of OCD have different degrees of inheritance
Environmental influence - concordance rate not 100% suggest that there is an environmental influence
although ocd has been linked to genetic its unclear whether different types of OCD have different degree of inheritance

24
Q

2 neural explanations of OCD

A
  • PET scans suggest an over active orbital frontal cortex

- Low serotonin levels in the brain

25
Q

How does an over active frontal cortex link compulsions

A

Involved in initiating activity upon receiving impulses to act and stopping activity when the impulse lessens
With a overactive frontal cortex unable to stop acting on impulses

26
Q

Research support for neural explanations

A

saxena and rauch
- neuroimaging techniques such as PET and fMRI consistent evidence of an association between the orbital frontal cortex and OCD symptoms

27
Q

Evaluation of biological explanations- criticisms

A

Highly deterministic - implies that whether one will have OCD or not is determined by their genes and this has implications for pre-implantation genetic screening of IVF however not all people with this gene will develop OCD

Reductionist - focuses on biological factors and it fails to fully consider the environment or cognitions

28
Q

Main assumption of biological treatment

A

OCD due to faulty neural mechanism

29
Q

3 drug treatments

A
  • SSRI
  • Anxiolytics
  • Antipsychotic
30
Q

How do SSRI work

A

Block the re-absorption of serotonin which men there is a increased level of serotonin available meaning the orbital frontal cortex can function normally this reduces compulsions

31
Q

How do anxiolytics work

A

Anti-anxiety drug
These lower anxiety levels from obsessive thoughts by increasing the activity of neurotransmitter GABA
Eg benzodiazepine

32
Q

How do antipsychotics work

A

Used when SSRI aren’t affective
They lower dopamine levels
Eg risperidone

33
Q

Supporting research for effectiveness of drug treatments

A

Julien

  • SSRI the symptoms don’t fully disappear
  • 50 -80% OCD patient improved and where bale to live a normal life
  • SSRI are effective
34
Q

Evaluation of drug treatments- criticisms

A

Side effects - antipsychotic drugs produce heightened levels of suicidal thoughts other side effect include irritable and loss of appetite
Not a cure - reduce obsessive thoughts ad compulsive behaviour once a persons stops the drugs OCD symptoms return

35
Q

Evaluation of drug treatments - support

A

Cheap - cheaper than CBT therapy’s

36
Q

limitation of neural explanations

A

not all ocd responded positively to serotonin enhancing drugs lessen support for abnormal level of orbital frontal cortex being sole cause for ocd