OCD Flashcards

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1
Q

How is OCD classified in DSM-IV and DSM-5?

A

OCD is categorized as an anxiety disorder in DSM-IV. In DSM-5, it is classified under a new category ‘OCD and related disorders’ independent of anxiety disorders.

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2
Q

What are the criteria for diagnosing OCD in DSM-5?

A

Diagnosis is dependent on the compulsion/obsession causing distress, being time-consuming, or significantly interfering with daily life.

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3
Q

What disorders are included in the OCD and related disorders category?

A

The category includes body dysmorphic disorder, hoarding disorder, trichotillomania (hair pulling), and excoriation (skin-picking).

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4
Q

What are the two independent characteristics of OCD?

A

The two independent characteristics are obsession and compulsion.

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5
Q

What defines an obsession in OCD?

A

An obsession refers to unwanted intrusive re-occurring thoughts, images, and impulses that the individual finds disturbing and uncontrollable.

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6
Q

What are common triggers for obsessive thoughts?

A

Obsessive thoughts can be triggered by various stimuli, leading to marked anxiety and a strong need to neutralize the obsession.

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7
Q

What is a compulsion in OCD?

A

A compulsion represents repetitive behavior patterns that an individual is driven to perform to avoid a negative outcome.

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8
Q

How do compulsions provide temporary relief?

A

Compulsive acts are performed in a stereotyped manner and provide temporary relief from the anxiety associated with obsessions.

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9
Q

What is the lifetime prevalence of OCD?

A

The lifetime prevalence of OCD is approximately 2%, with a 12-month prevalence rate of 1.2%.

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10
Q

Is OCD more prevalent in men or women?

A

Evidence suggests that OCD is slightly more prevalent in women than in men.

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11
Q

What are some risk factors for developing OCD?

A

Risk factors include childhood isolation, poor peer relationships, negative emotionality in adolescents, and history of physical/sexual abuse.

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12
Q

What are the consequences of untreated OCD?

A

Untreated OCD can negatively affect social and occupational functioning, lead to house-bound behavior, and is associated with more years lost to disability than multiple sclerosis and Parkinson’s combined.

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13
Q

What characterizes Body Dysmorphic Disorder (BDD)?

A

BDD is characterized by a preoccupation with an assumed defect in appearance, with excessive concern about facial features and body shape.

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14
Q

What is Excoriation Disorder?

A

Excoriation Disorder involves skin picking, rubbing, and pulling that results in skin lesions, often driven by a compulsion to reduce anxiety.

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15
Q

What is Trichotillomania?

A

Trichotillomania is the difficulty in resisting urges to pull hair out, often leading to social withdrawal and isolation.

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16
Q

What are the three components of Hoarding Disorder?

A

The three components are collecting many items, difficulty parting with items, and a general problem with organizing possessions.

17
Q

What genetic factors are associated with OCD?

A

Genetic variance accounts for approximately 40% of OCD cases, with non-shared environmental factors accounting for 51%.

18
Q

What environmental factors can influence OCD severity?

A

Parental expressed emotion and stressful life events, such as accidents or witnessing crime, are linked to increased OCD severity.

19
Q

What neurotransmitter is associated with OCD?

A

The serotonergic hypothesis suggests that OCD is associated with low serotonin activity.

20
Q

What brain activity changes are observed in OCD patients?

A

OCD patients show high activity in brain regions including the anterior cingulate cortex, frontal lobe, and basal ganglia.

21
Q

What is the role of negative reinforcement in OCD?

A

Compulsions are reinforced because they reduce anxiety, which leads to avoidant behaviors being reinforced.

22
Q

What is the focus of Cognitive Behavioral Therapy (CBT) for OCD?

A

CBT for OCD involves challenging false beliefs and assumptions, encouraging patients to test their fears related to their rituals.

23
Q

What is Exposure and Response Prevention (ERP)?

A

ERP is a behavioral treatment where individuals are exposed to situations that elicit compulsive acts and are encouraged to refrain from performing them.