OCD- biological explanation Flashcards
2 explanations for OCD
Genetic and neural
Genetic explanation
Diathesis stress model- born with a vulnerability to OCD but something in environment trigger it
Lewis found- 37% had parents, 21% siblings with OCD
Candidate gene- SERT gene implicates OCD, serotonin not at normal levels- serotonin transporter
Polygenic OCD- COMT gene is enzyme that breaks down dopamine. OCD has high levels due to enzyme not breaking done dopamine properly
Aetologically heterogeneous- group of genes could cause
Neural explanation
Genes associated with OCD affect neurotransmitter levels
Serotonin- regulates mood, some OCD can be explained by low S. low mood
Dopamine- excessive dopamine affects concentration
Decision making system- some cases (hoarding) associated with abnormal function of lateral and orbital prefrontal cortex- responsible for logical thinking
Caudate nucleus- area responsible for repressing worry signals,
Strength Genetic explanation OCD (family)
Nestadt- found 68% of MZ twins had OCD opposed to 31% DZ twins.
Marini- someone with a family member with OCD is around 4x as likely to develop.
Strength Genetic OCD (animals)
Ahmari- found genetic variations associated with repetitive behaviours and possible causes of OCD in other species (mice).
However
Although mice and humans
share most genes, the human mind and brain
are much more complex and it may not be
possible to generalise from animal repetitive
behaviour to human OCD.
Limitation genetic OCD (environment)
Ignores environmental factors
Strong evidence for genetic predisposition but OCD not entirely genetic.
Cromer found half of OCD clients has trauma from past. More severe in those with one or more traumas
Strength Neural OCD (evidence)
Antidepressants working solely on serotonin are effective in reducing OCD symptoms, supporting idea neurotransmitter is involved
Further evidence to show some neural systems like serotonin don’t work normally in those diagnosed with OCD
TREATMENT FALLACY
Weakness Neural OCD (correlation)
Simply correlational evidence between neural abnormality and OCD
No cause and effect,
OCD could cause abnormalities or could be third factor
Weakness Neural OCD (unique)
Not a unique neural system for OCD.
OCD not only disorder with serotonin issue.
Many with OCD also have depression involving disrupted serotonin
Creates chicken and egg issue.
Is serotonin disruption in OCD because they are depressed?