Explaining OCD (Biological App.) - PSYCHOPATHOLOGY Flashcards

1
Q

emotional characteristics of OCD

A

low mood

fear/regret

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2
Q

cognitive characteristics of OCD

A

obsession

panic/distress

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3
Q

behavioural characteristics of OCD

A

compulsions

withdrawal/avoidance

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4
Q

what type of disorder is OCD classed as

A

an anxiety disorder

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5
Q

what are obsessions (within OCD)

A

internal components - intrusive thoughts

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6
Q

what are compulsions (within OCD)

A

external components - repetitive behaviours

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7
Q

why do patients with OCD do repetitive compulsive behaviours

A

they reduce anxiety

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8
Q

what three assumptions are always included in the biological approach

A

genetics
neuroanatomy
neurotransmitters

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9
Q

three genes included in genetic explanations of OCD

A

COMT, SERT, neurotransmitters (dopamine and serotonin)

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10
Q

what does COMT produce

A

an enzyme that degrades dopamine

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11
Q

what type of COMT variant is found in OCD patients

A

a low activity one

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12
Q

what does the impaired inability to degrade dopamine lead to

A

higher levels of dopamine in the synapse (particularly after stress)

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13
Q

what does SERT produce

A

a protein that transports serotonin back to the presynaptic neuron (reuptake)

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14
Q

what type of SERT variant is found in OCD patients

A

a high activity one

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15
Q

what does removing serotonin quickly result in

A

lower levels of received and shorter duration of serotonin’s effects

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16
Q

what are the levels of dopamine like in OCD patients

A

thought to be abnormally high

17
Q

what are the levels of serotonin activity like in OCD patients

A

lower amounts

18
Q

what type of neurotransmitter is dopamine

A

excitatory

19
Q

what type of neurotransmitter is serotonin

A

inhibitory

20
Q

what is dopamine responsible for

A

reward, movement, memory

21
Q

what is serotonin responsible for

A

appetite, control of behavioural impulses

22
Q

where is dopamine released into

A

emotional, executive and memory areas

23
Q

where is serotonin released into

A

emotional, memory and muscle-control areas

24
Q

main function of dopamine

A

habit forming

25
main function of serotonin
impulse control
26
(neuroanatomy) name the abnormal brain circuits within someone with OCD
OFC, thalamus, caudate nucleus
27
action of the OFC
sends signal to the thalamus about things that are worrying
28
action of the thalamus
leads to impulse to act and then stop activity when the impulse lessons
29
action of the caudate nucleus
normally suppresses signals from OFC
30
action of a DAMAGED caudate nucleus
it fails to suppress signals from OFC thalamus is alerted about minor 'worry' signals sends signals back to OFC acting as a worry circuit
31
OCD process summary - dopamine
COMT activity low -> dopamine levels high -> caudate nucleus underaction (exhausted) -> hypervigilance (anxiety) -> obsessive thoughts
32
OCD process summary - serotonin
SERT activity high -> serotonin levels low -> orbitofrontal cortex overaction -> impulsiveness -> compulsive behaviour