Toward a neurocircuit-based taxonomy to guide treatment of obsessive-compulsive disorder.

Journal: Molecular psychiatry

Volume: 26

Issue: 9

Year of Publication: 2022

Affiliated Institutions:  Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. lizzieshephard@usp.br. Department of Psychiatry, The New York University School of Medicine, New York, NY, USA. Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam, The Netherlands. Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. Department of Psychiatry OCD Clinic, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, Cape Town, South Africa. SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa. Center for OCD and Related Disorders, New York State Psychiatric Institute and the Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA. Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. ecmiguel@usp.br.

Abstract summary 

An important challenge in mental health research is to translate findings from cognitive neuroscience and neuroimaging research into effective treatments that target the neurobiological alterations involved in psychiatric symptoms. To address this challenge, in this review we propose a heuristic neurocircuit-based taxonomy to guide the treatment of obsessive-compulsive disorder (OCD). We do this by integrating information from several sources. First, we provide case vignettes in which patients with OCD describe their symptoms and discuss different clinical profiles in the phenotypic expression of the condition. Second, we link variations in these clinical profiles to underlying neurocircuit dysfunctions, drawing on findings from neuropsychological and neuroimaging studies in OCD. Third, we consider behavioral, pharmacological, and neuromodulatory treatments that could target those specific neurocircuit dysfunctions. Finally, we suggest methods of testing this neurocircuit-based taxonomy as well as important limitations to this approach that should be considered in future research.

Authors & Co-authors:  Shephard Elizabeth E Stern Emily R ER van den Heuvel Odile A OA Costa Daniel L C DLC Batistuzzo Marcelo C MC Godoy Priscilla B G PBG Lopes Antonio C AC Brunoni Andre R AR Hoexter Marcelo Q MQ Shavitt Roseli G RG Reddy Y C Janardhan YCJ Lochner Christine C Stein Dan J DJ Simpson H Blair HB Miguel Euripedes C EC

Study Outcome 

Source Link: Visit source

Statistics
Citations :  American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Association; 2013.
Authors :  15
Identifiers
Doi : 10.1038/s41380-020-01007-8
SSN : 1476-5578
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England