Obsessive-compulsive disorder.

Journal: Nature reviews. Disease primers

Volume: 5

Issue: 1

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry, University of Cape Town and SA MRC Unit on Risk & Resilience in Mental Disorders, Cape Town, South Africa. dan.stein@uct.ac.za. OCD Research Program, Instituto de Psiquiatria, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. Department of Psychiatry, Stellenbosch University and SA MRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch, South Africa. Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India. Department of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam, Netherlands. Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY, USA.

Abstract summary 

Obsessive-compulsive disorder (OCD) is a highly prevalent and chronic condition that is associated with substantial global disability. OCD is the key example of the 'obsessive-compulsive and related disorders', a group of conditions which are now classified together in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and the International Classification of Diseases, 11th Revision, and which are often underdiagnosed and undertreated. In addition, OCD is an important example of a neuropsychiatric disorder in which rigorous research on phenomenology, psychobiology, pharmacotherapy and psychotherapy has contributed to better recognition, assessment and outcomes. Although OCD is a relatively homogenous disorder with similar symptom dimensions globally, individualized assessment of symptoms, the degree of insight, and the extent of comorbidity is needed. Several neurobiological mechanisms underlying OCD have been identified, including specific brain circuits that underpin OCD. In addition, laboratory models have demonstrated how cellular and molecular dysfunction underpins repetitive stereotyped behaviours, and the genetic architecture of OCD is increasingly understood. Effective treatments for OCD include serotonin reuptake inhibitors and cognitive-behavioural therapy, and neurosurgery for those with intractable symptoms. Integration of global mental health and translational neuroscience approaches could further advance knowledge on OCD and improve clinical outcomes.

Authors & Co-authors:  Stein Dan J DJ Costa Daniel L C DLC Lochner Christine C Miguel Euripedes C EC Reddy Y C Janardhan YCJ Shavitt Roseli G RG van den Heuvel Odile A OA Simpson H Blair HB

Study Outcome 

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Statistics
Citations :  Robbins TW, Vaghi MM & Banca P Obsessive-compulsive disorder: puzzles and prospects. Neuron 102, 27–47 (2019).
Authors :  8
Identifiers
Doi : 10.1038/s41572-019-0102-3
SSN : 2056-676X
Study Population
Male,Female
Mesh Terms
Cognitive Behavioral Therapy
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England