학술논문

Obsessive‐compulsive disorder: Etiology, neuropathology, and cognitive dysfunction
Document Type
article
Source
Brain and Behavior, Vol 13, Iss 6, Pp n/a-n/a (2023)
Subject
cognitive function
cognitive models
etiology
learning‐based models
neuropathology
obsessive‐compulsive disorder
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Language
English
ISSN
2162-3279
Abstract
Abstract Background This review provides an overview of obsessive‐compulsive disorder (OCD) symptoms, including the four partially distinct subtypes of the disorder, current diagnostic criteria, and common comorbidities. Critically, it focuses on the etiology of OCD, including its underlying neuropathology, and examines cognitive dysfunction in OCD. Methods This review study was conducted by library method. Results We show how dysfunction in cortico‐striato‐thalamo‐cortical (CSTC) circuits may underpin symptoms; and shed light on the putative neurochemistry within these loops such as the role of serotonin, dopamine, and glutamate systems. We also show how OCD is characterized by cognitive dysfunction including problems in cognitive flexibility, visuospatial memory, response inhibition, and goal‐directed behavior, linked to aberrant activity within CSTC circuits. Conclusions In brief, research questions we shed light on include (1) what are the symptoms in OCD; (2) what is the etiology of the disorder and do existing models explain OCD; and (3) what are key cognitive deficits in OCD and do these improve with treatment?