OCD Flashcards

(43 cards)

1
Q

What is the prominent model?

A

Compulsive checking

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2
Q

Who made the Compulsive checking model

A

Rachman 2002

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3
Q

What is the psychological intervention?

A

CBT

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4
Q

what is the biological intervention?

A

SSRI’s

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5
Q

symptoms of OCD

A

recurrent obsessions and/or compulsions with attempts to suppress. repetitive behaviours

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6
Q

Compulsive checking model structure

A

P responsibility, P probability of harm, P seriousness of harm, anxiety, preventative checking, self perpetuating mechanism, out of control, reduces self-esteem, need to be careful

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7
Q

First part of CCM

A

perceived responsibility

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8
Q

what comes after perceived responsibility

A

perceived probability of harm

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9
Q

what comes after perceived probability of harm

A

perceived seriousness of harm

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10
Q

what comes after perceived seriousness of harm

A

anxiety and preventative checking

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11
Q

what comes after preventative checking

A

self-perpetuating mechanism (reinforcement and impaired meta memory)

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12
Q

what comes after self-perpetuating mechanism

A

out of control behaviour and reduced self esteem

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13
Q

what comes after reduced self esteem

A

the need to be careful - preventative checking cycle

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14
Q

name a study investigating the Compulsive checking model (1)

A

radomskey et al 2006 stove study

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15
Q

what is the radomskey et al 2006 study

A

PP’s turned on stove rated confidence of turning off stove, took part in either relevant or irrelevant checking and rated confidence of first turning off stove

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16
Q

who did this study?
PP’s turned on stove rated confidence of turning off stove, took part in either relevant or irrelevant checking and rated confidence of first turning off stove

A

radomskey et al 2006

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17
Q

what did the radomskey et al 2006 study find

A

Relevant checking group had a decrease in confidence irrelevant checking stayed the same

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18
Q

name a study investigating the Compulsive checking model (2)

A

Boschen & Vuksanovik 2007 replication

19
Q

positive of radomskey et al 2006 study

A

tight control to seperate cause and effect

20
Q

negatives of radomskey et al 2006 study

A

lack of external validity and not using OCD pp’s

21
Q

what is the Boschen & Vuksanovik 2007 study

A

a replication of radomskey et al 2006 study using control vs OCD patients

22
Q

who did this study
a replication of radomskey et al 2006 study using control vs OCD patients

A

Boschen & Vuksanovik 2007

23
Q

what did the Boschen & Vuksanovik 2007 study find

A

same findings as radomskey et al 2006 for OCD patients- Relevant checking group had a decrease in confidence irrelevant checking stayed the same

24
Q

what is CBT for OCD

A

exposure and response prevention

25
what did the Olatunji et al. (2013): study look at
waitlist vs active controls for CBT on OCD in RCT
26
who did this study? waitlist vs active controls for CBT on OCD in RCT
Olatunji et al. (2013):
27
how does CBT for OCD work
gradual exposure to anxiety- prevent response and exercises to reduce feelings of responsibility
28
a study for CBT in OCD
Olatunji et al. (2013): meta-analysis of 16 trials of CBT for OCD
29
what did the Olatunji et al. (2013): study look at
waitlist vs active controls for CBT on OCD in RCT
30
what did the Olatunji et al. (2013): study find
CBT was more effective than other treatments (large effect)
31
what did the Olatunji et al. (2013) follow up studies find
3 followed up and found CBT was more effective than other treatments over the long term
32
what are the cons of the Olatunji et al. (2013): study
bias from RCT but investigated and found no difference
33
what do SSRI'S do
prevent the re uptake of serotonin in the synapse to elevate the availability of serotonin
34
a study for SSRIs
Bloch 2010
35
what did Bloch 2010 study do
meta analysis of 9 trails of the use of SSRI's in OCD
36
what did Bloch 2010 find
SSRI's showed greater improvements to the placebo and higher doses worked more
37
problem with SSRI's
bad side effects which caused drop outs
38
pros of Bloch 2010
RCT's were done properly: All randomized, double-blind, and placebo-controlled.
39
what are obsessions
as recurrent, persistent thoughts and urges that usually cause distress and the patient must attempt to supress them with another action or thought with little to no success
40
what are compulsions
repetitive behaviours that the individual feels compelled to perform in response to be obsession, these must be aimed to preventing anxiety but the behaviours are not related in a realistic way
41
symptoms according to the DSM V are...
time consuming, not due to substance abuse or another mental health problem
42
how many people have OCD
between 1-4%
43