Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia

The prevalence of the obsessive-compulsive symptoms in schizophrenia (OCSS) appears to be higher than that expected on the basis of comorbidity rates. Review of brain abnormalities in schizophrenia and obsessive-compulsive disorder (OCD) reveals involvement of similar regions namely the frontal lobe...

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Main Authors: Venkatasubramanian Ganesan, Rao Naren, Behere Rishikesh
Format: Article
Language:English
Published: SAGE Publishing 2009-01-01
Series:Indian Journal of Psychological Medicine
Subjects:
Online Access:http://www.ijpm.info/article.asp?issn=0253-7176;year=2009;volume=31;issue=1;spage=3;epage=10;aulast=Venkatasubramanian
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author Venkatasubramanian Ganesan
Rao Naren
Behere Rishikesh
author_facet Venkatasubramanian Ganesan
Rao Naren
Behere Rishikesh
author_sort Venkatasubramanian Ganesan
collection DOAJ
description The prevalence of the obsessive-compulsive symptoms in schizophrenia (OCSS) appears to be higher than that expected on the basis of comorbidity rates. Review of brain abnormalities in schizophrenia and obsessive-compulsive disorder (OCD) reveals involvement of similar regions namely the frontal lobe, the basal ganglia, the thalamus, and the cerebellum, in both the disorders. Neurodevelopmental etiopathogenesis has been proposed to explain schizophrenia as well as OCD. Significant overlap in neurotransmitter dysfunction (serotonin, glutamate, and dopamine) has been documented between schizophrenia and OCD. The New-onset obsessive-compulsive (OC) symptoms have been reported with the use of atypical antipsychotics in the schizophrenia patients In this background, OCSS is an emerging area of recent interests. This article attempts to review the literature on the neurobiology of OCSS. Neuroimaging, neuropsychological, and neuromotor abnormalities in OCSS discussed in the context of neurodevelopmental etiopathogenesis suggest glutamate abnormalities in OCSS. Atypical antipsychotic induced OCSS points towards the possible roles of glutamate and serotonin. Dopamine may be responsible for the beneficial role of antipsychotics in the treatment of OCD. In summary, we propose that glutamate, serotonin, and dopamine abnormalities may be the probable basis for OCSS.
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spelling doaj.art-ecf95e2f9cee4962ab0096d318e29eb62022-12-21T22:26:15ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762009-01-01311310Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophreniaVenkatasubramanian GanesanRao NarenBehere RishikeshThe prevalence of the obsessive-compulsive symptoms in schizophrenia (OCSS) appears to be higher than that expected on the basis of comorbidity rates. Review of brain abnormalities in schizophrenia and obsessive-compulsive disorder (OCD) reveals involvement of similar regions namely the frontal lobe, the basal ganglia, the thalamus, and the cerebellum, in both the disorders. Neurodevelopmental etiopathogenesis has been proposed to explain schizophrenia as well as OCD. Significant overlap in neurotransmitter dysfunction (serotonin, glutamate, and dopamine) has been documented between schizophrenia and OCD. The New-onset obsessive-compulsive (OC) symptoms have been reported with the use of atypical antipsychotics in the schizophrenia patients In this background, OCSS is an emerging area of recent interests. This article attempts to review the literature on the neurobiology of OCSS. Neuroimaging, neuropsychological, and neuromotor abnormalities in OCSS discussed in the context of neurodevelopmental etiopathogenesis suggest glutamate abnormalities in OCSS. Atypical antipsychotic induced OCSS points towards the possible roles of glutamate and serotonin. Dopamine may be responsible for the beneficial role of antipsychotics in the treatment of OCD. In summary, we propose that glutamate, serotonin, and dopamine abnormalities may be the probable basis for OCSS.http://www.ijpm.info/article.asp?issn=0253-7176;year=2009;volume=31;issue=1;spage=3;epage=10;aulast=VenkatasubramanianSchizophreniaobsessive-compulsive symptomsneurodevelopment
spellingShingle Venkatasubramanian Ganesan
Rao Naren
Behere Rishikesh
Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
Indian Journal of Psychological Medicine
Schizophrenia
obsessive-compulsive symptoms
neurodevelopment
title Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
title_full Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
title_fullStr Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
title_full_unstemmed Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
title_short Neuroanatomical, neurochemical, and neurodevelopmental basis of obsessive-Compulsive symptoms in schizophrenia
title_sort neuroanatomical neurochemical and neurodevelopmental basis of obsessive compulsive symptoms in schizophrenia
topic Schizophrenia
obsessive-compulsive symptoms
neurodevelopment
url http://www.ijpm.info/article.asp?issn=0253-7176;year=2009;volume=31;issue=1;spage=3;epage=10;aulast=Venkatasubramanian
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AT raonaren neuroanatomicalneurochemicalandneurodevelopmentalbasisofobsessivecompulsivesymptomsinschizophrenia
AT behererishikesh neuroanatomicalneurochemicalandneurodevelopmentalbasisofobsessivecompulsivesymptomsinschizophrenia