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Updated: Jun 19, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
Cross-cutting issues and future directions for the OCD spectrum
Eric Hollander1, Suah Kim, Ashley Braun
1Department Psychiatry, Child Psychiatry Annex, Montefiore Medical Center, University Hospital of Albert Einstein College of Medicine, Bronx, NY 10467-2490, United States. eholland@montefiore.org
Research suggests grouping obsessive-compulsive disorder (OCD) and related disorders into an obsessive-compulsive spectrum disorder (OCSD) category for DSM-V. This re-evaluation considers shared phenomenology, genetics, and treatment responses.
Area of Science:
- Psychiatry
- Neuroscience
- Genetics
Background:
- The DSM-V research agenda explored similarities between obsessive-compulsive disorder (OCD) and related disorders characterized by repetitive thoughts or behaviors.
- This investigation aimed to re-evaluate the DSM-IV-TR classification of OCD and anxiety disorders.
Discussion:
- Several disorders, including body dysmorphic disorder (BDD), obsessive-compulsive personality disorder (OCPD), Tourette's syndrome (TS), and trichotillomania (TTM), exhibit significant overlap with OCD in phenomenology, comorbidity, genetics, and treatment.
- Impulse control disorders (ICDs) share some features with OCD but also present distinct characteristics.
Key Insights:
- Data support the potential inclusion of a new category, obsessive-compulsive spectrum disorders (OCSDs), in DSM-V.
- Systematic examination identified disorders meeting criteria for this proposed OCSD grouping.
Outlook:
- The findings stem from an international collaboration and a conference focused on refining the diagnostic classification of OCSDs for DSM-V.
- Future psychiatric diagnosis may incorporate a more nuanced understanding of the obsessive-compulsive spectrum.
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