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Reactivity of serotonin in whole blood: response to Mulder et al.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Uppsala university.ORCID iD: 0000-0001-6726-7787
Uppsala university.ORCID iD: 0000-0002-3587-6075
AstraZeneca, Lund, Sweden.
2002 (English)In: Biological Psychiatry, ISSN 0006-3223, E-ISSN 1873-2402, Vol. 51, no 3, p. 267-268Article in journal, Letter (Other academic) Published
Place, publisher, year, edition, pages
Elsevier, 2002. Vol. 51, no 3, p. 267-268
National Category
Psychiatry Neurosciences
Identifiers
URN: urn:nbn:se:oru:diva-51955DOI: 10.1016/S0006-3223(01)01316-6ISI: 000173811000011OAI: oai:DiVA.org:oru-51955DiVA, id: diva2:957818
Available from: 2016-09-05 Created: 2016-09-05 Last updated: 2018-01-10Bibliographically approved
In thesis
1. Obsessive-compulsive disorder, serotonin and oxytocin: treatment response and side effects
Open this publication in new window or tab >>Obsessive-compulsive disorder, serotonin and oxytocin: treatment response and side effects
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Obsessive-compulsive disorder (OCD), with a prevalence of 1-2 %, frequently leads a chronic course. Persons with OCD are often reluctant to seek help and, if they do, their OCD is often missed. This is unfortunate, since active treatment may substantially improve social function and quality of life. Serotonin reuptake inhibitors (SRIs) have welldocumented efficacy in OCD, but delayed response may be problematic. Methods to predict response have been lacking. Because SRIs are effective, pathophysiological research on OCD has focussed on serotonin. However, no clear aberrations of serotonin have been found, thus other mechanisms ought to be involved.

Our aims were to facilitate clinical detection and assessment of OCD, to search for biochemical correlates of response and side-effects in SRI treatment of OCD and to identify any possible involvement of oxytocin in the pathophysiology of OCD.

In study I, we tested in 402 psychiatric out-patients the psychometric properties of a concise rating scale, “Brief Obsessive Compulsive Scale” (BOCS). BOCS was shown to be easy to use and have excellent discriminant validity in relation to other common psychiatric diagnoses.

Studies II-V were based on 36 OCD patients from a randomised controlled trial of paroxetine, clomipramine or placebo. In study II, contrary to expectation, we found that the change (decrease) of serotonin in whole blood was most pronounced in non-responders to SRI. This is likely to reflect inflammatory influence on platelet turnover rather than serotonergic processes within the central nervous system.

In studies IV-V, we found relations between changes of oxytocin in plasma and the anti-obsessive response, and between oxytocin and the SRI related delay of orgasm, respectively. In both cases, the relation to central oxytocinergic mechanisms is unclear. In males, delayed orgasm predicted anti-obsessive response.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2016. p. 133
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 148
Keywords
Adverse effects, Obsessive-compulsive disorder, Orgasm, Oxytocin, Randomised controlled trial, Rating scale, Response prediction, Serotonin, Serotonin uptake inhibitors, Sexual function
National Category
Psychiatry General Practice
Research subject
Psychiatry
Identifiers
urn:nbn:se:oru:diva-51438 (URN)978-91-7529-153-6 (ISBN)
Public defence
2016-09-26, Campus USÖ, hörsal C3, Södra Grev Rosengatan, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2016-07-25 Created: 2016-07-25 Last updated: 2018-01-10Bibliographically approved

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Humble, Mats B.Bejerot, Susanne

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