Modulation Of Habit By Stress: A Possible Mechanism
For Stress Effects On Ocd Symptoms
Both acute and chronic stress can bias an
organism toward rigid, habit-like patterns of behavior and impair flexible, goal- directed learning and behavioral control. Excessive stress can cause neuronal atrophy and synaptic loss in the PFC (particularly the medial prefrontal cortex [mPFC] but also the OFC), hippocampus, dorsomedial striatum (caudate), and ventral striatum (nucleus accumbens) and can impair neurogenesis in the hippocampus. Prolonged stress, particularly early-life stress, can significantly disrupt striatal and amygdala development and function, but can also cause neuronal hypertrophy and synaptic potentiation in the amygdala and dorsolateral striatum (putamen). The neurobiological literature briefly summarized above suggests five distinct mechanisms whereby this may occur.
Stress can have hypertrophic
Stress may impair complex effects on the putamen, which spatial or declarative Excessive stress can result in may enhance sensorimotor learning and memory and atrophy of the caudate, which habit, a role for such an effect in thereby produce a bias may impair goal-directed OCD is supported by the toward habit via atrophy or control of behavior. relative preservation of disrupted neurogenesis of the putamen volume in patients hippocampus. over the course of disease.
Stress may impair goal-directed
Finally, stress may have both behavioral control and the acute and protracted effects on flexible switching between the balance between habit and habitual and goaldirected goal-directed action due to systems76 due to atrophy of the amygdala hyperactivity and, frontal cortices, particularly the over time, hypertrophy. mPFC and OFC.