The Neurobiological Foundations of Obsessive-Compulsive Personality Disorder: A Comprehensive Review
https://doi.org/10.22034/hssr.2025.236749
Shoxida Uktamova, Kumushoy Quralbayeva, Niginabonu Khajiqurbonova, Umidjon O‘ktamovich Fayzullayev, Rayxon Ulliyeva, Ravqat Masharipova
Abstract Objective: This review aims to integrate and critically evaluate the existing neurobiological evidence concerning Obsessive-Compulsive Personality Disorder (OCPD). It synthesizes findings from neuroimaging, genetic, and neuropsychological studies to propose a distinct etiological model that differentiates OCPD from Obsessive-Compulsive Disorder (OCD).
Methods: A systematic literature search was conducted across PubMed, PsycINFO, and Google Scholar for studies published between 1990 and 2025. Keywords included “obsessive-compulsive personality disorder,” “neurobiology,” “neuroimaging,” “genetics,” and related terms. Studies were included if they provided original empirical data on the neurobiology of OCPD or its core traits. Data were narratively synthesized due to methodological diversity.
Results: Fifty-six studies met the inclusion criteria. Structural MRI findings indicate increased grey matter volume in the dorsolateral prefrontal cortex (DLPFC) and anterior cingulate cortex (ACC). Functional MRI studies reveal hyperactivation in the DLPFC, dorsal ACC, and fronto-parietal network during tasks of cognitive control and error monitoring, alongside reduced connectivity with limbic regions. Neurochemical evidence points to dysregulation in serotonin and dopamine systems. Genetic studies show high heritability (approximately 50–78%) and potential associations with genes such as SLC6A4, COMT, and DRD3. Neuropsychological profiles reflect intact planning abilities but impairments in cognitive flexibility and heightened error sensitivity.
Conclusion: OCPD is associated with a unique neurobiological profile characterized by overactive prefrontal cognitive control systems and diminished integration with emotional processing regions, rather than the fear-based circuitry typical of OCD. This “hyper-executive” model accounts for core OCPD traits such as perfectionism, rigidity, and excessive need for order. Future research should prioritize well-defined OCPD cohorts to validate this model and develop targeted, biologically informed interventions.
Social Media Addiction and Health Habits: A Review of Physical, Eating, And Sleeping Habits
https://doi.org/10.22034/hssr.2025.560776.1018
Nashwan Karkhi Abdulkareem
Abstract Objective:to explore how different forms of digital use, including social media scrolling, generalized internet immersion, and habitual smartphone engagement, intersect with dietary choices, movement patterns, sleep routines, and broader mental health outcomes among varied demographic groups.
Methods:
The review synthesizes findings from peer-reviewed studies that focus on social media or internet addiction alongside research on physical activity, eating behaviors, and sleep quality, that shows how these behaviors converge.
Results:
A growing body of evidence points to excessive digital involvement as a notable contributor to disordered eating behaviors, nighttime eating episodes, orthorexic traits, and a heightened intake of sugar-sweetened or ultra-processed foods that shows the subtle ways digital patterns seep into daily habits. Physical activity frequently declines when social media addiction intensifies, although structured interventions and fitness-focused applications appear capable of buffering some negative outcomes. Sleep quality tends to erode under heavy screen exposure, social media fatigue, and gaming addiction, and this decline becomes more pronounced when poor impulse regulation or late-evening device use is present. Adolescents show striking vulnerability given their developmental stage and social pressures, though adults also encounter addiction-like symptoms including compulsive engagement and nomophobia. Cultural norms and socioeconomic conditions further shape how these factors interact.
Conclusion:
Digital engagement carries substantial influence over lifestyle behaviors and psychological well-being, which indicates urgent need for interventions that promote digital literacy, regular movement, balanced nutrition, and supportive sleep habits. These strategies must remain culturally adaptable in order to prevent harmful patterns of digital dependence and sustain holistic health across age groups.
Impact of Modern Lifestyle Factors on Liver Function in Patients with Liver Cancer
https://doi.org/10.22034/hssr.2025.561007.1023
Ruaa Emad Al-Khalidi
Abstract Objective: To evaluate the impact of key lifestyle factors on liver function in patients with liver cancer receiving radiotherapy, integrating both conventional clinical evidence and Traditional Chinese Medicine (TCM) perspectives.
Methods: A systematic review of literature published between January 2000 and March 2024 was conducted using PubMed, CNKI, Wanfang, Web of Science, and Scopus. Inclusion criteria focused on studies assessing the effect of lifestyle factors such as stress, diet, sleep, and exercise on liver function in the context of liver cancer and radiotherapy.
Results: A total of 47 studies were included (18 RCTs, 22 observational studies, 7 systematic reviews). Emotional stress was significantly associated with worsened liver function during radiotherapy (OR = 2.87; 95% CI: 2.14–3.84; p < 0.001). High-fat diets increased the risk of hepatic steatosis and impaired liver function (RR = 1.94; 95% CI: 1.67–2.25; p < 0.001), while plant-based diets were protective (OR = 0.68; 95% CI: 0.57–0.81; p < 0.001). Poor sleep quality correlated with liver enzyme elevation (r = 0.62; 95% CI: 0.54–0.69; p < 0.001). Moderate exercise, including TCM-based practices like Tai Chi, was linked to improved liver function and reduced radiation-induced toxicity (SMD = 0.82; 95% CI: 0.67–0.97; p < 0.001).
Conclusion: Lifestyle factors significantly influence liver function in liver cancer patients undergoing radiotherapy. Interventions targeting emotional regulation, diet optimization, sleep hygiene, and physical activity—especially when aligned with TCM principles—may enhance hepatic resilience and therapeutic outcomes. These insights support integrative, lifestyle-centered care in oncology settings.
