OCD Gender Distribution is Incorrect
The statement that OCD is more common in men compared to women is NOT a characteristic of OCD—in fact, the opposite is true in community samples. 1
Analysis of Each Statement
Gender Distribution (INCORRECT Statement)
- OCD is actually more common in females than males in community epidemiological studies, directly contradicting the claim that it's more common in men 1
- Clinical samples show a more even gender ratio, but this doesn't reflect true population prevalence 1
- Males do show earlier onset (nearly 25% before age 10), but this doesn't mean higher overall prevalence 1
Genetic Predisposition (CORRECT)
- OCD does have genetic underpinnings and family history patterns 1
- The genetic architecture of OCD is increasingly understood through research 1
- Family history is one of the intersecting features across obsessive-compulsive and related disorders 1
Age of Onset 30-40 Years (INCORRECT but Partially True)
- The strongest predictor of lifetime OCD is actually age 18-29 years, not 30-40 1
- OCD typically starts early in life—nearly 25% of males have onset before age 10 1
- In females, onset often occurs during adolescence 1
- While some onsets do occur after age 30, this is not the typical or peak age range 1
- Peak risk for lifetime onset is between ages 18-29 years 2
Exposure and Response Prevention (CORRECT)
- Exposure and Response Prevention (ERP) is a recommended, evidence-based treatment for OCD 1
- Better results are obtained with SSRIs combined with cognitive behavioral therapy (CBT) or ERP 3
- ERP is specifically recommended as first-line treatment by major psychiatric organizations 4
Clinical Pitfalls
The most definitively incorrect statement is the gender distribution claim. This represents a common misconception that may arise from observing clinical samples (which show equal gender ratios) rather than understanding true community prevalence data 1. The age range of 30-40 years is also misleading, as it misses the typical early-life onset pattern that characterizes OCD 1, 2.