[
    {
        "id": "osp-9886",
        "type": "article-journal",
        "title": "A Case Report of Olfactory Reference Disorder with Childhood Trauma: Aetiological and neurobiological insights",
        "author": [
            {
                "family": "Ocak",
                "given": "Davut"
            },
            {
                "family": "Yucens",
                "given": "Bengu"
            }
        ],
        "URL": "https://omanscience.com/en/articles/a-case-report-of-olfactory-reference-disorder-with-childhood-trauma-aetiological-and-neurobiological-insights",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2026
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "26",
        "issue": "1",
        "page": "5-12",
        "DOI": "10.18295/2075-0528.2950",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "abstract": "We report a 22-year-old male, who presented in 2020 to a clinic in Kahramanmaraş, Turkey, with a 5-year history of a fixed preoccupation with the belief of emitting a ‘plastic smell’ from his anal region. This case illustrates a clinically significant link with a history of childhood sexual abuse. The patient was diagnosed with olfactory reference disorder (ORD) with poor insight and comorbid depressive disorder, based on ICD-11 and DSM-5-TR criteria. Extensive medical workups ruled out organic causes. He responded well to a combination therapy of sertraline and aripiprazole, showing significant symptom reduction. This case supports a diathesis-stress model where ORD can manifest as a somatic metaphor for trauma, mediated by experiential avoidance. It highlights the importance of trauma assessment and a neurobiologically informed psychopharmacological approach in managing ORD."
    }
]