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Genetic factors are estimated to explain roughly half the risk of developing OCD, and genomic studies are just beginning to identify common and rare genetic variants mediating this risk. A major goal of genomic studies is to yield insights into the etiology of OCD and identify molecular targets for the development of novel therapeutics. However, the overwhelming majority of subjects in existing genetic studies are of European ancestry, limiting the generalizability of these findings. To address this gap in understanding, we established the Black EquaLity in OCD NeuroGenomics (BELONG) study (\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/belongocd.com\/\">https:\/\/belongocd.com\/<\/jats:ext-link>\n                    ). BELONG aims to collect DNA and clinical data from 1250 richly phenotyped OCD cases of African ancestry in a culturally sensitive manner. In addition, BELONG includes the collection of parental DNA samples for trio\u2010based analyses and unrelated matched controls for case\u2013control analysis. DNA samples will be sequenced using optimized approaches that will allow us to examine both rare and common genome\u2010wide variation to identify OCD risk genes. We will also meta\u2010analyze these data with other existing OCD genomic data. Overall, BELONG will increase the representation of Black Americans in OCD genetic research, which is necessary to generalize precision medicine discoveries in psychiatric genetics.\n                  <\/jats:p>","DOI":"10.1002\/ajmgb.70002","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T12:30:33Z","timestamp":1768307433000},"page":"194-204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Black\n                    <scp>EquaLity<\/scp>\n                    in\n                    <scp>OCD NeuroGenomics<\/scp>\n                    (\n                    <scp>BELONG<\/scp>\n                    ): Study Protocol"],"prefix":"10.1002","volume":"201","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7616-4396","authenticated-orcid":false,"given":"Iasha J.","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Baylor College 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