{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T09:30:58Z","timestamp":1793698258071,"version":"4.5.1"},"reference-count":0,"publisher":"Sultan Qaboos University","issue":"1","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sultan Qaboos University Medical Journal"],"abstract":"<jats:p>We report a 22-year-old male, who presented in 2020 to a clinic in Kahramanmara\u015f, Turkey, with a 5-year history of a fixed preoccupation with the belief of emitting a \u2018plastic smell\u2019 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.<\/jats:p>","DOI":"10.18295\/2075-0528.2950","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T22:00:08Z","timestamp":1767823208000},"page":"5-12","source":"Crossref","is-referenced-by-count":0,"title":["A Case Report of Olfactory Reference Disorder with Childhood Trauma: &lt;i&gt;Aetiological and neurobiological insights&lt;\/i&gt;"],"prefix":"10.18295","volume":"26","author":[{"given":"Davut","family":"Ocak","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bengu","family":"Yucens","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Pamukkale University School of Medicine, Denizli, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7681","published-online":{"date-parts":[[2026,1,5]]},"container-title":["Sultan Qaboos University Medical Journal"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T09:19:16Z","timestamp":1793697556000},"score":1,"resource":{"primary":{"URL":"https:\/\/mjournal.squ.edu.om\/home\/vol26\/iss1\/2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,5]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,5]]}},"URL":"https:\/\/doi.org\/10.18295\/2075-0528.2950","relation":{},"ISSN":["2075-0528"],"issn-type":[{"value":"2075-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,5]]}}}