Do Individuals With Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder Share Similar Neural Mechanisms of Decision-Making Under Ambiguous Circumstances?

Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has...

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Published inFrontiers in human neuroscience Vol. 14; p. 585086
Main Authors Luo, Yudan, Chen, Lu, Li, Hongchen, Dong, Yi, Zhou, Xiaoqin, Qiu, Linlin, Zhang, Lei, Gao, Yaxiang, Zhu, Chunyan, Yu, Fengqiong, Wang, Kai
Format Journal Article
LanguageEnglish
Published Lausanne Frontiers Research Foundation 22.10.2020
Frontiers Media S.A
Subjects
Addictions
Decision making
Event-related potentials
Feedback
Human Neuroscience
Investigations
Iowa Gambling Task (IGT)
Neuroimaging
Neurological complications
Neurological diseases
Obsessive compulsive disorder
obsessive-compulsive disorder (OCD)
obsessive-compulsive personality disorder (OCPD)
Personality
Psychotropic drugs
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Abstract Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has core symptoms that often overlap with OCD, but similarities between these disorders at the behavioral and neurological levels are often unclear, including whether OCPD exhibits similar decision-making deficits and shared neurological dysfunction. To address these issues, we examined 24 cases of OCD, 19 cases of OCPD, and 26 matched normal control (NC) subjects during the revised Iowa Gambling Task (IGT) using event-related potentials (ERPs). The net IGT scores were lower for OCD subjects than for OCPD or NC subjects, thus indicating that OCD subjects chose more disadvantageous options and were "short-sighted” with regards to information. The feedback-related negativity (FRN) waveform (lose-win) was larger in both OCD and OCPD subjects. The larger FRN in both OCD and OCPD subjects suggests that obstacles exist in the feedback process. Thus, OCD and OCPD subjects share similar neural mechanisms under ambiguous decision-making circumstances, although OCD subjects exhibit worse behavior performance.
AbstractList Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has core symptoms that often overlap with OCD, but similarities between these disorders at the behavioral and neurological levels are often unclear, including whether OCPD exhibits similar decision-making deficits and shared neurological dysfunction. To address these issues, we examined 24 cases of OCD, 19 cases of OCPD, and 26 matched normal control (NC) subjects during the revised Iowa Gambling Task (IGT) using event-related potentials (ERPs). The net IGT scores were lower for OCD subjects than for OCPD or NC subjects, thus indicating that OCD subjects chose more disadvantageous options and were “short-sighted” with regards to information. The feedback-related negativity (FRN) waveform (lose-win) was larger in both OCD and OCPD subjects, which suggested that obstacles exist in the feedback process. Consequently, these subjects might share similar neural mechanisms under ambiguous decision-making circumstances. Furthermore, IGT net scores were significantly and negatively correlated with Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scales. This implies that more severe obsessive-compulsive symptoms inspired more negative emotions that led to worse decision-making ability. Therefore, although similar neural mechanisms might exist, this led to different behaviors in which OCPD is associated with better behavioral performance compared to OCD patients.
Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has core symptoms that often overlap with OCD, but similarities between these disorders at the behavioral and neurological levels are often unclear, including whether OCPD exhibits similar decision-making deficits and shared neurological dysfunction. To address these issues, we examined 24 cases of OCD, 19 cases of OCPD, and 26 matched normal control (NC) subjects during the revised Iowa Gambling Task (IGT) using event-related potentials (ERPs). The net IGT scores were lower for OCD subjects than for OCPD or NC subjects, thus indicating that OCD subjects chose more disadvantageous options and were "short-sighted” with regards to information. The feedback-related negativity (FRN) waveform (lose-win) was larger in both OCD and OCPD subjects. The larger FRN in both OCD and OCPD subjects suggests that obstacles exist in the feedback process. Thus, OCD and OCPD subjects share similar neural mechanisms under ambiguous decision-making circumstances, although OCD subjects exhibit worse behavior performance.
Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has core symptoms that often overlap with OCD, but similarities between these disorders at the behavioral and neurological levels are often unclear, including whether OCPD exhibits similar decision-making deficits and shared neurological dysfunction. To address these issues, we examined 24 cases of OCD, 19 cases of OCPD, and 26 matched normal control (NC) subjects during the revised Iowa Gambling Task (IGT) using event-related potentials (ERPs). The net IGT scores were lower for OCD subjects than for OCPD or NC subjects, thus indicating that OCD subjects chose more disadvantageous options and were "short-sighted" with regards to information. The feedback-related negativity (FRN) waveform (lose-win) was larger in both OCD and OCPD subjects, which suggested that obstacles exist in the feedback process. Consequently, these subjects might share similar neural mechanisms under ambiguous decision-making circumstances. Furthermore, IGT net scores were significantly and negatively correlated with Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scales. This implies that more severe obsessive-compulsive symptoms inspired more negative emotions that led to worse decision-making ability. Therefore, although similar neural mechanisms might exist, this led to different behaviors in which OCPD is associated with better behavioral performance compared to OCD patients.Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures have begun to reveal the pathological mechanisms that underlie the decision-making process. Obsessive-compulsive personality disorder (OCPD) has core symptoms that often overlap with OCD, but similarities between these disorders at the behavioral and neurological levels are often unclear, including whether OCPD exhibits similar decision-making deficits and shared neurological dysfunction. To address these issues, we examined 24 cases of OCD, 19 cases of OCPD, and 26 matched normal control (NC) subjects during the revised Iowa Gambling Task (IGT) using event-related potentials (ERPs). The net IGT scores were lower for OCD subjects than for OCPD or NC subjects, thus indicating that OCD subjects chose more disadvantageous options and were "short-sighted" with regards to information. The feedback-related negativity (FRN) waveform (lose-win) was larger in both OCD and OCPD subjects, which suggested that obstacles exist in the feedback process. Consequently, these subjects might share similar neural mechanisms under ambiguous decision-making circumstances. Furthermore, IGT net scores were significantly and negatively correlated with Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scales. This implies that more severe obsessive-compulsive symptoms inspired more negative emotions that led to worse decision-making ability. Therefore, although similar neural mechanisms might exist, this led to different behaviors in which OCPD is associated with better behavioral performance compared to OCD patients.
Author Li, Hongchen
Dong, Yi
Gao, Yaxiang
Zhou, Xiaoqin
Qiu, Linlin
Chen, Lu
Zhu, Chunyan
Yu, Fengqiong
Luo, Yudan
Wang, Kai
Zhang, Lei
AuthorAffiliation 5 School of Mental Health and Psychological Sciences, Anhui Mental Health Center , Hefei , China
1 Department of Medical Psychology, School of Mental Health and Psychological Sciences, Anhui Medical University , Hefei , China
7 Department of Neurology, The First Affiliated Hospital of Anhui Medical University , Hefei , China
4 School of Civil Engineering, Wangjiang University of Technology , Ma’anshan , China
6 The Chaohu Affiliated Hospital of Anhui Medical University , Hefei , China
2 School of Mental Health and Psychological Sciences, Collaborative Innovation Centre of Neuropsychiatric Disorder and Mental Health , Hefei , China
3 School of Mental Health and Psychological Sciences, Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders , Hefei , China
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– name: 1 Department of Medical Psychology, School of Mental Health and Psychological Sciences, Anhui Medical University , Hefei , China
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Edited by: Carmen Moret-Tatay, Catholic University of Valencia San Vicente Mártir, Spain
These authors have contributed equally to this work
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Snippet Impaired decision-making is well documented in obsessive-compulsive disorder (OCD) and a range of electrophysiological and functional neuroimaging measures...
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StartPage 585086
SubjectTerms Addictions
Decision making
Event-related potentials
Feedback
Human Neuroscience
Investigations
Iowa Gambling Task (IGT)
Neuroimaging
Neurological complications
Neurological diseases
Obsessive compulsive disorder
obsessive-compulsive disorder (OCD)
obsessive-compulsive personality disorder (OCPD)
Personality
Psychotropic drugs
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Title Do Individuals With Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder Share Similar Neural Mechanisms of Decision-Making Under Ambiguous Circumstances?
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Volume 14
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