Did i do that? Cognitive flexibility and self-agency in patients with obsessivecompulsive disorder

Giuliani, Mattia; Martoni, Riccardo Maria; Crespi, Sofia; O’Neill, Joseph; Erzegovesi, Stefano; de'Sperati, Claudio; Grgič, Regina Gregori

doi:10.1016/j.psychres.2021.114170

Cited by 9 publications

(9 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, a meta-analysis showed that impairments in visuospatial memory are more pronounced in patients with OCD than are deficits in inhibition and set-shifting ( 43 ). The results that the observed no impairment of inhibition and set-shifting function in the current study is broadly consistent with previous research ( 20 , 24 ). According to the cognitive theories of compulsive checking in OCD patients, the checkers are deficient in inhibiting misleading information and tolerating uncertainty, which may motivate reassurance-based checking of memory ( 7 ).…”

Section: Discussionsupporting

confidence: 94%

See 1 more Smart Citation

Visuospatial working memory capacity moderates the relationship between anxiety and OCD related checking behaviors

Wang

Zhou²,

Chen³

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundCompulsive checking behavior is the most prevalent compulsive behavior in patients with obsessive-compulsive disorder (OCD). While some studies have shown that anxiety and executive function influence compulsive checking behavior, the relationship between these constructs is inconclusive. Hence, we sought to explore the interplay between executive function, anxiety and compulsive checking behavior.Materials and methods47 healthy participants (HC) and 51 patients with OCD participated in the study. Symptoms and emotional states were assessed using the Yale-Brown Obsessive Compulsive Scale, the Obsessive-Compulsive Inventory-Revised, the Beck Anxiety Inventory, and the Beck Depression Inventory. Participants also completed three tests of neuropsychological functioning: the Stop Signal Task, the Spatial working memory Task, and the Wisconsin card sorting test. We analyzed the relationships between anxiety, executive function, and compulsive checking symptoms.ResultsPatients with OCD showed significantly greater anxiety (p < 0.001) and impairments in visuospatial working memory function (p = 0.030) compared to HC participants, while inhibition and set-shifting were not significantly different between the two groups. Visuospatial working memory was negatively related to compulsive checking behavior (p = 0.016). Visuospatial working memory also played a moderating role in the positive relationship between anxiety and compulsive checking behavior (β = −0.281, p = 0.022).ConclusionAnxiety symptoms play an important role in explaining compulsive checking behavior in patients with OCD who have relatively weak visuospatial working memory ability. These findings provide a foundation for further research regarding the roles of emotion and cognitive inflexibility in compulsive checking behavior in patients with OCD.

show abstract

Section: Discussionsupporting

confidence: 94%

“…Based on the outcome of a meta-analysis, Leopold and Backenstrass ( 22 ) reported that checkers were significantly more impaired in set-shifting than washers. Conversely, some studies have not found impaired set-shifting in patients with checking behavior ( 23 , 24 ).…”

Section: Introductionmentioning

confidence: 99%

Visuospatial working memory capacity moderates the relationship between anxiety and OCD related checking behaviors

Wang

Zhou²,

Chen³

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…These authors also mention that compulsions directly represent deficient SoA, as compulsive action is not experienced as stemming from free will. Deficient SoA in OCD/S has been demonstrated with additional indirect measures, such as diminished suppression of internal expectations in favor of external perception of the consequences of one’s action ( Gentsch et al, 2012 ), impaired ability to identify one’s gaze as bringing about an auditory stimulus ( Giuliani et al, 2017 , 2021 ), increased attribution of thoughts as intruders following an auditory cue ( Fradkin et al, 2019 ), and low levels of intentional binding ( Oren et al, 2019 ). According to Szalai (2019) , The SoA impairments characterizing OCD are in line with the presence of neurological soft signs (minor, non-localizable deviations in motor or sensory performance) related to motor coordination and sensory integration, compared to controls ( Bolton et al, 1999 ).…”

Section: The Association Of Dissociative Experiences With Obsessive-c...mentioning

confidence: 99%

Obsessive-compulsive symptoms and dissociative experiences: Suggested underlying mechanisms and implications for science and practice

Soffer‐Dudek

2023

Front. Psychol.

View full text Add to dashboard Cite

A strong and specific link between obsessive-compulsive disorder or symptoms (OCD/S) and a tendency for dissociative experiences (e.g., depersonalization-derealization, absorption and imaginative involvement) cannot be explained by trauma and is poorly understood. The present theoretical formulation proposes five different models conceptualizing the relationship. According to Model 1, dissociative experiences result from OCD/S through inward-focused attention and repetition. According to Model 2, dissociative absorption causally brings about both OCD/S and associated cognitive risk factors, such as thought-action fusion, partly through impoverished sense of agency. The remaining models highlight common underlying causal mechanisms: temporo-parietal abnormalities impairing embodiment and sensory integration (Model 3); sleep alterations causing sleepiness and dreamlike thought or mixed sleep-wake states (Model 4); and a hyperactive, intrusive imagery system with a tendency for pictorial thinking (Model 5). The latter model relates to Maladaptive Daydreaming, a suggested dissociative syndrome with strong ties to the obsessive-compulsive spectrum. These five models point to potential directions for future research, as these theoretical accounts may aid the two fields in interacting with each other, to the benefit of both. Finally, several dissociation-informed paths for further developing clinical intervention in OCD are identified.

show abstract

“…Manifestasi klinis dari OCD juga dapat dipengaruhi oleh beberapa hal seperti perbedaan pola komorbiditas, transmisi genetik, substrat saraf, dan respon pengobatan. perbedaan manifestasi klinis pada setiap individu juga sangat penting untuk dilakukannya prediksi pengobatan apa yang akan dilakukan pada individu tersebut (Giuliani et al, 2021).…”

Section: Manifestasi Klinisunclassified

Suicidal Risk in People with Obsessive Compulsive Disorder

Annisa,

Nabil,

Wibisana

et al. 2023

JBT

View full text Add to dashboard Cite

Obsessive compulsive disorder or Obsessive Compulsive Disorder (OCD) is a psychiatric disorder characterized by excessive anxiety, persistent thoughts (obsessions), and repetitive behaviors (compulsions). The prevalence of OCD in Europe ranges from 0.1-2.3% annually and more common in adults. The risk of suicide increases ten times more in OCD sufferers compared to the non-OCD sufferers with prevalence the OCD sufferers who has thoughts of suicide is 23.3%. This literature review aims to determine the risk factors for suicide in OCD patients so that prevention can be carried out in individuals who have risk factors. In this literature review we conducted a search on the PubMed, Google Schoolar, and Researchgate database using the search keyword “Obsessive Compulsive Disorder”, “Obsessive Compulsive Symptoms”, “Suicide”, “Self-murder”, and “Risk Factor”. OCD is a disease with genetic and non-genetic risk factors, can manifest clinically as obsessions and compulsions that occur due to failure in responding to yedasantience signals so that the security motivation system (SMS) will be activated longer than normal. The longer SMS activated, the more depressive symptoms can develop, which tends to give rise to suicidal thoughts. In conclusion, risk factors for suicide in OCD that can be identified earlier will not only help the patient's prognosis but also help them choose treatment steps that are appropriate with the severity of the OCD symptoms.

show abstract

Did i do that? Cognitive flexibility and self-agency in patients with obsessivecompulsive disorder

Cited by 9 publications

References 37 publications

Visuospatial working memory capacity moderates the relationship between anxiety and OCD related checking behaviors

Visuospatial working memory capacity moderates the relationship between anxiety and OCD related checking behaviors

Obsessive-compulsive symptoms and dissociative experiences: Suggested underlying mechanisms and implications for science and practice

Suicidal Risk in People with Obsessive Compulsive Disorder

Contact Info

Product

Resources

About