Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates

We administered neuropsychological measures considered sensitive to prefrontal dysfunction (both orbitofrontal and dorsolateral prefrontal neocortex) to obsessive-compulsive disorder (OCD) patients and control subjects. OCD subjects exhibited performance deficits, in comparison to community controls...

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Main Authors: Catherine L. Harris, Wayne M. Dinn
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2003/782718
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author Catherine L. Harris
Wayne M. Dinn
author_facet Catherine L. Harris
Wayne M. Dinn
author_sort Catherine L. Harris
collection DOAJ
description We administered neuropsychological measures considered sensitive to prefrontal dysfunction (both orbitofrontal and dorsolateral prefrontal neocortex) to obsessive-compulsive disorder (OCD) patients and control subjects. OCD subjects exhibited performance deficits, in comparison to community controls, on three measures sensitive to orbitofrontal neocortex dysfunction. Contrary to expectation, OCD patients also exhibited performance deficits on measures sensitive to dorsolateral prefrontal neocortex dysfunction. However, distinct neurocognitive profiles emerged when we examined the impact of comorbid schizotypal personality features on neuropsychological test performance. Primary OCD patients displayed impaired performance on measures sensitive to orbitofrontal dysfunction; however, they did not differ from control subjects on tests of dorsolateral function. OCD subjects presenting with schizotypal personality features performed poorly not only on tests sensitive to orbitofrontal dysfunction, but also on tests sensitive to dorsolateral dysfunction. Findings suggest that OCD can be subdivided into clinical subtypes, and distinct prefrontal subsystems may be differentially involved in these subtypes.
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spelling doaj-art-aba153b0fe604361aaccc132bfcc1c392025-02-03T06:43:53ZengWileyBehavioural Neurology0953-41801875-85842003-01-01143-4758710.1155/2003/782718Subtyping Obsessive-Compulsive Disorder: Neuropsychological CorrelatesCatherine L. Harris0Wayne M. Dinn1Department of Psychology, Brain, Behavior & Cognition Program, Boston University, Boston, MA, USADepartment of Psychology, Brain, Behavior & Cognition Program, Boston University, Boston, MA, USAWe administered neuropsychological measures considered sensitive to prefrontal dysfunction (both orbitofrontal and dorsolateral prefrontal neocortex) to obsessive-compulsive disorder (OCD) patients and control subjects. OCD subjects exhibited performance deficits, in comparison to community controls, on three measures sensitive to orbitofrontal neocortex dysfunction. Contrary to expectation, OCD patients also exhibited performance deficits on measures sensitive to dorsolateral prefrontal neocortex dysfunction. However, distinct neurocognitive profiles emerged when we examined the impact of comorbid schizotypal personality features on neuropsychological test performance. Primary OCD patients displayed impaired performance on measures sensitive to orbitofrontal dysfunction; however, they did not differ from control subjects on tests of dorsolateral function. OCD subjects presenting with schizotypal personality features performed poorly not only on tests sensitive to orbitofrontal dysfunction, but also on tests sensitive to dorsolateral dysfunction. Findings suggest that OCD can be subdivided into clinical subtypes, and distinct prefrontal subsystems may be differentially involved in these subtypes.http://dx.doi.org/10.1155/2003/782718
spellingShingle Catherine L. Harris
Wayne M. Dinn
Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
Behavioural Neurology
title Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
title_full Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
title_fullStr Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
title_full_unstemmed Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
title_short Subtyping Obsessive-Compulsive Disorder: Neuropsychological Correlates
title_sort subtyping obsessive compulsive disorder neuropsychological correlates
url http://dx.doi.org/10.1155/2003/782718
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