Cognitive control in obsessive-compulsive disorder (OCD): Proactive control adjustments or consistent performance?

Psychiatry Res. 2021 Apr:298:113809. doi: 10.1016/j.psychres.2021.113809. Epub 2021 Feb 19.

Abstract

Cognitive control is often parsed into proactive and reactive control components. In proactive control, task- and goal-relevant information is utilized in a top-down manner to improve performance, while reactive control is a late-response corrective mechanism that occurs after conflict or errors. We tested whether people with obsessive-compulsive disorder (OCD) would show specific proactive control dysfunction in 31 individuals with OCD and 30 psychiatrically-healthy controls. We employed two tasks that differentiate proactive and reactive cognitive control processes: the cued-Stroop and the AX version of a continuous performance task (AX-CPT). There was a 1s or 5s delay between the cue and probe for both tasks to allow for implementation of proactive control processes. Participants also completed a neuropsychological test battery and mood and symptom severity self-report questionnaires. Although there were group-level differences in OCD severity and depression/anxiety symptoms, there were no significant differences in response times (RT) and error rates between groups for delay or condition for the cued-Stroop or for the AX-CPT, indicating similar performance in implementing proactive control strategies. There were also no significant differences between OCD and control participants on neuropsychological test performance. Results suggest a convergence of evidence wherein individuals with OCD are not showing disproportionately altered proactive control abilities.

Keywords: Cognitive control; Context maintenance; Obsessive-compulsive disorder; Proactive control; Reactive control.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognition
  • Humans
  • Neuropsychological Tests
  • Obsessive-Compulsive Disorder* / complications
  • Reaction Time
  • Surveys and Questionnaires