Imbalanced functional link between reward circuits and the cognitive control system in patients with obsessive-compulsive disorder.

Altered reward processing and cognitive deficits are often observed in patients with obsessive-compulsive disorder (OCD); however, whether the imbalance in activity between reward circuits and the cognitive control (CC) system is associated with compulsive behavior remains unknown. Sixty-eight OCD p...

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Publicado en:Brain Imaging & Behavior Vol. 11; no. 4; pp. 1099 - 1110
Autores principales: Xie, Chunming, Ma, Lisha, Jiang, Nan, Huang, Ruyan, Li, Li, Gong, Liang, He, Cancan, Xiao, Chaoyong, Liu, Wen, Xu, Shu, Zhang, Zhijun
Formato: research Journal Article
Publicado: Springer Nature Aug2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Imbalanced functional link between reward circuits and the cognitive control system in patients with obsessive-compulsive disorder.
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        au:
          Xie, Chunming
          Ma, Lisha
          Jiang, Nan
          Huang, Ruyan
          Li, Li
          Gong, Liang
          He, Cancan
          Xiao, Chaoyong
          Liu, Wen
          Xu, Shu
          Zhang, Zhijun
        affil: Department of Neurology, Affiliated ZhongDa Hospital, Neuropsychiatric Institute, Medical School , Southeast University , No. 87 DingJiaQiao Road Nanjing People's Republic of China 210009
      sug:
        subj:
          Obsessive-Compulsive Disorder Physiopathology
          Brain
          Obsessive-Compulsive Disorder
          Brain Physiopathology
          Female
          Adult
          Male
          Neural Pathways
          Cross Sectional Studies
          Brain Mapping
          Magnetic Resonance Imaging
          Relaxation
          Reward
          Executive Function
          Human
          Psychological Tests
          Obsessive-Compulsive Disorder Psychosocial Factors
          Neural Pathways Physiopathology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Adult: 19-44 years
          Female
          Male
      ab: Altered reward processing and cognitive deficits are often observed in patients with obsessive-compulsive disorder (OCD); however, whether the imbalance in activity between reward circuits and the cognitive control (CC) system is associated with compulsive behavior remains unknown. Sixty-eight OCD patients and 33 cognitively normal (CN) healthy subjects participated in this resting-state functional magnetic resonance imaging study. Alterations in the functional connectivity between reward circuits and the CC system were quantitatively assessed and compared between the groups. A Granger causality analysis was used to determine the causal informational influence between and within reward circuits and the CC system across all subjects. OCD patients showed a dichotomous pattern of enhanced functional coupling in their reward circuits and a weakened functional coupling in their CC system when compared to CN subjects. Neural correlates of compulsive behavior were primarily located in the reward circuits and CC system in OCD patients. Importantly, the CC system exerted a reduced interregional causal influence over the reward system in OCD patients relative to its effect in CN subjects. The limitations of this study are that it was a cross-sectional study and the potential effects of environmental and genetic factors were not explored. OCD patients showed an imbalance in the functional link between reward circuits and the CC system at rest. This bias toward a loss of control may define a pathological state in which subjects are more vulnerable to engaging in compulsive behaviors.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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