Self-reported and neurocognitive impulsivity in obsessive-compulsive disorder
Frydman I, Mattos P, de Oliveira-Souza R, Yücel M, Chamberlain SR, Moll J, Fontenelle LF
BACKGROUND:
Although a behavioural addiction model of obsessive-compulsive disorder (OCD) has been proposed, it is still unclear if and how self-report and neurocognitive measures of impulsivity (such as risk-taking-, reflection- and motor-impulsivities) are impaired and/or inter-related in this particular clinical population.
METHODS:
Seventeen OCD patients and 17 age-, gender-, education- and IQ-matched controls completed the Barratt Impulsivity Scale, the Obsessive-Compulsive Inventory-Revised, and the Beck Depression Inventory and were evaluated with the Yale-Brown Obsessive-Compulsive Scale and three computerized paradigms including reward (the Cambridge Gambling Task), reflection (the Information Sampling Task) and motor impulsivity (Stop Signal Task).
RESULTS:
Despite not differing from healthy controls in any neurocognitive impulsivity domain, OCD patients demonstrated increased impulsivity in a self-report measure (particularly attentional impulsivity). Further, attentional impulsivity was predicted by severity of obsessive-compulsive symptoms.
CONCLUSIONS:
Our findings suggest that OCD is characterized by a subjective (rather than objective) impulsivity; in addition, self-reported impulsivity was largely determined by severity of OCD symptoms.
KEYWORDS: Behavioural addiction; Compulsivity; Impulsivity; Neurocognition; Obsessive-compulsive disorder
Link para acessar: https://www.ncbi.nlm.nih.gov/pubmed/31864219