Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.

BACKGROUND: Obsessive-compulsive disorder (OCD) has been associated with response inhibition deficits under motivationally neutral contingencies. We examined response inhibition performance in the presence of reward and punishment. We further investigated whether the hypothesized difficulties in fle...

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Main Authors: Morein-Zamir, S, Papmeyer, M, Gillan, C, Crockett, M, Fineberg, N, Sahakian, B, Robbins, T
Format: Journal article
Language:English
Published: 2013
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author Morein-Zamir, S
Papmeyer, M
Gillan, C
Crockett, M
Fineberg, N
Sahakian, B
Robbins, T
author_facet Morein-Zamir, S
Papmeyer, M
Gillan, C
Crockett, M
Fineberg, N
Sahakian, B
Robbins, T
author_sort Morein-Zamir, S
collection OXFORD
description BACKGROUND: Obsessive-compulsive disorder (OCD) has been associated with response inhibition deficits under motivationally neutral contingencies. We examined response inhibition performance in the presence of reward and punishment. We further investigated whether the hypothesized difficulties in flexibly updating behaviour based on external feedback in OCD would also lead to a reduced ability to adjust to changes in the reward and punishment contingencies. METHOD: Participants completed a go/no-go task that used punishments or rewards to promote response activation or suppression. The task was administered to OCD patients free of current Axis-I co-morbidities including major depression (n = 20) and a group of healthy controls (n = 32). RESULTS: Compared with controls, patients with OCD had increased commission errors in punishment conditions, and failed to slow down immediately after receiving punishment. The punishment-induced increase in commission errors correlated with self-report measures of OCD symptom severity. Additionally, patients did not differ from controls in adapting their overall response style to the changes in task contingencies. CONCLUSIONS: Individuals with OCD showed reduced response control selectively under punishment conditions, manifesting in an impulsive response style that was related to their current symptom severity. This stresses failures of cognitive control in OCD, particularly under negative motivational contingencies.
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spelling oxford-uuid:9a0b02cc-904d-47a0-b319-ad6ac5124c002022-03-27T00:18:37ZPunishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9a0b02cc-904d-47a0-b319-ad6ac5124c00EnglishSymplectic Elements at Oxford2013Morein-Zamir, SPapmeyer, MGillan, CCrockett, MFineberg, NSahakian, BRobbins, TBACKGROUND: Obsessive-compulsive disorder (OCD) has been associated with response inhibition deficits under motivationally neutral contingencies. We examined response inhibition performance in the presence of reward and punishment. We further investigated whether the hypothesized difficulties in flexibly updating behaviour based on external feedback in OCD would also lead to a reduced ability to adjust to changes in the reward and punishment contingencies. METHOD: Participants completed a go/no-go task that used punishments or rewards to promote response activation or suppression. The task was administered to OCD patients free of current Axis-I co-morbidities including major depression (n = 20) and a group of healthy controls (n = 32). RESULTS: Compared with controls, patients with OCD had increased commission errors in punishment conditions, and failed to slow down immediately after receiving punishment. The punishment-induced increase in commission errors correlated with self-report measures of OCD symptom severity. Additionally, patients did not differ from controls in adapting their overall response style to the changes in task contingencies. CONCLUSIONS: Individuals with OCD showed reduced response control selectively under punishment conditions, manifesting in an impulsive response style that was related to their current symptom severity. This stresses failures of cognitive control in OCD, particularly under negative motivational contingencies.
spellingShingle Morein-Zamir, S
Papmeyer, M
Gillan, C
Crockett, M
Fineberg, N
Sahakian, B
Robbins, T
Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title_full Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title_fullStr Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title_full_unstemmed Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title_short Punishment promotes response control deficits in obsessive-compulsive disorder: evidence from a motivational go/no-go task.
title_sort punishment promotes response control deficits in obsessive compulsive disorder evidence from a motivational go no go task
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