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Altered inhibition-related frontolimbic connectivity in obsessive-compulsive disorder.


ABSTRACT:

Background

Recent studies have shown that response inhibition is impaired in patients with obsessive-compulsive disorder and their unaffected siblings, suggesting that these deficits may be considered a cognitive endophenotype of obsessive-compulsive disorder. Structural and functional neural correlates of altered response inhibition have been identified in patients and siblings. This study aims to examine the functional integrity of the response inhibition network in patients with obsessive-compulsive disorder and their unaffected siblings.

Methods

Forty-one unmedicated patients with obsessive-compulsive disorder, 17 of their unaffected siblings and 37 healthy controls performed a stop signal task during functional magnetic resonance imaging. Psycho-physiological interaction analysis was used to examine functional connectivity between the following regions of interest: the bilateral inferior frontal gyri, presupplementary motor area, subthalamic nuclei, inferior parietal lobes, anterior cingulate cortex, and amygdala. We then used dynamic causal modeling to investigate the directionality of the networks involved.

Results

Patients, and to a lesser extent also their unaffected siblings, show altered connectivity between the inferior frontal gyrus and the amygdala during response inhibition. The follow-up dynamic causal modeling suggests a bottom-up influence of the amygdala on the inferior frontal gyrus in healthy controls, whereas processing occurs top-down in patients with obsessive-compulsive, and in both directions in siblings.

Conclusions

Our findings suggest that amygdala activation in obsessive-compulsive disorder interferes differently with the task-related recruitment of the inhibition network, underscoring the role of limbic disturbances in cognitive dysfunctions in obsessive-compulsive disorder.

SUBMITTER: van Velzen LS 

PROVIDER: S-EPMC6869170 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Publications

Altered inhibition-related frontolimbic connectivity in obsessive-compulsive disorder.

van Velzen Laura S LS   de Wit Stella J SJ   Ćurĉić-Blake Branislava B   Cath Daniëlle C DC   de Vries Froukje E FE   Veltman Dick J DJ   van der Werf Ysbrand D YD   van den Heuvel Odile A OA  

Human brain mapping 20150715 10


<h4>Background</h4>Recent studies have shown that response inhibition is impaired in patients with obsessive-compulsive disorder and their unaffected siblings, suggesting that these deficits may be considered a cognitive endophenotype of obsessive-compulsive disorder. Structural and functional neural correlates of altered response inhibition have been identified in patients and siblings. This study aims to examine the functional integrity of the response inhibition network in patients with obses  ...[more]

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