Ruchsow M, Reuter K, Hermle L, Ebert D, Kiefer M, Falkenstein M
Department of Psychiatry, Christophsbad, Göppingen, Germany.
J Neural Transm (Vienna). 2007;114(12):1595-601. doi: 10.1007/s00702-007-0779-4. Epub 2007 Jul 5.
Obsessive-compulsive disorder (OCD) has been related to a hyperactive cortico-striatal-pallidal-thalamic circuitry resulting clinically in an impaired inhibition of repetitive thoughts and behaviors. We examined thirteen patients with OCD and thirteen age-, sex-, and education matched healthy controls using event-related potentials (ERPs). Participants performed a hybrid flanker-Go/Nogo task while multichannel EEG was recorded. Our study focused on two ERP components: the Nogo-N2 and the Nogo-P3, which have been discussed in the context of response inhibition and response conflict. Artifact-free EEG-segments were used to compute ERPs on correct Go trials (button press) and correct Nogo trials (no button press), separately. Patients with OCD showed enhanced (more negative) Nogo-N2 amplitudes than controls, and a significant difference in amplitudes between Nogo-N2 and Go-N2 trials (more negative for Nogo trials) at central midline electrode positions. However, groups did not differ with regard to the Nogo-P3 and Go-P3. The present study replicates and extends previous findings of altered executive control processes in OCD patients.
强迫症(OCD)与皮质-纹状体-苍白球-丘脑回路的过度活跃有关,临床上会导致对重复性思维和行为的抑制受损。我们使用事件相关电位(ERP)对13名强迫症患者和13名年龄、性别和教育程度相匹配的健康对照者进行了检查。参与者执行了一项混合侧抑制-执行/不执行任务,同时记录多通道脑电图。我们的研究集中在两个ERP成分上:不执行N2和不执行P3,它们已在反应抑制和反应冲突的背景下进行了讨论。无伪迹的脑电图片段分别用于计算正确执行试验(按键)和正确不执行试验(不按键)的ERP。强迫症患者的不执行N2波幅比对照组增强(更负),并且在中央中线电极位置,不执行N2试验和执行N2试验之间的波幅存在显著差异(不执行试验更负)。然而,两组在不执行P3和执行P3方面没有差异。本研究重复并扩展了先前关于强迫症患者执行控制过程改变的研究结果。