文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

强迫症的起伏:昼夜节律类型和一天中的时间如何影响成年强迫症患者的行为抑制

The rollercoaster of obsessive-compulsive disorder: How chronotype and time of day affect behavioral inhibition in adults with OCD.

作者信息

Kalanthroff Eyal, Seror Yuval, Sagi Noa, Hochman Shachar, Linkovski Omer, Naftalovich Hadar, Simpson Helen Blair

机构信息

Department of Psychology, The Hebrew University of Jerusalem, Israel.

Department of Psychiatry, Columbia University, New York, NY, United States.

出版信息

J Mood Anxiety Disord. 2025 Mar 1;10:100113. doi: 10.1016/j.xjmad.2025.100113. eCollection 2025 Jun.


DOI:10.1016/j.xjmad.2025.100113
PMID:40657601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12244090/
Abstract

Chronotype, a person's circadian preference, reflects individuals' natural pattern of alertness levels throughout the day. It has been shown that chronotype contributes to within-day symptom fluctuations in obsessive-compulsive disorder (OCD). However, the underlying mechanism of this effect is not yet clear. Inhibitory control, an executive function crucial for suppressing unwanted behaviors and thoughts, is essential for managing OCD symptoms and is highly influenced by alertness levels. Hence, the current study investigated the impact of chronotype and time of day on inhibitory control in OCD patients, particularly in response to individually tailored symptom-provoking images, using a novel version of the stop signal task. Ninety-three treatment-seeking OCD patients completed an individually tailored Symptom-Provocation Stop-Signal Task, every morning and evening for four consecutive days. Chronotype was assessed using the Morningness-Eveningness Questionnaire (MEQ). Stop-signal reaction time (SSRT) was assessed for neutral and individually tailored symptom-provoking images separately. Patients exhibited longer SSRTs (worse inhibition) to symptom-provoking trials compared to neutral trials. Most importantly, chronotype and time of day significantly interacted to affect SSRTs in the symptom-provocation condition: A significant correlation was found between optimal alertness periods and improved inhibitory control in the symptom-provocation condition. Taken together, these results indicate that inhibitory control in OCD varies with chronotype and time of day. These findings suggest that aligning treatment sessions with patients' chronotype may enhance therapeutic outcomes and that heightening alertness-by increasing the chances of successful inhibition-might be a way to mitigate the vicious cycle of OCD.

摘要

昼夜节律类型,即一个人的昼夜偏好,反映了个体在一天中警觉水平的自然模式。研究表明,昼夜节律类型会导致强迫症(OCD)患者在一天内症状出现波动。然而,这种影响的潜在机制尚不清楚。抑制控制是一种执行功能,对于抑制不必要的行为和想法至关重要,它对管理强迫症症状至关重要,并且受到警觉水平的高度影响。因此,本研究使用一种新型的停止信号任务,调查了昼夜节律类型和一天中的时间对强迫症患者抑制控制的影响,特别是对针对个体定制的引发症状的图像的反应。93名寻求治疗的强迫症患者连续四天每天早晚完成一项针对个体定制的症状激发停止信号任务。使用晨型-夜型问卷(MEQ)评估昼夜节律类型。分别针对中性图像和针对个体定制的引发症状的图像评估停止信号反应时间(SSRT)。与中性试验相比,患者在症状激发试验中的SSRT更长(抑制能力更差)。最重要的是,昼夜节律类型和一天中的时间在症状激发条件下显著相互作用,影响SSRT:在症状激发条件下,最佳警觉期与改善的抑制控制之间存在显著相关性。综上所述,这些结果表明,强迫症中的抑制控制随昼夜节律类型和一天中的时间而变化。这些发现表明,使治疗疗程与患者的昼夜节律类型相匹配可能会提高治疗效果,并且通过增加成功抑制的机会来提高警觉性可能是减轻强迫症恶性循环的一种方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/6e0b961f4cde/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/96c9fba7b613/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/ea68ac5e3a02/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/6e0b961f4cde/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/96c9fba7b613/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/ea68ac5e3a02/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf86/12244090/6e0b961f4cde/gr3.jpg

相似文献

[1]
The rollercoaster of obsessive-compulsive disorder: How chronotype and time of day affect behavioral inhibition in adults with OCD.

J Mood Anxiety Disord. 2025-3-1

[2]
The Black Book of Psychotropic Dosing and Monitoring.

Psychopharmacol Bull. 2024-7-8

[3]
The Effect of Symptom-Provocation on Inhibitory Control in Obsessive-Compulsive Disorder Patients Is Contingent upon Chronotype and Time of Day.

J Clin Med. 2023-6-15

[4]
Behavioural and cognitive behavioural therapy for obsessive compulsive disorder (OCD) in individuals with autism spectrum disorder (ASD).

Cochrane Database Syst Rev. 2021-9-3

[5]
Systematic Review and Meta-analysis of Individual Participant Data: Randomized, Placebo-Controlled Trials of Selective Serotonin Reuptake Inhibitors for Pediatric Obsessive-Compulsive Disorder.

J Am Acad Child Adolesc Psychiatry. 2025-1-10

[6]
Feared Self, Inferential Confusion, and Magical Ideation in Obsessive Compulsive Phenomena.

Clin Psychol Psychother. 2025

[7]
Home treatment for mental health problems: a systematic review.

Health Technol Assess. 2001

[8]
Sexual Harassment and Prevention Training

2025-1

[9]
An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder.

Clin Child Psychol Psychiatry. 2025-7

[10]
[Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data].

Epidemiol Prev. 2013

本文引用的文献

[1]
Diurnal variation in anxiety and activity is influenced by chronotype and probable anxiety-related disorder status.

Psychiatry Res. 2024-8

[2]
Externally orienting cues improve cognitive control in OCD.

J Behav Ther Exp Psychiatry. 2024-9

[3]
Control your emotions: evidence for a shared mechanism of cognitive and emotional control.

Cogn Emot. 2024-12

[4]
The Effect of Symptom-Provocation on Inhibitory Control in Obsessive-Compulsive Disorder Patients Is Contingent upon Chronotype and Time of Day.

J Clin Med. 2023-6-15

[5]
Poor Insight in Obsessive-Compulsive Disorder as a Multifaceted Phenomenon: Evidence From Brain Activation During Symptom Provocation.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2023-11

[6]
An Integrative Model for Understanding Obsessive-Compulsive Disorder: Merging Cognitive Behavioral Theory with Insights from Clinical Neuroscience.

J Clin Med. 2022-12-12

[7]
Delayed circadian rhythms and insomnia symptoms in obsessive-compulsive disorder.

J Affect Disord. 2022-12-1

[8]
Chronotype, circadian rhythm, and psychiatric disorders: Recent evidence and potential mechanisms.

Front Neurosci. 2022-8-10

[9]
Web-Based Independent Versus Laboratory-Based Stop-Signal Task Performance: Within-Subjects Counterbalanced Comparison Study.

J Med Internet Res. 2022-5-30

[10]
Obsessive compulsive disorder and response inhibition: Meta-analysis of the stop-signal task.

J Psychopathol Clin Sci. 2022-2

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索