Event-related potential and clinical correlates of neurodysfunction in obsessive-compulsive disorder

James Towey, Gerard Bruder, Craig Tenke, Paul Leite, Concetta DeCaria, David Friedman, Eric Hollander

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

The current study confirmed with increased sample sizes our preliminary findings of event-related potential (ERP) abnormalities in obsessive-compulsive disorder (OCD) (Towey et al., 1990) and examined their relationship to symptom severity, treatment response, and neurological soft signs. Unmedicated patients (n - 17) showed larger negativities in N200 and slow wave regions than normal control subjects (n - 16) to correctly detected auditory "oddball" stimuli. N200 amplitude was larger over left than right hemispheres of OCD patients, but not normal control subjects. Greater N200 amplitude correlated with less severe obsessions, better response to subsequent treatment with serotonin reuptake blockers, and fewer neurological soft signs in OCD. With increased task difficulty, N200 and P300 latencies lengthened for normal subjects, but not for OCD patients. The abnormal ERP pattern in OCD supports hypotheses of cortical hyperarousal and overfocused attention.

Original languageEnglish (US)
Pages (from-to)167-181
Number of pages15
JournalPsychiatry Research
Volume49
Issue number2
DOIs
StatePublished - Nov 1993
Externally publishedYes

Keywords

  • Electrophysiology
  • anxiety disorder
  • cortical arousal
  • neurological soft signs

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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