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01-12-2013 | Original Article

Is Performance on the Go/Nogo Task Related to Not Just Right Experiences in Patients with Obsessive Compulsive Disorder?

Auteurs: Marta Ghisi, Gioia Bottesi, Claudio Sica, Ezio Sanavio, Mark H. Freeston

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2013

Abstract

Patients with obsessive compulsive disorder (OCD) generally show difficulties in suppressing obsessions and compulsions. Evidence suggests deficits in motor inhibition ability in OCD patients but studies using Go/Nogo paradigms show mixed results. Not just right experiences (NJREs) have been proposed to be involved in difficulties terminating compulsions. This study assesses the relationship between NJREs and Go/Nogo performance among OCD patients. Twenty-two OCD patients and 22 healthy controls matched on age, gender and education completed a battery of self-report questionnaires and a Go/Nogo task. An association was found between higher NJRE severity and slower reaction times. There was no association between OCD severity and Go/Nogo performance. OCD patients made more commission errors than healthy controls, but there were no differences on omission errors and reaction times for Go and Nogo trials. The current study supports a possible role of NJREs in the slowness characterizing OCD performance and appears promising from both theoretical and empirical perspectives.

vorige artikel Social Anxiety and Gaze Avoidance: Averting Gaze but not Anxiety

volgende artikel Subtle Threats to Moral Self-Perceptions Trigger Obsessive–Compulsive Related Cognitions

Although ANCOVA is commonly used to control for clinical characteristics such as anxiety and depression, it fits a regression line to the entire sample. When there are known differences between the groups, the major contributor to this line may be the group difference rather than the within group variability. Using a covariate under these circumstances will underestimate the group effect on the dependent variables. Further, within the OCD group, performance was not related to anxiety and depression (or OCD severity), so partialling anxiety and depression would mainly remove group differences, not within group variance. Finally, although there are circumstances when it may be of interest to ask the “what if” question that ANCOVA can ask, asking what people with OCD were like if they were not also anxious and depressed (or had OCD symptoms) is a question of no relevance in the real world: Anxiety and depression (and OCD symptoms) are associated features of OCD, not confounds. The same argument applies to NJRE, which resulted to be a feature associated with OCD.

If groups are matched on anxiety and depression, then ANCOVA becomes a viable option.

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Titel: Is Performance on the Go/Nogo Task Related to Not Just Right Experiences in Patients with Obsessive Compulsive Disorder?
Auteurs: Marta Ghisi
Gioia Bottesi
Claudio Sica
Ezio Sanavio
Mark H. Freeston
Publicatiedatum: 01-12-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9560-1

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