Task Control in the Affordance Task as the Underlying Mechanism for the Imbalance Between the Goal-Directed and Habit Formation Systems in Obsessive–Compulsive Disorder

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
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Abstract

Background and Objectives

The habit formation model of obsessive–compulsive disorder (OCD) suggests that overreliance on stimulus-driven behaviors leads to repetitive compulsive rituals. Failure in task control, which leads to the stimulus-driven behaviors overriding the goal-driven system, could explain the mechanisms involved in this process.

Methods

Patients with OCD and non-psychiatric controls completed the affordance task to understand the role of task control in maintaining compulsive behaviors. In the affordance task, participants are required to respond to a stimulus with one hand, while the stimulus on screen triggers a motor activation in either the congruent (same) or incongruent (other) hand. The affordance effect (accuracy for incongruent minus congruent trials) measures task control—the ability to suppress irrelevant, stimulus-driven, behaviors.

Results

The affordance effect was larger in the OCD group, indicating a deficit in task control in those patients. Furthermore, a binary logistic regression analysis, using the affordances effect as a predictor and group as the outcome variable, revealed that the affordance effect correctly classified about 65% of the individuals with OCD compared to the non-psychiatric controls. The correlation between the affordance effect and OCD symptom-severity was not significant.

Limitations

Handedness was assessed through self-report and OCD symptoms were mild–moderate.

Conclusions

These findings strengthen the notion that task control deficits might account for the imbalance between the goal-directed and habit formation systems and that this deficit might be a risk factor for OCD but does not account for symptom-severity.

情境任务中的任务控制是强迫症患者目标导向系统和习惯形成系统失衡的基本机制
摘要 背景和目的 强迫症(OCD)的习惯形成模型表明,过度依赖刺激驱动行为会导致重复性强迫仪式。任务控制的失败会导致刺激驱动行为凌驾于目标驱动系统之上,这可以解释这一过程所涉及的机制。 方法 强迫症患者和非精神疾病对照组完成负担能力任务,以了解任务控制在维持强迫行为中的作用。在负担能力任务中,参与者需要用一只手对刺激物做出反应,同时屏幕上的刺激物会触发一致(相同)或不一致(另一只)手的运动激活。负担效应(不一致试验的准确率减去一致试验的准确率)衡量任务控制能力--抑制无关的、刺激驱动的行为的能力。 结果 强迫症组的承受效应更大,表明这些患者的任务控制能力不足。此外,以承受效应为预测变量、以组别为结果变量的二元逻辑回归分析表明,与非精神疾病对照组相比,承受效应正确分类了约 65% 的强迫症患者。负担效应与强迫症症状严重程度之间的相关性并不显著。 局限性 通过自我报告对手感进行评估,强迫症症状为轻度-中度。 结论 这些研究结果加强了这样一种观点,即任务控制缺陷可能是目标导向系统和习惯养成系统之间不平衡的原因,这种缺陷可能是强迫症的一个风险因素,但并不是症状严重性的原因。
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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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