Cited by 75Obsessive-Compulsive Spectrum DisordersNeural and Behavioral Psychology StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Increased error-related brain activity in youth with obsessive-compulsive disorder and other anxiety disorders

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Carrasco, Melisa, Hong, Christina, Nienhuis, Jenna K., Harbin, Shannon M., Fitzgerald, Kate D., Gehring, William J., Hanna, Gregory L.·2013·Neuroscience Letters

Abstract

The error-related negativity (ERN) is a negative deflection in the event-related potential after an incorrect response that is thought to reflect activity in the anterior cingulate cortex (ACC) and is often increased in patients with anxiety disorders. This study measured the ERN and correct response negativity (CRN) during an Eriksen flanker task to assess performance monitoring in 26 youth with obsessive-compulsive disorder (OCD), 13 youth with a non-OCD anxiety disorder consisting of either generalized anxiety disorder or separation anxiety disorder, and 27 age-matched healthy controls ranging in age from 8 to 16 years. Compared to healthy controls, ERN amplitude was significantly increased in patients with either OCD or a non-OCD anxiety disorder. There were no significant group differences in CRN amplitude. Treatment with a serotonergic antidepressant or cognitive-behavior therapy had no effect on the ERN in patients. Scores from the Child Behavior Checklist DSM-oriented anxiety problems scale had a significant correlation with ERN amplitude in all subjects. The results provide further evidence that the pathophysiology of OCD and some non-OCD anxiety disorders involves increased ACC activity and that the ERN may serve as a quantitative phenotype in genetic and longitudinal studies of these complex traits.

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Crossref · 10.1016/j.neulet.2013.02.017

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  • The association between ERN amplitude and post-error slowing in study [34] was not specific to OCD.

    “its association with post-error slowing in study [34] was not specific to OCD;”

    From Electrophysiological Correlates of Cognitive Dysfunction in Obsessive-Compulsive Disorder (OCD): A Systematic and Mechanistic Review of EEG, ERP, and QEEG Evidence (2026) · cites this paper as [34]

    The Results (page unavailable) report a significant association between ERN amplitude and post-error slowing across all subjects, a sample that included youth with OCD, non-OCD anxiety disorders, and healthy controls. The paper does not report that this association holds separately outside the OCD group, so its lack of specificity to OCD is not established. (LLM, conf=0.84)

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  • Increased ERN amplitude is an endophenotype of a predisposition to develop the pathology.

    “confirming that increased ERN amplitude is an endophenotype of a predisposition to develop the pathology.”

    From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [25]

    The Introduction (page not specified) reports increased ERN amplitude in unaffected first-degree relatives of people with OCD, and the Discussion describes enlarged ERN as a trait-like measure. But the Discussion calls it a promising biomarker for future genetic and longitudinal studies; it does not confirm that increased ERN is an endophenotype predicting a predisposition to develop a disorder. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • This increase is also seen in siblings not expressing the disease.

    “This increase is also seen in siblings not expressing the disease [25, 33–35]”

    From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [25]

    The Introduction reports increased ERN amplitude in unaffected first-degree relatives of people with OCD, supporting the point that the increase can occur without clinical symptoms. It does not specify that those relatives were siblings, and this study did not test siblings. The supplied copy gives no page number for the passage. (LLM, conf=0.82)

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  • In most pediatric studies reviewed, only the amplitude of the ERN/CRN component was measured and statistically analyzed, but close examination of Pe/Pc tracings revealed that in most of them, the amplitude of the Pe component appeared substantially smaller in children with OCD than in control children or adolescents.

    “In most cases, only the amplitude of the ERN/CRN component was measured and statistically analyzed. However, close examination of the Pe/Pc tracings obtained in these studies revealed that in most of them, the amplitude of the Pe component appeared to be substantially smaller in children with OCD than in control children or adolescents [25, 33–36, 64, 65].”

    From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [25]

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  • In paediatric samples, youths with OCD repeatedly showed enlarged ERN amplitudes relative to healthy controls during modified Eriksen flanker tasks.

    “In paediatric samples, youths with OCD repeatedly showed enlarged ERN amplitudes relative to healthy controls during modified Eriksen flanker tasks [33,34,37,38,39,40,45,50].”

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Authors
Carrasco, M., Hong, C., Nienhuis, J. K., Harbin, S. M., Fitzgerald, K. D., Gehring, W. J., & Hanna, G. L.
Affiliations
University of Michigan (US)
Corresponding author
Hanna, Gregory L.
Venue
Neuroscience Letters
Publisher
Elsevier BV
Published
2013-04
Volume
541
Pages
214-218
ISSN
0304-3940 (ISSN-L)
OpenAlex
W1981772989
Cited by
74
References
39
Citations by year
2026: 2 · 2025: 6 · 2024: 4 · 2023: 2 · 2022: 6 · 2021: 8 · 2020: 8 · 2019: 4 · 2018: 8 · 2017: 2 · 2016: 10 · 2015: 9 · 2014: 5
FWCI
8.90
Type
journal article
Language
en
Open access
Locations
  • Neuroscience Letters (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health
  • International OCD Foundation
  • Dana Foundation
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
error-related negativity, obsessive-compulsive disorder, anxiety disorders, generalized anxiety disorder, separation anxiety disorder, anterior cingulate cortex, performance monitoring, flanker task, correct response negativity, serotonergic antidepressants, cognitive behavioral therapy, Child Behavior Checklist, quantitative phenotypes, youth
MeSH terms
Adolescent, Antidepressive Agents, Anxiety Disorders, Anxiety, Separation, Child, Electroencephalography, Evoked Potentials, Female, Gyrus Cinguli, Humans, Male, Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy, Case-Control Studies, Selective Serotonin Reuptake Inhibitors

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