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Improvement predictors in obsessive-compulsive disorder. An event-related potential study
Abstract
The treatment of patients with obsessive-compulsive disorder gives variable and unpredictable results. Numerous clinical features have been investigated as potential predictors of medication response but without consistent results. Preliminary findings have shown that some impairments of pre-treatment event-related potentials (ERPs) could be associated with future treatment outcome (Morault et al., 1997). The present study aimed to confirm the relationships between ERPs and treatment efficacy with larger sample sizes. ERP components were elicited during a verbal auditory 'oddball' paradigm and were recorded in 21 unmedicated patients compared to 21 control subjects. After a pharmacological treatment, the disorder improved in 12 patients. Pre-treatment ERP data were retrospectively compared between treatment responders, non-responders and control subjects. Patients who were to respond favorably to treatment had significantly reduced N2 amplitude and shorter N2 and P3 latencies compared to non-responders and control subjects. In contrast, no difference was shown between non-responders and control subjects. Our findings provide evidence for abnormalities of ERPs which could be considered as potential predictors of treatment response in patients with OCD. These results need to be tested in a prospective protocol.
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“It is known that OCD patients who have shown some therapeutic response have a reduced N200 component compared to non-responders (Morault et al., 1998).”
From Obsessive–compulsive disorder (OCD) is associated with increased engagement of frontal brain regions across multiple event-related potentials (2023) · cites this paper as Morault et al., 1998
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“Instead, our results are consistent with two studies that reported opposing results with significantly smaller N200 amplitudes (Kim, Kim, Yoo, & Kwon, 2007; Morault, Guillem, Bourgeois, & Paty, 1998).”
From Obsessive–compulsive disorder (OCD) is associated with increased engagement of frontal brain regions across multiple event-related potentials (2023) · cites this paper as Morault, Guillem, Bourgeois, & Paty, 1998
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Metadata
- Authors
- Morault, P., Guillem, F., Bourgeois, M., & Paty, J.
- Affiliations
- Université de Bordeaux (FR)
- Centre Hospitalier Charles Perrens (FR)
- Corresponding author
- Morault, Pierre
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1998-10
- Volume
- 81
- Issue
- 1
- Pages
- 87-96
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1997252766
- Cited by
- 26
- References
- 30
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, treatment response prediction, event-related potentials, N2 component, P300, oddball paradigm, pharmacotherapy, treatment outcomes
- MeSH terms
- Adult, Evoked Potentials, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Prognosis, Retrospective Studies
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