Neuropsychology of obsessive-compulsive disorder: A review and treatment implications
Abstract
The existing literature examining neuropsychological features of obsessive-compulsive disorder (OCD) is reviewed. The accumulated research points to a deficit in organizational strategies in general, suggesting problems in executive functioning. The available research is inconsistent in identifying memory deficits in OCD. However, memory problems are most evident when tests are used that require an implicit organizational strategy. While the majority of the research reviewed involves adult samples, there is emerging evidence that these deficits are present in children as well. It is suggested here that the interaction between organizational strategy deficits and the effort to recall unstructured information contributes to doubting, an important feature of OCD. Implications of this body of research for behavior therapy are considered.
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OCD patients often exhibit difficulties with various aspects of executive functioning, including working memory, attention, response inhibition, decision making, cognitive-behavioral control, and balancing goal-directed behavior and more automatic habit learning.
“OCD patients often also exhibit difficulties with various aspects of executive functioning, including with working memory, attention, response inhibition, decision making, cognitive-behavioral control, and balancing goal-directed behavior and more automatic habit learning, in favor of the latter”
From Externally orienting cues improve cognitive control in OCD (2024) · cites this paper as Greisberg & McKay, 2003
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- Authors
- Greisberg, S., & McKay, D.
- Affiliations
- Fordham University (US)
- Corresponding author
- McKay, Dean
- ORCID
- McKay, Dean
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2003-02
- Volume
- 23
- Issue
- 1
- Pages
- 95-117
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1999074671
- Cited by
- 230
- References
- 90
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 2 · 2018: 12 · 2017: 12 · 2016: 9 · 2015: 8 · 2014: 13 · 2013: 17 · 2012: 12
- FWCI
- 15.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Fordham Research Commons (Fordham University) (submittedVersion)
- 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, neuropsychology, executive function, memory impairment, implicit memory, children, behavior therapy, therapeutic implications
- MeSH terms
- Child, Cognition Disorders, Humans, Memory Disorders, Neuropsychological Tests, Obsessive-Compulsive Disorder
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