Cited by 82Schizophrenia research and treatmentObsessive-Compulsive Spectrum DisordersNeural and Behavioral Psychology Studies

The neuropsychology of the schizo-obsessive subtype of schizophrenia: a new analysis

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Patel, D. D., Laws, K. R., Padhi, A., Farrow, J. M., Mukhopadhaya, K., Krishnaiah, R., Fineberg, N. A.·2010·Psychological Medicine

Abstract

Background: Interest in the neuro-cognitive profile of patients with schizophrenia and co-morbid obsessive compulsive disorder (schizo-OCD) is rising in response to reports of high co-morbidity rates. Whereas schizophrenia has been associated with global impairment in a wide range of neuro-cognitive domains, OCD is associated with specific deficits featuring impaired performance on tasks of motor and cognitive inhibition involving frontostriatal neuro-circuitry. Method: We compared cognitive function using the CANTAB battery in patients with schizo-OCD (n=12) and a schizophrenia group without OCD symptoms (n=16). The groups were matched for IQ, gender, age, medication, and duration of illness. Results: The schizo-OCD patients made significantly more errors on a task of attentional set-shifting (ID-ED set-shift task). By contrast, no significant differences emerged on the Stockings of Cambridge task, the Cambridge Gamble Task or the Affective Go/NoGo tasks. No correlation emerged between ID-ED performance and severity of schizophrenia, OCD or depressive symptoms, consistent with neurocognitive impairment holding trait rather than state-marker status. Schizo-obsessives also exhibited a trend toward more motor tics emphasizing a neurological contribution to the disorder. Conclusion: Our findings reveal a more severe attentional set-shifting deficit and neurological abnormality that may be fundamental to the neuro-cognitive profile of schizo-OCD. The clinical implications of these impairments merit further exploration in larger studies.

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  • OCD and schizophrenia patients may exhibit abnormal neural activities in frontostriatal and frontoparietal networks while performing tasks related to inhibition and shifting, suggesting disrupted inhibition-related and shifting-related circuitries as shared deficits across these two disorders.

    “Obsessive-compulsive disorder patients and SCZ patients may exhibit abnormal neural activities in the frontostriatal (eg, cingulate cortex, dorsolateral prefrontal cortex) and frontoparietal (eg, parietal cortex) networks while performing tasks related to inhibition 26 ,29-31 and shifting, 14 ,32-35 suggesting disrupted inhibition-related and shifting-related circuitries as shared deficits across”

    From Cognitive Inflexibility Shares Across Schizophrenia and Obsessive-Compulsive Disorder: A Task-Based Functional MRI Study (2025) · cites this paper as [14]

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Research works printed but not linked: 2

  1. Bermanzohn PC, Porto L, Arlow PB, Pollack S, Stronger R, Siris SG (2000). Hierarchial diagnosis in chronic schizophrenia : a clinical study co-occurring syndromes. Schizophrenia Bulletin 26, 517-525.
  2. Bleuler E. (1911). The Fundamental Symptoms of Dementia Praecox or the Group of Schizophrenias. International Universities Press : New York.

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Authors
Patel, D. D., Laws, K. R., Padhi, A., Farrow, J. M., Mukhopadhaya, K., Krishnaiah, R., & Fineberg, N. A.
Affiliations
  • University of Hertfordshire (GB)
  • Queen Elizabeth II Hospital (GB)
Corresponding author
Laws, K. R.
Venue
Psychological Medicine
Published
2009-10-12
Volume
40
Issue
6
Pages
921-933
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
OpenAlex
W2163955534
Cited by
82
References
102
Citations by year
2025: 3 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 11 · 2014: 12 · 2013: 8 · 2012: 5
FWCI
3.29
Type
journal article
Language
en
Open access
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
Funders
University of Hertfordshire
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
schizo-obsessive disorder, schizophrenia, obsessive-compulsive disorder, comorbidities, neurocognitive impairment, set-shifting, inhibitory control, frontostriatal circuits, motor tics, neuropsychology, CANTAB
MeSH terms
Adult, Affect, Aged, Attention, Corpus Striatum, Diagnosis, Differential, Discrimination, Psychological, Female, Frontal Lobe, Humans, Male, Middle Aged, Nerve Net, Neuropsychological Tests, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Psychomotor Performance, Reaction Time, Schizophrenia, Schizophrenic Psychology, Semantics, Comorbidity, Diagnosis, Dual (Psychiatry), Young Adult, Executive Function

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