New developments in human neurocognition: clinical, genetic and brain imaging correlates of impulsivity and compulsivity
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Impulsivity and compulsivity represent useful conceptualizations that involve dissociable cognitive functions, which are mediated by neuroanatomically and neurochemically distinct components of cortico-subcortical circuitry. The constructs were historically viewed as diametrically opposed, with impulsivity being associated with risk-seeking and compulsivity with harm-avoidance. However, they are increasingly recognized to be linked by shared neuropsychological mechanisms involving dysfunctional inhibition of thoughts and behaviors. In this article, we selectively review new developments in the investigation of the neurocognition of impulsivity and compulsivity in humans, in order to advance our understanding of the pathophysiology of impulsive, compulsive, and addictive disorders and indicate new directions for research.
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Poor control over obsessions and compulsions in patients with OCD has been attributed to impairments in inhibitory control.
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Tasks that measure flexibility and set-shifting, like the WCST, may be suitable to measure compulsivity.
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Self-citationDoes Obsessive-Compulsive Personality Disorder Belong Within the Obsessive-Compulsive Spectrum?
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“An impaired ability to shift sets could indicate a diminished ability to disengage from repetitive acts or obsessive thoughts (13).”
- Authors
- Fineberg, N. A., Chamberlain, S. R., Goudriaan, A. E., Stein, D. J., Vanderschuren, L. J. M. J., Gillan, C. M., Shekar, S., Gorwood, P. A. P. M., Voon, V., Morein-Zamir, S., Denys, D., Sahakian, B. J., Moeller, F. G., Robbins, T. W., & Potenza, M. N.
- Affiliations
- University of Hertfordshire (GB)
- University of Cambridge (GB)
- Amsterdam UMC Location University of Amsterdam (NL)
- University of Cape Town (ZA)
- Utrecht University (NL)
- Queen Elizabeth II Hospital (GB)
- Inserm (FR)
- Netherlands Institute for Neuroscience (NL)
- Virginia Commonwealth University (US)
- Yale University (US)
- Corresponding author
- Fineberg, Naomi A
- ORCID
- Venue
- CNS Spectrums
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-02
- Volume
- 19
- Issue
- 1
- Pages
- 69-89
- ISSN
- 1092-8529 (ISSN-L)
- 2165-6509
- PMC
- PMC4113335
- OpenAlex
- W2087042918
- Cited by
- 488
- References
- 258
- Citations by year
- 2026: 19 · 2025: 29 · 2024: 31 · 2023: 31 · 2022: 45 · 2021: 47 · 2020: 84 · 2019: 54 · 2018: 41 · 2017: 32 · 2016: 27 · 2015: 27 · 2014: 19 · 2013: 1 · 2012: 1
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- green
- pure.knaw.nl
- Licence
- Locations
- CNS Spectrums (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (publishedVersion, other-oa)
- PubMed Central (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Anglia Ruskin Research Online (Anglia Ruskin University) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- ePrints Soton (University of Southampton) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (submittedVersion, other-oa)
- Funders
- National Center for Responsible Gaming
- Yale University
- Wellcome Trust (089589/Z/09/Z, 093875/Z/10/Z, 89589/Z/09/Z)
- Academy of Medical Sciences (AMS-SGCL10-Chamberlain)
- ZonMw (91207006, 31160003)
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (31160003)
- National Institutes of Health (UL1TR000058, 5p50da009262-20, DA027844)
- National Institute on Alcohol Abuse and Alcoholism (AA017539, RL1AA017539)
- National Institute on Drug Abuse (#P50 DA009262, R01DA022628, P20DA024157, P50DA033935, R01DA018647, R01DA035058, R01DA019039, P20DA027844, DA027844, DA022628)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- impulsivity, compulsivity, neurocognitive function, inhibitory control, risk seeking, harm avoidance, addiction, genetic correlates, neuroimaging, neuropsychology
- MeSH terms
- Animals, Compulsive Behavior, Humans, Impulsive Behavior, Prognosis, Behavior, Addictive, Cognitive Science, Substance-Related Disorders
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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