Cited by 272Obsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology ResearchNeural and Behavioral Psychology Studies

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Cortical Abnormalities Associated With Pediatric and Adult Obsessive-Compulsive Disorder: Findings From the ENIGMA Obsessive-Compulsive Disorder Working Group

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Boedhoe, Premika S.W., Schmaal, Lianne, Abe, Yoshinari, Alonso, Pino, Ameis, Stephanie H., Anticevic, Alan, Arnold, Paul D., Batistuzzo, Marcelo C., Benedetti, Francesco, Beucke, Jan C., Bollettini, Irene, Bose, Anushree, Brem, Silvia, Calvo, Anna, Calvo, Rosa, Cheng, Yuqi, Cho, Kang Ik K., Ciullo, Valentina, Dallaspezia, Sara, Denys, Damiaan, Feusner, Jamie D., Fitzgerald, Kate D., Fouche, Jean-Paul, Fridgeirsson, Egill A., Gruner, Patricia, Hanna, Gregory L., Hibar, Derrek P., Hoexter, Marcelo Q., Hu, Hao, Huyser, Chaim, Jahanshad, Neda, James, Anthony, Kathmann, Norbert, Kaufmann, Christian, Koch, Kathrin, Kwon, Jun Soo, Lazaro, Luisa, Lochner, Christine, Marsh, Rachel, Martínez-Zalacaín, Ignacio, Mataix-Cols, David, Menchón, José M., Minuzzi, Luciano, Morer, Astrid, Nakamae, Takashi, Nakao, Tomohiro, Narayanaswamy, Janardhanan C., Nishida, Seiji, Nurmi, Erika, O’Neill, Joseph, Piacentini, John, Piras, Fabrizio, Piras, Federica, Reddy, Y.C. Janardhan, Reess, Tim J., Sakai, Yuki, Sato, Joao R., Simpson, H. Blair, Soreni, Noam, Soriano-Mas, Carles, Spalletta, Gianfranco, Stevens, Michael C., Szeszko, Philip R., Tolin, David F., van Wingen, Guido A., Venkatasubramanian, Ganesan, Walitza, Susanne, Wang, Zhen, Yun, Je-Yeon, ENIGMA-OCD Working Group, Thompson, Paul M., Stein, Dan J., van den Heuvel, Odile A., Boedhoe, Premika S.W., Schmaal, Lianne, Abe, Yoshinari, Alonso, Pino, Ameis, Stephanie H., Anticevic, Alan, Arnold, Paul D., Bargalló, Nuria, Batistuzzo, Marcelo C., Benedetti, Francesco, Beucke, Jan C., Bollettini, Irene, Bose, Anushree, Brandeis, Daniel, Brem, Silvia, Buimer, Elizabeth, Busatto, Geraldo F., Calvo, Anna, Calvo, Rosa, Cheng, Yuqi, Cho, Kang Ik K., Ciullo, Valentina, Dallaspezia, Sara, de Vries, Froukje E., de Wit, Stella J., Denys, Damiaan, Drechsler, Renate, Falini, Andrea, Fang, Yu, Feusner, Jamie D., Figee, Martijn, Fitzgerald, Kate D., Fontaine, Martine, Fouche, Jean-Paul, Fridgeirsson, Egill A., Gruner, Patricia, Hanna, Gregory L., Hauser, Tobias U., Hibar, Derrek P., Hoexter, Marcelo Q., Hu, Hao, Huyser, Chaim, Iorio, Mariangela, Jahanshad, Neda, James, Anthony, Kathmann, Norbert, Kaufmann, Christian, Khadka, Sabin, Koch, Kathrin, Kwon, Jun Soo, Lazaro, Luisa, Liu, Yanni, Lochner, Christine, Marsh, Rachel, Martínez-Zalacaín, Ignacio, Mataix-Cols, David, McCracken, James T., Menchón, José M., Miguel, Euripedes C., Minuzzi, Luciano, Morer, Astrid, Nakamae, Takashi, Nakao, Tomohiro, Narayanaswamy, Janardhanan C., Narumoto, Jin, Nishida, Seiji, Nurmi, Erika, O’Neill, Joseph, Pariente, Jose C., Piacentini, John, Pittenger, Christopher, Piras, Fabrizio, Piras, Federica, Poletti, Sara, Reddy, Y.C. Janardhan, Reess, Tim J., Rus, Oana G., Sakai, Yuki, Sato, Joao R., Simpson, H. Blair, Soreni, Noam, Soriano-Mas, Carles, Spalletta, Gianfranco, Stevens, Michael C., Szeszko, Philip R., Tang, Jinsong, Tolin, David F., van der Werf, Ysbrand D., van Wingen, Guido A., Vecchio, Daniela, Veltman, Dick J., Venkatasubramanian, Ganesan, Walitza, Susanne, Wang, Zhen, Watanabe, Anri, Xu, Jian, Xu, Xiufeng, Yamada, Kei, Yun, Je-Yeon, Zarei, Mojtaba, Zhao, Qing, Thompson, Paul M., Stein, Dan J., van den Heuvel, Odile A.·2018·American Journal of Psychiatry

DOI 10.1176/appi.ajp.2017.17050485PMC PMC7106947

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Abstract

OBJECTIVE: Brain imaging studies of structural abnormalities in OCD have yielded inconsistent results, partly because of limited statistical power, clinical heterogeneity, and methodological differences. The authors conducted meta- and mega-analyses comprising the largest study of cortical morphometry in OCD ever undertaken. METHOD: -weighted MRI scans of 1,905 OCD patients and 1,760 healthy controls from 27 sites worldwide were processed locally using FreeSurfer to assess cortical thickness and surface area. Effect sizes for differences between patients and controls, and associations with clinical characteristics, were calculated using linear regression models controlling for age, sex, site, and intracranial volume. RESULTS: In adult OCD patients versus controls, we found a significantly lower surface area for the transverse temporal cortex and a thinner inferior parietal cortex. Medicated adult OCD patients also showed thinner cortices throughout the brain. In pediatric OCD patients compared with controls, we found significantly thinner inferior and superior parietal cortices, but none of the regions analyzed showed significant differences in surface area. However, medicated pediatric OCD patients had lower surface area in frontal regions. Cohen's d effect sizes varied from -0.10 to -0.33. CONCLUSIONS: The parietal cortex was consistently implicated in both adults and children with OCD. More widespread cortical thickness abnormalities were found in medicated adult OCD patients, and more pronounced surface area deficits (mainly in frontal regions) were found in medicated pediatric OCD patients. These cortical measures represent distinct morphological features and may be differentially affected during different stages of development and illness, and possibly moderated by disease profile and medication.

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Authors: Boedhoe, P. S. W., Schmaal, L., Abe, Y., Alonso, P., Ameis, S. H., Anticevic, A., Arnold, P. D., Batistuzzo, M. C., Benedetti, F., Beucke, J. C., Bollettini, I., Bose, A., Brem, S., Calvo, A., Calvo, R., Cheng, Y., Cho, K. I. K., Ciullo, V., Dallaspezia, S., Denys, D., Feusner, J. D., Fitzgerald, K. D., Fouche, J.-P., Fridgeirsson, E. A., Gruner, P., Hanna, G. L., Hibar, D. P., Hoexter, M. Q., Hu, H., Huyser, C., Jahanshad, N., James, A., Kathmann, N., Kaufmann, C., Koch, K., Kwon, J. S., Lazaro, L., Lochner, C., Marsh, R., Martínez-Zalacaín, I., Mataix-Cols, D., Menchón, J. M., Minuzzi, L., Morer, A., Nakamae, T., Nakao, T., Narayanaswamy, J. C., Nishida, S., Nurmi, E., O’Neill, J., Piacentini, J., Piras, F., Piras, F., Reddy, Y. C. J., Reess, T. J., Sakai, Y., Sato, J. R., Simpson, H. B., Soreni, N., Soriano-Mas, C., Spalletta, G., Stevens, M. C., Szeszko, P. R., Tolin, D. F., van Wingen, G. A., Venkatasubramanian, G., Walitza, S., Wang, Z., Yun, J.-Y., ENIGMA-OCD Working Group, Thompson, P. M., Stein, D. J., van den Heuvel, O. A., Boedhoe, P. S. W., Schmaal, L., Abe, Y., Alonso, P., Ameis, S. H., Anticevic, A., Arnold, P. D., Bargalló, N., Batistuzzo, M. C., Benedetti, F., Beucke, J. C., Bollettini, I., Bose, A., Brandeis, D., Brem, S., Buimer, E., Busatto, G. F., Calvo, A., Calvo, R., Cheng, Y., Cho, K. I. K., Ciullo, V., Dallaspezia, S., de Vries, F. E., de Wit, S. J., Denys, D., Drechsler, R., Falini, A., Fang, Y., Feusner, J. D., Figee, M., Fitzgerald, K. D., Fontaine, M., Fouche, J.-P., Fridgeirsson, E. A., Gruner, P., Hanna, G. L., Hauser, T. U., Hibar, D. P., Hoexter, M. Q., Hu, H., Huyser, C., Iorio, M., Jahanshad, N., James, A., Kathmann, N., Kaufmann, C., Khadka, S., Koch, K., Kwon, J. S., Lazaro, L., Liu, Y., Lochner, C., Marsh, R., Martínez-Zalacaín, I., Mataix-Cols, D., McCracken, J. T., Menchón, J. M., Miguel, E. C., Minuzzi, L., Morer, A., Nakamae, T., Nakao, T., Narayanaswamy, J. C., Narumoto, J., Nishida, S., Nurmi, E., O’Neill, J., Pariente, J. C., Piacentini, J., Pittenger, C., Piras, F., Piras, F., Poletti, S., Reddy, Y. C. J., Reess, T. J., Rus, O. G., Sakai, Y., Sato, J. R., Simpson, H. B., Soreni, N., Soriano-Mas, C., Spalletta, G., Stevens, M. C., Szeszko, P. R., Tang, J., Tolin, D. F., van der Werf, Y. D., van Wingen, G. A., Vecchio, D., Veltman, D. J., Venkatasubramanian, G., Walitza, S., Wang, Z., Watanabe, A., Xu, J., Xu, X., Yamada, K., Yun, J.-Y., Zarei, M., Zhao, Q., Thompson, P. M., Stein, D. J., & van den Heuvel, O. A.
Affiliations: The University of Melbourne (AU)
ORCID: Buimer, Elizabeth
Busatto, Geraldo F.
Drechsler, Renate
Falini, Andrea
Fang, Yu
Figee, Martijn
Hauser, Tobias U.
Iorio, Mariangela
Liu, Yanni
Narumoto, Jin
Pariente, Jose C.
Pittenger, Christopher
Poletti, Sara
Tang, Jinsong
Vecchio, Daniela
Veltman, Dick J.
Xu, Jian
Xu, Xiufeng
Yamada, Kei
Zarei, Mojtaba
Zhao, Qing
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2018-05-01
Volume: 175
Issue: 5
Pages: 453-462
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.2017.17050485
PMC: PMC7106947
OpenAlex: W2608867270
Cited by: 271
References: 47
Citations by year: 2026: 24 · 2025: 27 · 2024: 32 · 2023: 32 · 2022: 36 · 2021: 51 · 2020: 27 · 2019: 35 · 2018: 7
FWCI: 23.74
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion, other-oa)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
PubMed Central (acceptedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
mediaTUM (Technical University of Munich) (submittedVersion)
KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (submittedVersion)
KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (submittedVersion)
Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
Funders: National Science Foundation
Bristol-Myers Squibb
Eli Lilly and Company
Pfizer
AstraZeneca
Yale University
University of Southern California
International OCD Foundation
Hamilton Health Sciences
Tourette Association of America
Sunovion
National Alliance for Research on Schizophrenia and Depression (U54 EB020403)
Wellcome Trust (EU-FP7-, 500236/Z/11/Z, U54 EB020403, 064846, /Z/11/Z)
Canadian Network for Mood and Anxiety Treatments
Palo Alto Health Sciences
National Institute of Mental Health and Neurosciences
Universidade Federal do ABC
University of Cambridge
University of Oxford
South African Medical Research Council
Department of Biotechnology, Ministry of Science and Technology, India (BT/06/IYBA/2012., 500236/ Z/11/Z)
Department of Science and Technology, Ministry of Science and Technology, India (IFA 12-LSBM 26, /PR13334/Med/30/259/2009, SR/S0/HS/0016/2011, IFA-12)
Deutsche Forschungsgemeinschaft (U54 EB020403, KO 3744/2-1)
Ministry of Education, Culture, Sports, Science and Technology (26461753)
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (130237, 320030)
Koninklijke Nederlandse Akademie van Wetenschappen
ZonMw (907-00-012, 920-03-542)
Universiteit van Amsterdam
Vrije Universiteit Amsterdam
Bundesministerium für Bildung und Forschung (U54 EB020403)
Seoul National University
Ministero della Salute
Nederlandse Organisatie voor Wetenschappelijk Onderzoek (916-86-038, 912-02-050, 907-00-012, 916.86.036, 940-37-018, 917-15-318, 920-03-542)
University of Toronto
Kunming Medical University
Karolinska Institutet
Seoul National University Hospital
Shanghai Jiao Tong University
Universidade de São Paulo
Technische Universität München
Universitat de Barcelona
Hospital for Sick Children
Humboldt-Universität zu Berlin
Universität Zürich
Centro de Investigación Biomédica en Red de Salud Mental
University of Cape Town
NOMIS Stiftung
The Wellcome Trust DBT India Alliance (500236/Z/11/Z)
Universitat Autònoma de Barcelona
Servier
Olga Mayenfisch Stiftung
H. Lundbeck A/S
Museo Storico della Fisica e Centro Studi e Ricerche Enrico Fermi
Amsterdam Neuroscience
Hamilton Health Sciences Foundation
National Institutes of Health (12-13)
University of California, Los Angeles (U54 EB020403)
Allergan
Campbell Family Mental Health Research Institute
Mathison Centre for Mental Health Research and Education
Cumming School of Medicine, University of Calgary
Department of Psychiatry, Columbia University
Pfizer Pharmaceuticals
College of Medicine, Seoul National University
Canadian Institutes of Health Research
Medical Research Council (U54 EB020403, EU FP7)
Japan Society for the Promotion of Science (26461753)
Agència de Gestió d'Ajuts Universitaris i de Recerca (2014 SGR 1672)
Instituto de Salud Carlos III (PI13/01958, PI14/00413, PI14/, PI13/00918, PI040829, CP10/00604)
School of Medicine, Shanghai Jiao Tong University
European Regional Development Fund (PI14/00413, PI13/01958)
National Institute of Mental Health (R01MH101163, R01MH085900, R01MH074934, R01MH081864, R21MH110865, K23MH115206)
National Institute of Biomedical Imaging and Bioengineering (U54EB020403)
Clinical and Translational Science Institute, University of California, Los Angeles
Cilag
Topics: Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords: obsessive-compulsive disorder, cortical thickness, cortical surface area, parietal cortex, pediatric OCD, medication effects, brain morphometry, brain development
MeSH terms: Adolescent, Adult, Cerebral Cortex, Child, Frontal Lobe, Humans, Magnetic Resonance Imaging, Obsessive-Compulsive Disorder, Parietal Lobe, Reference Values, Temporal Lobe, Age of Onset, Young Adult

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Cortical Abnormalities Associated With Pediatric and Adult Obsessive-Compulsive Disorder: Findings From the ENIGMA Obsessive-Compulsive Disorder Working Group

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