Impaired Set-Shifting Ability and Therapeutic Response in Obsessive-Compulsive Disorder
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Set-shifting ability and therapeutic response to serotonin reuptake inhibitors were investigated in 20 patients with obsessive-compulsive disorder. A clear relationship was found between impaired performance on two Wisconsin Card Sorting subtests (categories completed and perseverative errors) and positive treatment response.
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There is no consensus in the literature regarding the links between treatment resistance and OCD patients' alterations of cognitive functions.
“There is no consensus in the literature regarding the links between treatment resistance and OCD patients’ alterations of cognitive functions [37–41].”
From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [41]
The Discussion (page unavailable) reports an association between impaired set-shifting and positive short-term treatment response in patients with OCD. It calls the study preliminary and says the authors knew of no previous report of that association, which supports uncertainty about the link. It does not assess a literature-wide consensus or specifically establish a link with treatment resistance. (LLM, conf=0.82)
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“There is no consensus in the literature regarding the links between treatment resistance and OCD patients ’ alterations of cognitive functions [37 – 41].”
- Authors
- Fontenelle, L., Marques, C., Engelhardt, E., & Versiani, M.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Received July 19, 2000; revised October 19, 2000; accepted October 26, 2000. From the Anxiety and Depression Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro (IPUB/UFRJ), and the Neuropsychology Section, Institute of Neurology Deolindo Couto, Federal University of Rio de Janeiro (INDC/UFRJ), Rio de Janeiro, Brazil. Address correspondence to Dr. Fontenelle, Rua Lopes Trovão 88 apt 1501 Bl. A-Icaraí-Niterói-RJ-Brazil-CEP 24220-071.
- Venue
- The Journal of Neuropsychiatry and Clinical Neurosciences
- Published
- 2001-11
- Volume
- 13
- Issue
- 4
- Pages
- 508-510
- ISSN
- 0895-0172 (ISSN-L)
- 1545-7222
- OpenAlex
- W1996757037
- Cited by
- 32
- References
- 11
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 3 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neuropsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- obsessive-compulsive disorder, set-shifting, executive function, Wisconsin Card Sorting Test, perseverative errors, serotonin reuptake inhibitors, treatment response, cognitive impairment
- MeSH terms
- Adult, Attention, Discrimination Learning, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Obsessive-Compulsive Disorder, Set, Psychology, Treatment Outcome, Selective Serotonin Reuptake Inhibitors
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