Executive functions in obsessive–compulsive disorder: an activation likelihood estimate meta-analysis of fMRI studies
Abstract
OBJECTIVES: To identify activation changes assessed in functional magnetic resonance imaging (fMRI) studies of obsessive-compulsive disorder (OCD) through Activation Likelihood Estimate meta-analysis. METHODS: We included 28 peer-reviewed standard stereotactic space studies assessing adult OCD patients (OCDpts) vs. healthy controls (HCs) with fMRI during executive task performance. RESULTS: In within-group analyses, HCs showed task-related activations in bilateral inferior frontal gyri, right middle frontal gyrus, right inferior parietal lobule, right claustrum, bilateral cingulate gyri, and left caudate body. OCDpts showed task-related left-sided activations in the superior, medial, and inferior frontal gyri, and thalamus, and bilateral activations in the middle frontal gyri, inferior parietal lobule, and insular cortices. Subtraction analysis showed increased left middle frontal gyrus activation in OCDpts. In between-groups analyses, OCDpts hypoactivated the right caudate body, left putamen, left ACC, and right medial and middle frontal gyri. Right caudate hypoactivation persisted also after applying Family-wise error algorithms. CONCLUSIONS: This meta-analysis confirms that during executive functioning OCDpts show a functional deficit of the right caudate body, which could represent a major neural functional correlate of their illness.
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Existing fMRI meta-analyses of fewer experiments found aberrant activation of several brain regions, most consistently the prefrontal cortex, the anterior cingulate cortex, insula, and the dorsal striatum.
“Existing fMRI meta-analyses of fewer experiments found aberrant activation of several brain regions, most consistently the prefrontal cortex, the anterior cingulate cortex, insula, and the dorsal striatum (Brem et al., 2012, Carlisi et al., 2017, Del Casale et al., 2016, Eng et al., 2015, Menzies et al., 2008, Norman et al., 2016, Norman et al., 2019).”
From Inhibitory control in obsessive compulsive disorder: a systematic review and activation likelihood estimation meta-analysis of functional magnetic resonance imaging studies (2022) · cites this paper as Del Casale et al., 2016
Brem et al. (2012), Del Casale et al. (2016), Eng et al. (2015) and Menzies et al. (2008) used ALE in their reviews.
“Brem et al. (2012); Del Casale et al. (2016); Eng et al. (2015) and Menzies et al. (2008) used ALE in their reviews.”
From Inhibitory control in obsessive compulsive disorder: a systematic review and activation likelihood estimation meta-analysis of functional magnetic resonance imaging studies (2022) · cites this paper as Del Casale et al., 2016
Del Casale et al. (2016) performed adequately powered ALE meta-analyses on activation differences between OCD patients and HC subjects in executive function fMRI experiments and found that only hypoactivation of the right caudate body in OCD patients survived thresholding using the optimal cluster-level FWE correction at P < .05.
“Del Casale et al. (2016) performed adequately powered ALE meta-analyses on activation differences between OCD patients and HC subjects in executive function fMRI experiments and found that only hypoactivation of the right caudate body in OCD patients survived thresholding using the optimal cluster-level FWE correction at P < .05.”
From Inhibitory control in obsessive compulsive disorder: a systematic review and activation likelihood estimation meta-analysis of functional magnetic resonance imaging studies (2022) · cites this paper as Del Casale et al., 2016
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Current Psychopharmacology of Obsessive-Compulsive Spectrum Disorders
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Cognitive Expression of Obsessive-Compulsive Disorder and Domain-Specificity of Induction
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The anatomy of obsessive-compulsive disorderPreprint
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- Authors
- Del Casale, A., Rapinesi, C., Kotzalidis, G. D., De Rossi, P., Curto, M., Janiri, D., Criscuolo, S., Alessi, M. C., Ferri, V. R., De Giorgi, R., Sani, G., Ferracuti, S., Girardi, P., & Brugnoli, R.
- Affiliations
- Department of Neuroscience, Mental Health, and Sensory Organs (NESMOS), School of Medicine and Psychology, Sapienza University; Unit of Psychiatry, Sant’andrea Hospital, Rome, Italy;
- Azienda Ospedaliera Sant'Andrea (IT)
- Department of Pathology, Foundation Year 2, Aberdeen Royal Infirmary (NHS Grampian), Aberdeen, UK
- ORCID
- Venue
- The World Journal of Biological Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2015-12-07
- Volume
- 17
- Issue
- 5
- Pages
- 378-393
- ISSN
- 1562-2975 (ISSN-L)
- 1814-1412
- OpenAlex
- W2209263194
- Cited by
- 63
- References
- 127
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 4 · 2022: 9 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 2
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The World Journal of Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- obsessive-compulsive disorder, executive function, frontal cortex, anterior cingulate cortex, putamen, thalamus, inferior frontal gyrus, inferior parietal lobule, insula
- MeSH terms
- Arousal, Brain, Brain Mapping, Caudate Nucleus, Dominance, Cerebral, Humans, Magnetic Resonance Imaging, Obsessive-Compulsive Disorder, Reference Values, Thalamus, Likelihood Functions, Prefrontal Cortex, Executive Function
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