Performance monitoring in obsessive–compulsive disorder: A temporo-spatial principal component analysis
Open accessAbstract
Hyperactive performance monitoring is a robust finding in obsessive-compulsive disorder (OCD). Patients show increased amplitudes of the error-related negativity (ERN) and correct-related negativity (CRN). Recently, two temporo-spatial factors were shown to contribute to both ERPs in healthy individuals. In the present study, it was investigated whether the factor structure underlying ERN and CRN is similar in OCD and which factors differ between groups. A principal component analysis (PCA) was employed to investigate the temporo-spatial factor structure of ERN and CRN. Twenty-six OCD patients and 26 healthy controls conducted a flanker task. EEG data were analyzed as conventional ERP components and as factor scores derived from temporo-spatial PCA. ERP results showed expected increases in ERN and CRN amplitudes in OCD patients. For both groups, the PCA confirmed the assumed factor structure of a central and a fronto-parietal factor contributing to ERN and CRN. Factor scores of both factors were differently affected by response correctness in OCD. Alterations in factor scores indicate increased activity in both an outcome-independent monitoring process and an error-sensitive process, contributing to overactive performance monitoring in OCD.
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Two studies that did not give participants feedback about their responses observed a significant or marginally significant decrease in the amplitude of OCD patients' Pe component.
“Indeed, two studies that did not give participants feedback about their responses observed a significant or marginally significant decrease in the amplitude of OCD patients’ Pe component [31, 32].”
From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [32]
The ERP results report significantly reduced error-related positivity in OCD patients at the frontal electrode FCz (p = .018), and the task procedure describes no response feedback. But the Discussion distinguishes this frontal or early Pe finding from the conventional parietal Pe, which did not differ between groups. This paper therefore supports the claim only if “Pe component” means the frontal Pe; it does not support an unqualified decrease in Pe amplitude. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPatients included in previous studies that showed a significant increase in ERN/CRN amplitude of OCD patients compared with controls had significantly less severe forms of the disorder, with mean Y-BOCS scores ranging from 17 to 22.5.
“In comparison, patients included in previous studies that showed a significant increase in the ERN/CRN amplitude of OCD patients compared with controls [8, 9, 26, 28–30, 32] had significantly less severe forms of the disorder, with mean Y‐BOCS scores ranging from 17 to 22.5.”
From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [32]
Table 1 (page unavailable) reports a mean Y-BOCS score of 22.3 for this study’s OCD patients, within the claimed range. The ERP results report significantly greater ERN amplitudes than in controls, but CRN group differences reached only trend level. The paper does not establish that its patients had significantly less severe OCD than those in the citing study. (LLM, conf=0.82)
Experimental — accuracy not yet measuredSuch a large difference between the Pe/Pc of OCD patients and controls has not yet been reported in the literature, although two studies have already shown a decrease in Pe amplitude in patients compared with controls.
“Such a large difference between the Pe/Pc of OCD patients and controls has not yet been reported in the literature, although two studies have already shown a decrease in Pe amplitude in patients compared with controls [23, 32].”
From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [32]
The Discussion reports a reduced frontal, early Pe in OCD patients compared with healthy controls, supporting this paper as one study behind the cited decrease. It also says the conventional Pe did not differ between groups, so the unqualified claim about Pe amplitude is broader than this paper’s finding. The statement about how unusually large the citing study’s Pe/Pc difference is appears to be the citing authors’ own comparison. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTreatment with a serotonin reuptake inhibitor (SRI) has no effect on the ERN.
“Because studies have indicated that treatment with a serotonin reuptake inhibitor (SRI) has no effect on the ERN, 43 patients were enrolled taking a stable dose of an SRI but no other medications [15, 17–19, 27].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
The ERP results (page unavailable) found no statistically significant medication effect on ERN/CRN peak amplitudes in patients with OCD. But they reported a trend toward attenuated amplitudes in patients taking SSRIs, and the PCA results found a significant medication effect on a factor contributing to the ERN. The paper therefore does not establish the unqualified claim that SRI treatment has no effect on the ERN. (LLM, conf=0.88)
Experimental — accuracy not yet measuredOf the eight studies examining the Pe in adults with OCD, the others found no differences between OCD cases and healthy controls.
“Of the eight studies examining the Pe in adults with OCD, one found a diminished Pe with the others finding no differences between OCD cases and HC [8, 27].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
The Discussion (page unavailable) says the Pe did not differ between OCD and control groups, consistent with four earlier studies, supporting the no-difference finding for those studies. It does not establish that eight adult studies were examined or that all the other studies found no difference; it also reports reduced frontal positivity in the present OCD group. (LLM, conf=0.85)
Experimental — accuracy not yet measured
It is doubtful that brain potentials would be different with a more diverse or untreated sample.
“Participants were primarily Caucasian and treatment was uncontrolled; however, it is doubtful that brain potentials would be different with a more diverse or untreated sample [8, 15–17, 25, 27, 42].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
The Discussion (page unavailable) says medication did not appear to account for overactive performance monitoring, supporting the suggestion that the main finding would persist in unmedicated patients. But the ERP and PCA Results (pages unavailable) report medication-related amplitude trends and a significant difference in one PCA factor, so the paper does not establish that brain potentials would be unchanged. It does not address whether a more ethnically diverse sample would produce the same results. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOCD patients appear to make more errors than controls in the flanker task when the central arrow is presented for very short times (10-12 ms) as in the present study but not when the central arrow is displayed for longer times (30-50 ms).
“Indeed, OCD patients appear to make more errors than controls in the flanker task when the central arrow is presented for very short times (10–12 ms) as in the present study [11] but not when the central arrow is displayed for longer times (30–50 ms, [8, 9, 32]).”
From Error-Related Brain Potentials as Biomarkers of Pathology Severity and Treatment Resistance in Patients With Obsessive-Compulsive Disorder (2026) · cites this paper as [32]
An increased CRN was found in pediatric OCD cases, consistent with several studies of adult OCD cases.
“Our finding of an increased CRN in pediatric OCD cases is consistent with several studies of adult OCD cases [18, 19, 27].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
Of the eight studies examining the Pe in adults with OCD, one found a diminished Pe.
“Of the eight studies examining the Pe in adults with OCD, one found a diminished Pe with the others finding no differences between OCD cases and HC [8, 27].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
In pediatric OCD cases, ΔPe and Peresid were decreased along with an increased Pc and Pcresid.
“In contrast to most studies of performance monitoring in OCD, we found a decreased ΔPe and Peresid along with an increased Pc and Pcresid, in pediatric OCD cases (Table 1) [8, 26, 27].”
From Altered Error Monitoring and Decreased Flanker Task Accuracy in Pediatric Obsessive–Compulsive Disorder (2026) · cites this paper as [27]
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Performance monitoring in obsessive–compulsive disorder and social anxiety disorder.
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Reduced P300 in depression: Evidence from a flanker task and impact on ERN, CRN, and Pe
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Self-citationPresupplementary Motor Area Contributes to Altered Error Monitoring in Obsessive-Compulsive Disorder
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Self-citationModulation of hyperactive error signals in obsessive-compulsive disorder by dual-task demands
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Error-related brain activity dissociates hoarding disorder from obsessive-compulsive disorder
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Conflict monitoring and adaptation as reflected by N2 amplitude in obsessive–compulsive disorder
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Self-citationDo sensorimotor perturbations to standing balance elicit an error‐related negativity?
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An EEG signal classification method based on sparse auto-encoders and support vector machine
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Self-citationNeurocognitive Endophenotypes of OCD
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Performance monitoring in obsessive–compulsive undergraduates: Effects of task difficulty
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Self-citationEmotional interference under low versus high executive control
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“Many studies of anxiety/OCD and the ERN use a version of the task that provides indicators of performance at block breaks (e.g., Riesel et al., 2011; Klawohn et al., 2014; Weinberg et al., 2015).”
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Electroencephalographic Correlates of Obsessive-Compulsive Disorder
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“…than in control participants (H3; [6, 7]), whereas the Pe/Pc amplitudes were expected to be lower than in controls (H4), as previous studies suggest that this component may be of lower amplitude in patients than in controls when participants do not receive feedback about their response [31, 32].”
InfluentialThe neurocognitive correlates of compulsivity
Seow, X. F. T. (2020) · Arrow@dit (Dublin Institute of Technology)
Bellato, A., Norman, L. J., Idrees, I., Ogawa, C. Y., Waitt, A. E., Zuccolo, P. F., Tye, C., Raduà, J., Groom, M. J., & Shephard, E. (2021) · doi:10.31219/osf.io/t2kus
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- Authors
- Klawohn, J., Riesel, A., Grützmann, R., Kathmann, N., & Endrass, T.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- Corresponding author
- Klawohn, Julia
- Venue
- Cognitive, Affective, & Behavioral Neuroscience
- Published
- 2014-01-28
- Volume
- 14
- Issue
- 3
- Pages
- 983-995
- ISSN
- 1530-7026 (ISSN-L)
- 1531-135X
- OpenAlex
- W1972653561
- Cited by
- 49
- References
- 72
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 12 · 2020: 7 · 2019: 6 · 2017: 2 · 2016: 5 · 2015: 5 · 2014: 3
- FWCI
- 5.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cognitive Affective & Behavioral Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Deutsche Forschungsgemeinschaft (EN 906/1–1)
- Humboldt-Universität zu Berlin
- 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, performance monitoring, error-related negativity, event-related potentials, flanker task, error sensitivity
- MeSH terms
- Adult, Brain Mapping, Contingent Negative Variation, Electroencephalography, Evoked Potentials, Visual, Female, Humans, Functional Laterality, Male, Obsessive-Compulsive Disorder, Photic Stimulation, Psychiatric Status Rating Scales, Psychomotor Performance, Reaction Time, Principal Component Analysis, Young Adult
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