Obsessive-Compulsive Disorder Is Associated With Broad Impairments in Executive Function: A Meta-Analysis

Hannah R. Snyder, Roselinde H. Kaiser, Stacie L. Warren, Wendy Heller

Research output: Contribution to journalReview article

Abstract

Obsessive-compulsive disorder (OCD) is a serious and often chronically disabling condition. The current dominant model of OCD focuses on abnormalities in prefrontal-striatal circuits that support executive function (EF). Although there is growing evidence for EF impairments associated with OCD, results have been inconsistent, which makes the nature and magnitude of these impairments controversial. The current meta-analysis uses random-effects models to synthesize 110 studies in which participants with OCD were compared with healthy control participants on at least one neuropsychological measure of EF. The results indicate that individuals with OCD are impaired on tasks measuring most aspects of EF, consistent with broad impairment in EF. EF deficits were not explained by general motor slowness or depression. Effect sizes were largely stable across variation in demographic and clinical characteristics of samples, although medication use, age, and gender moderated some effects.

Original languageEnglish (US)
Pages (from-to)301-330
Number of pages30
JournalClinical Psychological Science
Volume3
Issue number2
DOIs
StatePublished - Mar 1 2015

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Obsessive-Compulsive Disorder
Executive Function
Meta-Analysis
Corpus Striatum
Healthy Volunteers
Demography
Depression

Keywords

  • executive function
  • meta-analysis
  • obsessive-compulsive disorder

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Obsessive-Compulsive Disorder Is Associated With Broad Impairments in Executive Function : A Meta-Analysis. / Snyder, Hannah R.; Kaiser, Roselinde H.; Warren, Stacie L.; Heller, Wendy.

In: Clinical Psychological Science, Vol. 3, No. 2, 01.03.2015, p. 301-330.

Research output: Contribution to journalReview article

Snyder, Hannah R. ; Kaiser, Roselinde H. ; Warren, Stacie L. ; Heller, Wendy. / Obsessive-Compulsive Disorder Is Associated With Broad Impairments in Executive Function : A Meta-Analysis. In: Clinical Psychological Science. 2015 ; Vol. 3, No. 2. pp. 301-330.
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