Error-related hyperactivity of the anterior cingulate cortex in obsessive-compulsive disorder.

Abstract:

BACKGROUND:Hyperactivity of the anterior cingulate cortex (ACC) in patients with obsessive-compulsive disorder (OCD) has been shown to increase with symptom provocation and to normalize with treatment-induced symptom reduction. Although the functional significance of anterior cingulate involvement in OCD remains unknown, electrophysiological evidence has linked this region to error-processing abnormalities in patients with OCD. In this functional magnetic resonance imaging (fMRI) study, we sought to further localize error-processing differences within the ACC of OCD patients compared with healthy subjects. METHODS:Event-related fMRI data were collected for eight OCD patients and seven healthy subjects during the performance of a simple cognitive task designed to elicit errors but not OCD symptoms. RESULTS:Both OCD patients and healthy subjects demonstrated dorsal ACC activation during error commission. The OCD patients exhibited significantly greater error-related activation of the rostral ACC than comparison subjects. Activity in this region was positively correlated with symptom severity in the patients. CONCLUSIONS:Error-processing abnormalities within the rostral anterior cingulate occur in the absence of symptom expression in patients with OCD.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Fitzgerald KD,Welsh RC,Gehring WJ,Abelson JL,Himle JA,Liberzon I,Taylor SF

doi

10.1016/j.biopsych.2004.10.038

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

287-94

issue

3

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(04)01161-8

journal_volume

57

pub_type

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