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Neuropsychology Review
Published in: Neuropsychology Review 1/2006

01-03-2006

Understanding Obsessive–Compulsive Disorder: Focus on Decision Making

Authors: Paolo Cavedini, Alessandra Gorini, Laura Bellodi

Published in: Neuropsychology Review | Issue 1/2006

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Abstract

Current approaches to obsessive-compulsive disorder (OCD) have suggested that neurobiological abnormalities play a crucial role in the etiology and course of this psychiatric illness. In particular, a fronto-subcortical circuit, including the orbitofrontal cortex, basal ganglia and thalamus appears to be involved in the expression of OCD symptoms. Neuropsychological studies have also shown that patients with OCD show deficits in cognitive abilities that are strictly linked to the functioning of the frontal lobe and its related fronto-subcortical structures, such as executive functioning deficits and insufficient cognitive-behavioral flexibility. This article focuses on decision making, an executive ability that plays a crucial role in many real-life situations, whereby individuals choose between pursuing strategies of action that involve only immediate reward and others based on long-term reward. Although the role of decision-making deficits in the evolution of OCD requires further research, the collected findings have significant implications for understanding the clinical and behavioral heterogeneity that characterizes individuals with OCD.
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Metadata
Title
Understanding Obsessive–Compulsive Disorder: Focus on Decision Making
Authors
Paolo Cavedini
Alessandra Gorini
Laura Bellodi
Publication date
01-03-2006
Publisher
Springer US
Published in
Neuropsychology Review / Issue 1/2006
Print ISSN: 1040-7308
Electronic ISSN: 1573-6660
DOI
https://doi.org/10.1007/s11065-006-9001-y