Skip to main content
Top
Published in: European Archives of Psychiatry and Clinical Neuroscience 3/2013

01-04-2013 | Original Paper

Impaired volitional saccade control: first evidence for a new candidate endophenotype in obsessive–compulsive disorder

Authors: Lisa Kloft, Benedikt Reuter, Anja Riesel, Norbert Kathmann

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 3/2013

Login to get access

Abstract

Recent research suggests that patients with obsessive–compulsive disorder (OCD) have deficits in the volitional control of saccades. Specific evidence comes from increased latencies of saccadic eye movements when they were volitionally executed but not when they were visually guided. The present study sought to test whether this deviance represents a cognitive endophenotype. To this end, first-degree relatives of OCD patients as genetic risk carriers were compared with OCD patients and healthy controls without a family history of OCD. Furthermore, as volitional response generation comprises selection and initiation of the required response, the study also sought to specify the cognitive mechanisms underlying impaired volitional response generation. Twenty-two unaffected first-degree relatives of OCD patients, 22 unmedicated OCD patients, and 22 healthy comparison subjects performed two types of volitional saccade tasks measuring response selection or only response initiation, respectively. Visually guided saccades were used as a control condition. Our results showed that unaffected first-degree relatives and OCD patients were significantly slowed compared to healthy comparison subjects in volitional response selection. Patients and relatives did not differ from each other. There was no group difference in the visually guided control condition. Taken together, the study provides first evidence that dysfunctional volitional response selection is a candidate endophenotype for OCD.
Literature
1.
go back to reference Kuelz AK, Hohagen F, Voderholzer U (2004) Neuropsychological performance in obsessive-compulsive disorder: a critical review. Biol Psychol 65(3):185–236PubMedCrossRef Kuelz AK, Hohagen F, Voderholzer U (2004) Neuropsychological performance in obsessive-compulsive disorder: a critical review. Biol Psychol 65(3):185–236PubMedCrossRef
2.
go back to reference Chamberlain SR, Blackwell AD, Fineberg NA, Robbins TW, Sahakian BJ (2005) The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neurosci Biobehav Rev 29(3):399–419PubMedCrossRef Chamberlain SR, Blackwell AD, Fineberg NA, Robbins TW, Sahakian BJ (2005) The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neurosci Biobehav Rev 29(3):399–419PubMedCrossRef
3.
go back to reference Gottesman II, Gould TD (2003) The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 160(4):636–645PubMedCrossRef Gottesman II, Gould TD (2003) The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 160(4):636–645PubMedCrossRef
4.
go back to reference Hettema JM, Neale MC, Kendler KS (2001) A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am J Psychiatry 158(10):1568–1578PubMedCrossRef Hettema JM, Neale MC, Kendler KS (2001) A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am J Psychiatry 158(10):1568–1578PubMedCrossRef
5.
go back to reference Riesel A, Endrass T, Kaufmann C, Kathmann N (2011) Overactive error-related brain activity as a candidate endophenotype for obsessive-compulsive disorder: evidence from unaffected first-degree relatives. Am J Psychiatry 168(3):317–324PubMedCrossRef Riesel A, Endrass T, Kaufmann C, Kathmann N (2011) Overactive error-related brain activity as a candidate endophenotype for obsessive-compulsive disorder: evidence from unaffected first-degree relatives. Am J Psychiatry 168(3):317–324PubMedCrossRef
6.
go back to reference Chamberlain SR, Fineberg NA, Menzies LA, Blackwell AD, Bullmore ET, Robbins TW et al (2007) Impaired cognitive flexibility and motor inhibition in unaffected first-degree relatives of patients with obsessive-compulsive disorder. Am J Psychiatry 164(2):335–338PubMedCrossRef Chamberlain SR, Fineberg NA, Menzies LA, Blackwell AD, Bullmore ET, Robbins TW et al (2007) Impaired cognitive flexibility and motor inhibition in unaffected first-degree relatives of patients with obsessive-compulsive disorder. Am J Psychiatry 164(2):335–338PubMedCrossRef
7.
go back to reference Menzies L, Achard S, Chamberlain SR, Fineberg N, Chen CH, Del Campo N et al (2007) Neurocognitive endophenotypes of obsessive-compulsive disorder. Brain 130:3223–3236PubMedCrossRef Menzies L, Achard S, Chamberlain SR, Fineberg N, Chen CH, Del Campo N et al (2007) Neurocognitive endophenotypes of obsessive-compulsive disorder. Brain 130:3223–3236PubMedCrossRef
8.
go back to reference Rajender G, Bhatia MS, Kanwal K, Malhotra S, Singh TB, Chaudhary D (2011) Study of neurocognitive endophenotypes in drug-naive obsessive-compulsive disorder patients, their first-degree relatives and healthy controls. Acta Psychiatr Scand 124(2):152–161PubMedCrossRef Rajender G, Bhatia MS, Kanwal K, Malhotra S, Singh TB, Chaudhary D (2011) Study of neurocognitive endophenotypes in drug-naive obsessive-compulsive disorder patients, their first-degree relatives and healthy controls. Acta Psychiatr Scand 124(2):152–161PubMedCrossRef
9.
go back to reference Lennertz L, Rampacher F, Vogeley A, Schulze-Rauschenbach S, Pukrop R, Ruhrmann S et al. (2012) Antisaccade performance in patients with obsessive-compulsive disorder and unaffected relatives: further evidence for impaired response inhibition as a candidate endophenotype. Eur Arch Psychiatry Clin Neurosci [Epub ahead of print] Lennertz L, Rampacher F, Vogeley A, Schulze-Rauschenbach S, Pukrop R, Ruhrmann S et al. (2012) Antisaccade performance in patients with obsessive-compulsive disorder and unaffected relatives: further evidence for impaired response inhibition as a candidate endophenotype. Eur Arch Psychiatry Clin Neurosci [Epub ahead of print]
10.
go back to reference Chamberlain SR, Menzies L, Hampshire A, Suckling J, Fineberg NA, del Campo N et al (2008) Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives. Science 321(5887):421–422PubMedCrossRef Chamberlain SR, Menzies L, Hampshire A, Suckling J, Fineberg NA, del Campo N et al (2008) Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives. Science 321(5887):421–422PubMedCrossRef
11.
go back to reference Segalas C, Alonso P, Real E, Garcia A, Minambres A, Labad J et al (2010) Memory and strategic processing in first-degree relatives of obsessive compulsive patients. Psychol Med 40(12):2001–2011PubMedCrossRef Segalas C, Alonso P, Real E, Garcia A, Minambres A, Labad J et al (2010) Memory and strategic processing in first-degree relatives of obsessive compulsive patients. Psychol Med 40(12):2001–2011PubMedCrossRef
12.
go back to reference Kloft L, Kischkel E, Kathmann N, Reuter B (2011) Evidence for a deficit in volitional action generation in patients with obsessive-compulsive disorder. Psychophysiology 48(6):755–761PubMedCrossRef Kloft L, Kischkel E, Kathmann N, Reuter B (2011) Evidence for a deficit in volitional action generation in patients with obsessive-compulsive disorder. Psychophysiology 48(6):755–761PubMedCrossRef
13.
go back to reference Maruff P, Purcell R, Tyler P, Pantelis C, Currie J (1999) Abnormalities of internally generated saccades in obsessive-compulsive disorder. Psychol Med 29(6):1377–1385PubMedCrossRef Maruff P, Purcell R, Tyler P, Pantelis C, Currie J (1999) Abnormalities of internally generated saccades in obsessive-compulsive disorder. Psychol Med 29(6):1377–1385PubMedCrossRef
14.
go back to reference Leocani L, Locatelli M, Bellodi L, Fornara C, Henin M, Magnani G et al (2001) Abnormal pattern of cortical activation associated with voluntary movement in obsessive-compulsive disorder: an EEG study. Am J Psychiatry 158(1):140–142PubMedCrossRef Leocani L, Locatelli M, Bellodi L, Fornara C, Henin M, Magnani G et al (2001) Abnormal pattern of cortical activation associated with voluntary movement in obsessive-compulsive disorder: an EEG study. Am J Psychiatry 158(1):140–142PubMedCrossRef
15.
go back to reference Schwartz JM (1999) A role for volition and attention in the generation of new brain circuitry. Toward a neurobiology of mental force. J Conscious Stud 6(8–9):115–142 Schwartz JM (1999) A role for volition and attention in the generation of new brain circuitry. Toward a neurobiology of mental force. J Conscious Stud 6(8–9):115–142
16.
go back to reference Rommelse NNJ, Van der Stigchel S, Witlox J, Geldof C, Deijen JB, Theeuwes J et al (2008) Deficits in visuo-spatial working memory, inhibition and oculomotor control in boys with ADHD and their non-affected brothers. J Neural Transm 115(2):249–260PubMedCrossRef Rommelse NNJ, Van der Stigchel S, Witlox J, Geldof C, Deijen JB, Theeuwes J et al (2008) Deficits in visuo-spatial working memory, inhibition and oculomotor control in boys with ADHD and their non-affected brothers. J Neural Transm 115(2):249–260PubMedCrossRef
17.
go back to reference Ettinger U, Picchioni M, Hall MH, Schulze K, Toulopoulou T, Landau S et al (2006) Antisaccade performance in monozygotic twins discordant for schizophrenia: the Maudsley twin study. Am J Psychiatry 163(3):543–545PubMedCrossRef Ettinger U, Picchioni M, Hall MH, Schulze K, Toulopoulou T, Landau S et al (2006) Antisaccade performance in monozygotic twins discordant for schizophrenia: the Maudsley twin study. Am J Psychiatry 163(3):543–545PubMedCrossRef
18.
go back to reference Ettinger U, Kumari V, Crawford TJ, Corr PJ, Das M, Zachariah E et al (2004) Smooth pursuit and antisaccade eye movements in siblings discordant for schizophrenia. J Psychiatry Res 38(2):177–184CrossRef Ettinger U, Kumari V, Crawford TJ, Corr PJ, Das M, Zachariah E et al (2004) Smooth pursuit and antisaccade eye movements in siblings discordant for schizophrenia. J Psychiatry Res 38(2):177–184CrossRef
19.
go back to reference Camchong J, Dyckman KA, Austin BP, Clementz BA, McDowell JE (2008) Common neural circuitry supporting volitional saccades and its disruption in schizophrenia patients and relatives. Biol Psychiatry 64(12):1042–1050PubMedCrossRef Camchong J, Dyckman KA, Austin BP, Clementz BA, McDowell JE (2008) Common neural circuitry supporting volitional saccades and its disruption in schizophrenia patients and relatives. Biol Psychiatry 64(12):1042–1050PubMedCrossRef
20.
go back to reference McDowell JE, Brenner CA, Myles-Worsley M, Coon H, Byerley W, Clementz BA (2001) Ocular motor delayed-response task performance among patients with schizophrenia and their biological relatives. Psychophysiology 38(1):153–156PubMedCrossRef McDowell JE, Brenner CA, Myles-Worsley M, Coon H, Byerley W, Clementz BA (2001) Ocular motor delayed-response task performance among patients with schizophrenia and their biological relatives. Psychophysiology 38(1):153–156PubMedCrossRef
21.
go back to reference Kathmann N, Hochrein A, Uwer R, Bondy B (2003) Deficits in gain of smooth pursuit eye movements in schizophrenia and affective disorder patients and their unaffected relatives. Am J Psychiatry 160(4):696–702PubMedCrossRef Kathmann N, Hochrein A, Uwer R, Bondy B (2003) Deficits in gain of smooth pursuit eye movements in schizophrenia and affective disorder patients and their unaffected relatives. Am J Psychiatry 160(4):696–702PubMedCrossRef
22.
go back to reference Munoz DP, Everling S (2004) Look away: the anti-saccade task and the voluntary control of eye movement. Nat Rev Neurosci 5(3):218–228PubMedCrossRef Munoz DP, Everling S (2004) Look away: the anti-saccade task and the voluntary control of eye movement. Nat Rev Neurosci 5(3):218–228PubMedCrossRef
23.
go back to reference Godijn R, Theeuwes J (2002) Programming of endogenous and exogenous saccades: evidence for a competitive integration model. J Exp Psychol Hum Percept Perform 28(5):1039–1054PubMedCrossRef Godijn R, Theeuwes J (2002) Programming of endogenous and exogenous saccades: evidence for a competitive integration model. J Exp Psychol Hum Percept Perform 28(5):1039–1054PubMedCrossRef
24.
go back to reference Hallett PE (1978) Primary and secondary saccades to goals defined by instructions. Vision Res 18(10):1279–1296PubMedCrossRef Hallett PE (1978) Primary and secondary saccades to goals defined by instructions. Vision Res 18(10):1279–1296PubMedCrossRef
25.
go back to reference Tien AY, Pearlson GD, Machlin SR, Bylsma FW, Hoehnsaric R (1992) Oculomotor performance in obsessive-compulsive disorder. Am J Psychiatry 149(5):641–646PubMed Tien AY, Pearlson GD, Machlin SR, Bylsma FW, Hoehnsaric R (1992) Oculomotor performance in obsessive-compulsive disorder. Am J Psychiatry 149(5):641–646PubMed
26.
go back to reference Rosenberg DR, Dick EL, OHearn KM, Sweeney JA (1997) Response-inhibition deficits in obsessive-compulsive disorder: an indicator of dysfunction in frontostriatal circuits. J Psychiatry Neurosci 22(1):29–38PubMed Rosenberg DR, Dick EL, OHearn KM, Sweeney JA (1997) Response-inhibition deficits in obsessive-compulsive disorder: an indicator of dysfunction in frontostriatal circuits. J Psychiatry Neurosci 22(1):29–38PubMed
27.
go back to reference McDowell JE, Clementz BA (1997) The effect of fixation condition manipulations on antisaccade performance in schizophrenia: studies of diagnostic specificity. Exp Brain Res 115(2):333–344PubMedCrossRef McDowell JE, Clementz BA (1997) The effect of fixation condition manipulations on antisaccade performance in schizophrenia: studies of diagnostic specificity. Exp Brain Res 115(2):333–344PubMedCrossRef
28.
go back to reference Van Der Wee NJ, Hardeman HH, Ramsey NF, Raemaekers M, Van Megen HJ, Denys DA et al (2006) Saccadic abnormalities in psychotropic-naive obsessive-compulsive disorder without co-morbidity. Psychol Med 36(9):1321–1326PubMedCrossRef Van Der Wee NJ, Hardeman HH, Ramsey NF, Raemaekers M, Van Megen HJ, Denys DA et al (2006) Saccadic abnormalities in psychotropic-naive obsessive-compulsive disorder without co-morbidity. Psychol Med 36(9):1321–1326PubMedCrossRef
29.
go back to reference Spengler D, Trillenberg P, Sprenger A, Nagel M, Kordon A, Junghanns K et al (2006) Evidence from increased anticipation of predictive saccades for a dysfunction of fronto-striatal circuits in obsessive-compulsive disorder. Psychiatry Res 143(1):77–88PubMedCrossRef Spengler D, Trillenberg P, Sprenger A, Nagel M, Kordon A, Junghanns K et al (2006) Evidence from increased anticipation of predictive saccades for a dysfunction of fronto-striatal circuits in obsessive-compulsive disorder. Psychiatry Res 143(1):77–88PubMedCrossRef
30.
go back to reference Yantis S, Hillstrom AP (1994) Stimulus-driven attentional capture—evidence from equiluminant visual objects. J Exp Psychol Hum Percept Perform 20(1):95–107PubMedCrossRef Yantis S, Hillstrom AP (1994) Stimulus-driven attentional capture—evidence from equiluminant visual objects. J Exp Psychol Hum Percept Perform 20(1):95–107PubMedCrossRef
31.
go back to reference Harris CM, Wolpert DM (1998) Signal-dependent noise determines motor planning. Nature 394(6695):780–784PubMedCrossRef Harris CM, Wolpert DM (1998) Signal-dependent noise determines motor planning. Nature 394(6695):780–784PubMedCrossRef
32.
33.
go back to reference First MB, Spitzer RL, Gibbon M, Williams J (1996) Structured clinical interview for DSM-IV axis I disorders (SCID), clinician version: user’s guide. American Psychiatric Press, Washington First MB, Spitzer RL, Gibbon M, Williams J (1996) Structured clinical interview for DSM-IV axis I disorders (SCID), clinician version: user’s guide. American Psychiatric Press, Washington
34.
go back to reference Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR et al (1989) The Yale-Brown Obsessive Compulsive Scale.2. validity. Arch Gen Psychiatry 46(11):1012–1016PubMedCrossRef Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR et al (1989) The Yale-Brown Obsessive Compulsive Scale.2. validity. Arch Gen Psychiatry 46(11):1012–1016PubMedCrossRef
35.
go back to reference Montgomery SA, Asberg M (1979) New depression scale designed to be sensitive to change. Br J Psychiatry 134(4):382–389PubMedCrossRef Montgomery SA, Asberg M (1979) New depression scale designed to be sensitive to change. Br J Psychiatry 134(4):382–389PubMedCrossRef
36.
go back to reference Schmidt K-H, Metzler P (1992) Wortschatztest (WST). Beltz Test GmbH, Weinheim Schmidt K-H, Metzler P (1992) Wortschatztest (WST). Beltz Test GmbH, Weinheim
37.
go back to reference Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G et al (2002) The obsessive-compulsive inventory: development and validation of a short version. Psychol Assess 14(4):485–496PubMedCrossRef Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G et al (2002) The obsessive-compulsive inventory: development and validation of a short version. Psychol Assess 14(4):485–496PubMedCrossRef
38.
go back to reference Bhar S, Bouvard M, Calamari J, Carmin C, Clark DA, Cottraux J et al (2003) Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: part I. Behav Res Ther 41(8):863–878CrossRef Bhar S, Bouvard M, Calamari J, Carmin C, Clark DA, Cottraux J et al (2003) Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: part I. Behav Res Ther 41(8):863–878CrossRef
39.
go back to reference Steer RA, Ball R, Ranieri WF, Beck AT (1997) Further evidence for the construct validity of the beck depression inventory-II with psychiatric outpatients. Psychol Rep 80(2):443–446PubMedCrossRef Steer RA, Ball R, Ranieri WF, Beck AT (1997) Further evidence for the construct validity of the beck depression inventory-II with psychiatric outpatients. Psychol Rep 80(2):443–446PubMedCrossRef
40.
go back to reference Fischer B, Weber H (1993) Express saccades and visual-attention. Behav Brain Sci 16(3):553–567CrossRef Fischer B, Weber H (1993) Express saccades and visual-attention. Behav Brain Sci 16(3):553–567CrossRef
41.
go back to reference Wenban-Smith MG, Findlay JM (1991) Express saccades: is there a separate population in humans? Exp Brain Res 87(1):218–222PubMedCrossRef Wenban-Smith MG, Findlay JM (1991) Express saccades: is there a separate population in humans? Exp Brain Res 87(1):218–222PubMedCrossRef
42.
go back to reference Menzies L, Williams GB, Chamberlain SR, Ooi C, Fineberg N, Suckling J et al (2008) White matter abnormalities in patients with obsessive-compulsive disorder and their first-degree relatives. Am J Psychiatry 165(10):1308–1315PubMedCrossRef Menzies L, Williams GB, Chamberlain SR, Ooi C, Fineberg N, Suckling J et al (2008) White matter abnormalities in patients with obsessive-compulsive disorder and their first-degree relatives. Am J Psychiatry 165(10):1308–1315PubMedCrossRef
43.
go back to reference Gillan CM, Papmeyer M, Morein-Zamir S, Sahakian BJ, Fineberg NA, Robbins TW et al (2011) Disruption in the balance between goal-directed behavior and habit learning in obsessive-compulsive disorder. Am J Psychiatry 168(7):718–726PubMedCrossRef Gillan CM, Papmeyer M, Morein-Zamir S, Sahakian BJ, Fineberg NA, Robbins TW et al (2011) Disruption in the balance between goal-directed behavior and habit learning in obsessive-compulsive disorder. Am J Psychiatry 168(7):718–726PubMedCrossRef
44.
go back to reference Gründler TO, Cavanagh JF, Figueroa CM, Frank MJ, Allen JJ (2009) Task-related dissociation in ERN amplitude as a function of obsessive-compulsive symptoms. Neuropsychologia 47(8–9):1978–1987PubMedCrossRef Gründler TO, Cavanagh JF, Figueroa CM, Frank MJ, Allen JJ (2009) Task-related dissociation in ERN amplitude as a function of obsessive-compulsive symptoms. Neuropsychologia 47(8–9):1978–1987PubMedCrossRef
45.
go back to reference Krieghoff V, Waszak F, Prinz W, Brass M (2011) Neural and behavioral correlates of intentional actions. Neuropsychologia 49(5):767–776PubMedCrossRef Krieghoff V, Waszak F, Prinz W, Brass M (2011) Neural and behavioral correlates of intentional actions. Neuropsychologia 49(5):767–776PubMedCrossRef
46.
go back to reference Menzies L, Chamberlain SR, Laird AR, Thelen SM, Sahakian BJ, Bullmore ET (2008) Integrating evidence from neuroimaging and neuropsychological studies of obsessive-compulsive disorder: the orbitofronto-striatal model revisited. Neurosci Biobehav Rev 32(3):525–549PubMedCrossRef Menzies L, Chamberlain SR, Laird AR, Thelen SM, Sahakian BJ, Bullmore ET (2008) Integrating evidence from neuroimaging and neuropsychological studies of obsessive-compulsive disorder: the orbitofronto-striatal model revisited. Neurosci Biobehav Rev 32(3):525–549PubMedCrossRef
47.
go back to reference van den Heuvel OA, Veltman DJ, Groenewegen HJ, Cath DC, van Balkom AJ, van Hartskamp J et al (2005) Frontal-striatal dysfunction during planning in obsessive-compulsive disorder. Arch Gen Psychiatry 62(3):301–309PubMedCrossRef van den Heuvel OA, Veltman DJ, Groenewegen HJ, Cath DC, van Balkom AJ, van Hartskamp J et al (2005) Frontal-striatal dysfunction during planning in obsessive-compulsive disorder. Arch Gen Psychiatry 62(3):301–309PubMedCrossRef
48.
go back to reference Wobrock T, Gruber O, McIntosh AM, Kraft S, Klinghardt A, Scherk H et al (2010) Reduced prefrontal gyrification in obsessive-compulsive disorder. Eur Arch Psychiatry Clin Neurosci 260(6):455–464PubMedCrossRef Wobrock T, Gruber O, McIntosh AM, Kraft S, Klinghardt A, Scherk H et al (2010) Reduced prefrontal gyrification in obsessive-compulsive disorder. Eur Arch Psychiatry Clin Neurosci 260(6):455–464PubMedCrossRef
49.
go back to reference Yucel M, Harrison BJ, Wood SJ, Fornito A, Wellard RM, Pujol J et al (2007) Functional and biochemical alterations of the medial frontal cortex in obsessive-compulsive disorder. Arch Gen Psychiatry 64(8):946–955PubMedCrossRef Yucel M, Harrison BJ, Wood SJ, Fornito A, Wellard RM, Pujol J et al (2007) Functional and biochemical alterations of the medial frontal cortex in obsessive-compulsive disorder. Arch Gen Psychiatry 64(8):946–955PubMedCrossRef
50.
go back to reference Radua J, Mataix-Cols D (2009) Voxel-wise meta-analysis of grey matter changes in obsessive-compulsive disorder. Br J Psychiatry 195(5):393–402PubMedCrossRef Radua J, Mataix-Cols D (2009) Voxel-wise meta-analysis of grey matter changes in obsessive-compulsive disorder. Br J Psychiatry 195(5):393–402PubMedCrossRef
51.
go back to reference Stern E, Silbersweig DA, Chee KY, Holmes A, Robertson MM, Trimble M et al (2000) A functional neuroanatomy of ties in Tourette syndrome. Arch Gen Psychiatry 57(8):741–748PubMedCrossRef Stern E, Silbersweig DA, Chee KY, Holmes A, Robertson MM, Trimble M et al (2000) A functional neuroanatomy of ties in Tourette syndrome. Arch Gen Psychiatry 57(8):741–748PubMedCrossRef
Metadata
Title
Impaired volitional saccade control: first evidence for a new candidate endophenotype in obsessive–compulsive disorder
Authors
Lisa Kloft
Benedikt Reuter
Anja Riesel
Norbert Kathmann
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
European Archives of Psychiatry and Clinical Neuroscience / Issue 3/2013
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-012-0331-x

Other articles of this Issue 3/2013

European Archives of Psychiatry and Clinical Neuroscience 3/2013 Go to the issue