지연 표본 대응 과제에서 나타나는 젊은 남성 강박장애 환자의 작업기억 결손
Working Memory Impairment in a Delayed Matching-to-Sample Task Among Young Male Patients With Obsessive-Compulsive Disorder
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective : Impaired working memory has been known to play an important role in the pathophysiology of obsessive-compulsive disorder (OCD) with growing evidence. Delayed matching-to-sample task (DMST) is a working memory task which have an advantage in analyzing several different working memory processes in one task. However, most of the studies have failed to reveal the working memory impairment with the DMST. The aim of this study was to identify whether working memory deficit in OCD can be evaluated with the DMST. Methods : The participants included 20 OCD patients and 20 healthy volunteers. Working memory was evaluated with the DMST with two different working memory loads. Accuracy of response and mean response time were measured. Results : OCD patients showed a significantly longer reaction time and lower accuracy in DMST compared to healthy controls in the task with high working memory loads. Moreover, the difference in accuracy showed interaction with the working memory load. Conclusion : The present results indicate that working memory deficit in patients with OCD can be evaluated with the DMST. The findings also suggest that previous negative behavioral results using the DMST were from low working memory load of the task. (Anxiety and Mood 2022;18(1):32-37)
Abstract
Objective : Impaired working memory has been known to play an important role in the pathophysiology of obsessive-compulsive disorder (OCD) with growing evidence. Delayed matching-to-sample task (DMST) is a working memory task which have an advantage in analyzing several different working memory processes in one task. However, most of the studies have failed to reveal the working memory impairment with the DMST. The aim of this study was to identify whether working memory deficit in OCD can be evaluated with the DMST. Methods : The participants included 20 OCD patients and 20 healthy volunteers. Working memory was evaluated with the DMST with two different working memory loads. Accuracy of response and mean response time were measured. Results : OCD patients showed a significantly longer reaction time and lower accuracy in DMST compared to healthy controls in the task with high working memory loads. Moreover, the difference in accuracy showed interaction with the working memory load. Conclusion : The present results indicate that working memory deficit in patients with OCD can be evaluated with the DMST. The findings also suggest that previous negative behavioral results using the DMST were from low working memory load of the task. (Anxiety and Mood 2022;18(1):32-37)
참고문헌 (24)
- Stein DJ, "Obsessive-compulsive disorder", Nat Rev Dis Primers, 5, pp.52~ (2019)
- Miller EK, "Working Memory 2. 0", Neuron, 100, pp.463~475 (2018)
- 채승희, "공황장애 환자에서의 작업기억 장애", 대한불안의학회지, 17(1), pp.41~47 (2021), 대한불안의학회[DOI]
- Harkin B, "The role of working memory in compulsive checking and OCD : a systematic classification of 58 experimental findings", Clin Psychol Rev, 31, pp.1004~1021 (2011)
- Pauls DL, "Obsessive-compulsive disorder : an integrative genetic and neurobiological perspective", Nat Rev Neurosci, 15, pp.410~424 (2014)
- Menzies L, "Integrating evidence from neuroimaging and neuropsychological studies of obsessive-compulsive disorder : the orbitofronto-striatal model revisited", Neurosci Biobehav Rev, 32, pp.525~554 (2008)
- Nakao T, "Neurobiological model of obsessivecompulsive disorder : evidence from recent neuropsychological and neuroimaging findings", Psychiatry Clin Neurosci, 68, pp.587~605 (2014)
- Konorski J, "On the hyperactivity in animals following lesions of the frontal lobes" (1957), USSR Academy of Sciences
- Konorski J, "A new method of physiological investigation of recent memory in animals", Bull Acad Pol Sci, 7, pp.115~117 (1959)
- Ciesielski KT, "Increased MEG activation in OCD reflects a compensatory mechanism specific to the phase of a visual working memory task", Neuroimage, 24, pp.1180~1191 (2005)
- Purcell R, "Cognitive deficits in obsessive-compulsive disorder on tests of frontal-striatal function", Biol Psychiatry, 43, pp.348~357 (1998)
- Ciesielski KT, "Dissociation between MEG alpha modulation and performance accuracy on visual working memory task in obsessive compulsive disorder", Hum Brain Mapp, 28, pp.1401~1414 (2007)
- Heinzel S, "Polygenic risk for obsessive-compulsive disorder(OCD)predicts brain response during working memory task in OCD, unaffected relatives, and healthy controls", Sci Rep, 11, pp.18914~ (2021)
- Purcell R, "Neuropsychological deficits in obsessive-compulsive disorder : a comparison with unipolar depression, panic disorder, and normal controls", Arch Gen Psychiatry, 55, pp.415~423 (1998)
- Henseler I, "Compensatory hyperactivations as markers of latent working memory dysfunctions in patients with obsessive-compulsive disorder : an fMRI study", J Psychiatry Neurosci, 33, pp.209~215 (2008)
- First MB, "User’s guide for the structured clinical interview for DSMIV-TR axis I disorders: SCID-I" (2002), Biometrics Research Dept., New York State Psychiatric Institute
- 임준석, "Reliability and Validity of the Korean Version of Obsessive- Compulsive Inventory-Revised in a Non-clinical Sample", Yonsei Medical Journal, 49(6), pp.909~916 (2008), 연세대학교의과대학
- Foa EB, "The Obsessive-Compulsive Inventory : development and validation of a short version", Psychol Assess, 14, pp.485~496 (2002)
- Montgomery SA, "A new depression scale designed to be sensitive to change", Br J Psychiatry, 134, pp.382~389 (1979)
- Ahn YM, "A Validation Study of the Korean-Version of the Montgomery-Asberg Depression Rating Scale", J Korean Neuropsychiatr Assoc, 44, pp.466~476 (2005)
- Zimmerman M, "A review of studies of the Montgomery-Asberg Depression Rating Scale in controls : implications for the definition of remission in treatment studies of depression", Int Clin Psychopharmacol, 19, pp.1~7 (2004)
- Goodman WK, "The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability", Arch Gen Psychiatry, 46, pp.1006~1011 (1989)
- Storch EA, "Defining clinical severity in adults with obsessive-compulsive disorder", Compr Psychiatry, 63, pp.30~35 (2015)
- Cohen J, "Statistical power analysis for the behavioral sciences" (1988), Routledge Academic
