Fronto-striatal Structures Related with Model-based Control As an Endophenotype for Obsessive-compulsive Disorder

Overview

Journal Sci Rep

Specialty Science

Date 2021 Jun 8

PMID 34099768

Citations 2

Authors

Meltem I Kasal

Lutfullah Besiroglu

Nabi Zorlu

Nur Dikmeer

Aslihan Bilge

Ercan Durmaz

Serap Polat

Fazil Gelal

Michael Rapp

Andreas Heinz

Miriam Sebold

Affiliations

Soon will be listed here.

Abstract

Recent theories suggest a shift from model-based goal-directed to model-free habitual decision-making in obsessive-compulsive disorder (OCD). However, it is yet unclear, whether this shift in the decision process is heritable. We investigated 32 patients with OCD, 27 unaffected siblings (SIBs) and 31 healthy controls (HCs) using the two-step task. We computed behavioral and reaction time analyses and fitted a computational model to assess the balance between model-based and model-free control. 80 subjects also underwent structural imaging. We observed a significant ordered effect for the shift towards model-free control in the direction OCD > SIB > HC in our computational parameter of interest. However less directed analyses revealed no shift towards model-free control in OCDs. Nonetheless, we found evidence for reduced model-based control in OCDs compared to HCs and SIBs via 2nd stage reaction time analyses. In this measure SIBs also showed higher levels of model-based control than HCs. Across all subjects these effects were associated with the surface area of the left medial/right dorsolateral prefrontal cortex. Moreover, correlations between bilateral putamen/right caudate volumes and these effects varied as a function of group: they were negative in SIBs and OCDs, but positive in HCs. Associations between fronto-striatal regions and model-based reaction time effects point to a potential endophenotype for OCD.

Citing Articles

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