Abstract
A number of recent studies have challenged the hypothesis that patients with obsessive–compulsive disorder (OCD) display global memory deficits. An alleviated form of the memory deficit hypothesis posits that OCD patients share deficits to vividly recall memory episodes. According to the latter view, checking rituals can be understood as counter–productive coping strategies to "enrich" memory episodes in order to make them more distinctive. A source memory task was administered to 27 OCD (17 checkers) and 51 healthy participants. Along with confidence judgments, a remember–know procedure was employed to assess whether OCD patients display problems with conscious/vivid recollection. Patients with or without checking compulsions did not exhibit differences to controls on source memory accuracy and meta–memory. Patients forgot more self–generated items, which, however, was related to comorbid depressive but not OCD symptoms. Findings challenge the ubiquity of memory deficits in OCD. To account for the inconclusive pattern of results in the literature, it is suggested that patients mistrust their memories and adopt checking rituals only when perceived responsibility is inflated.
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Angst J, Gamma A, Endrass J, Hantouche E, Goodwin R, Ajdacic V, Eich D, Rössler W (2005) Obsessive–compulsive syndromes and disorders. Significance of comorbidity with bipolar and anxiety syndromes. Eur Arch Psychiatry Clin Neurosci 255:65–71
Bacon E, Danion JM, Kauffmann–Muller F, Bruant A (2001) Consciousness in schizophrenia: a metacognitive approach to semantic memory. Conscious Cogn 10:473–484
Bohne A, Savage CR, Deckersbach T, Keuthen NJ, Jenike MA, Tuschen–Caffier B, Wilhelm S (2005) Visuospatial abilities, memory, and executive functioning in trichotillomania and obsessive– compulsive disorder. J Clin Exp Neuropsychol 27:385–399
Brown HD, Kosslyn SM, Breiter HC, Baer L, Jenike MA (1994) Can patients with obsessive–compulsive disorder discriminate between percepts and mental images? A signal detection analysis. J Abnorm Psychol 103:445–454
Cabrera AR, McNally RJ, Savage CR (2001) Missing the forest for the trees? Deficient memory for linguistic gist in obsessive–compulsive disorder. Psychol Med 31:1089–1094
Danion J–M, Rizzo L, Bruant A (1999) Functional mechanisms underlying impaired recognition memory and conscious awareness in patients with schizophrenia. Arch Gen Psychiatry 56:639–644
Ecker W, Engelkamp J (1995) Memory for actions in obsessivecompulsive disorder. Behavioural and Cognitive Psychotherapy 23:349–371
Evans DW, Milanak ME, Medeiros B, Ross JL (2002) Magical beliefs and rituals in young children. Child Psychiatry Hum Dev 33:43–58
Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, Heninger GR, Charney DS (1989) The Yale–Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry 46:1006–1011
Grabe HJ, Meyer C, Hapke U, Rumpf H–J, Freyberger HJ, Dilling H, John U (2001) Lifetime–comorbidity of obsessive–compulsive disorder and subclinical obsessive–compulsive disorder in northern Germany. Eur Arch Psychiatry Clin Neurosci 251:130–135
Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62
Hoover CF, Insel TR (1984) Families of origin in obsessive–compulsive disorder. J Nerv Ment Dis 172:207–215
Huron C, Danion J–M (2002) Impairment of constructive memory in schizophrenia. Int Clin Psychopharmacol 17:127–133
Huron C, Danion J–M, Giacomoni F, Grengé D, Robert P, Rizzo L (1995) Impairment of recognition memory with, but not without, conscious recollection in schizophrenia. Am J Psychiatry 152:1737–1742
Jurado MA, Junque C, Vallejo J, Salgado P, Grafman J (2002) Obsessive– compulsive disorder (OCD) patients are impaired in remembering temporal order and in judging their own performance. J Clin Exp Neuropsychol 24:261–269
Klepsch R, Zaworka W, Hand I, Lünenschloss K, Jauernig G, (1991) Derivation and validation of the Hamburg Obsession/ Compulsion Inventory – Short form (HOCI–S): first results. Psychol Assess 3:196–201
Kuelz AK, Hohagen F, Voderholzer U (2004) Neuropsychological performance in obsessive–compulsive disorder: a critical review. Biol Psychol 65:185–236
Mataix–Cols D, Alonso P, Hernandez R, Deckersbach T, Savage CR, Manuel Menchon J, Vallejo J (2003) Relation of neurological soft signs to nonverbal memory performance in obsessive–compulsive disorder. J Clin Exp Neuropsychol 25:842–851
McNally RJ, Kohlbeck PA (1993) Reality monitoring in obsessivecompulsive disorder. Behav Res Ther 31:249–253
Moritz S, Kloss M, Jacobsen D, Kellner M, Andresen B, Fricke S, Kerkhoff G, Hand I (in press–a) Extent, profile and specificity of visuospatial impairment in obsessive–compulsive disorder (OCD). J Clin Exp Neuropsychol
Moritz S, Kloss M, Jahn H, Schick M, Hand I (2003) Impact of comorbid depressive symptoms on nonverbal memory and visuospatial performance in obsessive–compulsive disorder. Cognitive Neuropsychiatry 8:261–272
Moritz S, Kuelz AK, Jacobsen D, Kloss M, Cuttler C, Fricke S (in press–b) Severity of subjective cognitive impairment in patients with obsessive–compulsive disorder and depression. J Anxiety Disord
Moritz S, Meier B, Kloss M, Jacobsen D, Wein C, Fricke S, Hand I (2002) Dimensional structure of the Yale–Brown Obsessive– Compulsive Scale (Y–BOCS). Psychiatry Res 109:193–199
Muris P, Merckelbach H, Clavan M (1996) Abnormal and normal compulsions. Behav Res Ther 35:249–252
Penades R, Catalan R, Andres S, Salamero M, Gasto C (2005) Executive function and nonverbal memory in obsessive–compulsive disorder. Psychiatry Res 133:81–90
Rachman S, de Silva P (1978) Abnormal and normal obsessions. Behav Res Ther 16:233–248
Radomsky AS, Rachman S, Hammond D (2001) Memory bias, confidence and responsibility in compulsive checking. Behav Res Ther 39:813–822
Reed GF (1985) Obsessional experience and compulsive behaviour. A cognitive–structural approach. New York:Academic Press
Salkovskis PM, Wroe AL, Gledhill A, Morrison N, Forrester E, Richards C, Reynolds M, Thorpe S (2000) Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behav Res Ther 38:347–372
Savage CR, Baer L, Keuthen NJ, Brown HD, Rauch SL, Jenike MA (1999) Organizational strategies mediate nonverbal memory impairment in obsessive–compulsive disorder. Biol Psychiatry 45:905–916
Savage CR, Deckersbach T, Wilhelm S, Rauch SL, Baer L, Reid T, Jenike MA (2000) Strategic processing and episodic memory impairment in obsessive compulsive disorder. Neuropsychology 14:141–151
Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar G (1998) The MINI International Neuropsychiatric Interview (M. I. N. I. ): The development and validation of a structured diagnostic psychiatric interview. J Clin Psychiatry 59(Suppl. 20):22–33
Sher KJ, Frost RO, Kushner M, Crews TM, Alexander JE (1989) Memory deficits in compulsive checkers: replication and extension in a clinical sample. Behav Res Ther 27:65–69
Sher KJ, Frost RO, Otto R (1983) Cognitive deficits in compulsive checkers: an exploratory study. Behav Res Ther 21:357–363
Tallis F (1997) The neuropsychology of obsessive–compulsive disorder (OCD): a review and consideration of clinical implications. Br J Clin Psychol 36:3–20
Tolin DF, Abramowitz JS, Brigidi BD, Amir N, Street GP, Foa EB (2001) Memory and memory confidence in obsessive–compulsive disorder. Behav Res Ther 39:913–927
Tuna S, Tekcan AI, Topcuoglu V (2005) Memory and metamemory in obsessive–compulsive disorder. Behav Res Ther 43:15–27
van den Hout M, Kindt M (2003) Repeated checking causes memory distrust. Behav Res Ther 41:301–316
van den Hout M, Kindt M (2004) Obsessive–compulsive disorder and the paradoxical effects of perseverative behaviour on experienced uncertainty. J Behav Ther Exp Psychiatry 35:165–181
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Moritz, S., Jacobsen, D., Willenborg, B. et al. A check on the memory deficit hypothesis of obsessive–compulsive checking. Eur Arch Psychiatry Clin Neurosci 256, 82–86 (2006). https://doi.org/10.1007/s00406-005-0605-7
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DOI: https://doi.org/10.1007/s00406-005-0605-7