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Planning functioning and impulsiveness in obsessive–compulsive disorder

  • Riccardo Maria Martoni
  • Roberta de FilippisEmail author
  • Stefania Cammino
  • Mattia Giuliani
  • Gaia Risso
  • Maria Cristina Cavallini
  • Laura Bellodi
Original Paper

Abstract

Planning ability (PA) is a key aspect of cognitive functioning and requires subjects to identify and organise the necessary steps to achieve a goal. Despite the central role of executive dysfunction in patients with obsessive–compulsive disorder (OCD), deficits in PA have been investigated leading to contrasting results. Given these inconsistencies, the main aim of our work is to give a deeper and clearer understanding of PA in OCD patients. Moreover, we are interested in investigating the relationship between PAs and impulsivity traits and other clinical variables. Sixty-eight OCD patients and 68 healthy controls (HCs) matched for sex and age were assessed through the Stocking of Cambridge (SoC), a computerised version of the Tower of London. We examined planning sub-components for each difficulty levels (from 2 to 5 minimum moves). Our results showed that OCD patients needed longer initial thinking time than HCs during the execution of low demanding tasks (i.e. 2 and 3 moves), while the accuracy level between the two groups did not significantly differ. OCD patients required longer initial thinking time also during high demanding tasks (i.e., 4 and 5 moves), but in this case their accuracy was significantly worse than HCs’ one. We did not find any association between impulsivity and PAs. Our results supported the hypothesis that OCD patients were not able to retain in memory the planned sequence and they had to reschedule their movements during the execution. Thus, future studies should deepen the interrelation between working memory and PA to better understand the influence between these two cognitive functions and their interaction with clinical variables in OCD patients.

Keywords

Planning Obsessive–compulsive disorder (OCD) Cognition Neuropsychology Stocking of Cambridge 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Riccardo Maria Martoni
    • 1
  • Roberta de Filippis
    • 1
    Email author
  • Stefania Cammino
    • 1
  • Mattia Giuliani
    • 1
  • Gaia Risso
    • 1
  • Maria Cristina Cavallini
    • 1
  • Laura Bellodi
    • 1
    • 2
  1. 1.Department of Clinical NeurosciencesSan Raffaele Scientific InstituteMilanItaly
  2. 2.Faculty of PsychologyUniversity Vita-Salute San RaffaeleMilanItaly

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