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Excessive checking for non-anxiogenic stimuli in obsessive-compulsive disorder

Published online by Cambridge University Press:  15 April 2020

A.-H. Clair ,
K. N’Diaye ,
T. Baroukh ,
J.-B. Pochon ,
M. Morgiève ,
E. Hantouche ,
B. Falissard ,
A. Pelissolo  and
L. Mallet
A.-H. Clair*
Affiliation:
Team BEBG Inserm CRICM U975, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
K. N’Diaye
Affiliation:
Team BEBG Inserm CRICM U975, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
T. Baroukh
Affiliation:
Inserm U669, Maison de Solenn, 97, boulevard de Port-Royal, 75679Paris cedex 14, France
J.-B. Pochon
Affiliation:
Team BEBG Inserm CRICM U975, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
M. Morgiève
Affiliation:
Team BEBG Inserm CRICM U975, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
E. Hantouche
Affiliation:
Centre des troubles anxieux et de l’humeur, 117, rue de Rennes, 75006Paris, France
B. Falissard
Affiliation:
Inserm U669, Maison de Solenn, 97, boulevard de Port-Royal, 75679Paris cedex 14, France
A. Pelissolo
Affiliation:
Clinique d’investigation des cognitions et du comportement, Psychiatry Department, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
L. Mallet
Affiliation:
Team BEBG Inserm CRICM U975, CHU Pitié-Salpêtrière, 47-83, boulevard de l’Hôpital, 75013Paris, France
*
*Corresponding author. Tel.: +33 1 42 16 57 66; fax: +33 1 42 16 57 67. E-mail address:anne-helene.clair@upmc.fr (A.-H. Clair).
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Abstract

Background

Repetitive checking in obsessive-compulsive disorder (OCD) would serve to relieve obsession-related anxiety and/or to compensate memory deficit, but experimental literature on this subject is inconsistent. The main objective is to test the influence of obsession-related anxiety and memory on repetitive checking in OCD.

Methods

Twenty-three OCD checkers, 17 OCD non-checkers and 41 controls performed a delayed-matching-to-sample task with an unrestricted checking option. Some stimuli were obsession-related in order to measure the influence of anxiety on checking. A version of the task without checking possibility was used to assess memory abilities.

Results

OCD checkers had similar memory performances but checked more than the other groups when presented with non-anxiogenic stimuli. Level of anxiety associated to the stimulus did not influence the number of checks.

Conclusions

Increased checking in OCD checkers, being independent of memory abilities and primary obsession-related anxiety, would, therefore, be closer to an automated behaviour than a coping strategy.

Keywords

Obsessive-compulsive disorderAnxietyCheckingMemory
Type
Original article
Information
European Psychiatry , Volume 28 , Issue 8 , October 2013 , pp. 507 - 513
Copyright
Copyright © 2012 Elsevier Masson SAS

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Footnotes

☆

Clinical trial number 2007-A00488-45.

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