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Understanding guilt-related interpersonal dysfunction in obsessive-compulsive personality disorder through computational modeling of two social interaction tasks

Published online by Cambridge University Press:  06 September 2022

Fan Xiao
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Jiahui Zhao
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Lejia Fan
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Xinlei Ji
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Shulin Fang
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Panwen Zhang
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Xinyuan Kong
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Qinyu Liu
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
Hongbo Yu
Affiliation:
Department of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA 93106-9660, USA
Xiaolin Zhou
Affiliation:
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China School of Psychological and Cognitive Sciences, Peking University, Beijing 100871, China Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing 100871, China PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100871, China
Xiaoxue Gao*
Affiliation:
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China School of Psychological and Cognitive Sciences, Peking University, Beijing 100871, China
Xiang Wang*
Affiliation:
Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan 410011, China
*
Author for correspondence: Xiang Wang, E-mail: wang0916xia@gmail.com or wangxiang0916@csu.edu.cn; Xiaoxue Gao, E-mail: gxx114455@gmail.com or xxgao@psy.ecnu.edu.cn
Author for correspondence: Xiang Wang, E-mail: wang0916xia@gmail.com or wangxiang0916@csu.edu.cn; Xiaoxue Gao, E-mail: gxx114455@gmail.com or xxgao@psy.ecnu.edu.cn

Abstract

Background

Obsessive-compulsive personality disorder (OCPD) is a high-prevalence personality disorder characterized by subtle but stable interpersonal dysfunction. There have been only limited studies addressing the behavioral patterns and cognitive features of OCPD in interpersonal contexts. The purpose of this study was to investigate how behaviors differ between OCPD individuals and healthy controls (HCs) in the context of guilt-related interpersonal responses.

Method

A total of 113 participants were recruited, including 46 who were identified as having OCPD and 67 HCs. Guilt-related interpersonal responses were manipulated and measured with two social interactive tasks: the Guilt Aversion Task, to assess how anticipatory guilt motivates cooperation; and the Guilt Compensation Task, to assess how experienced guilt induces compensation behaviors. The guilt aversion model and Fehr–Schmidt inequity aversion model were adopted to analyze decision-making in the Guilt Aversion Task and the Guilt Compensation Task, respectively.

Results

Computational model-based results demonstrated that, compared with HCs, the OCPD group exhibited less guilt aversion when making cooperative decisions as well as less guilt-induced compensation after harming others.

Conclusion

Our findings indicate that individuals with OCPD tend to be less affected by guilt than HCs. These impairments in guilt-related responses may prevent adjustments in behaviors toward compliance with social norms and thus result in interpersonal dysfunctions.

Type
Original Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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