Publication: Response inhibition, cognitive flexibility and working memory in obsessive-compulsive disorder, generalized anxiety disorder and social anxiety disorder
Authors
Rosa-Alcázar, Ana Isabel ; Rosa-Alcázar, Ángel ; Martínez-Esparza, Inmaculada C. ; Storch, Eric A. ; Olivares-Olivares, Pablo J.
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Publisher
MDPI
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DOI
https://doi.org/10.3390/ijerph18073642
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info:eu-repo/semantics/article
Description
Copyright: © 2021 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
Abstract
Abstract: This study analyzed response inhibition, cognitive flexibility and working memory in
three groups of patients diagnosed with obsessive-compulsive disorder, social anxiety disorder
and generalized anxiety disorder, considering some variables that may influence results (nonverbal
reasoning, comorbidity, use of pharmacotherapy). Neuropsychological measures were completed
using a computerized Wisconsin card sorting test, Stroop color word test, go/no-go task, digits
and Corsi. Significant differences were obtained among groups in cognitive flexibility and working
memory variables. The obsessive-compulsive disorder (OCD) group showed the worst results. The
social anxiety disorder group obtained greater effect sizes in visuospatial memory. However, significant differences between groups in visuospatial memory were no longer present when nonverbal
reasoning was controlled. Comorbidity influenced interference in the OCD and generalized anxiety
disorder (GAD) groups. In addition, the executive functions were differently influenced by the level
of obsessions and anxiety, and the use of pharmacotherapy. Study limitations include a non-random
selection of participants, modest sample size and design type (cross-sectional). The OCD group
showed the worst results in flexibility cognitive and verbal working memory. Comorbidity, use of
pharmacotherapy and level anxiety and obsessions were variables influencing the performance of
executive functions.
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Citation
Int. J. Environ. Res. Public Health 2021, 18, 3642. https://doi.org/10.3390/ijerph18073642
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