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Updated: May 31, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
Obsessive Compulsive Disorder as a functional interhemispheric imbalance at the thalamic level.
Óscar F Gonçalves1, Sandra Carvalho, Jorge Leite
1Neuropsychophysiology Laboratory, CIPsi, School of Psychology (EPsi), Campus de Gualtar, University of Minho, 4710-057 Braga, Portugal.
Obsessive Compulsive Disorder (OCD) patients may have an inter-hemispheric functional imbalance. Restoring this balance could correlate with symptom improvement in OCD.
Area of Science:
- Neuroscience
- Psychiatry
Background:
- Obsessive Compulsive Disorder (OCD) is characterized by deficits in cognitive and behavioral inhibition.
- Two primary cortical-subcortical pathways, the frontostriatal and orbitofrontal loops, are implicated in OCD pathogenesis.
- Neuropsychological deficits in memory, attention, planning, and decision-making are observed in OCD patients.
Purpose of the Study:
- To investigate the hypothesis of inter-hemispheric functional imbalance in OCD patients.
- To explore the potential role of thalamic filtering in this imbalance.
- To examine the correlation between inter-hemispheric balance restoration and symptomatic improvement in OCD.
Main Methods:
- This study proposes a theoretical framework based on existing research.
- It hypothesizes functional imbalance and its potential causes.
- It suggests a correlation between balance restoration and symptom reduction.
Main Results:
- The study hypothesizes that OCD patients exhibit an inter-hemispheric functional imbalance.
- Inadequate thalamic filtering is proposed as a potential mechanism.
- A positive correlation is hypothesized between restored inter-hemispheric balance and reduced OCD symptoms.
Conclusions:
- OCD may involve a functional imbalance between the brain's hemispheres.
- Thalamic dysfunction could contribute to this imbalance.
- Inter-hemispheric functional restoration may be a therapeutic target for OCD.
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