Reward-based spatial learning in unmedicated adults with obsessive-compulsive disorder

Rachel Marsh1, Gregory Z Tau, Zhishun Wang

  • 1From the Division of Child and Adolescent Psychiatry in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians and Surgeons, Columbia University, New York; the Division of Translational Imaging, the New York State Psychiatric Institute and the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York; the Department of Psychology, Texas A&M University, College Station, Tex.; the Institute for the Developing Mind, Children's Hospital Los Angeles, Los Angeles; and the Division of Clinical Therapeutics in the Department of Psychiatry, the New York State Psychiatric Institute and the College of Physicians and Surgeons, Columbia University, New York.

Summary

Adults with obsessive-compulsive disorder (OCD) show altered brain activity in reward pathways during spatial learning. Unlike healthy individuals, they over-rely on the hippocampus and do not activate reward circuitry when expectations are violated.