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Updated: Dec 23, 2025

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
Functional disruption in prefrontal-striatal network in obsessive-compulsive disorder.
Zhiqiang Sha1, Amelia Versace1, E Kale Edmiston1
1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA.
Obsessive-compulsive disorder (OCD) shows altered brain connectivity. Specifically, greater connectivity between the left caudate and dorsolateral prefrontal cortex was observed in OCD patients, correlating with depression severity.
Area of Science:
- Neuroscience
- Psychiatry
- Functional Neuroimaging
Background:
- Obsessive-compulsive disorder (OCD) involves intrusive thoughts and compulsive behaviors.
- The cortico-striatal-limbic network is implicated in OCD pathophysiology, but its neural basis requires further elucidation.
Purpose of the Study:
- To investigate resting-state functional connectivity within the cortico-striatal-limbic network in individuals with OCD.
- To explore the relationship between neural network connectivity and OCD symptom severity, including comorbid depression.
Main Methods:
- Resting-state functional connectivity analysis was performed on 44 participants with OCD and 43 healthy controls.
- Specific brain regions analyzed included the rostral anterior cingulate cortex, prefrontal cortex subregions, amygdala, thalamus, and caudate.
Main Results:
- Individuals with OCD exhibited significantly increased functional connectivity between the left caudate and bilateral dorsolateral prefrontal cortex compared to healthy controls.
- A positive correlation was found between left caudate-dorsolateral prefrontal cortex connectivity and depression scores in the OCD group.
Conclusions:
- The findings highlight altered functional connectivity within the cortico-striatal-limbic network in OCD.
- Increased left caudate-dorsolateral prefrontal cortex connectivity is associated with OCD and may be linked to comorbid depressive symptoms.
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