Related Experiment Video
Updated: Jan 15, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
Perceptual decision making and metacognition in relation to obsessive-compulsive traits
Anıl Şafak Kaçar1, Fuat Balcı2
1Koç University, Department of Psychology & Research Center for Translational Medicine, Istanbul, Turkey; Erenköy Mental and Nervous Diseases Training and Research Hospital, Turkey.
Individuals with higher obsessive-compulsive tendencies demonstrate enhanced metacognitive efficiency, contrary to prior research. However, they show less efficient information integration and limited behavioral adaptation following errors.
Area of Science:
- Cognitive Psychology
- Neuroscience
- Psychiatry
Background:
- Metacognition, the awareness and control of one's own cognition, is often impaired in obsessive-compulsive disorder (OCD).
- Previous studies indicated reduced metacognitive efficiency in OCD, but methodological limitations may have skewed results.
Purpose of the Study:
- To re-evaluate metacognitive efficiency in individuals with varying obsessive-compulsive tendencies.
- To investigate the impact of obsessive-compulsive tendencies on perceptual information processing and behavioral adaptation.
Main Methods:
- A two-alternative forced-choice task was administered to 161 healthy university students without providing feedback.
- Drift-diffusion modeling was employed to analyze decision-making processes.
- Post-error slowing was assessed to evaluate behavioral adaptation.
Main Results:
- Contrary to previous findings, higher obsessive-compulsive tendencies correlated with increased metacognitive efficiency.
- Drift-diffusion modeling revealed lower perceptual information integration efficiency and less cautious decision thresholds in those with higher obsessive-compulsive tendencies.
- Individuals with higher obsessive-compulsive tendencies showed limited post-error slowing and lower confidence levels after errors.
Conclusions:
- Higher obsessive-compulsive tendencies are associated with robust metacognitive capacity.
- Despite sufficient metacognitive capacity, individuals with higher obsessive-compulsive tendencies exhibit impaired utilization of this information for adaptive behavior and error correction.
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