The comparison of risky and ambiguity decision making and cool executive functions between patients with obsessive compulsive disorder and healthy controls

Authors

  • Buket Güngör Istanbul Bakırköy Mental Health Training and Research Hospital – Psychiatry
  • Ersin Budak University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
  • Ibrahim Taymur University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
  • Nabi Zorlu Kâtip Çelebi University – Psychiatry
  • Burcu Ucgun University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
  • Almila Akgul University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
  • Hakan Demirci University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital

DOI:

https://doi.org/10.1590/acp.v45i5.153004

Keywords:

OCD, risky decision making, ambiguity decision making, cool executive functioning

Abstract

Background: Executive functioning has been evaluated in obsessive compulsive disorder (OCD). Cool and hot executive functioning discrimination provided a different way of conceptualising executive functions. Objectives: The aim of this study was to compare ambiguity and risky decision-making and cool executive functions in an OCD and a healthy control group. The relationship between decision-making and cool executive functioning was investigated. Methods: Sixty-two OCD patients and 48 healthy control participants were compared. Decision-making was measured using the Iowa Gambling Task. The cool executive functioning was assessed using the Stroop Test and the Wisconsin Card Sorting Task (WCST). Results: The OCD group completed the WCST and the Stroop Test statistically significantly with a lower score than that of the control group. The OCD group had impaired response inhibition and set-shifting that indicate impaired cool executive functioning. In contrast to a lack of a statistically significant difference, the risky decision-making performance was worse in the OCD group than in the healthy control group and in the unmedicated OCD patients than in the medicated OCD patients. Discussion: The OCD patients had a poorer performance in risky decision-making and cool executive functioning. There was a link between risky decision-making performance and impaired cool executive functions.

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Published

2018-12-19

Issue

Section

Original Articles

How to Cite

The comparison of risky and ambiguity decision making and cool executive functions between patients with obsessive compulsive disorder and healthy controls. (2018). Archives of Clinical Psychiatry, 45(5), 112-118. https://doi.org/10.1590/acp.v45i5.153004