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Research Paper

Changes of motor cortical excitability and response inhibition in patients with obsessive–compulsive disorder

Jee In Kang, Deog Young Kim, Chang-il Lee, Chan-Hyung Kim and Se Joo Kim
J Psychiatry Neurosci July 01, 2019 44 (4) 261-268; DOI: https://doi.org/10.1503/jpn.180064
Jee In Kang
From the Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea (Kang, C. Kim, S.J. Kim); the Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea (D.Y. Kim); and the Yonsei Phil Neuropsychiatric Clinic, Seoul, South Korea (Lee)
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Deog Young Kim
From the Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea (Kang, C. Kim, S.J. Kim); the Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea (D.Y. Kim); and the Yonsei Phil Neuropsychiatric Clinic, Seoul, South Korea (Lee)
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Chang-il Lee
From the Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea (Kang, C. Kim, S.J. Kim); the Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea (D.Y. Kim); and the Yonsei Phil Neuropsychiatric Clinic, Seoul, South Korea (Lee)
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Chan-Hyung Kim
From the Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea (Kang, C. Kim, S.J. Kim); the Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea (D.Y. Kim); and the Yonsei Phil Neuropsychiatric Clinic, Seoul, South Korea (Lee)
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Se Joo Kim
From the Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea (Kang, C. Kim, S.J. Kim); the Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea (D.Y. Kim); and the Yonsei Phil Neuropsychiatric Clinic, Seoul, South Korea (Lee)
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    Fig. 1

    Motor cortical excitability between patients with OCD and healthy controls. Graph showing variable means of bilateral RMT, CSP, ICF and SICI amplitudes in patients with OCD (n = 51) and controls (n = 39). Error bars represent ± 1 standard error of the mean. CSP = cortical silent period; ICF = intracortical facilitation; MEP = motor evoked potential; OCD = obsessive–compulsive disorder; RMT = resting motor threshold; SICI = short-interval intracortical inhibition.

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    Fig. 2

    Correlation between CSP and mean reaction time for the correct go trials in the go/no-go task and age at onset in patients with OCD (n = 51). CSP = cortical silent period; OCD = obsessive–compulsive disorder.

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    Table 1

    Demographic and clinical characteristics between patients with OCD and healthy controls*

    CharacteristicHealthy controls (n = 39)OCD (n = 51)t or χ2p value
    M/F, n30/940/110.0290.87
    Education, yr14.10 ± 2.0013.41 ± 2.19−1.540.13
    MOCI score4.61 ± 2.6717.49 ± 5.9013.85< 0.001
    Age of OCD onset, yr—15.90 ± 5.80——
    Y-BOCS score—23.51 ± 7.23——
    MADRS score—16.94 ± 10.02——
    HARS score—14.45 ± 9.95——
    Comorbid depression, n021——
    Receiving SRIs, n051†——
    Concomitant medications
     Benzodiazepines, n028‡——
     Antipsychotics, n04§——
    Go/no-go task
     Successful inhibition trials, %—84.51 ± 9.76——
     Reaction time for go trials, ms—300.84 ± 49.75——
    • HARS = Hamilton Anxiety Rating Scale; MADRS = Montgomery–Åsberg Depression Rating Scale; MOCI = Maudsley Obsessional Compulsive Inventory; OCD = obsessive–compulsive disorder; SRI = serotonin reuptake inhibitor; Y-BOCS = Yale–Brown Obsessive Compulsive Scale.

    • ↵* Data shown as mean ± standard deviation unless otherwise specified. All tests were 2-tailed.

    • ↵† Escitalopram 10~40 mg/d: 16; fluoxetine 40~100 mg/d: 15; paroxetine 37.5~87.5 mg/d: 9; sertraline 100~200 mg/d: 7; fluvoxamine 200~400 mg/d: 4.

    • ↵‡ Lorazepam-equivalent dose: 1.198 mg/d.

    • ↵§ Quetiapine 25 mg/d, 1; quetiapine 50 mg/d, 2; aripiprazole 5 mg/d, 1.

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Journal of Psychiatry and Neuroscience: 44 (4)
J Psychiatry Neurosci
Vol. 44, Issue 4
1 Jul 2019
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Changes of motor cortical excitability and response inhibition in patients with obsessive–compulsive disorder
Jee In Kang, Deog Young Kim, Chang-il Lee, Chan-Hyung Kim, Se Joo Kim
J Psychiatry Neurosci Jul 2019, 44 (4) 261-268; DOI: 10.1503/jpn.180064

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Changes of motor cortical excitability and response inhibition in patients with obsessive–compulsive disorder
Jee In Kang, Deog Young Kim, Chang-il Lee, Chan-Hyung Kim, Se Joo Kim
J Psychiatry Neurosci Jul 2019, 44 (4) 261-268; DOI: 10.1503/jpn.180064
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