Altered resting-state cerebellar-cerebral functional connectivity in obsessive-compulsive disorder.

Journal: Psychological medicine

Volume: 49

Issue: 7

Year of Publication: 2020

Affiliated Institutions:  Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,PR China. Department of Psychiatry and South African Medical Research Council Unit on Risk & Resilience in Mental Disorders,University of Cape Town,Cape Town,South Africa.

Abstract summary 

The role of the cerebellum in obsessive-compulsive disorder (OCD) has drawn increasing attention. However, the functional connectivity between the cerebellum and the cerebral cortex has not been investigated in OCD, nor has the relationship between such functional connectivity and clinical symptoms.A total of 27 patients with OCD and 21 healthy controls (HCs) matched on age, sex and education underwent magnetic resonance imaging (MRI). Seed-based connectivity analyses were performed to examine differences in cerebellar-cerebral connectivity in patients with OCD compared with HCs. Associations between functional connectivity and clinical features in OCD were analyzed.Compared with HCs, OCD patients showed significantly decreased cerebellar-cerebral functional connectivity in executive control and emotion processing networks. Within the OCD group, decreased functional connectivity in an executive network spanning the right cerebellar Crus I and the inferior parietal lobule was positively correlated with symptom severity, and decreased connectivity in an emotion processing network spanning the left cerebellar lobule VI and the lingual gyrus was negatively correlated with illness duration.Altered functional connectivity between the cerebellum and cerebral networks involved in cognitive-affective processing in patients with OCD provides further evidence for the involvement of the cerebellum in the pathophysiology of OCD, and is consistent with impairment in executive control and emotion regulation in this condition.

Authors & Co-authors:  Xu Tingting T Zhao Qing Q Wang Pei P Fan Qing Q Chen Jue J Zhang Haiyin H Yang Zhi Z Stein Dan J DJ Wang Zhen Z

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1017/S0033291718001915
SSN : 1469-8978
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Cerebellar circuits;executive control network;functional connectivity;obsessive-compulsive disorder
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England