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Excessive checking for non-anxiogenic stimuli in obsessive-compulsive disorder

  • A.-H. Clair (a1), K. N’Diaye (a1), T. Baroukh (a2), J.-B. Pochon (a1), M. Morgiève (a1), E. Hantouche (a3), B. Falissard (a2), A. Pelissolo (a4) and L. Mallet (a1)...



Repetitive checking in obsessive-compulsive disorder (OCD) would serve to relieve obsession-related anxiety and/or to compensate memory deficit, but experimental literature on this subject is inconsistent. The main objective is to test the influence of obsession-related anxiety and memory on repetitive checking in OCD.


Twenty-three OCD checkers, 17 OCD non-checkers and 41 controls performed a delayed-matching-to-sample task with an unrestricted checking option. Some stimuli were obsession-related in order to measure the influence of anxiety on checking. A version of the task without checking possibility was used to assess memory abilities.


OCD checkers had similar memory performances but checked more than the other groups when presented with non-anxiogenic stimuli. Level of anxiety associated to the stimulus did not influence the number of checks.


Increased checking in OCD checkers, being independent of memory abilities and primary obsession-related anxiety, would, therefore, be closer to an automated behaviour than a coping strategy.


Corresponding author

*Corresponding author. Tel.: +33 1 42 16 57 66; fax: +33 1 42 16 57 67. E-mail (A.-H. Clair).


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Clinical trial number 2007-A00488-45.



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[1]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders – Fourth edition – Text Revision Washington DC: American Psychiatric Association; 2000.
[2]Arntz, AVoncken, MGoosen, ACResponsibility and obsessive-compulsive disorder: an experimental test. Behav Res Ther 2007;45:425435.
[3]Baxter, LRBrain imaging as a tool in establishing a theory of brain pathology in obsessive compulsive disorder. J Clin Psychiatry 1990;51:2225 [discussion 6]
[4]Bender, RLange, SAdjusting for multiple testing – when and how?. J Clin Epidemiol 2001;54:343349.
[5]Bradley, MMCodispoti, MCuthbert, BNLang, PJEmotion and motivation I: defensive and appetitive reactions in picture processing. Emotion 2001;1:276298.
[6]Chamberlain, SRBlackwell, ADFineberg, NARobbins, TWSahakian, BJThe neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neurosci Biobehav Rev 2005;29:399419.
[7]Ciesielski, KTHamalainen, MSLesnik, PGGeller, DAAhlfors, SPIncreased MEG activation in OCD reflects a compensatory mechanism specific to the phase of a visual working memory task. NeuroImage 2005;24:11801191.
[8]Cottraux, JGerard, DCinotti, LFroment, JCDeiber, MPLe Bars, D, et al.A controlled positron emission tomography study of obsessive and neutral auditory stimulation in obsessive-compulsive disorder with checking rituals. Psychiatry Res 1996;60:101112.
[9]Figee, MVink, Mde Geus, FVulink, NVeltman, DJWestenberg, H, et al.Dysfunctional reward circuitry in obsessive-compulsive disorder. Biol Psychiatry 2011;69:867874.
[10]Gillan, CMPapmeyer, MMorein-Zamir, SSahakian, BJFineberg, NARobbins, TW, et al.Disruption in the balance between goal-directed behavior and habit learning in obsessive-compulsive disorder. Am J Psychiatry 2011;168(7):718726.
[11]Goodman, WKPrice, LHRasmussen, SAMazure, CFleischmann, RLHill, CL, et al.The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry 1989;46:10061011.
[12]Graham, FKRepresenting cardiac activity in relation to time. In: Martin, IVenables, P.H.Techniques in psychophysiology Chichester: Wiley; 1980. p. 192197.
[13]Graybiel, AMThe basal ganglia and chunking of action repertoires. Neurobiol Learn Mem 1998;70:119136.
[14]Graybiel, AMRauch, SLToward a neurobiology of obsessive-compulsive disorder. Neuron 2000;28:343347.
[15]Harkin, BKessler, KHow checking breeds doubt: reduced performance in a simple working memory task. Behav Res Ther 2009;47:504512.
[16]Hermans, DEngelen, UGrouwels, LJoos, ELemmens, JPieters, GCognitive confidence in obsessive-compulsive disorder: distrusting perception, attention and memory. Behav Res Ther 2008;46:98113.
[17]Hornsveld, RHKraaimaat, FWvan Dam-Baggen, RMAnxiety/discomfort and handwashing in obsessive-compulsive and psychiatric control patients. Behav Res Ther 1979;17:223228.
[18]Kuelz, AKHohagen, FVoderholzer, UNeuropsychological performance in obsessive-compulsive disorder: a critical review. Biol Psychol 2004;65:185236.
[19]Mataix-Cols, DWooderson, SLawrence, NBrammer, MJSpeckens, APhillips, MLDistinct neural correlates of washing, checking, and hoarding symptom dimensions in obsessive-compulsive disorder. Arch Gen Psychiatry 2004;61:564576.
[20]Purcell, RMaruff, PKyrios, MPantelis, CNeuropsychological deficits in obsessive-compulsive disorder: a comparison with unipolar depression, panic disorder, and normal controls. Arch Gen Psychiatry 1998;55:415423.
[21]Purcell, RMaruff, PKyrios, MPantelis, CCognitive deficits in obsessive-compulsive disorder on tests of frontal-striatal function. Biol Psychiatry 1998;43:348357.
[22]Rachman, SA cognitive theory of compulsive checking. Behav Res Ther 2002;40:625639.
[23]Rasmussen, SAEisen, JLThe epidemiology and clinical features of obsessive compulsive disorder. Psychiatr Clin North Am 1992;15:743758.
[24]Roper, GRachman, SHodgson, RAn experiment on obsessional checking. Behav Res Ther 1973;11:271277.
[25]Rotge, JYClair, AHJaafari, NHantouche, EGPelissolo, AGoillandeau, M, et al.A challenging task for assessment of checking behaviors in obsessive-compulsive disorder. Acta Psychiatr Scand 2008;117:465473.
[26]Salkovskis, PMObsessional-compulsive problems: a cognitive-behavioural analysis. Behav Res Ther 1985;23:571583.
[27]Salkovskis, PMUnderstanding and treating obsessive-compulsive disorder. Behav Res Ther 1999;37(Suppl. 1):S29S52.
[28]Sanavio, EObsessions and compulsions: the Padua Inventory. Behav Res Ther 1988;26:169177.
[29]Sheehan, DVLecrubier, YSheehan, KHAmorim, PJanavs, JWeiller, E, et al.The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59(Suppl. 20):2233 [quiz 4-57].
[30]Smith, JCBradley, MMLang, PJState anxiety and affective physiology: effects of sustained exposure to affective pictures. Biol Psychol 2005;69:247260.
[31]Spielberger, CGorsuch, RLushene, RVagg, PJacobs, GManual for the State-Trait Anxiety Inventory Paolo Alto, CA: Consulting Psychologists Press; 1983.
[32]Tallis, FThe neuropsychology of obsessive-compulsive disorder: a review and consideration of clinical implications. Br J Clin Psychol 36Pt 11997 320.
[33]Tallis, FPratt, PJamani, NObsessive compulsive disorder, checking, and non-verbal memory: a neuropsychological investigation. Behav Res Ther 1999;37:161166.
[34]Zigmond, ASSnaith, RPThe hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361370.
[35]Zor, RHermesh, HSzechtman, HEilam, DTurning order into chaos through repetition and addition of elementary acts in obsessive-compulsive disorder (OCD). World J Biol Psychiatry 2009;10:480487.
[36]Zor, RSzechtman, HHermesh, HFineberg, NAEilam, DManifestation of incompleteness in obsessive-compulsive disorder (OCD) as reduced functionality and extended activity beyond task completion. PLoS One 2011;6:e25217.


Excessive checking for non-anxiogenic stimuli in obsessive-compulsive disorder

  • A.-H. Clair (a1), K. N’Diaye (a1), T. Baroukh (a2), J.-B. Pochon (a1), M. Morgiève (a1), E. Hantouche (a3), B. Falissard (a2), A. Pelissolo (a4) and L. Mallet (a1)...


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Excessive checking for non-anxiogenic stimuli in obsessive-compulsive disorder

  • A.-H. Clair (a1), K. N’Diaye (a1), T. Baroukh (a2), J.-B. Pochon (a1), M. Morgiève (a1), E. Hantouche (a3), B. Falissard (a2), A. Pelissolo (a4) and L. Mallet (a1)...
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