Decreased response monitoring in individuals with symptoms of trichotillomania
Corresponding Author
Kathryn Roberts
Department of Psychology, University of Delaware, Newark, Delaware, USA
Address correspondence to: Kathryn Roberts, Department of Psychology, University of Delaware, Newark, DE, 19716, USA. E-mail: [email protected]Search for more papers by this authorEmily M. Stanley
Department of Psychology, University of Delaware, Newark, Delaware, USA
Search for more papers by this authorMartin E. Franklin
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Search for more papers by this authorRobert F. Simons
Department of Psychology, University of Delaware, Newark, Delaware, USA
Search for more papers by this authorCorresponding Author
Kathryn Roberts
Department of Psychology, University of Delaware, Newark, Delaware, USA
Address correspondence to: Kathryn Roberts, Department of Psychology, University of Delaware, Newark, DE, 19716, USA. E-mail: [email protected]Search for more papers by this authorEmily M. Stanley
Department of Psychology, University of Delaware, Newark, Delaware, USA
Search for more papers by this authorMartin E. Franklin
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Search for more papers by this authorRobert F. Simons
Department of Psychology, University of Delaware, Newark, Delaware, USA
Search for more papers by this authorAbstract
Trichotillomania (TTM) was long classified as an impulse-control disorder; however, the many characteristics it shares with obsessive-compulsive disorder (OCD) led to its recategorization in the DSM-V. The present study aimed to assess and inform the taxonomic placement of TTM through an examination of its neural correlates. While research has consistently associated OCD with enhanced response monitoring, the present study investigated whether a similar neural process is associated with TTM. Undergraduates reporting TTM symptoms and controls performed a modified version of the flanker task, and their event-related potentials were examined for between-group differences in error-related negativity (ERN). Results confirm that individuals who have symptoms of hair pulling have significantly smaller ERNs than the control group. Smaller ERNs reflect decreased levels of response monitoring and support the idea that TTM is distinct from OCD.
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