BACKGROUND: Despite cognitive inflexibility is trait like in obsessive compulsive disorder (OCD) patients and underlies clinical symptomatology, it is elusive at what stage of information processing deficits, leading to cognitive inflexibility, emerges. We hypothesize that inhibitory control mechanisms during early stimulus categorization and integration into a knowledge system underlie these deficits. METHODS: We examined N = 25 adolescent OCD patients and matched healthy controls (HC) in a paradigm manipulating the importance of the knowledge system to perform task switching. This was done using a paradigm in which task switches were signaled either by visual stimuli or by working memory processes. This was combined with event-related potential recordings and source localization. RESULTS: Obsessive compulsive disorder patients showed increased switch costs in the memory as compared with the cue-based block, while HC showed similar switch costs in both blocks. At the neurophysiological level, these changes in OCD were not reflected by the N2 and P3 reflecting response-associated processes but by the P1 reflecting inhibitory control during sensory categorization processes. Activation differences in the right inferior frontal gyrus and superior temporal gyrus are associated with the P1 effect. CONCLUSIONS: Cognitive flexibility in adolescent OCD patients is strongly modulated by working memory load. Contrary to common sense, not response-associated processes, but inhibitory control mechanisms during early stimulus categorization processes are likely to underlie cognitive inflexibility in OCD. These processes are associated with right inferior frontal and superior temporal gyrus mechanisms.

• MeSH
• Child MeSH
• Electroencephalography MeSH
• Evoked Potentials physiology   MeSH
• Executive Function physiology   MeSH
• Inhibition, Psychological * MeSH
• Memory, Short-Term physiology   MeSH
• Humans MeSH
• Adolescent MeSH
• Cerebral Cortex physiopathology   MeSH
• Obsessive-Compulsive Disorder physiopathology   MeSH
• Concept Formation physiology   MeSH
• Visual Perception physiology   MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Adolescent MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH

The formation of the concept of sameness is considered as a crucial cognitive ability which allows for other high cognitive functions in some species, e.g. humans. It is often operationalized as transfer of the matching rule to new stimuli in a matching-to-sample task. Animal species show great differences regarding the number of stimuli needed in training to be able to perform a full transfer to new stimuli. Not only apes appear to master this task, but also corvids among the birds were shown to reach a full transfer using only few stimuli. Using colour, shape and number stimuli in a matching-to-sample design, we tested four grey parrots for their ability to judge identity. Only a limited set of 8 stimulus cards were used in training. Pairs of "same" number stimuli were visually different thus allowing to be matched according to number of elements only. All four parrots successfully transferred to testing phases including testing with completely new stimuli and their performance did not drop with new stimuli. Including number stimuli invalidated some interpretations based on visual non-abstract processes and give evidence for formation of the concept of sameness.

• MeSH
• Discrimination Learning physiology   MeSH
• Aptitude physiology   MeSH
• Parrots physiology   MeSH
• Cues MeSH
• Concept Formation physiology   MeSH
• Animals MeSH
• Check Tag
• Male MeSH
• Female MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH