The Neural Correlates of Probabilistic Classification Learning in Obsessive-Compulsive Disorder: A Pilot Study

What Is the Weather Prediction Task Good for? A New Analysis of Learning Strategies Reveals How Young Adults Solve the Task

The Weather Prediction Task (WPT) was originally designed to assess probabilistic classification learning. Participants were believed to gradually acquire implicit knowledge about cue–outcome association probabilities and solve the task using a multicue strategy based on the combination of all cue–outcome probabilities. However, the cognitive processes engaged in the resolution of this task have not been firmly established, and despite conflicting results, the WPT is still commonly used to assess striatal or procedural learning capacities in various populations. Here, we tested young adults on a modified version of the WPT and performed novel analyses to decipher the learning strategies and cognitive processes that may support above chance performance. The majority of participants used a hierarchical strategy by assigning different weights to the different cues according to their level of predictability. They primarily based their responses on the presence or absence of highly predictive cues and considered less predictive cues secondarily. However, the influence of the less predictive cues was inconsistent with the use of a multicue strategy, since they did not affect choices when both highly predictive cues associated with opposite outcomes were present simultaneously. Our findings indicate that overall performance is inadequate to draw conclusions about the cognitive processes assessed by the WPT. Instead, detailed analyses of performance for the different patterns of cue–outcome associations are essential to determine the learning strategies used by participants to solve the task.

Intact capacity for implicit learning in obsessive-compulsive disorder

BACKGROUND AND OBJECTIVES

Individuals with OCD tend to rely on explicit processing when performing implicit learning tasks. However, it is unclear whether this tendency reflects impaired capacity for implicit processing or a preference toward explicit processing. We sought to use a psychometrically valid task to examine the hypothesis that individuals with OCD have intact capacity for implicit learning.

METHODS

Twenty-four participants with OCD and 24 non-psychiatric controls completed a modified artificial grammar learning task where acquisition and retrieval of the underlying grammatical rules are considered strictly implicit. In an exploratory condition designed to examine the effect of nudging participants toward controlled processing, 12 participants in each group were told that the stimuli presented at acquisition were composed according to grammatical rules and were encouraged to identify these rules.

RESULTS

As predicted, participants with OCD acquired and expressed knowledge of the grammatical rule, demonstrating intact capacity for implicit learning, with no differences found between the OCD and controls on the extent of implicit learning. The exploratory intentional learning instructions had no effect, as participants in this condition were unable to adhere to the instructions, supporting the robust implicit nature of the artificial grammar learning task.

LIMITATIONS

The relatively small sample size did not allow comparisons between OCD symptom subtypes.

CONCLUSIONS

Our results provide evidence for intact implicit learning in OCD, and challenge previous studies suggesting a general deficiency in implicit learning in OCD.

Distinct Response Inhibition Patterns in Obsessive Compulsive Disorder Patients and Pathological Gamblers

Background: Obsessive-compulsive disorder (OCD) and pathological gambling (PG) are common disorders. The cognitive models of OCD and PG focus on abnormalities in response inhibition. Although, these functions have been studied in different PG and OCD samples, no study has compared the response inhibition in both. Methods: Medication-naïve OCD (n = 61) and PG subjects (n = 109) and healthy controls (n = 131) performed CPT and Go/NoGo tasks. Results: Compared to healthy controls (HC), PG and OCD groups underperformed on speed and exhibited larger time variability on the CPT and Go/NoGo task. Only in OCD patients, a positive correlation between omission errors and response time (RT) was observed in the CPT. At the Go/NoGo task, a negative correlation between false alarms and RT (a fast-errors trade-off) was significant only in the PG group. The HC group had greater sensitivity values (d') than the OCD and PG groups in the Go/NoGo task. The PG group displayed lower d' values and more conservative response criterion in the CPT. In addition, only the OCD group expressed a high switching cost compared to both the PG and HC groups in terms of the RT and d' values. Conclusions: Both the PG and OCD groups demonstrated impaired response inhibition compared to the HC group. On several measures, the OCD and PG groups showed comparable impairments, and in others these were distinct. Thus, it appears that distinct neurocognitive patterns are involved in performance of the CPT and the Go/NoGo tasks among OCD and PG subjects whose cognitive status is currently under intensive investigation.