클리닉 소개

Obsessive-Compulsive Disorder Clinic

연구 및 치료성과

Distinct cognitive and functional connectivity features from healthy cohorts can identify clinical obsessive-compulsive disorder
Journal
Molecular Psychiatry
Vol
31(5)
Page
2778–2786
Author
L.J. Hearne, B.T.T. Yeo, L. Webb, A. Zalesky, P.B. Fitzgerald, O.W. Murphy, Y.E. Tian, M. Breakspear, C.V. Hall, S. Choi, M. Kim, J.S. Kwon, L. Cocchi
Year
2026
Date
May

Improving diagnostic accuracy of obsessive-compulsive disorder (OCD) using models of brain imaging data is a key goal of the field, but this objective is challenging due to the limited size and phenotypic depth of clinical datasets. Leveraging the phenotypic diversity in large non-clinical datasets such as the UK Biobank (UKBB), offers a potential solution to this problem. Nevertheless, it remains unclear whether classification models trained on non-clinical populations will generalise to individuals with clinical OCD. This question is also relevant for the conceptualisation of OCD; specifically, whether the symptomology of OCD exists on a continuum from normal to pathological. Here, we examined a recently published “meta-matching” model trained on functional connectivity data from five large normative datasets (N = 45,507) to predict cognitive, health and demographic variables. Specifically, we tested whether this model could classify OCD status in three independent datasets (N = 345). We found that the model could identify out-of-sample OCD individuals. Notably, the most predictive functional connectivity features mapped onto known cortico-striatal abnormalities in OCD and correlated with genetic brain expression maps previously implicated in the disorder. Further, the meta-matching model relied upon estimates of cognitive functions, such as cognitive flexibility and inhibition, to successfully predict OCD. These findings suggest that variability in non-clinical brain and behavioural features can discriminate clinical OCD status. These results support a dimensional and transdiagnostic conceptualisation of the brain and behavioural basis of OCD, with implications for research approaches and treatment targets.