Heightened Distraction under Competition in Obsessive-Compulsive Disorder.

The present study examine the extent to which attentional resources are allocated toward distracting affective and disorder-relevant pictures under task-relevant competition in participants with obsessive-compulsive disorder (OCD; N = 33) and controls (N = 31). Competition between cues was examined using a foreground task where participants detected coherent motion in a flickering random dot kinematogram (RDK) overlaid on pictures ranging in emotional content (pleasant, neutral, unpleasant, and OCD-evoking pictures). Steady-state visual evoked potentials (ssVEPs) were measured in response to the flickering RDK and served as an index of visuocortical engagement with task-relevant cues. Data were also fitted to the distraction under competition model (DUC), a computational framework of attention selection. Group differences emerged with stronger visuocortical distraction (attenuated task engagement) in the OCD group, driven largely by the unpleasant pictures, followed by the OCD-evoking and pleasant pictures. Furthermore, the DUC model fit well in both groups and supported the results of the univariate analysis, demonstrating the magnitude of the visuocortical distraction observed in response to the unpleasant pictures, and the presence of substantial distraction in response to the OCD-evoking pictures in the OCD group. The present findings provide visuocortical evidence of heightened distraction in response to unpleasant and OCD-evoking pictures under task-relevant competition in OCD.