ArticleComputational psychiatry (Cambridge, Mass.)2026
OCD Compulsions as Aberrant Integration of Uncertainty from Local Goals to Global Goals.
Article in Computational psychiatry (Cambridge, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Recent years have seen unprecedented increases in compulsive behaviors, even in previously undiagnosed populations. Yet, despite their rising prevalence and the fact that compulsions-notably associated with obsessive-compulsive disorder (OCD), but also a key feature of other disorders such a hoarding or body dysmorphic disorder-significantly hamper daily function, the specific mechanisms of their formation remain unknown. Previous research holds mixed findings on compulsivity-linked cognitive deficits, and, while many accounts assume that compulsions aim to reduce anxiety, most individuals with anxiety do not develop compulsions-suggesting that the anxiety-reduction account is incomplete. We propose here a broader, uncertainty-resolving account of compulsivity, that bypasses the commonly-used, single-goal structure of many cognitive tasks to leverage the real-world hierarchical structure of goals-with "
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