Decreased inter- and intra-network connectivity after group cognitive behavioral therapy in patients with unmedicated obsessive-compulsive disorder

doi:10.5498/wjp.v15.i8.107860

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World Journal of Psychiatry

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World J Psychiatry. Aug 19, 2025; 15(8): 107860
Published online Aug 19, 2025. doi: 10.5498/wjp.v15.i8.107860

Table 4 Comparison of neuropsychological assessment results between groups

		OCD (n = 33)	HC (n = 26)	t	P value
MoCA-B	MoCA-B	27.79 ± 1.59	29.00 ± 0.87	-3.25	0.002^a
Visuospatial ability	Rey-O emulation time (second)	160 ± 80.67	128.63 ± 48.44	1.67	0.100
	Rey-O recall time (second)	79.57 ± 40.10	87.63 ± 25.01	-0.84	0.404
	Rey-O recall score	15.26 ± 7.97	21.27 ± 6.18	-2.99	0.004^a
	Rey-O recall organization score	4.53 ± 1.77	5.41 ± 1.10	-2.27	0.027^a
Memory	AVLT-N1	4.12 ± 1.60	4.36 ± 1.22	-0.60	0.548
	AVLT-N2	5.94 ± 2.01	7.18 ± 1.26	-2.81	0.007^a
	AVLT-N3	7.00 ± 2.19	8.55 ± 1.99	-2.65	0.011^a
	AVLT-N4 short-delayed recall	5.73 ± 2.18	7.36 ± 2.01	-2.81	0.007^a
	AVLT-N5 long-delayed recall	5.30 ± 2.42	7.05 ± 2.06	-2.77	0.008^a
	AVLT-N6	5.45 ± 2.47	7.36 ± 1.89	-3.07	0.008^a
	AVLT-reaccreditation	9.82 ± 2.11	10.91 ± 1.07	-2.52	0.015^a
Attention	SDMT-correct count	53.03 ± 12.47	61.18 ± 7.71	-2.99	0.004^a
	SDMT-error count	0.30 ± 0.63	0.72 ± 1.24	-1.47	0.150
	PASAT-correct count	32.79 ± 4.13	35.77 ± 2.93	-2.93	0.005^a
	DST-recite along	9.61 ± 1.32	9.59 ± 1.01	0.05	0.964
	DST-recite backwards	5.94 ± 1.69	7.05 ± 1.79	-2.32	0.024^a
	DST total score	15.54 ± 2.67	16.64 ± 2.42	-1.54	0.129
Executive function	SCWT-A (second)	21.27 ± 4.83	19.96 ± 3.43	1.18	0.24
	SCWT-B (second)	34.27 ± 10.86	28.32 ± 3.75	2.90	0.006^a
	SCWT-C (second)	63.76 ± 22.39	56.45 ± 9.93	1.44	0.157
	SCWT-C error count	0.46 ± 1.30	0.73 ± 2.33	-0.56	0.581
	STT-A practice (second)	7.33 ± 3.27	7.09 ± 3.54	0.26	0.791
	STT-A test (second)	39.30 ± 12.59	32.18 ± 8.80	2.30	0.025^a
	STT-B practice (second)	13.18 ± 5.04	10.59 ± 1.99	2.67	0.011^a
	STT-B test (second)	85.21 ± 22.79	70.96 ± 13.62	2.90	0.005^a
	CCST spontaneous classification	4.36 ± 1.24	6.22 ± 1.02	-5.83	0.000^b
	CCST classification of leads	8.79 ± 1.53	7.86 ± 1.81	1.97	0.056
	CCST total classification	13.15 ± 2.09	14.09 ± 2.07	-1.63	0.107
	Tower of Hanoi: Three discs moving steps	12.31 ± 4.46	8.82 ± 2.38	3.72	0.001^a
	Time (second)	40.50 ± 20.35	23.36 ± 17.39	3.22	0.002^a
	Tower of Hanoi: Four discs moving steps	23.97 ± 5.99	22.09 ± 6.93	1.06	0.293
	Time (second)	82.03 ± 33.93	62.04 ± 32.24	2.17	0.035^a
	Tower of Hanoi: Five discs moving steps	52.42 ± 9.67	42.23 ± 6.29	4.32	0.000^b
	Time (second)	171.16 ± 58.92	111.91 ± 29.40	4.81	0.000^b
Speech	Surname and city alternate correct number	26.81 ± 5.85	34.18 ± 5.79	-4.56	0.000^b
	Surname correct number	13.22 ± 3.47	17.77 ± 4.43	-4.23	0.000^b
	City correct number	13.59 ± 3.91	16.41 ± 4.46	-2.46	0.017^a
	Number of errors	1.22 ± 2.15	0.91 ± 1.63	0.57	0.570
	Repetition number	2.91 ± 4.60	1.36 ± 2.17	1.65	0.106
	Animal and fruit alternate correct number	15.97 ± 3.40	18.14 ± 3.06	-2.41	0.020^a
	Number of errors	0.21 ± 0.48	0.55 ± 0.91	-1.57	0.127
	Repetition number	0.09 ± 0.29	0.41 ± 1.10	-1.32	0.197

^aP < 0.05, differences were considered statistically significant.

^bP < 0.001, uncorrected.

MoCA: Montreal Cognitive Assessment; Rey-O: Rey-Osterrieth Complex Figure; ROCF complex image test; AVLT: Auditory-verbal learning test; SDMT: Symbol Digit Modalities Test; PASAT: Paced Auditory Serial Addition Test; DST: Digit Span Test; SCWT: Stroop Color Word Test; STT-A: Shape Trails Test A; STT-B: Shape Trails Test B; CCST: California Card Sorting Test.

Citation: Zhang ZF, He Y, Su YQ, Liu JM. Decreased inter- and intra-network connectivity after group cognitive behavioral therapy in patients with unmedicated obsessive-compulsive disorder. World J Psychiatry 2025; 15(8): 107860
URL: https://www.wjgnet.com/2220-3206/full/v15/i8/107860.htm
DOI: https://dx.doi.org/10.5498/wjp.v15.i8.107860