Does neuropsychological performance impact on real-life functional achievements in obsessive-compulsive disorder? A preliminary study

Giampaolo Perna, Paolo Cavedini, Philip D Harvey, Nunzia Valentina Di Chiaro, Silvia Daccò, Daniela Caldirola

Research output: Contribution to journalArticle

2 Scopus citations


Objective: We investigated the association between neuropsychological performance and real-life functioning in obsessive-compulsive disorder (OCD). As a secondary aim, we investigated the association between neuropsychological performance and self-reported quality of life (QoL). Methods: We retrospectively selected 68 of 240 inpatients with OCD, who had been hospitalised for a 4-week psychiatric rehabilitation programme. We used clinical information recorded in the patients’ electronic medical records. We considered the following variables: neuropsychological performance (verbal/visual memory, sustained attention, visual-constructive ability, and language fluency; in a sub-sample of 37 subjects, divided attention, working memory, and attentional shifting were also available); real-life functional achievements (social/vocational outcomes and independent living); subjectively reported QoL (WHOQOL-BREF); obsessive-compulsive (OC) symptoms severity (DY-BOCS). Results: We found significant associations between poorer neuropsychological performance and poorer achievements in independent living and vocational outcomes. Among the different neuropsychological tests, we found significant associations between language fluency/executive processing and independent living, and between divided attention, attentional shifting, working memory and vocational outcome. We found no significant associations between neuropsychological performance and subjectively reported QoL. OC symptoms severity was not associated with real-life functional achievements. Conclusions: Our preliminary results suggest that poorer neuropsychological performance may be associated with impaired real-life functioning in subjects with OCD.

Original languageEnglish (US)
Pages (from-to)224-231
Number of pages8
JournalInternational Journal of Psychiatry in Clinical Practice
Issue number4
StatePublished - Oct 1 2016



  • executive functioning
  • neuropsychology
  • Obsessive-compulsive disorder
  • quality of life
  • real-life functional achievements

ASJC Scopus subject areas

  • Psychiatry and Mental health

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