Background. Feelings of doubt and perseverative behaviours are key symptoms of obsessive–compulsive disorder (OCD) and have been linked to hyperactive error and conflict signals in the brain. While enhanced neural correlates of error monitoring have been robustly shown, far less is known about conflict processing and adaptation in OCD. Method. We examined event-related potentials during conflict processing in 70 patients with OCD and 70 matched healthy comparison participants, focusing on the stimulus-locked N2 elicited in a flanker task. Conflict adaptation was evaluated by analysing sequential adjustments in N2 and behaviour, i.e. current conflict effects as a function of preceding conflict. Results. Patients with OCD showed enhanced N2 amplitudes compared with healthy controls. Further, patients showed stronger conflict adaptation effects on reaction times and N2 amplitude. Thus, the effect of previous compatibility was larger in patients than in healthy participants as indicated by greater N2 adjustments in change trials (i.e. iC, cI). As a result of stronger conflict adaptation in patients, N2 amplitudes were comparable between groups in incompatible trials following incompatible trials. Conclusions. Larger N2 amplitudes and greater conflict adaptation in OCD point to enhanced conflict monitoring leading to increased recruitment of cognitive control in patients. This was most pronounced in change trials and was associated with stronger conflict adjustment in N2 and behaviour. Thus, hyperactive conflict monitoring in OCD may be beneficial in situations that require a high amount of control to resolve conflict, but may also reflect an effortful process that is linked to distress and symptoms of OCD.

The dynamic adaptation of cognitive control in the face of competition from conflicting response tendencies is one of the hallmarks of flexible human action control. Here, we suggest an alternative framework that places conflicttriggered control adaptation into the broader context of affect regulation. Specifically, we review evidence showing that (a) conflicts are inherently aversive, that (b) aversive stimuli in the absence of conflict also trigger behavioral adjustments, and, finally, that (c) conflict stimuli do trigger processes of affective counter-regulation. Together with recent findings showing that conflict-triggered control adaptation depends on the subjective experience of the conflict, we suggest that it is the subjective aversive conflict experience that originally motivates control adaptations. Such a view offers new perspectives for investigating and understanding intra- and interindividual differences in the regulation of cognitive control by differentiating between the individual sensitivity to experience and the individual ability to utilize the aversive signal.

Kognitive Kontrolle bezieht sich auf eine Vielzahl mentaler Fähigkeiten, die es uns erlauben im täglichen Leben zielgerichtete Entscheidungen zu treffen und sich flexibel an sich ständig ändernde Umweltanforderungen anzupassen. Das Ziel der vorliegenden Dissertation war es heraus zu finden, ob Kernfunktionen im Bereich der Konfliktüberwachung, Konfliktkontrolle, Fehlerverarbeitung und die daraus resultierenden Verhaltensanpassungen durch ein einheitliches Kontrollnetzwerk geleistet werden, oder ob spezifische Mechanismen die möglicherweise durch unabhängige neuronale Kontrollschleifen realisiert sind, die Flexibilität unserer Anpassungsfähigkeit steuern. Studie 1 und Studie 2 untersuchen sowohl generelle aus auch spezifische Aspekte der Konflikt- und Fehlerverarbeitung mit Hilfe klassischer Konfliktparadigmen und dem Einsatz von Zeit-Frequenz-analytischen Auswertungsmethoden. Studie 1 untersucht anhand 3 verschiedener Konfliktparadigmen (Simon, Flanker, NoGo) die Modulation der Theta Aktivität (4-8 Hz) und verortet diese grob innerhalb des medial frontalen Cortex (MFC), einer Struktur die durch eine Vielzahl von Studien als entscheidend bei der Konfliktverarbeitung angesehen wird. Die gefundene Theta Aktivität wurde in Studie 2 genutzt, um auch dynamische Netzwerkaktivierungen bei der Bearbeitung von Reiz- und Reaktionskonflikten zu beobachten. Es konnte gezeigt werden, dass ein vermutetes Netzwerk bestehend aus MFC, lateralen präfrontalen Cortices und motorischen Arealen bei der Lösung von Reaktionskonflikten beteiligt ist. In Studie 3 wird eine Simon-Aufgabe, die innerhalb von belohnenden oder bestrafenden Kontexten durchgeführt wurde, genutzt um zu zeigen, dass Konflikt- und Fehlerverarbeitung differentiell durch die Kontextmanipulation beeinflusst werden. Entgegen voriger Annahmen scheinen mehrere neuronale Kontrollsysteme an der Lösung von Konflikten und daraus resultierenden Verhaltensanpassungen beteiligt zu sein. / Cognitive control refers to a set of mental abilities that allow us goal-directed behavior in everyday life and to flexibly adapt to permanently changing environmental demands. The goal of the present dissertation was to investigate whether core functions in the area of conflict monitoring, conflict control, error processing and behavioral adjustments caused by these processes are enabled via a unitary control network or whether specific mechanisms that are possibly realized via independent control loops are responsible for the flexibility of our adaptability. Study 1 and 2 investigate general as well as specific aspects of conflict and error processing by using classic conflict paradigms and time-frequency-analytic methods. Study 1 compares the modulation of theta activity (4-8 Hz) across 3 conflict paradigms (Simon, Flanker, NoGo) and roughly situates it within medial frontal cortex (MFC), a structure which has been characterized as crucial for conflict processing in manifold studies. The found theta activity has been used in study 2, to observe dynamic network activations during processing of stimulus and response conflicts. Data confirmed that a hypothesized network consisting of MFC, lateral prefrontal cortices and motor areas is involved in conflict resolution. In study 3 we used a Simon task which was executed either during a rewarding or a punishing context assessing the influence of motivational contexts on conflict adaptation revealing that conflict and error processing were influenced differentially by the context manipulation. Against previous assumptions, several neuronal control systems seem to be engaged during conflict resolution and resulting behavioral adjustments.