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Using high-density electrical neuroimaging (EEG) at rest, we explored microstates deterioration in OCD and whether abnormal microstates patterns are associated with a dysregulation of the resting-state networks interplay. We used EEG microstates analyses, TESS method for sources reconstruction, and General Linear Models to test for the effect of disease severity on neural responses. OCD patients exhibited an increased contribution and decreased duration of microstates C and D, respectively. Activity was decreased in the Salience Network (SN), associated with microstate C, but increased in the Default Mode Network (DMN) and Executive Control Network (ECN), respectively, associated with microstates E and D. The hyperactivity of the right angular gyrus in the ECN correlated with the symptoms severity. The imbalance between microstates C and D invalidates the hypothesis that this electrophysiological pattern is specific to psychosis. Demonstrating that the SN-ECN dysregulation manifests as abnormalities in microstates C and D, we confirm that the SN deterioration in OCD is accompanied by a failure of the DMN to deactivate and aberrant compensatory activation mechanisms in the ECN. These abnormalities explain typical OCD clinical features but also detachment from reality, shared with psychosis.<\/jats:p>","DOI":"10.1093\/cercor\/bhac229","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T03:27:22Z","timestamp":1656041242000},"page":"2593-2611","source":"Crossref","is-referenced-by-count":21,"title":["Microstates imbalance is associated with a functional dysregulation of the resting-state networks in obsessive\u2013compulsive disorder: a high-density electrical neuroimaging study using the TESS method"],"prefix":"10.1093","volume":"33","author":[{"given":"B\u00e9rang\u00e8re","family":"Thirioux","sequence":"first","affiliation":[{"name":"Unit\u00e9 de Recherche Clinique Pierre Deniker, Centre Hospitalier Henri Laborit , 86021 Poitiers, France"},{"name":"CNRS 7295 , Centre de Recherches sur la Cognition et l\u2019Apprentissage, , 86021 Poitiers, France"},{"name":"Universit\u00e9 de Poitiers , Centre de Recherches sur la Cognition 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