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Emotion modulates cognitive flexibility in patients with major depression

Published online by Cambridge University Press:  09 November 2011

F. C. Murphy ,
A. Michael  and
B. J. Sahakian
F. C. Murphy*
Affiliation:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK
A. Michael
Affiliation:
Department of Psychiatry, University of Cambridge, Cambridge, UK West Suffolk Hospital, Bury St Edmunds, UK
B. J. Sahakian
Affiliation:
Department of Psychiatry, University of Cambridge, Cambridge, UK MRC/Wellcome Trust Behavioural and Clinical Neuroscience Institute, Cambridge, UK
*
*Address for correspondence: F. C. Murphy, Ph.D., Medical Research Council Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 7EF, UK. (Email: [email protected])
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Abstract

Background

Depression is associated with alterations of emotional and cognitive processing, and executive control in particular. Previous research has shown that depressed patients are impaired in their ability to shift attention from one emotional category to another, but whether this shifting deficit is more evident on emotional relative to non-emotional cognitive control tasks remains unclear.

Method

The performance of patients with major depressive disorder and matched healthy control participants was compared on neutral and emotional variants of a dynamic cognitive control task that requires participants to shift attention and response from one category to another.

Results

Relative to controls, depressed patients were impaired on both tasks, particularly in terms of performance accuracy. In the neutral go/no-go task, the ability of depressed patients to flexibly shift attention and response from one class of neutral stimuli to the other was unimpaired. This contrasted with findings for the emotional go/no-go task, where responding was slower specifically on blocks of trials that required participants to shift attention and response from one emotional category to the other.

Conclusions

The present data indicate that any depression-related difficulties with cognitive flexibility and control may be particularly evident on matched tasks that require processing of relevant emotional, rather than simply neutral, stimuli. The implications of these findings for our developing understanding of cognitive and emotional control processes in depression are discussed.

Keywords

Cognitiondepressionemotionexecutive functionmajor depressive disorder
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 7 , July 2012 , pp. 1373 - 1382
Copyright
Copyright © Cambridge University Press 2011

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