Self-referential Processing in Remitted Depression: An Event-Related Potential Study

Background: Identifying mechanisms of major depressive disorder that continue into remission is critical, as these mechanisms may contribute to subsequent depressive episodes. Biobehavioral markers related to depressogenic self-referential processing biases have been identified in adults with depres...

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Main Authors: Grace O. Allison, Rahil A. Kamath, Vivian Carrillo, Kira L. Alqueza, David Pagliaccio, George M. Slavich, Stewart A. Shankman, Randy P. Auerbach
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Biological Psychiatry Global Open Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667174321001750
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author Grace O. Allison
Rahil A. Kamath
Vivian Carrillo
Kira L. Alqueza
David Pagliaccio
George M. Slavich
Stewart A. Shankman
Randy P. Auerbach
author_facet Grace O. Allison
Rahil A. Kamath
Vivian Carrillo
Kira L. Alqueza
David Pagliaccio
George M. Slavich
Stewart A. Shankman
Randy P. Auerbach
author_sort Grace O. Allison
collection DOAJ
description Background: Identifying mechanisms of major depressive disorder that continue into remission is critical, as these mechanisms may contribute to subsequent depressive episodes. Biobehavioral markers related to depressogenic self-referential processing biases have been identified in adults with depression. Thus, we investigated whether these risk factors persisted during remission as well as contributed to the occurrence of stress and depressive symptoms over time. Methods: At baseline, adults with remitted depression (n = 33) and healthy control subjects (n = 33) were administered diagnostic and stress interviews as well as self-report symptom measures. In addition, participants completed a self-referential encoding task while electroencephalography data were acquired. Stress interviews and self-report symptom measures were readministered at the 6-month follow-up assessment. Results: Drift diffusion modeling showed that compared with healthy individuals, adults with remitted depression exhibited a slower drift rate to negative stimuli, indicating a slower tendency to reject negative stimuli as self-relevant. At the 6-month follow-up assessment, a slower drift rate to negative stimuli predicted greater interpersonal stress severity among individuals with remitted depression but not healthy individuals while controlling for both baseline depression symptoms and interpersonal stress severity. Highlighting the specificity of this effect, results were nonsignificant when predicting noninterpersonal stress. For self-relevant positive words endorsed, adults with remitted depression exhibited smaller left- than right-hemisphere late positive potential amplitudes; healthy control subjects did not show hemispheric differences. Conclusions: Self-referential processing deficits persist into remission. In line with the stress generation framework, these biases predicted the occurrence of interpersonal stress, which may provide insight about a potential pathway for the re-emergence of depressive symptoms.
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spelling doaj.art-d28a51984cfa4750ba7a33ecc3dbc2c82023-01-19T04:17:58ZengElsevierBiological Psychiatry Global Open Science2667-17432023-01-0131119129Self-referential Processing in Remitted Depression: An Event-Related Potential StudyGrace O. Allison0Rahil A. Kamath1Vivian Carrillo2Kira L. Alqueza3David Pagliaccio4George M. Slavich5Stewart A. Shankman6Randy P. Auerbach7Department of Psychiatry, Columbia University, New York, New YorkDepartment of Psychiatry, Columbia University, New York, New YorkDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IllinoisDepartment of Psychiatry, Columbia University, New York, New YorkDepartment of Psychiatry, Columbia University, New York, New YorkCousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CaliforniaDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IllinoisDepartment of Psychiatry, Columbia University, New York, New York; Division of Clinical Developmental Neuroscience, Sackler Institute, New York, New York; Address correspondence to Randy P. Auerbach, Ph.D.Background: Identifying mechanisms of major depressive disorder that continue into remission is critical, as these mechanisms may contribute to subsequent depressive episodes. Biobehavioral markers related to depressogenic self-referential processing biases have been identified in adults with depression. Thus, we investigated whether these risk factors persisted during remission as well as contributed to the occurrence of stress and depressive symptoms over time. Methods: At baseline, adults with remitted depression (n = 33) and healthy control subjects (n = 33) were administered diagnostic and stress interviews as well as self-report symptom measures. In addition, participants completed a self-referential encoding task while electroencephalography data were acquired. Stress interviews and self-report symptom measures were readministered at the 6-month follow-up assessment. Results: Drift diffusion modeling showed that compared with healthy individuals, adults with remitted depression exhibited a slower drift rate to negative stimuli, indicating a slower tendency to reject negative stimuli as self-relevant. At the 6-month follow-up assessment, a slower drift rate to negative stimuli predicted greater interpersonal stress severity among individuals with remitted depression but not healthy individuals while controlling for both baseline depression symptoms and interpersonal stress severity. Highlighting the specificity of this effect, results were nonsignificant when predicting noninterpersonal stress. For self-relevant positive words endorsed, adults with remitted depression exhibited smaller left- than right-hemisphere late positive potential amplitudes; healthy control subjects did not show hemispheric differences. Conclusions: Self-referential processing deficits persist into remission. In line with the stress generation framework, these biases predicted the occurrence of interpersonal stress, which may provide insight about a potential pathway for the re-emergence of depressive symptoms.http://www.sciencedirect.com/science/article/pii/S2667174321001750Cognitive vulnerabilityLate positive potentialMajor depressive disorderRemissionStress generation
spellingShingle Grace O. Allison
Rahil A. Kamath
Vivian Carrillo
Kira L. Alqueza
David Pagliaccio
George M. Slavich
Stewart A. Shankman
Randy P. Auerbach
Self-referential Processing in Remitted Depression: An Event-Related Potential Study
Biological Psychiatry Global Open Science
Cognitive vulnerability
Late positive potential
Major depressive disorder
Remission
Stress generation
title Self-referential Processing in Remitted Depression: An Event-Related Potential Study
title_full Self-referential Processing in Remitted Depression: An Event-Related Potential Study
title_fullStr Self-referential Processing in Remitted Depression: An Event-Related Potential Study
title_full_unstemmed Self-referential Processing in Remitted Depression: An Event-Related Potential Study
title_short Self-referential Processing in Remitted Depression: An Event-Related Potential Study
title_sort self referential processing in remitted depression an event related potential study
topic Cognitive vulnerability
Late positive potential
Major depressive disorder
Remission
Stress generation
url http://www.sciencedirect.com/science/article/pii/S2667174321001750
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