Cognitive impairments are now widely acknowledged as an important aspect of major depressive disorder (MDD), and it has been proposed that executive function (EF) may be particularly impaired in patients with MDD. However, the existence and nature of EF impairments associated with depression remain strongly debated. Although many studies have found significant deficits associated with MDD on neuropsychological measures of EF, others have not, potentially due to low statistical power, task impurity, and diverse patient samples, and there have been no recent, comprehensive, meta-analyses investigating EF in patients with MDD. The current meta-analysis uses random-effects models to synthesize 113 previous research studies that compared participants with MDD to healthy control participants on at least one neuropsychological measure of EF. Results of the meta-analysis demonstrate that MDD is reliably associated with impaired performance on neuropsychological measures of EF, with effect sizes ranging from 0.32 to 0.97. Although patients with MDD also have slower processing speed, motor slowing alone cannot account for these results. In addition, some evidence suggests that deficits on neuropsychological measures of EF are greater in patients with more severe current depression symptoms, and those taking psychotropic medications, whereas evidence for effects of age was weaker. The results are consistent with the theory that MDD is associated with broad impairment in multiple aspects of EF. Implications for treatment of MDD and theories of EF are discussed. Future research is needed to establish the specificity and causal link between MDD and EF impairments.

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Major Depressive Disorder Is Associated With Broad Impairments on Neuropsychological Measures of Executive Function: A Meta-Analysis and Review

Cognitive psychology and emotional disorders

The behavioural adjustment that follows the experience of conflict has been extensively studied in humans, leading to influential models of executive-control adjustment. Recent studies have revealed striking similarities in conflict-induced behavioural adjustment between humans and monkeys, indicating that monkeys can provide a model to study the underlying neural substrates and mechanisms of such behaviour. These studies have advanced our knowledge about the role of different prefrontal brain regions, including the anterior cingulate cortex (ACC) and the dorsolateral prefrontal cortex (DLPFC), in executive-control adjustment and suggest a pivotal role for the DLPFC in the dynamic tuning of executive control and, consequently, in behavioural adaptation to changing environments.

Conflict-induced behavioural adjustment: a clue to the executive functions of the prefrontal cortex

The aim of the present paper is to summarize the research during the past decade regarding cognitive functioning in Major Depressive Disorder (MDD). Cognitive impairment in the acute phase of illness has been frequently reported. The findings are shown in different cognitive domains, such as executive functions (EF), attention, memory and psychomotor speed. Fewer reports have investigated cognitive functioning in MDD in longitudinal studies. Some longitudinal reports show that the impairment observed in the acute phase of illness may be long lasting despite symptom reduction and recovery. However, findings regarding cognitive functioning in depression are divergent. Factors that might contribute to the divergent findings, such as depression subtype, severity and comorbidity are discussed. Clinical implications and focus of future research directions is highlighted. .In conclusion, depression is associated with cognitive impairment in the acute phase of illness, and some reports indicate that this impairment might be long lasting despite symptom reduction and recovery.

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Cognitive Functioning in Major Depression – A Summary

If subjects are required to name the color of the word red printed in blue ink, interference between word meaning and ink color occurs, which slows down reaction time. This effect is well known as the Stroop effect. It is still an unresolved issue how the brain deals with interference in this type of task. To explore this question, an electroencephalogram (EEG) study was carried out. By analyzing several measures of EEG activity, two main findings emerged. First, the event-related potential (ERP) showed increased fronto-central negativity in a time window around 400 msec for incongruent items in contrast to congruent and neutral items. Source localization analysis revealed that a source in the anterior cingulate cortex (ACC) contributed most to the difference. Second, time-frequency analysis showed that theta oscillations (4--7 Hz) in the ACC increased linearly with increasing interference and that phase coupling between the ACC and the left prefrontal cortex was longer persistent for incongruent items compared to congruent and neutral items. These effects occurred at a time window around 600 msec. We conclude that interference between color naming and word meaning in the Stroop task manifests itself at around 400 msec and mainly activates the ACC. Thereafter, sustained phase coupling between the ACC and the prefrontal cortex occurs, which most likely reflects the engagement of cognitive control mechanisms.

/pdf/the-electrophysiological-dynamics-of-interference-during-the-gfpzrqi2kt.pdf

The electrophysiological dynamics of interference during the stroop task

Prefrontal-cingulate activation during executive control: which comes first?

Stroop performance in depressive patients: a preliminary report.

N2 event-related potential correlates of response inhibition in an auditory Go/Nogo task.

Stroop interference effect in schizophrenic patients: An electrophysiological approach

Sharma A, Weisbrod M, Kaiser S, Markela-Lerenc J, Bender S. Deficits in fronto-posterior interactions point to inefficient resource allocation in schizophrenia.



Objective:  Fronto-posterior networks have been implicated in various cognitive processes that are impaired in schizophrenia. This is the first study on time and frequency resolved fronto-posterior coherence during cognitive control in schizophrenia.



Method:  We examined 16 schizophrenic/schizoaffective patients and 20 age-matched controls performing a choice-reaction task. Fronto-posterior coherence was analyzed for event-related increases with respect to the inter-trial interval. Furthermore, we compared the two groups for event-related coherence during the task-related time intervals which showed a significant coherence increase with respect to the inter-trial interval, as well as for absolute coherence during the inter-trial interval.



Results:  Event-related coherence was significantly reduced in patients during time intervals (0–250 ms poststimulus) when controls showed significant event-related coherence increases. However, patients showed significantly higher absolute coherence during the inter-trial interval. These results pointed to differential deficits in fronto-posterior connectivity during the inter-trial interval and task-related conditions in schizophrenia.



Conclusion:  Cognitive deficits in schizophrenia might be driven by abnormal fronto-posterior communication. Task-related hypo-connectivity and inter-trial interval hyper-connectivity point to resource allocation deficits. The timing of cortico-cortical interactions during crucial task-related intervals may be impaired, while frontal and posterior areas may exhibit increased interactions between the trials.

Jaana Markela-Lerenc

Papers

Prefrontal-cingulate activation during executive control: which comes first?

Stroop performance in depressive patients: a preliminary report.

N2 event-related potential correlates of response inhibition in an auditory Go/Nogo task.

Stroop interference effect in schizophrenic patients: An electrophysiological approach

Deficits in fronto‐posterior interactions point to inefficient resource allocation in schizophrenia