The neural basis of difficulties disengaging from negative irrelevant material in major depression

Psychol Sci. 2013 Mar 1;24(3):334-44. doi: 10.1177/0956797612457380. Epub 2013 Jan 17.

Abstract

Recurrent uncontrollable negative thoughts are a hallmark of depressive episodes. Deficits in cognitive control have been proposed to underlie this debilitating aspect of depression. Here, we used functional neuroimaging during an emotional working memory (WM) task to elucidate the neural correlates of these difficulties in cognitive control. In a WM manipulation involving depressed participants, the dorsal anterior cingulate and parietal and bilateral insular cortices were activated significantly more when negative words were removed from WM than when they were maintained in WM; in contrast, nondepressed participants exhibited stronger neural activations in these regions for positive than for negative material. These findings implicate anomalous activation of components of the task-positive network, known to be modulated by cognitive effort, in depression-associated difficulties in expelling negative material from WM. Future studies should examine the association between these aberrations and the maintenance of depressive symptoms.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cerebral Cortex / physiopathology*
  • Depressive Disorder, Major / physiopathology*
  • Emotions / physiology*
  • Executive Function / physiology
  • Female
  • Functional Neuroimaging / instrumentation
  • Functional Neuroimaging / methods
  • Humans
  • Magnetic Resonance Imaging / instrumentation
  • Magnetic Resonance Imaging / methods
  • Male
  • Memory, Short-Term / physiology*
  • Middle Aged
  • Nerve Net / physiopathology*
  • Young Adult