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Disrupted engagement of networks supporting hot and cold cognition in remitted major depressive disorder.

Abstract：

BACKGROUND:Major depressive disorder (MDD) is characterized by dysfunction in cognitive and emotional systems. However, the neural network correlates of cognitive control (cold cognition) and emotion processing (hot cognition) during the remitted state of MDD (rMDD) remain unclear and not fully probed, which has important implications for identifying intermediate phenotypes of depression risk. METHODS:43 young adults with rMDD and 33 healthy controls (HCs) underwent fMRI while completing separate tasks of cold cognition (Parametric Go/No-Go test) and hot cognition (Facial Emotion Processing Test). Two 2 group (rMDD, HC) × 2 event (sad/fearful faces, correct rejections) factorial models of activation were calculated in SPM8. Functional activation was evaluated in the salience and emotional network (SEN) and the cognitive control network (CCN), including hypothesized interaction between group and task within the CCN. RESULTS:Individuals with rMDD demonstrated greater spatial extent of suprathreshold activation within the SEN during sad faces relative to HCs. There were several regions within the CCN in which HCs showed greater activation than rMDD during correct rejections of lures, whereas individuals with rMDD showed greater activation than HCs during sad or fearful faces. LIMITATIONS:Results were not directly compared with active MDD. CONCLUSIONS:These results provide evidence of deficient CCN engagement during cognitive control in rMDD (dysfunctional cold cognition). Elevated SEN activation during sad faces could represent heightened salience of negative emotional faces in rMDD; elevated CCN activation during emotional faces in rMDD could represent compensatory regulatory control. These group differences may represent vulnerability factors, scars of prior depressive episodes, or processes maintaining wellness.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Stange JP,Jenkins LM,Hamlat EJ,Bessette KL,DelDonno SR,Kling LR,Passarotti AM,Phan KL,Klumpp H,Ryan KA,Langenecker SA

doi

10.1016/j.jad.2017.10.018

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

183-191

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(17)31657-9

journal_volume

227

pub_type

杂志文章

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