Skip to main content
Log in

Cognitive Deficits in Depression and Functional Specificity of Regional Brain Activity

  • Original Paper
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

The growing literature on cognitive deficits in depression is considered in light of regional brain activity as well as comorbid anxiety and life stressors. Cognitive impairments associated with depression are reviewed, with an emphasis on various aspects of executive function such as memory, attention, and problem-solving. These deficits are related to patterns of brain activity observed in prefrontal, anterior cingulate, and parietal cortices, as well as in subcortical regions. Evidence for the largely unexplored role of environmental stressors in depression and their impact on cognition and brain function is also examined, and promising avenues of additional research are noted. In addition to promoting interdisciplinary research, systematically assessing variables such as cognitive performance, comorbid anxiety, and relevant stressors may elucidate distinct patterns of brain function and cognition that could inform prevention and intervention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abercrombie, H. C., Schaefer, S. M., Larson, C. L., Oakes, T. R., Lindgren, K. A., Holden, J. E., Perlman, S. B., Turski, P. A., Krahn, D. D., Benca, R. M., & Davidson, R. J. (1998). NeuroReport, 9, 3301–3307.

  • Alivisatos, B., & Milner, B. (1989). Effects of frontal or temporal lobectomy on the use of advance information in a choice reaction time task. Neuropsychologia, 27, 495–503.

    PubMed  Google Scholar 

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed. text revision). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Anand, A., Li, Y., Wang, Y., Wu., J., Gao, S., Bukhari, L., Mathews, V. P., Kalnin, A., & Lowe, M. J. (2005). Connectivity of brain mood regulating circuit in depression: A functional magnetic resonance study. Biological Psychiatry, 57, 1079–1088.

    PubMed  Google Scholar 

  • Anderson, M. C., Ochsner, K. N., Kuhl, B., Cooper, J., Robertson, E., Gabrieli, S. W., Glover, G. H., & Gabrieli, J. D. E. (2004). Neural systems underlying the suppression of unwanted memories. Science, 303, 232–235.

    PubMed  Google Scholar 

  • Anderson, A. K., & Phelps, E. A. (2001). Lesions of the human amygdala impair enhanced perception of emotionally salient events. Nature, 411, 305–309.

    PubMed  Google Scholar 

  • Angst, J., & Merikangas, K. R. (2001). Multi-dimensional criteria for the diagnosis of depression. Journal of Affective Disorders, 62, 7–15.

    PubMed  Google Scholar 

  • Arnsten, F. T. (1998). Catecholamine modulation of prefrontal cortical cognitive function. Trends in Cognitive Science, 2, 436–447.

    Google Scholar 

  • Aron, A. R., Robbins, T. W., & Poldrack, R. A. (2004). Inhibition and the right inferior frontal cortex. Trends in Cognitive Science, 8, 170–177.

    Google Scholar 

  • Asthana, H. S., Mandal, M. K., Khurana, H., & Haque-Nizamie, S. (1998). Visuospatial and affect recognition deficit in depression. Journal of Affective Disorders, 48, 57–62.

    PubMed  Google Scholar 

  • Austin, M. P., Ross, M., Murray, C., O’Carroll, R. E., Ebmeier, K. P., & Goodwin, G. M. (1992). Cognitive function in major depression. Journal of Affective Disorders, 25, 21–29.

    PubMed  Google Scholar 

  • Austin, M. P., Mitchell, P., Goodwin, G. M. (2001). Cognitive deficits in depression. British Journal of Psychiatry, 178, 200–206.

    PubMed  Google Scholar 

  • Banich, M. T. (1997). Neuropsychology: The neural bases of mental function. Boston: Houghton Mifflin Corporation.

    Google Scholar 

  • Banich, M. T. (2004). Cognitive neuroscience and neuropsychology. Boston: Houghton Mifflin Corporation.

    Google Scholar 

  • Barbas, H. (1995). Anatomic basis of cognitive-emotional interactions in the primate prefrontal cortex. Neuroscience and Biobehavioral Reviews, 19, 499–510.

    PubMed  Google Scholar 

  • Bishop, S., Duncan, J., Brett, M., & Lawrence, A. D. (2004). Prefrontal cortical function and anxiety: Controlling attention to threat-related stimuli. Nature Neuroscience, 24, 10364–10368.

    Google Scholar 

  • Botvinick, M. M., Braver, T. S., Barch, D. M., Carter, C. S., & Cohen, J. D. (2001). Conflict monitoring and cognitive control. Psychological Review, 108, 624–652.

    PubMed  Google Scholar 

  • Bradley, M. M., Cuthbert, B. N., & Lang, P. J. (1999). Affect and the startle reflex. In M. E. Dawson, A. Schell, & A. Boehmelt (Eds.), Startle modification: Implications for neuroscience, cognitive science and clinical science (pp. 157–183). Stanford, CA: Cambridge University Press.

    Google Scholar 

  • Bremner, J. D., Randall, P., Vermetten, E., Staib, L., Bronen, R. A., Mazure, C., et al. (1997). Magnetic resonance imaging-based measurement of hippocampal volume in posttraumatic stress disorder related to childhood physical and sexual abuse—a preliminary report. Biological Psychiatry, 41, 23–32.

    PubMed  Google Scholar 

  • Bremner, J. D., Narayan, M., Anderson, E. R., Stalib, L. F., Miller, H. L., & Charney, D. S. (2000). Hippocampal volume reduction in major depression. American Journal of Psychiatry, 157, 115–117.

    PubMed  Google Scholar 

  • Bruder, G. E., Fong, R., Tenke, C. E. Leite, P., Towey, J. P., Stewart, P. J., McGrath, P. J., & Quitkin, F. M. (1997). Regional brain asymmetries in major depression with or without an anxiety disorder: A quantitative electroencephalographic study. Biological Psychiatry, 41, 939–948.

    PubMed  Google Scholar 

  • Brody, A. L., Saxena, S., Mandelkern, M. A., et al. (2001). Brain metabolic changes associated with symptom factor improvement in major depressive disorder. Biological Psychiatry, 50, 171–178.

    PubMed  Google Scholar 

  • Buckner, R. L., & Wheeler, M. E. (2001). The cognitive neuroscience of remembering. Nature Reviews Neuroscience, 2, 624–634.

    PubMed  Google Scholar 

  • Burt, D. B., Zembar, M. J., & Niederehe, G. (1995). Depression and memory impairment: A meta-analysis of the association, its pattern, and specificity. Psychological Bulletin, 117, 285–305.

    PubMed  Google Scholar 

  • Bush, G., Luu, P., & Posner, M. I. (2000). Cognitive and emotional influences in anterior cingulate cortex. Trends in Cognitive Sciences, 4, 215–222.

    PubMed  Google Scholar 

  • Cabeza, R., Locantore, J. K., & Anderson, N. D. (2003). Lateralization of prefrontal activity during episodic memory retrieval: Evidence for the production-monitoring hypothesis. Journal of Cognitive Neuroscience, 2, 249–259.

    Google Scholar 

  • Cahill, L., Roozendaal, B., & McGaugh, J. L. (1997). The neurobiology of memory for aversive emotional events. In M. E. Bouton, & M. S. Fanselow (Eds.), Learning, motivation, and cognition: The functional behaviorism of Robert C. Bolles. Washington, DC: American Psychological Association.

    Google Scholar 

  • Caetano, S. C., Hatch, J. P., Brambilla, P., Sassi, R. B., Nicoletti, M., Mallinger, M., Frank, E., Kupfer, D. J., Keshavan, M. S., & Soares, J. C. (2004). MRI study of hippocampus and amygdala in patients with current and remitted major depression. Neuroimaging, 132, 141–147.

    PubMed  Google Scholar 

  • Carter, C. S., Braver, T. S., Barch, D. M., Botvinick, M. M., Noll, D., & Cohen, J. D. (1998). Anterior cingulate cortex, error detection, and the online monitoring of performance. Science, 280, 747–749.

    PubMed  Google Scholar 

  • Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., Mill, J., Martin, J., Braithwaite, A., & Poulton, R. (2003). Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science, 301, 386–389.

    PubMed  Google Scholar 

  • Chen, E., & Matthews, K. A. (2003). A development of the cognitive appraisal and understanding of social events (CAUSE) videos. Health Psychology, 22, 106–110.

    PubMed  Google Scholar 

  • Cicerone, K. D., Lazar, R. M., & Shapiro, W. R. (1983). Effects of frontal lobe lesions on hypothesis sampling during concept formation. Neuropsychologia, 21, 513–524.

    PubMed  Google Scholar 

  • Clark, D. M., Teasdale, J. D., Broadbent, D. E., & Marti, M. (1983). Effect of mood on lexical decisions. Bulletin of the Psychonomic Society, 21, 175–178.

    Google Scholar 

  • Clore, G., Schwarz, N., & Conway, M. (1994). Affective causes and consequences of social information processing. In R. S. Wyer, & T. K. Srull (Eds.), Handbook of social cognition. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Coan, J. A., &Allen, J. J. B. (2004). Frontal EEG asymmetry as a moderator and mediator of emotion. Biological Psychology, 67, 7–49.

    PubMed  Google Scholar 

  • Cohen, L. H., Towbes, L. C., & Flocco, R. (1988). Effects of induced mood on self-reported life events and perceived and received social support. Journal of Personality and Social Psychology, 55, 669–674.

    PubMed  Google Scholar 

  • Cohen, N. J. (1997). Memory. In M. T. Banich (Ed.), Neuropsychology: The neural basis of mental function (pp. 348–351). Boston, MA: Houghton Mifflin Company.

    Google Scholar 

  • Compton, R. J., Banich, M. T., Mohanty, A., Milham, M. P., Herrington, J. D., Miller, G. A., Scalf, P. E., & Heller, W. (2003). Paying attention to emotion: An fMRI investigation of cognitive and emotional Stroop tasks. Cognitive, Affective, and Behavioral Neuroscience, 3, 81–96.

    Article  PubMed  Google Scholar 

  • Conway, M., & Giannopoulous, C. (1993). Dysphoria and decision making: Limited information use in the evaluation of multiattribute targets. Journal of Personality and Social Psychology, 64, 613–623.

    PubMed  Google Scholar 

  • Cornblatt, B. A., Lenzenweger, M .F., & Erlenmeyer-Kimling, K. L. (1989). The continuous performance test, identical pair version: II. Contrasting attentional profile in schizophrenic and depressed patients. Psychiatry Research, 29, 65–86.

    PubMed  Google Scholar 

  • Cornell, D. G., Suarez, R., & Berent, S. (1984). Psychomotor retardation in melancholic and nonmelancholic depression: Cognitive and motor components. Journal of Abnormal Psychology, 93, 150–157.

    PubMed  Google Scholar 

  • Dalgleish, T., & Watts, F. N. (1990). Biases of attention and memory in disorders of anxiety and depression. Clinical Psychology Review, 10, 589–604.

    Google Scholar 

  • Davidson, R. J. (1992). Anterior cerebral asymmetry and the nature of emotion. Brain and Cognition, 20, 125–151.

    PubMed  Google Scholar 

  • Davidson, R. J. (2004). What does the prefrontal cortex “do” in affect: Perspectives on frontal EEG asymmetry research. Biological Psychology, 67, 219–233.

    PubMed  Google Scholar 

  • Davidson, R. J., & Irwin, W. (1999). The functional neuroanatomy of emotion and affective style. Trends in Cognitive Sciences, 3, 11–21.

    PubMed  Google Scholar 

  • Davis, M. (1997). Neurobiology of fear responses: The role of the amygdala. Journal of Neuropsychiatry and Clinical Neurosciences, 9, 382–402.

    PubMed  Google Scholar 

  • Davis, M., & Whalen, P. J. (2001). The amygdala: Vigilance and emotion. Molecular Psychiatry, 6, 13–34.

    PubMed  Google Scholar 

  • Deldin, P. J., Keller, J., Gergen, J. A., & Miller, G. A. (2000). Right-posterior face processing anomaly in depression. Journal of Abnormal Psychology, 109(1), 116–121.

    PubMed  Google Scholar 

  • DeMonbreun, B. G., & Craighead, W. E. (1977). Distortion of perception and recall of positive and neutral feedback in depression. Cognitive Therapy and Research, 1, 311–329.

    Google Scholar 

  • Denny, E. B., & Hunt, R. R. (1992). Affective valence and memory in depression: Dissociation of recall and fragment completion. Journal of Abnormal Psychology, 101, 575–580.

    PubMed  Google Scholar 

  • Deveney, C. M., & Deldin, P. J. (2004). Memory of faces: A slow wave ERP study of major depression. Emotion, 4, 295–304.

    PubMed  Google Scholar 

  • Drevets, W. C., Videen, T. O., Price, J. L., Preskorn, S. H., Carmichael, S. T., & Raichle, M. E. (1992). A functional anatomical study of unipolar depression. Journal of Neuroscience, 12, 3628–3641.

    PubMed  Google Scholar 

  • Ebert, D., & Ebmeier, K. P. (1996). The role of the cingulated gyrus in depression: From functional anatomy to neurochemistry. Biological Psychiatry, 39, 1044–1050.

    PubMed  Google Scholar 

  • Eichenbaum, H., Otto, T., & Cohen, N. J. (1992). The hippocampus: What does it do? Behavioral Neural Biology, 57, 2–36.

    Google Scholar 

  • Eichenbaum, H., Otto, T., & Cohen, N. J. (1994). Two component functions of the hippocampal memory system. Behavioral and Brain Sciences, 17, 449–517.

    Google Scholar 

  • Elfgren, C. I., & Risberg, J. (1998). Lateralized frontal blood flow increases during fluency tasks: Influence of cognitive strategy. Neuropsychologia, 36, 505–512.

    PubMed  Google Scholar 

  • Elliott, R., Sahakian, B. J., McKay, A. P., Herrod, J. J., Robbins, T. W., & Paykel, E. S. (1996). Neuropsychological impairments in unipolar depression: The influence of perceived failure on subsequent performance. Psychological Medicine, 26, 975–90.

    Article  PubMed  Google Scholar 

  • Ellis, H. C. (1991). Focused attention and depressive deficits in memory. Journal of Experimental Psychology: General, 120, 310–312.

    Google Scholar 

  • Ellis, H. C., & Ashbrook, P. W. (1988). Resource allocation model of the effects of depressed mood states on memory. In Fiedler K., & Forgas J. (Eds.), Affect, cognition and social behavior. (pp. 25–43). Toronto: C.J. Hogrefe.

    Google Scholar 

  • Engels, A. S., Heller, W., Mohanty, A., Herrington, J. D., Banich, M. T., Webb, A. G., & Miller, G. A. (in press). Specificity of regional brain activity in anxiety types during emotion processing. Psychophysiology.

  • Fassbender, C., Murphy, K., Foxe, J. J., Wylie, G. R., Javitt, D. C., Robertson, I. H., & Garavan, H. (2004). A topography of executive functions and their interactions revealed by functional magnetic resonance imaging. Cognitive Brain Research, 20, 132–143.

    PubMed  Google Scholar 

  • Fernandes, L. O. L., Keller, J., Giese-Davis, J. E., Hicks, B. D., Klein, D. N., & Miller, G. A. (1999). Converging evidence for a cognitive anomaly in early psychopathology. Psychophysiology, 36, 511–521.

    PubMed  Google Scholar 

  • Fletcher, P. C., Frith, C. D., & Rugg, M. D. (1997). The functional neuroanatomy of episodic memory. Trends in Neuroscience, 12, 557–558.

    Google Scholar 

  • Flett, G. L., Vredenburg, K., & Krames, L. (1997). The continuity of depression in clinical and non clinical samples. Psychological Bulletin, 121, 395–416.

    PubMed  Google Scholar 

  • Flor-Henry, P. (1976). Lateralized temporal limbic dysfunction and psychopathology. Annals of New York Academy of Sciences, 280, 777–795.

    Google Scholar 

  • Frodl, T., Meisenzahl, E. M., Zetzsche, T., Born, C., Jager, M., Groll, C., Bottlender, R., Leinsinger, G., & Moller, H.-J. (2003). Larger amygdala volumes in first depressive episode as compared to recurrent major depression and healthy control subjects. Biological Psychiatry, 53, 338–344.

    PubMed  Google Scholar 

  • Fuchs, E., & Flugge, G. (2003). Chronic social stress: effects of limbic brain structures. Physiology and Behavior, 79, 417–427.

    PubMed  Google Scholar 

  • Garavan, H., Ross, T. J., & Stein, E. A. (1999). Right hemispheric dominance of inhibitory control: An event-related functional MRI study. Proceedings of the National Academy of Sciences, 96, 8301–8306.

    Google Scholar 

  • Garavan, H., Pendergrass, J. C., Ross, T. J., Stein, E. A., & Risinger, R. C. (2001). Amygdala response to both positively and negatively valenced stimuli. NeuroReport, 12(12), 2779–2783.

    PubMed  Google Scholar 

  • Gibb, B. E., Alloy, L. B., Abramson, L. Y., Beevers, C. G., & Miller, I. W. (2004). Cognitive vulnerability to depression: A taxometric analysis. Journal of Abnormal Psychology, 1, 81–89.

    Google Scholar 

  • Giese-Davis, J., Miller, G. A., & Knight, R. (1993). Memory template comparison Gotlib, I.H. (1983). Perception and recall of interpersonal feedback: Negative bias in depression. Cognitive Therapy and Research, 7, 399–412.

    Google Scholar 

  • Gotlib, I. H. (1983). Perception and recall of interpersonal feedback: Negative bias in depression. Cognitive Therapy and Research, 7, 399–412.

    Google Scholar 

  • Gotlib, I. H., & Cane, D. B. (1987). Construct accessibility and clinical depression: A longitudinal investigation. Journal of Abnormal Psychology, 96, 199–204.

    PubMed  Google Scholar 

  • Gotlib, I. H., Krasnoperova, E., Neubauer Yue, D. L., & Joormann, J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression and anxiety. Journal of Abnormal Psycholog, 113, 127–135.

    Google Scholar 

  • Gotlib, I. H., & McCann, C. D. (1984). Construct accessibility and depression: An examination of cognitive and affective factors. Journal of Personality and Social Psychology, 47, 427–39.

    PubMed  Google Scholar 

  • Grace, A. A., & Moore, H. (1998). Regulation of information flow the nucleus accumbens: A model for the pathophysiology of schizophrenia. In F. Lenzenweger, & R. H. Dworkin (Eds.), Origins and development of schizophrenia: Advances in experimental psychopathology. Washington, DC: American Psychological Association.

    Google Scholar 

  • Grace, A. A. (2000). Gating of information flow within the limbic system and the pathophysiology of schizophrenia. Brain Research—Brain Research Reviews, 31, 330–341.

    PubMed  Google Scholar 

  • Gutman, D. A., & Nemeroff, C. B. (2003). Persistent central nervous system effects of an adverse early environment: clinical and preclinical studies. Physiology and Behavior, 79, 471–478.

    PubMed  Google Scholar 

  • Hanlon, F. M., Weisend, M. P., Yeo, R. A., Huang, M., Thoma, R. J., Lee, R. R., Moses, S. N., Paulson, K. M., Petropoulos, H., Miller, G. A., & Canive, J. M. (2005). A specific test of hippocampal deficit in schizophrenia. Behavioral Neuroscience, 119, 863–875.

    PubMed  Google Scholar 

  • Hastings, R. S., Parsey, R. V., Oquendo, M. A., Arango, V., & Mann, J. J. (2004). Volumetric analysis of the prefrontal cortex, amygdala, and hippocampus in major depression. Neuropsychopharmacology, 29, 952–959.

    PubMed  Google Scholar 

  • Heim, C., Owens, M. J., Plotsky, P. M., & Nemeroff, C. B. (1997). Persistent changes in corticotrophin-releasing factor systems due to early life stress: relationship to the pathophysiology of major depression and post-traumatic stress disorder. Psychopharmacology Bulletin, 33, 185–192.

    PubMed  Google Scholar 

  • Heim, C., & Nemeroff, C. B. (1999). The impact of early adverse experiences on brain systems involved in the pathophysiology of anxiety and affective disorders. Biological Psychiatry, 46, 1509–1522.

    PubMed  Google Scholar 

  • Heim, C., & Nemeroff, C. B. (2001). The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biological Psychiatry, 49, 1023–1039.

    PubMed  Google Scholar 

  • Heim, C., Newport, J. D., Heit, S., Graham, Y. P., Wilcox, M., Bonsall, R., Miller, A. H., & Nemeroff, C. B. (2000). Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. Journal of the American Medical Association, 284, 592–597.

    PubMed  Google Scholar 

  • Heller, W. (1990). The neuropsychology of emotion: Developmental patterns and implications for psychopathology. In N. L. Stein, B. L. Leventhal, & T. Trabasso (Eds.), Psychological and biological approaches to emotion (pp. 167–211). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Heller, W. (1993). Neuropsychological mechanisms of individual differences in emotion, personality, and arousal. Neuropsychology, 7, 476–489.

    Google Scholar 

  • Heller, W. (1994). Cognitive and emotional organization of the brain: influences on the creation and perception of art. In D. Zaidel (Ed), Neuropsychology. San Diego, CA: Academic Press.

    Google Scholar 

  • Heller, W., Etienne, M. A., & Miller, G. A. (1995). Patterns of perceptual asymmetry in depression and anxiety: Implications for neuropsychological models of emotion and psychopathology, Journal of Abnormal Psychology, 104, 327–333.

    PubMed  Google Scholar 

  • Heller, W., Nitschke, J. B., Etienne, M. A., & Miller, G. A. (1997). Patterns of regional brain activity differentiate types of anxiety. Journal of Abnormal Psychology, 106, 376–385.

    PubMed  Google Scholar 

  • Heller, W., & Nitschke, J. B. (1997) Regional brain activity in emotion: A framework for understanding cognition in depression. Cognition and Emotion, 11, 638–661.

    Google Scholar 

  • Heller, W., Nitschke, J. B., & Lindsay, D. L. (1997). Neuropsychological correlates of arousal in self-reported emotion. Cognition and Emotion, 11, 383–402.

    Google Scholar 

  • Heller, W., Koven, N. S., & Miller, G. A. (2003). Regional brain activity in anxiety and depression, cognition/emotion interaction, and emotion regulation. In K. Hugdahl, & R. J. Davidson (Eds.), The asymmetrical brain. Cambridge, MA: MIT.

    Google Scholar 

  • Henriques, J. B., & Davidson, R. J. (1991). Left frontal hypoactivation in depression. Journal of Abnormal Psychology, 100, 535–545.

    PubMed  Google Scholar 

  • Henriques, J. B., & Davidson, R. J. (1990). Regional brain electrical asymmetries discriminate between previously depressed and healthy control subjects. Journal of Abnormal Psychology, 99, 22–31.

    PubMed  Google Scholar 

  • Hertel, P. T., & Hardin, T. S. (1990). Remembering with and without awareness in a depressed mood: Evidence of deficits in initiative. Journal of Experimental Psychology: General, 119, 45–59.

    Google Scholar 

  • Hertel, P. T., & Rude, S. S. (1991). Depressive deficits in memory: Focusing attention improves subsequent recall. Journal of Experimental Psychology: General, 120, 301–309.

    Google Scholar 

  • Hertel, P. T. (1994). Depression and memory: Are impairments remediable through attentional control? Current Direction in Psychological Science, 3, 190–194.

    Google Scholar 

  • Hertel, P. T., & Milan, S. (1994). Depressive deficits in recognition: Dissociation of recollection and familiarity. Journal of Abnormal Psychology, 103, 736–742.

    PubMed  Google Scholar 

  • Hertel, P. T., & Gerstle, M. (2003). Depressive deficits in forgetting. Psychological Science, 14, 573.

    PubMed  Google Scholar 

  • Herrington, J. D., Mohanty, A., Koven, N. S., Fisher, J. E., Stewart, J. L., Banich, M. T., Webb, A. G., Miller, G. A., & Heller, W. (2005). Emotion-modulated performance and activity in left dorsolateral prefrontal cortex. Emotion, 5, 200–207.

    PubMed  Google Scholar 

  • Herrington, J. D., Koven, N. S., Miller, G. A., & Heller, W. (2006). Mapping the neural correlates of dimensions of personality, emotion, and motivation. In T. Canli (Ed.), Biology of personality and individual differences (pp. 133–156). New York: Guilford Publications.

    Google Scholar 

  • Hollon, W. D. (1995). Depression and the behavioral high-risk paradigm. In G. A. Miller (Ed.), The behavioral high-risk paradigm in psychopathology (pp. 289–302). New York: Springer.

    Google Scholar 

  • Ilsley, J. E., Moffoot, A. P. R., & O’Carroll, R. E. (1995). An analysis of memory dysfunction in major depression. Journal of Affective Disorders, 35, 1–9.

    PubMed  Google Scholar 

  • Ingram, R. E., Bernet, C. Z., & McLaughlin, S. C. (1994). Attentional allocation processes in individuals at risk for depression. Cognitive Therapy and Research, 18, 317–332.

    Google Scholar 

  • Kapp, B. S., Whalen, P. J., Supple, W. F., & Pascoe, J. P. (1992). Amygdaloid contributions to conditioned arousal and sensory information processing. In J. P. Aggleton (Ed.), The amygdala: Neurobiological aspects of emotion, memory, and mental dysfunction. (pp. 229–254). New York: Wiley-Liss.

    Google Scholar 

  • Kaufman, J., Plotsky, P. M., Nemeroff, C. B., & Charney, D. S. (2000). Effects of early adverse experiences on brain structure and function: clinical implications. Biological Psychiatry, 48, 778–790.

    PubMed  Google Scholar 

  • Keller, J., Isaacks, B. G., Wesemann, D., Gergen, J. A., & Miller, G. A. (1999). Diagnostic and cognitive specificity of memory deficits in psychopathology. Paper presented at the annual meeting of the Cognitive Neuroscience Society, Washington, DC.

  • Keller, J., Nitschke, J. B., Bhargava, T., Deldin, P. J., Gergen, J. A., Miller, G. A., & Heller, W. (2000). Neuropsychological differentiation of depression and anxiety. Journal of Abnormal Psychology, 109, 3–10.

    PubMed  Google Scholar 

  • Kendler, K. S., Kessler, R. C., Walters, E. E., MacLean, C., Neale, M. C., Heath, A. C., Eaves, E. J. (1995). Stressful life events, genetic liability, and onset of an episode of major depression in women. American Journal of Psychiatry, 152, 833–842.

    PubMed  Google Scholar 

  • Kessler, R. C. (1997). The effects of stressful life events on depression. Annual Review of Psychology, 48, 191–214.

    PubMed  Google Scholar 

  • Kim, J. J., & Fanselow, M. S. (1992). Modality-specific retrograde amnesia of fear. Science, 256, 675–677.

    PubMed  Google Scholar 

  • Lang, P. J., Davis, M., & Öhman, A. (2000). Fear and anxiety: Animal models and human cognitive psychophysiology. Journal of Affective Disorders, 61, 137–159.

    PubMed  Google Scholar 

  • Lawrence, A. D., & Grasby, P. M. (2001). The functional neuroanatomy of emotional disorders. In: G. Gainotti (Vol. Ed.), Handbook of Neuropsychology: Vol. 5 (2nd ed.) (pp. 235–262). Amsterdam: Elsevier.

  • LeDoux, J. E. (1995). Emotion: Clues from the brain. Annual Review of Psychology, 46, 209–235.

    PubMed  Google Scholar 

  • LeDoux, J. E. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York, NY: Simon & Schuster.

    Google Scholar 

  • LeDoux, J. E. (1998). Fear and the brain: Where have we been, and where are we going? Biological Psychiatry, 44, 1229–1238.

    PubMed  Google Scholar 

  • LeDoux, J. E. (2000). Emotion circuits in the brain. Annual Review of Neuroscience, 23, 155–184.

    PubMed  Google Scholar 

  • Lemelin, S., Baruch, P., Vincent, A., Everett, J., & Vincent, P. (1997). Distractibility and processing resource deficit in major depression: Evidence for two deficient attentional processing models. Journal of Nervous and Mental Diseases, 185, 542–548.

    Google Scholar 

  • Levine, B., Black, S. E., Cabeza, R, Sinden, M., Mcintosh, A. R., Toth, J. P., Tulving, E., & Stuss, D. T. (1998). Episodic memory and the self in a case of isolated retrograde amnesia. Brain, 121, 1951–1973.

    PubMed  Google Scholar 

  • Lewinsohn, P., Solomon, A., Seely, J., & Zeiss, A. (2000). Clinical implications of subthreshold depressive symptoms. Abnormal Psychology, 2, 345–351.

    Google Scholar 

  • Luecken, L. J., & Lemery, K. S. (2004). Early caregiving and physiological stress responses. Clinical Psychology Review, 24, 171–191.

    PubMed  Google Scholar 

  • Luria, A. R. (1966). Higher cortical functions in man. New York: Basic Books.

    Google Scholar 

  • MacDonald, A. W. III., Cohen, J. D., Stenger, V. A., & Carter, C. S. (2000). Dissociating the role of dorsolateral prefrontal and anterior cingulate cortex in cognitive control. Science, 288, 1835–1838.

    PubMed  Google Scholar 

  • MacQueen, G. M., Tipper, S. P., Young, L. T., Joffe, R. T., & Levitt, A. J. (2000). Impaired distractor inhibition on a selective attention task in unmedicated, depressed subjects. Psychological Medicine, 30, 557–564.

    PubMed  Google Scholar 

  • Marx, E. M, Claridge, G. C., & Williams, J. M. G (1992). Depression and social problem solving. Journal of Abnormal Psychology, 101, 78–86.

    PubMed  Google Scholar 

  • Mathews, A., & MacLeod, C. (1994). Cognitive approaches to emotion and emotional disorders. Annual Review of Psychology, 45, 25–50.

    PubMed  Google Scholar 

  • Mathews, A., Ridgeway, V., & Williamson, D. A. (1996). Evidence for attention to threatening stimuli in depression. Behaviour Research and Therapy, 34, 695–705.

    PubMed  Google Scholar 

  • Mayberg, H. S., Brannan, S. K., Mahurin, R. K., Jerabek, P. A., Brickman, J. S., Tekell, J. L., Silva, J. A., McGinnis, S., Glass, T. G., Martin, C. C., & Fox, P. T. (1997). Cingulate function in depression: A potential predictor of treatment response. Neuroreport, 8, 1057–1061.

    PubMed  Google Scholar 

  • Mayberg, H. S., Keightley, M., Mahurin, R. K., & Brannan, S. K. (2004). Neuropsychiatric aspects of mood and affective disorders. In S. C. Yudofsky, & R. C. Hales (Eds.), Essentials of neuropsychiatry and clinical neurosciences. Arlington: American Psychiatric Publishing.

    Google Scholar 

  • Mayberg, H., & Fossati, P. (In press). Dysfunctional limbic-cortical circuits in major depression: A functional neuroimaging perspective. In D. Barch (Eds), Cognitive and affective neuroscience of psychopathology.

  • McCabe, S. B., & Gotlib, I. H. (1993). Attentional processing in clinically depressed subjects: A longitudinal investigation. Cognitive Therapy and Research, 17, 359–377.

    Google Scholar 

  • McEwen, B. S. (2000). Effects of adverse experiences for brain structure and function. Biological Psychiatry, 48, 721–731.

    PubMed  Google Scholar 

  • McNally, R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual Review of Psychology, 54, 229–252.

    PubMed  Google Scholar 

  • Mialet, J.-P., Pope, H. G., & Yurgelun-Todd, D. (1996). Impaired attention in depressive states: A non-specific deficit? Psychological Medicine, 26, 1009–1020.

    PubMed  Google Scholar 

  • Milham, M. P., Banich, M. T., Webb, A., Barad, V., Cohen, N. J., Wszalek, T., et al. (2001). The relative involvement of anterior cingulate and prefrontal cortex in attentional control depends on nature of conflict. Cognitive Brain Research, 12, 467–473.

    PubMed  Google Scholar 

  • Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110, 40–48.

    PubMed  Google Scholar 

  • Mogg, K., Bradley, B. P., Williams, R., & Matthews, A. (1993). Subliminal processing of emotional information in anxiety and depression. Journal of Abnormal Psychology, 102, 304–311.

    PubMed  Google Scholar 

  • Mogg, K., Millar, N., & Bradley, B. P. (2000). Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder. Journal of Abnormal Psychology, 109, 695–704.

    PubMed  Google Scholar 

  • Mohanty, A., Herrington, J. D., Fisher, J. E., Koven, N. S., Keller, J., Gergen, J. A., Heller, W., & Miller, G. A. (2000). Distinguishing cognitive deficits: Negative affect in depression. Poster session presented at the annual meeting of the Society for Research in Psychopathology, Boulder, CO.

  • Mohanty, A., & Heller, W. (2002). The neuropsychology of depression: Affect, cognition, and neural circuitry. In H. D’haenen, J. A. den Boer, H. Westenberg, & P. Willner (Eds.), Textbook of biological psychiatry (pp. 791–802). Chichester, West Sussex: Wiley.

    Google Scholar 

  • Nitschke, J. B., Heller, W., Palmieri, P. A., & Miller, G. A. (1999). Contrasting patterns of brain activity in anxious apprehension and anxious arousal. Psychophysiology, 36, 628–637.

    PubMed  Google Scholar 

  • Nitschke, J. B., Heller, W., & Miller, G. A. (2000). Anxiety, stress, and cortical brain function. In: J. C. Borod (Ed.), The neuropsychology of emotion (pp. 298–319). New York: Oxford University Press.

    Google Scholar 

  • Nitschke, J. B., Heller, W., Imig, J. C., McDonald, R. P., & Miller, G. A. (2001). Distinguishing dimensions of anxiety and depression. Cognitive Therapy and Research, 25, 1–22.

    Google Scholar 

  • Nitschke, J. B., Heller, W., Etienne, M., & Miller, G. A. (2004). Prefrontal cortex activity differentiates processes affecting memory in depression. Biological Psychology, 67, 125–143.

    PubMed  Google Scholar 

  • Nolde, S. F., Johnson, M. K., & Raye, C. L. (1998). The role of prefrontal cortex during tests of episodic memory. Trends in Cognitive Science, 10, 399–406.

    Google Scholar 

  • O’Keefe, J. A., & Speakman, A. (1987). Single unit activity in the rat hippocampus during a spatial memory task. Experimental Brain Research, 68, 1–27.

    Google Scholar 

  • Papousek, I., & Schulter, G. (2003). Manipulation of frontal brain asymmetry by cognitive tasks. Brain and Cognition, 54, 43–51.

    Google Scholar 

  • Phillips, R. G., & LeDoux, J. E. (1992). Differential contribution of amygdala and hippocampus to cued and contextual fear conditioning. Behavioral Neuroscience, 106, 274–285.

    PubMed  Google Scholar 

  • Phillips, R. G., & LeDoux, J. E. (1994). Lesions of the dorsal hippocampal formation interfere with background but not foreground contextual fear conditioning. Learning and Memory, 1, 34–44.

    PubMed  Google Scholar 

  • Phillips, M. L., Drevets, W. C., Rauch, S. L., & Lane, R. (2003). The neurobiology of emotion perception I: The neural basis of normal emotion perception. Biological Psychiatry, 54, 504–514.

    PubMed  Google Scholar 

  • Pizzagalli, D. A., Pascual-Marqui, R. D., Nitschke, J. B, Oakes, T. R., Larson, C. L., Abercrombie, H. C., Schaefer, S. M., Koger, J. V., Benca, R. M., & Davidson, R. J. (2001). Anterior cinguate activity as a predictor of degree of treatment response in major depression: Evidence from brain electrical tomography analysis. American Journal of 0Psychiatry, 158, 405–415.

    Google Scholar 

  • Porter, R. J., Gallagher, P., Thompson, J. M., & Young, A. H. (2003). Neurocognitive impairment in drug-free patients with major depressive disorder. The British Journal of Psychiatry, 18, 214–220.

    Google Scholar 

  • Prisciandaro, J. J., & Roberts, J. E. (2005). A taxometric investigation of unipolar depression in the national comorbidity survey. Journal of Abnormal Psychology, 111, 718–728.

    Google Scholar 

  • Purcell, R., Maruff, P., Kyrios, M., & Pantelis, C. (1997). Neuropsychological function in young patients with unipolar depression. Psychological Medicine, 27, 1277–1285.

    PubMed  Google Scholar 

  • Raskin, A., Friedman, A. S., & DeMascio, A. (1982). Cognitive and performance deficits in depression. Psychopharmacology Bulletin, 18, 196–202.

    PubMed  Google Scholar 

  • Riso, L. P., du Toit, P. L., Blandino, J. A., Penna, S., Dacey, S., Duin, J. S., Pacoe, E. M., Grant, M. M., & Ulmer, C. S. (2003). Cognitive aspects of chronic depression. Journal of Abnormal Psychology, 111, 72–80.

    Google Scholar 

  • Rogers, M. A., Kasai, K., Koji, M, Fukuda, R., Iwanami, A., Nakagome, K., Fukuda, M., & Kato, N. (2004). Executive and prefrontal dysfunction in unipolar depression: a review of neuropsychological and imaging evidence. Neuroscience Research, 50, 1–11.

    PubMed  Google Scholar 

  • Roy-Byrne, P. P., Weingartner, H., Bierer, L. M., Thompson, K., & Post, R. M. (1986). Effortful and automatic cognitive processes in depression. Archives of General Psychiatry, 43, 265–267.

    PubMed  Google Scholar 

  • Rösler, F., Heil, M., & Henninghausen, E. (1995). Distinct cortical activation patterns during long-term memory retrieval of verbal, spatial, and color formation. Journal of Cognitive Neuroscience, 7, 51–65.

    Article  Google Scholar 

  • Ryan, J. D., Althoff, R. R., Whitlow, S., & Cohen, N. J. (2000). Amnesia is a deficit in relational memory. Psychological Science, 11, 454–461.

    PubMed  Google Scholar 

  • Ryan, J. D., & Cohen, N. J. (2004). Processing and short-term retention of relational information in amnesia. Neuropsychologia, 42, 497–511.

    PubMed  Google Scholar 

  • Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25, 487–510.

    PubMed  Google Scholar 

  • Sheline, Y. I., Wang, P. W., Gado, M. H., Csernansky, J. G., & Vannier, M. W. (1996). Hippocampal atrophy in recurrent major depression. Proceedings of the National Academy of Science, 93, 3908–3913.

    Google Scholar 

  • Sheline, Y. I., Gado, M. H., & Price, J. L. (1998). Amygdala core nuclei volumes are decreased in recurrent major depression. NeuroReport, 9, 2023–2028.

    PubMed  Google Scholar 

  • Shin, L. M., Whalen, P. J., Pitman, R. K., Bush, G., Macklin, M. L., Lasko, N. B., et al. (2001). An fMRI study of anterior cingulate function in posttraumatic stress disorder. Biological Psychiatry, 50, 932–942.

    PubMed  Google Scholar 

  • Siegel, G. J., Steinhauer, S. R., Thase, M. E., Stenger, V. A., & Carter, C. S. (2002). Can’t shake that feeling: Event-related fMRI assessment of sustained amygdala activity in response to emotional information in depressed individuals. Biological Psychiatry, 51, 693–707.

    Google Scholar 

  • Silberman, E. K., & Weingartner, H. (1986). Hemispheric lateralization of functions related to emotion. Brain and Cognition, 5, 322–353.

    PubMed  Google Scholar 

  • Squire, L. R. (1992). Memory and the hippocampus: A synthesis from findings with rats, monkeys, and humans. Psychological Review, 99, 195–231.

    PubMed  Google Scholar 

  • Teicher, M. H., Andersen, S. L., Polcari, A., Anderson, C. M., Navalta, C. P., & Kim, D. M. (2003). The neurobiological consequences of early stress and childhood maltreatment. Neuroscience and Biobehavioral Reviews, 27, 33–44.

    PubMed  Google Scholar 

  • Teicher, M.H., Andersen, S.L., Navalta, C.P., Polcari, A., & Kim, D. (2004). Neuropsychiatric disorders of childhood and adolescence. In S. C. Yudofsky, & R. C. Hales (Eds.), Essentials of neuropsychiatry and clinical neurosciences. Arlington: American Psychiatric Publishing.

    Google Scholar 

  • Teicher, M. H., Dumont, N. L., Ito, Y., Vairuzis, C., Giedd, J. N., & Andersen, S. L. (2004). Childhood neglect is associated with reduced corpus callosum area. Biological Psychiatry, 56, 80–85.

    PubMed  Google Scholar 

  • Trichard, C., Martinot, J. L., Alagille, M., Masure, M. C., Hardy, P., Ginestet, D., & Feline, A. (1995) Time course of prefrontal lobe dysfunction in severely depressed in-patients: A longitudinal neuropsychological study. Psychological Medicine, 25, 79–85.

    PubMed  Google Scholar 

  • Tulving, E., Kapur, S., Craik, F. I. M., Moscovitch, M., & Houle, S. (1994). Hemispheric encoding/retrieval asymmetry in episodic memory: Positron emission tomography findings. Proceedings of the National Academy of Sciences, 91, 2012–2015.

    Google Scholar 

  • Vythilingam, M., Heim, C., Newport, J., Miller, A. H., Bronen, R., Brummer, M., Staib, L., Vermetten, E., Charney, D. S., Nemeroff, C. B., & Bremner, J. D. (2002). Childhood trauma associated with smaller hippocampal volume in women with major depression. American Journal of Psychiatry, 159, 2072–2080.

    PubMed  Google Scholar 

  • Vythilingam, M., Vermetten, E., Anderson, G. M., Luckenbaugh, D., Anderson, E. R., Snow, J. Staib, L. W., Charney, D. S., & Bremner, J. D. (2004). Hippocampal volume, memory, and cortisol status in major depressive disorder: effects on treatment. Biological Psychiatry, 56, 101–112.

    PubMed  Google Scholar 

  • Weiland-Fiedler, P., Erickson, K., Waldeck, T., Luckenbaugh, D. A., Pike, D., Bonne, O., Charney, D. S., & Neumeister, A. (2004). Evidence for continuing neuropsychological impairments in depression. Journal of Affective Disorders, 82, 253–258.

    PubMed  Google Scholar 

  • Weingartner, H., Cohen, R. M., Murphy, D. L., Martello, J., & Gerdt, C. (1981). Cognitive processes in depression. Archives of General Psychiatry, 38, 42–47.

    PubMed  Google Scholar 

  • Whalen, P. J. (1998). Fear, vigilance, and ambiguity: Initial neuroimaging studies of the human amygdala. Current Directions in Psychological Science, 7, 177–188.

    Google Scholar 

  • Williams, J. M. G., & Broadbent, K. (1986). Autobiographical memory in attempted suicide patients. Journal of Abnormal Psychology, 95, 144–149.

    PubMed  Google Scholar 

  • Williams, J. M. G., & Dritschel, B. H. (1988). Emotional disturbance and the specificity of autobiographical memory. Cognition and Emotion, 2, 221–234.

    Google Scholar 

  • Williams, J. M. G., & Scott, J. (1988). Autobiographical memory in depression. Psychological Medicine, 18, 689–695.

    Article  PubMed  Google Scholar 

  • Wu, J., Buchsbaum, M. S., Gillin, J. D., Tang, C., Cadwell, S., Keator, D., Fallon, J. H., Wiegand, M., Najafi, A., Klein, E., Hazen, K., & Bunney, W. E. Jr. (1999). Prediction of antidepressant effects of sleep deprivation by metabolic rates in the ventral anterior cingulate and medial prefrontal cortex. American Journal of Psychiatry, 156, 1149–1158; correction, 156, 1666.

    Google Scholar 

  • Young, E. A., Abelson, J. L., & Cameron, O. G. (2004). Effect of comorbid anxiety disorders on the hypothalamic-pituitary-adrenal axis response to a social stressor in major depression. Biological Psychiatry, 56, 113–120.

    PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Amanda Howald for assistance preparing this manuscript and Anna S. Engels and Sarah M. Sass for their input on this manuscript. The present work was supported by NIDA (R21 DA14111), NIMH (R01 MH61358, T32 MH19554), and the University of Illinois Intercampus Research Initiative in Biotechnology. John D. Herrington was a predoctoral trainee in the Quantitative Methods program of the Department of Psychology, University of Illinois at Urbana-Champaign, supported by NIMH T32 MH14257. He is currently affiliated with the Child Study Center, Yale University, New Haven, CT.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wendy Heller.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Levin, R.L., Heller, W., Mohanty, A. et al. Cognitive Deficits in Depression and Functional Specificity of Regional Brain Activity. Cogn Ther Res 31, 211–233 (2007). https://doi.org/10.1007/s10608-007-9128-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-007-9128-z

Keywords

Navigation