Out-of-the-Blue: Depressive Symptoms are Associated with Deficits in Processing Inferential Expectancy-Violations Using a Novel Cognitive Rigidity Task
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Rigid cognition is frequently cited as a plausible maintenance or risk factor for depression. However, most performance-based measures of cognitive rigidity associated with depression offer poor ecological validity, produce mixed findings, and afford little in the way of therapeutic application. In order to establish a more useful and relevant performance-based measure of cognitive rigidity in depression, we developed a novel task that probes a rigidity process using stimuli highly relevant to the level of construal, the thematic content, and the rhetorical mode of depressotypic thinking. The task consists of a set of narrative vignettes that contain an expectancy-violation that is incompatible with an initially-established interpretation. As hypothesized, depressive symptoms were associated with reduced ability to update interpretations. This finding was independent of the valence of the expectancy-violation (i.e., was not merely a negativity bias), and was significant after controlling for basic set-shifting ability, intelligence measures, working memory, and other potential confounds. The novel Contingent Inference Task is a promising approach that may probe a more ecologically and etiologically relevant form of cognitive rigidity in depression than other related performance-based rigidity tasks. This rigidity process may underlie the persistence of biased beliefs in depression, and represent a new therapeutic target.
KeywordsDepression Cognitive rigidity Inference Prediction-error Expectancy-violation
Thanks to Mark Yates and Melissa Latham for reading earlier versions of the manuscript.
Funding was provided by Department of Human Services, State Government of Victoria (Grant No. ID0EEOAE1654).
Compliance with Ethical Standards
Conflict of Interest
Paul Liknaitzky, Luke D. Smillie, and Nicholas B. Allen declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
No animal studies were carried out by the authors for this article.
- APA. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, revised (DSM-IV-TR). Washington, DC: American Psychiatric Publishing.Google Scholar
- Bateman, A. W., & Fonagy, P. (2012). Handbook of mentalizing in mental health practice (1st ed.). Washington, DC: American Psychiatric Publishing.Google Scholar
- Beck, A. T. (1976). Cognitive therapy and the emotional disorders. (1st ed.). Madison, CT: Meridian.Google Scholar
- Beck, A. T., & Alford, B. A. (2008). Depression: Causes and treatment (2nd ed.). Philadelphia: University of Pennsylvania Press.Google Scholar
- Beck, J. S. (1995). Cognitive therapy. New York: Wiley.Google Scholar
- Bickle, J. (2003). Empirical evidence for a narrative concept of self. In G. D. Fireman, T. E. McVay & O. J. Flanagan (Eds.), Narrative and consciousness: Literature, psychology, and the brain (pp. 195–208). Oxford: Oxford University Press.Google Scholar
- Bruner, J. S. (1990). Acts of meaning. Boston: Harvard University Press.Google Scholar
- Devins, G. M., Orme, C. M., Costello, C. G., Binik, Y. M., Frizzell, B., Stam, H. J., & Pullin, W. M. (1988). Measuring depressive symptoms in illness populations: Psychometric properties of the center for epidemiologic studies depression (CES-D) scale. Psychology and Health, 2(2), 139–156.CrossRefGoogle Scholar
- Draine, S. (2009). Inquisit. 3.0. Seattle, WA: Millisecond Software, LLC.Google Scholar
- Egeland, J., Rund, B., Sundet, K., Landrø, N., Asbjørnsen, A., Lund, A., ... Hugdahl, K. (2003). Attention profile in schizophrenia compared with depression: Differential effects of processing speed, selective attention and vigilance. Acta Psychiatrica Scandinavica, 108(4), 276–284.PubMedCrossRefGoogle Scholar
- Glombiewski, W. R. J. A. (2016). Expectation-focused psychological interventions (EFPI). Verhaltenstherapie, 26 Google Scholar
- Gotlib, I. H., & Hammen, C. L. (2008). Handbook of depression. (2nd ed.). New York: Guilford Press.Google Scholar
- Graesser, A., Golding, J. M., & Long, D. L. (1996). Narrative representation and comprehension. Handbook of Reading Research, 2, 171–205.Google Scholar
- Haringsma, R., Engels, G., Beekman, A., & Spinhoven, P. (2004). The criterion validity of the center for epidemiological studies depression scale (CES-D) in a sample of self-referred elders with depressive symptomatology. International Journal of Geriatric Psychiatry, 19(6), 558–563.PubMedCrossRefGoogle Scholar
- Heaton, R. K. (1981). A manual for the Wisconsin card sorting test. Odessa: Western Psychological Services.Google Scholar
- Hollon, S. D., & Dimidjian, S. (2008). Cognitive and behavioral treatment of depression. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (2nd ed., pp. 586–603). New York: Guilford Press.Google Scholar
- Mackinnon, A., Jorm, A. F., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (1999). A short form of the positive and negative affect schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27(3), 405–416.CrossRefGoogle Scholar
- Mar, R. A., Spreng, R. N., & DeYoung, C. G. (2013). How to produce personality neuroscience research with high statistical power and low additional cost. Cognitive, Affective, & Behavioral Neuroscience, 13(3), 674–685.Google Scholar
- Miller, P. J. (1995). Personal storytelling in everyday life: Social and cultural perspectives. In R. S. Wyer (Ed.), Knowledge and memory: The real story: Advances in social cognition, Vol. 8. New York: Psychology Press.Google Scholar
- Payne, M. (2006). Narrative therapy (2nd ed.). London: Sage.Google Scholar
- Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. In J. Weinam, S. Wright, & M. JohnstonMeasures in Health Psychology: A User’s Portfolio. Causal and Control Beliefs, , (pp, 35–37).Windsor, UK: NFER-NELSON.Google Scholar
- Siegle, 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(9), 693–707.PubMedCrossRefGoogle Scholar
- Smith, L. M. (2013). Rumination, negative affect and working memory: Does rumination moderate the relationship between negative affect induction and working memory? (PhD Thesis). Ann Arbor: Seattle Pacific University.Google Scholar
- Trabasso, T. (2005). The role of causal reasoning in understanding narratives. In T. Trabasso, J. Sabatini, D. W. Massaro, & R. C. Calfee (Eds.), From orthography to pedagogy: Essays in honor of Richard L. Venezky (pp. 81–106). New York: Lawrence Erlbaum Associates.Google Scholar
- Wechsler, D. (2008). Wechsler adult intelligence scale (WAIS–IV). (4th ed.). San Antonio, TX: NCS Pearson.Google Scholar
- White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: WW Norton & Company.Google Scholar
- WHO. (2015). Depression. Fact sheet N 369/October 2015.Google Scholar
- Young, J. E., Weinberger, A. D., & Beck, A. T. (2001). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed., pp. 264–308). New York: Guilford.Google Scholar
- Zakzanis, K. K., Leach, L., & Kaplan, E. (1998). On the nature and pattern of neurocognitive function in major depressive disorder. Cognitive & Behavioral Neurology, 11(3), 111–119.Google Scholar