Department of Psychology, Saint Mary's University, Halifax, NS, Canada; Department of Psychology, St. Francis Xavier University, Antigonish, Nova Scotia, Canada; Department of Psychiatry, Dalhousie University, Nova Scotia, Canada.
Department of Psychology, Mount Saint Vincent University, Halifax, NS, Canada; Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada.
Psychiatry Res Neuroimaging. 2023 Aug;333:111661. doi: 10.1016/j.pscychresns.2023.111661. Epub 2023 May 24.
Given the association between major depressive disorder (MDD) and cortical inefficiency related to executive control, specifically in the sense that individuals with MDD may recruit more cognitive resources to complete tasks at the same capacity as those without MDD, the current study was interested in examining the attention networks and executive functioning of those with MDD. Past research has used the Attention Network Test (ANT) to measure changes of attention in clinical vs. healthy populations; however, theoretical concerns have been raised regarding the task. The Combined Attention Systems Task (CAST) was developed to address these concerns and was used in our study in combination with quantitative-electroencephalography (QEEG) to assess both behavioural and neurophysiological changes in participants with MDD (n = 18) compared to healthy controls (HCs; n = 22). We found no behavioural differences between MDD and HC groups suggesting individuals with MDD in our sample were not experiencing the executive functioning deficits previously reported in the literature. Neurophysiological measures of attention revealed that MDD participants had greater theta and alpha activity relative to HCs, suggesting that although individuals with MDD do not show deficits in behavioural attention, they exhibit altered neural processing which underlies cognitive function.
鉴于重度抑郁症(MDD)与执行控制相关的皮质效率低下之间存在关联,具体而言,MDD 患者可能会募集更多的认知资源来完成与无 MDD 患者相同能力的任务,因此本研究对 MDD 患者的注意网络和执行功能感兴趣。过去的研究使用注意力网络测试(ANT)来衡量临床人群与健康人群的注意力变化;然而,人们对该任务提出了理论上的担忧。综合注意系统任务(CAST)的开发是为了解决这些问题,并在我们的研究中与定量脑电图(QEEG)结合使用,以评估 MDD 患者(n=18)与健康对照组(HC;n=22)之间的行为和神经生理变化。我们没有发现 MDD 和 HC 组之间的行为差异,这表明我们样本中的 MDD 患者没有经历文献中先前报道的执行功能缺陷。注意力的神经生理测量结果表明,MDD 参与者的θ和α活动相对于 HC 参与者更大,这表明尽管 MDD 患者在行为注意力方面没有表现出缺陷,但他们表现出改变的神经处理,这是认知功能的基础。
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