Cortical Inefficiency in Patients with Unipolar Depression: An Event-Related fMRI Study with the Stroop Task

The present study is aimed to examine the neuronal correlates of Stroop interference in medication-free patients with major depressive disorder. Sixteen patients fulfilling Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for unipolar depression and 16 healthy control subjects...

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Veröffentlicht in:Biological psychiatry (1969) 2006-05, Vol.59 (10), p.958-965
Hauptverfasser: Wagner, Gerd, Sinsel, Esther, Sobanski, Thomas, Köhler, Sabine, Marinou, Varvara, Mentzel, Hans-Joachim, Sauer, Heinrich, Schlösser, Ralf G.M.
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container_end_page 965
container_issue 10
container_start_page 958
container_title Biological psychiatry (1969)
container_volume 59
creator Wagner, Gerd
Sinsel, Esther
Sobanski, Thomas
Köhler, Sabine
Marinou, Varvara
Mentzel, Hans-Joachim
Sauer, Heinrich
Schlösser, Ralf G.M.
description The present study is aimed to examine the neuronal correlates of Stroop interference in medication-free patients with major depressive disorder. Sixteen patients fulfilling Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for unipolar depression and 16 healthy control subjects matched for age, gender, and education were included. All subjects underwent an event-related functional magnetic resonance imaging (fMRI) design with an adapted version of the Stroop task including congruent and incongruent task conditions. The fMRI experiment was conducted on a 1.5 T magnetic resonance (MR) scanner, and item responses were given manually by the subjects. With regard to behavioral performance, patients revealed no differences in both reaction time and accuracy relative to control subjects. With regard to brain activations, direct comparison of patients with control subjects in the interference condition revealed hyperactivity in rostral anterior cingulate gyrus (rACG) and left dorsolateral prefrontal cortex (DLPFC) in depressive patients, which correlated strongly with the Stroop interference. The study provides new evidence for the functioning and dissociation of the anterior cingulate in depressed patients. The greater prefrontal activation may reflect a cortical inefficiency due to hyperactivity in rACG enhancing the cognitive interferences from the emotional state.
doi_str_mv 10.1016/j.biopsych.2005.10.025
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subjects Adult
Adult and adolescent clinical studies
anterior cingulated
Attention - physiology
Biological and medical sciences
Brain Mapping
Cerebral Cortex - physiopathology
cognitive inhibition
Color Perception - physiology
Conflict (Psychology)
Depression
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - physiopathology
Dominance, Cerebral - physiology
Electroencephalography
Evoked Potentials, Visual - physiology
Female
functional magnetic resonance imaging
Gyrus Cinguli - physiopathology
Humans
Image Processing, Computer-Assisted
Inhibition (Psychology)
Magnetic Resonance Imaging
Major depressive disorder
Male
Medical sciences
Middle Aged
Mood disorders
Neuropsychological Tests
prefrontal cortex
Prefrontal Cortex - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reading
Reference Values
Semantics
Statistics as Topic
Stroop task
title Cortical Inefficiency in Patients with Unipolar Depression: An Event-Related fMRI Study with the Stroop Task
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