Executive function in depression: the role of performance strategies in aiding depressed and non-depressed participants
Department of
Psychology, University College London
Correspondence to: Dr S Channon, Subdepartment of Clinical Health Psychology, UCL, Gower Street, London WC1E 6BT, UK. email S.Channon{at}ucl.ac.uk
Received 20 January
1998 and in revised form 21 August 1998;
Accepted 11 September 1998
OBJECTIVES
Depression
has been found to be associated with dysfunction in executive
processes, whereas relatively automatic processes are thought to remain
intact. Failure to generate or implement adequate performance
strategies has been postulated in depressed participants. The present
study investigated spontaneous strategy usage in depressed and control
participants, and the effectiveness of providing a hint about
performance strategies.
METHODS
Unipolar
depressed participants were compared with matched healthy controls on
three tasks sensitive to executive function: memory for categorised
words, response suppression, and multiple scheduling. Participants in
each group were randomly allocated to strategy aid and no strategy aid
conditions. Those in the strategy aid condition were given a hint about
the use of an appropriate performance strategy for each task, in
addition to the standard instructions given to those in the no strategy
aid condition.
RESULTS
Depressed
participants performed worse than controls on each of the three tasks,
and were found to use appropriate performance strategies less often.
Provision of strategy hints increased the use of performance strategies
in two of the three tasks, memory for categorised words, and response
suppression, but did not significantly improve overall performance for
either group.
CONCLUSIONS
The
findings were consistent with the view that depressed participants fail
to use appropriate performance strategies spontaneously to the same
extent as controls. However, provision of information alone does not
seem to be an adequate means of enhancing performance. The role of
performance strategies in cognitive impairment in depression is
discussed, both in terms of initiating use of such strategies and
carrying these out efficiently.
© 1999 by Journal of Neurology, Neurosurgery, and Psychiatry
This article has been cited by other articles:
-
Lekwauwa, R., McQuoid, D., Steffens, D. C.
(2006). Hippocampal Volume Is Associated With Physician-Reported Acute Cognitive Deficits After Electroconvulsive Therapy. J Geriatr Psychiatry Neurol
19: 21-25
[Abstract] -
Bellelli, G, Lucchi, E, Cipriani, G, Frisoni, G B, Trabucchi, M, Kramer, J
(2002). Executive dysfunction and depressive symptoms in cerebrovascular disease. J. Neurol. Neurosurg. Psychiatry
73: 462-463
[Full Text] -
Lockwood, K. A., Alexopoulos, G. S., van Gorp, W. G.
(2002). Executive Dysfunction in Geriatric Depression. Am. J. Psychiatry
159: 1119-1126
[Abstract] [Full Text] -
AUSTIN, M.-P., MITCHELL, P., GOODWIN, G. M.
(2001). Cognitive deficits in depression: Possible implications for functional neuropathology. Br. J. Psychiatry
178: 200-206
[Abstract] [Full Text] -
KIS, B, HEBERLEIN, I, HAGENAH, J, JACOBS, H, KLEIN, C, VIEREGGE, P
(2000). Neuropsychological abnormalities in first degree relatives of patients with familial Parkinson's disease. J. Neurol. Neurosurg. Psychiatry
69: 838-838
[Full Text]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
