Depression and rumination: Relation to components of inhibition

Background: Recent research has demonstrated that depressed individuals show impairments in inhibiting irrelevant emotional material, and that these impairments are linked to rumination. Cognitive inhibition, however, is not a unitary construct but consists of several components which operate at different stages of information processing. The present study was designed to assess two components of inhibition and examine their relation to depression and rumination in a sample of clinically depressed and healthy control participants. Methods: Twenty-two individuals diagnosed with a current depressive episode and 27 never-disordered control participants completed an Emotional Flanker Task to assess individual differences in interference control and a modification of the Working Memory Selection Task to assess individual differences in the ability to discard no longer relevant emotional material from working memory. Participants completed self-report measures to assess depressive symptoms and rumination. Results: Clinically depressed compared to control participants showed significantly reduced interference control of irrelevant negative information. The groups, however, did not differ in their ability to discard no longer relevant negative information from working memory. In contrast, rumination was associated with difficulty removing no longer relevant negative material from working memory but not with deficits in interference control. Conclusions: Results highlight the importance of differentiating among components of inhibition to gain a better understanding of cognitive mechanisms underlying depression and rumination.

[1]  S. Nolen-Hoeksema,et al.  A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. , 1991, Journal of personality and social psychology.

[2]  W. C. Shipley A Self-Administering Scale for Measuring Intellectual Impairment and Deterioration , 1940 .

[3]  Jutta Joormann,et al.  Attentional bias in dysphoria: The role of inhibitory processes , 2004 .

[4]  J. Joormann,et al.  Components of interference control predict depressive symptoms and rumination cross-sectionally and at six months follow-up. , 2011, Journal of behavior therapy and experimental psychiatry.

[5]  G. Siegle,et al.  Poor performance on cognitive tasks in depression: Doing too much or not enough? , 2010, Cognitive, affective & behavioral neuroscience.

[6]  A. Beck,et al.  Beck Depression Inventory–II , 2011 .

[7]  M. Steinberg Structured clinical interview for DSM-IV dissociative disorders (SCID-D). , 1993 .

[8]  M. Bradley,et al.  Affective Norms for English Words (ANEW): Instruction Manual and Affective Ratings , 1999 .

[9]  R. de Raedt,et al.  Understanding depressive rumination from a cognitive science perspective: the impaired disengagement hypothesis. , 2011, Clinical psychology review.

[10]  J. Nigg On inhibition/disinhibition in developmental psychopathology: views from cognitive and personality psychology and a working inhibition taxonomy. , 2000, Psychological bulletin.

[11]  M. J. Emerson,et al.  The Unity and Diversity of Executive Functions and Their Contributions to Complex “Frontal Lobe” Tasks: A Latent Variable Analysis , 2000, Cognitive Psychology.

[12]  P. Philippot,et al.  Induced rumination dampens executive processes in dysphoric young adults. , 2008, Journal of behavior therapy and experimental psychiatry.

[13]  J. Joormann Cognitive Inhibition and Emotion Regulation in Depression , 2010 .

[14]  B. Marroquín,et al.  Brooding and reflective rumination among suicide attempters: cognitive vulnerability to suicidal ideation. , 2009, Behaviour research and therapy.

[15]  A. Miyake,et al.  The relations among inhibition and interference control functions: a latent-variable analysis. , 2004, Journal of experimental psychology. General.

[16]  R. de Raedt,et al.  Deficient inhibition of emotional information in depression. , 2006, Journal of affective disorders.

[17]  S. Lyubomirsky,et al.  Rethinking Rumination , 2008, Perspectives on psychological science : a journal of the Association for Psychological Science.

[18]  S. Nolen-Hoeksema,et al.  Rumination Reconsidered: A Psychometric Analysis , 2003, Cognitive Therapy and Research.

[19]  Jutta Joormann,et al.  Updating the contents of working memory in depression: interference from irrelevant negative material. , 2008, Journal of abnormal psychology.

[20]  I. Gotlib,et al.  Selective attention to emotional faces following recovery from depression. , 2007, Journal of abnormal psychology.

[21]  Hoi-Chung Leung,et al.  Frontal activations associated with accessing and evaluating information in working memory: an fMRI study , 2003, NeuroImage.

[22]  Marc G. Berman,et al.  Interference resolution in major depression , 2010, Cognitive, affective & behavioral neuroscience.

[23]  M. Banich,et al.  Inhibition Versus Switching Deficits in Different Forms of Rumination , 2007, Psychological science.

[24]  Z. Segal,et al.  Inhibitory deficits for negative information in persons with major depressive disorder , 2007, Psychological Medicine.

[25]  Cynthia P. May,et al.  Inhibitory control, circadian arousal, and age. , 1999 .

[26]  Ernst H. W. Koster,et al.  The association between depressive symptoms and executive control impairments in response to emotional and non-emotional information , 2010 .

[27]  S. Rude,et al.  Depressive deficits in memory: focusing attention improves subsequent recall. , 1991, Journal of experimental psychology. General.

[28]  E. Watkins Constructive and Unconstructive Repetitive Thought , 2008, Psychological bulletin.

[29]  L. Radloff The CES-D Scale , 1977 .