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Specificity of cognitive biases in patients with current depression and remitted depression and in patients with asthma

Published online by Cambridge University Press:  01 September 2009

A. Fritzsche ,
B. Dahme ,
I. H. Gotlib ,
J. Joormann ,
H. Magnussen ,
H. Watz ,
D. O. Nutzinger  and
A. von Leupoldt
A. Fritzsche*
Affiliation:
University of Hamburg, Hamburg, Germany
B. Dahme
Affiliation:
University of Hamburg, Hamburg, Germany
I. H. Gotlib
Affiliation:
Stanford University, Stanford, CA, USA
J. Joormann
Affiliation:
University of Miami, Coral Gables, FL, USA
H. Magnussen
Affiliation:
Pulmonary Research Institute at Hospital Grosshansdorf, Centre for Pneumology and Thoracic Surgery, Grosshansdorf, Germany
H. Watz
Affiliation:
Pulmonary Research Institute at Hospital Grosshansdorf, Centre for Pneumology and Thoracic Surgery, Grosshansdorf, Germany
D. O. Nutzinger
Affiliation:
Psychosomatic Hospital, Bad Bramstedt, Germany University of Lübeck, Lübeck, Germany
A. von Leupoldt
Affiliation:
University of Hamburg, Hamburg, Germany
*
*Address for correspondence: A. Fritzsche, University of Hamburg, Department of Psychology, Von-Melle-Park 5, 20146 Hamburg, Germany. (Email: [email protected])
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Abstract

Background

Previous studies have demonstrated a specific cognitive bias for sad stimuli in currently depressed patients; little is known, however, about whether this bias persists after recovery from the depressive episode. Depression is frequently observed in patients with asthma and is associated with a worse course of the disease. Given these high rates of co-morbidity, we could expect to observe a similar bias towards sad stimuli in patients with asthma.

Method

We therefore examined cognitive biases in memory and attention in 20 currently and 20 formerly depressed participants, 20 never-depressed patients diagnosed with asthma, and 20 healthy control participants. All participants completed three cognitive tasks: the self-referential encoding and incidental recall task, the emotion face dot-probe task and the emotional Stroop task.

Results

Compared with healthy participants, currently and formerly depressed participants, but not patients with asthma, exhibited specific biases for sad stimuli.

Conclusions

These results suggest that cognitive biases are evident in depression even after recovery from an acute episode but are not found in never-depressed patients with asthma.

Keywords

Asthmadepressionemotioninformation processingremission
Type
Original Articles
Information
Psychological Medicine , Volume 40 , Issue 5 , May 2010 , pp. 815 - 826
Copyright
Copyright © Cambridge University Press 2009

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References

Allen, GM, Hickie, I, Gandevia, SC, McKenzie, DK (1994). Impaired voluntary drive to breathe: a possible link between depression and unexplained ventilatory failure in asthmatic patients. Thorax 49, 881–884.CrossRefGoogle ScholarPubMed
Angst, J (1992). How recurrent and predictable is depressive disorder? In Long-term Treatment of Depression. Perspectives in Psychiatry (ed. Montgomery, S. and Rouillon, F.), pp. 1–13. Wiley: Chichester.Google Scholar
Beck, AT (1967). Depression: Clinical, Experimental, and Theoretical Aspects. Harper and Row: New York.Google Scholar
Beck, AT (1976). Cognitive Therapy and the Emotional Disorders. International University Press: New York.Google Scholar
Beck, R, Perkins, TS (2001). Cognitive content-specificity for anxiety and depression: a meta-analysis. Cognitive Therapy and Research 25, 651–663.Google Scholar
Blackburn, IM, Jones, S, Lewin, RJP (1986). Cognitive style in depression. British Journal of Clinical Psychology 25, 241–251.CrossRefGoogle ScholarPubMed
Boland, RJ, Keller, MB (2002). Course and outcome of depression. In Handbook of Depression (ed. Gotlib, I. H. and Hammen, C. L.), pp. 43–60. Guilford Press: New York.Google Scholar
Bower, GH (1981). Mood and memory. American Psychologist 36, 129–148.CrossRefGoogle ScholarPubMed
Bradley, BP, Mathews, A (1988). Memory bias in recovered clinical depressives. Cognition and Emotion 2, 235–245.CrossRefGoogle Scholar
Bradley, BP, Mogg, K, Lee, SC (1997). Attentional biases for negative information in induced and naturally occurring dysphoria. Behaviour Research and Therapy 35, 911–927.Google Scholar
Bradley, MM, Lang, PJ (2000). Measuring emotion: behaviour, feeling and physiology. In Cognitive Neuroscience of Emotion (ed. Lane, R. D. and Nadel, L.), pp. 242–276. Oxford University Press: New York.Google Scholar
Dozois, DJA, Dobson, KS (2001). Information processing and cognitive organisation in unipolar depression: specificity and comorbidity issues. Journal of Abnormal Psychology 110, 236–246.Google Scholar
Dunlop, DD, Lyons, JS, Manheim, LM, Song, J, Chang, RW (2004). Arthritis and heart disease as risk factors for major depression: the role of functional limitation. Medical Care 42, 502–511.CrossRefGoogle ScholarPubMed
Elliot, R, Runbinsztein, JS, Sahakian, BJ, Dolan, RJ (2002). The neural basis of mood-congruent biases in depression. Archives of General Psychiatry 59, 597–604.CrossRefGoogle Scholar
Erickson, K, Drevets, WC, Clark, L, Cannon, DM, Bain, EE, Zarate, CA, Charney, DS, Sahakian, BJ (2005). Mood-congruent bias in affective go/no-go performance of unmedicated patients with major depressive disorder. American Journal of Psychiatry 162, 2171–2173.Google Scholar
Fox, E, Ridgewell, A, Ashwin, C (2009). Looking on the bright side: biased attention and the human serotonin transporter gene. Proceedings. Biological Sciences/The Royal Society Science 276, 1747–1751.Google ScholarPubMed
Franke, GH (2000). Brief Symptom Inventory, German version. Hogrefe: Göttingen.Google Scholar
Gilboa, E, Gotlib, IH (1997). Cognitive biases and effect persistence in previously dysphoric and never-dysphoric individuals. Cognition and Emotion 11, 517–538.CrossRefGoogle Scholar
Goodwin, RD, Fergusson, DM, Hoorwood, LJ (2004). Asthma and depressive and anxiety disorders among young persons in the community. Psychological Medicine 34, 1465–1474.CrossRefGoogle ScholarPubMed
Gotlib, IH, Cane, D (1987). Construct accessibility and clinical depression: a longitudinal investigation. Journal of Abnormal Psychology 96, 199–204.Google Scholar
Gotlib, IH, Gilboa, E, Sommerfeld, BK (2000). Cognitive functioning in depression: nature and origins. In Anxiety, Depression and Emotion (ed. Davidson, R. J.), pp. 133–163. Oxford University Press: New York.Google Scholar
Gotlib, IH, Hammen, CL (1992). Psychological Aspects of Depression: Toward a Cognitive-Interpersonal Integration. Wiley: Oxford, UK.Google Scholar
Gotlib, IH, Kasch, KL, Traill, S, Joormann, J, Arnow, BA, Johnson, SL (2004 a). Coherence and specificity of information processing biases in depression and social phobia. Journal of Abnormal Psychology 113, 386–396.CrossRefGoogle ScholarPubMed
Gotlib, IH, Krasnoperova, E, Yue, DN, Joormann, J (2004 b). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology 113, 121–135.CrossRefGoogle ScholarPubMed
Gotlib, IH, McCann, CD (1984). Construct accessibility and depression: an examination of cognitive and affective factors. Journal of Personality and Social Psychology 47, 427–439.CrossRefGoogle ScholarPubMed
Gotlib, IH, McLachlan, AL, Katz, AN (1988). Biases in visual attention in depressed and nondepressed individuals. Cognition and Emotion 2, 185–200.CrossRefGoogle Scholar
Hager, W, Hasselhorn, M (1994). Handbuch Deurtschsprachiger Wortnormen [Handbook of German Affective Word Norms]. Hogrefe: Göttingen, Germany.Google Scholar
Harmer, CJ (2008). Serotonin and emotional processing: does it help explain antidepressant drug action? Neuropharmacology 55, 1023–1028.CrossRefGoogle ScholarPubMed
Hautzinger, M, Bailer, M (1993). Allgemeine Depressionsskala (ADS). German adaption of the Center of Epidemiologic Studies Depression Scale (CEDS). Beltz: Weinheim.Google Scholar
Hautzinger, M, Bailer, M, Worall, H (1994). Beck Depression Inventory (BDI), German version. Hogrefe: Göttingen.Google Scholar
Hautzinger, M, de Jong-Meyer, R (1996). Two multi-centre studies on the efficacy of behavioural therapy, pharmacotherapy, and their combination in depressed patients [in German]. Zeitschrift für Klinische Psychologie 25, 83–160.Google Scholar
Hedlund, S, Rude, S (1995). Evidence of latent depressive schemas in formerly depressed individuals. Journal of Abnormal Psychology 3, 517–525.Google Scholar
Ingram, RE (1984). Information processing and feedback: effects of mood and information favorability on the cognitive processing of personally relevant information. Cognitive Therapy and Research 8, 372–386.CrossRefGoogle Scholar
Joiner, TEJ (2002). Depression and its interpersonal context. In Handbook of Depression (ed. Gotlib, I. H. and Hammen, C. L.), pp. 295–313. Guilford Press: New York.Google Scholar
Joormann, J, Gotlib, IH (2007). Selective attention to emotional faces following recovery from depression. Journal of Abnormal Psychology 116, 80–85.Google Scholar
Keller, MB, Lavori, PB, Mueller, TI, Endicott, J, Coryell, W, Hirchfeld, RM, Shea, T (1992). Time to recovery, chronicity, and levels of psychopathology in major depression: a 5-year prospective follow-up of 431 subjects. Archives of General Psychiatry 49, 809–816.Google Scholar
Kuiper, NA, MacDonald, MR (1982). Self and other perception in mild depressives. Social Cognition 1, 233–239.Google Scholar
Kullowatz, A, Kanniess, F, Dahme, B, Magnussen, H, Ritz, T (2007). Association of depression and anxiety with health care use and quality of life in asthma patients. Respiratory Medicine 3, 638–644.CrossRefGoogle Scholar
Lang, PJ (1980). Behavioral treatment and bio-behavioral assessment: computer applications. In Technology in Mental Health Care Delivery Systems (ed. Sidowski, J. B., Johnson, J. H. and Williams, T. A.), pp. 119–137. Ablex: Norwood, NJ.Google Scholar
Lang, PJ, Bradley, MM, Cuthbert, BN (1999). International Affective Picture System (IAPS): Instruction Manual and Affective Ratings. Technical Report A-4. The Center for Research in Psychophysiology, University of Florida: Gainesville, FL.Google Scholar
Lewinsohn, PM, Steinmetz, JL, Larson, DW, Franklin, J (1981). Depression-related cognitions: antecedent or consequence? Journal of Abnormal Psychology 90, 213–219.CrossRefGoogle ScholarPubMed
Margraf, J, Ehlers, A (2007). BAI Beck Anxiety Inventory, German version. Hogrefe: Göttingen.Google Scholar
Mathews, A, Ridgeway, V, Williamson, DA (1996). Evidence for attention to threatening stimuli in depression. Behaviour Research and Therapy 34, 695–705.Google Scholar
Matt, GE, Vasquez, C, Campbell, WK (1992). Mood-congruent recall of affectively toned stimuli: a meta-analytic review. Clinical Psychology 12, 227–255.Google Scholar
McCabe, SB, Gotlib, IH, Martin, RA (2000). Cognitive vulnerability for depression: deployment of attention as a function of history of depression and current mood state. Cognitive Therapy and Research 24, 427–444.Google Scholar
Miranda, C, Busacker, A, Balzar, S, Trudeau, J, Wenzel, SE (2004). Distinguishing severe asthma phenotypes: role of age and eosinophilic inflammation. Journal of Allergy and Clinical Immunology 113, 101–108.CrossRefGoogle ScholarPubMed
Mogg, K, Bradley, BP, Williams, R (1995). Attentional bias in anxiety and depression: the role of awareness. British Journal of Clinical Psychology 102, 304–311.Google Scholar
Mogg, K, Bradley, BP, Williams, R, Mathews, A (1993). Subliminal processing of emotional information in anxiety and depression. Journal of Abnormal Psychology 102, 304–311.Google Scholar
Mogg, K, Mathews, A, Eysenck, M (1992). Attentional biases to threat in clinical anxiety states. Cognition and Emotion 6, 149–159.Google Scholar
Mogg, K, Millar, N, Bradley, BP (2000). Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder. Journal of Abnormal Psychology 109, 695–704.CrossRefGoogle ScholarPubMed
Moritz, S, Gläscher, J, Brassen, S (2005). Investigation of mood-congruent false and true memory recognition in depression. Depression and Anxiety 21, 9–17.Google Scholar
Murphy, FC, Sahakian, BJ, Rubinsztein, JS, Michael, A, Rogers, RD, Robbins, TW, Paykal, ES (1999). Emotional bias and inhibitory control process in mania and depression. Psychological Medicine 29, 1307–1321.CrossRefGoogle ScholarPubMed
Power, MJ, Dalgleish, T, Claudio, V, Tata, P, Kentish, J (2000). The directed forgetting task: application to emotionally valent material. Journal of Affective Disorders 57, 147–157.Google Scholar
Rinck, M, Becker, ES (2005). A comparison of attentional biases and memory biases in women with social phobia and major depression. Journal of Abnormal Psychology 114, 62–74.CrossRefGoogle ScholarPubMed
Ritz, T, Steptoe, A (2000). Emotion and pulmonary function in asthma: reactivity in the field and relationship with laboratory induction of emotion. Psychosomatic Medicine 62, 808–815.Google Scholar
Ritz, T, Steptoe, A, De Wilde, S, Cosat, M (2000). Emotions and stress increase respiratory resistance in asthma. Psychosomatic Medicine 62, 401–412.Google Scholar
Roiser, JP, Muller, U, Clark, L, Sahakian, BJ (2007). The effects of acute tryptophan depletion and serotonin transporter polymorphism on emotional processing in memory and attention. International Journal of Neuropsychopharmacology 10, 449–461.Google Scholar
Ruiz-Caballero, JA, Bermudez, J (1997). Anxiety and attention: is there an attentional bias for positive emotional stimuli? Journal of General Psychology 124, 194–210.CrossRefGoogle ScholarPubMed
Saß, H, Wittchen, HU, Zaudig, M (1996). Diagnostic Statistical Manual of Mental Disorders (DSM-IV), German version. Hogrefe: Göttingen.Google Scholar
Scher, CD, Ingram, RE, Segal, ZV (2005). Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diathesis in unipolar depression. Clinical Psychology Review 25, 487–510.Google Scholar
Segal, ZV, Gemar, M, Williams, S (1999). Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression. Journal of Abnormal Psychology 108, 3–10.Google Scholar
Serrano, J, Plaza, V, Sureda, B, de Pablo, J, Picado, C, Bardagí, S, Lamela, J, Sanchis, J (2006). Alexithymia: a relevant psychological variable in near-fatal asthma. European Respiratory Journal 28, 296–302.Google Scholar
Stein, MB, Cox, BJ, Afifi, TO, Belik, SL, Sareen, J (2006). Does co-morbid depressive illness magnify the impact of chronic physical illness? A population-based perspective. Psychological Medicine 36, 587–596.Google Scholar
Stroop, JR (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology 18, 643–662.Google Scholar
Teasdale, JD (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion 2, 247–274.Google Scholar
Tottenham, N, Borscheid, A, Ellertsen, K, Marcus, DJ, Nelson, CA (2002). Categorization of facial expression in children and adults: establishing a larger stimulus set [Abstract]. Journal of Cognitive Neuroscience 74.Google Scholar
Tranter, R, Bell, D, Gutting, P, Harmer, C, Healy, D, Anderson, IM (2009). The effect of serotonergic and noradrenergic antidepressants on face emotion processing in depressed patients. Journal of Affective Disorders. Published online: 26 February 2009. doi:10.1016/j.jad.2009.01.028.Google Scholar
von Leupoldt, A, Dahme, B (2005). Emotions and airway resistance in asthma: study with whole body plethysmography. Psychophysiology 42, 92–97.Google Scholar
von Leupoldt, A, Ehnes, F, Dahme, B (2006). Emotion and respiratory function in asthma: a comparison of findings in everyday life and laboratory. British Journal of Health Psychology 11, 185–198.CrossRefGoogle ScholarPubMed
Wittchen, HU, Lieb, R, Pfister, H, Schuster, P (2000). The waxing and waning of mental disorders: evaluating the stability of syndromes of mental disorders in the population. Comprehensive Psychiatry 41, 122–32.Google Scholar
Wittchen, HU, Zaudig, M, Fydrich, T (1997). Structured Clinical Interview for DSM-IV, German version. Hogrefe: Göttingen.Google Scholar
Zielinski, TA, Brown, ES (2003). Depression in patients with asthma. Advances in Psychosomatic Medicine 24, 42–50.CrossRefGoogle ScholarPubMed