Journal
WORLD JOURNAL OF BIOLOGICAL PSYCHIATRY
Volume 12, Issue 8, Pages 627-637Publisher
TAYLOR & FRANCIS LTD
DOI: 10.3109/15622975.2010.545145
Keywords
Default-mode network; negative BOLD responses; major depression; self-related processing; event-related fMRI
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Funding
- German Research Foundation [DFG-SFB 779/A6]
- Swiss National Research Foundation [3100A0-100830]
- Research Foundation at the University of Zurich
- ETH Zurich (SEP)
- Philips Medical Systems, Best, NL
- Hartmann-Muller-Foundation
- Gebert-Ruf-Foundation
- Hope of Depression Research Foundation (HDRF/ISAN)
- CRC
- CIHR
- EJLB-Michael Smith Foundation
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Objectives. Functional imaging studies in major depressive disorder (MDD) indicate abnormal resting state neural activity and negative blood oxygenation level-dependent (BOLD) responses (NBRs) in regions of the default-mode network (DMN). Methods. Since activity in DMN regions has been associated with self-relatedness, we investigated neural activity in these regions during self-related emotional judgement and passive picture viewing in 25 patients with MDD and 25 healthy controls in an event-related fMRI design. Results. Behaviourally, MDD subjects showed significantly higher ratings of self-relatedness that also correlated with depression symptoms such as hopelessness. Neuroimaging results in MDD patients showed significantly lower negative BOLD responses (NBRs) in anterior medial cortical regions during judgement of self-relatedness while posterior medial regions showed increased NBRs. Unlike in healthy subjects, the anterior medial cortical NBRs were no longer parametrically modulated by the degree of self-relatedness in MDD patients. Conclusions. Our findings suggest that reduced NBRs in the anterior regions of the default-mode network may signify decoupling from self-relatedness in MDD patients with the consecutive abnormal increase of self-focus.
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