Inhibitory deficits for negative information in persons with major depressive disorder

Background. Within Beck's cognitive model of depression, little is known about the mechanisim(s) by which activated self-schemas result in the production of negative thoughts. Recent research has demonstrated that inhibitory dysfunction is present in depression, and this deficit is likely valence-specific. However, whether valence-specific inhibitory deficits are associated with increased negative coanition and whether such deficits are specific to depression per se remains unexamined. The authors posit the theory that inhibitory dysfunction may influence the degree to which activated self-schemas result in the production of depressive cognition. Method. Individuals with major depressive disorder (MDD, n=43) versus healthy (n=36) and nondepressed anxious (n = 32) controls were assessed on the Prose Distraction Task (PDT), a measure of cognitive inhibition, and the Stop-Signal Task (SST), a measure of motor response inhibition. These two tasks were modified in order to present emotionally valenced semantic stimuli (i.e. negative. neutral. positive). Results. Participants with MDD demonstrated performance impairments on the PDT, which were most pronounced for negatively valenced adjectives, relative to both control groups. Moreover, these impairments correlated with self-report measures of negative thinking and rumination. Conversely, the performance of the MDD participants did not differ from either control group on the SST. Conclusions. Implications of these findings for understanding the mechanisms underlying the development and maintenance of depressive cognition are discussed.