Event-Related Potentials and Cognitive Processing of Affectively Toned Words in Depression

Abstract

Abstract Background: Depressed subjects and euthymic controls demonstrate differences in cognitive processing and brain electrophysiology. Contingent negative variation (CNV) and postimperative negative variation (PINV) was used to investigate the relationship between cognition and cortical event related potentials. Method: Electrophysiological responses and memory of different personality trait adjectives were measured in 15 patients with major depressive disorder and 15 euthymic controls. The words were presented acoustically to elicit event-related potentials. The subjects were asked to indicate whether the words were self-referential. Responses were measured separately for self referential and non-self referential, neutral, positively and negatively toned words. Results: Depressed patients chose more negative and fewer positive words as self-referential, though no significant differences between groups in CNV magnitude for any of the words were found. Persistence of cortical negativity after the motor response (PINV) was significantly (P < 0.02) greater in patients for all non-self-referential words, and reaction times were significantly longer for all words. Recall of positive words and recognition of all words were significantly impaired in patients. Conclusions: Both electrophysiological measures and memory tests found differences between depressed patients and controls, suggesting that the PINV wave may be a useful electrophysiological probe to clarify the neurophysiological basis of cognitive processes.