Dysfunctional thinking in major depressive disorder: a deficit in metacognitive monitoring?

Speed of response to attitudinal statements has predictive behavioral significance and reflects the relative contributions of "automatic" access to precomputed schematic representations and slower "controlled" on-line processing. Latencies to Dysfunctional Attitude Scale (A. N. Weissman & A. T. Beck, 1978) and neutral statements were measured in 30 depressed patients and 30 nondepressed controls. For controls, responses incompatible with functional schemas were markedly slowed. This pattern of latencies is consistent with the operation of metacognitive monitoring of potential dysfunctional responses, dependent on limited controlled processing resources. For patients, there was no evidence of selective slowing for these or any other form of response. Results suggest that depressed patients have a deficit of metacognitive monitoring of dysfunctional cognitive products.