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Abnormal response to failure in unmedicated major depression
Katie M Douglas1, Richard J Porter, Christopher M Frampton
1Department of Psychological Medicine, University of Otago, Christchurch, New Zealand. katie.douglas@otago.ac.nz
Depressed individuals show an abnormal response to failure, making more errors after mistakes than healthy controls. This suggests reduced motivation from errors in depression, impacting neurobiological and psychological theories.
Area of Science:
- Neuropsychology
- Psychiatry
- Cognitive Science
Background:
- Depression is linked to abnormal responses to failure, characterized by performance decline after errors.
- This study investigates this phenomenon in unmedicated, depressed outpatients.
Purpose of the Study:
- To examine the response to failure in unmedicated major depressive disorder patients.
- To compare performance and error patterns between depressed patients and healthy controls.
Main Methods:
- Forty-four unmedicated patients with major depression and 44 healthy controls participated.
- Participants completed a computerized simultaneous/delayed matching-to-sample task (S/DMTS).
Main Results:
- Depressed patients were less accurate than controls on the S/DMTS task.
- The likelihood of making an error after a previous error was significantly higher in depressed individuals.
- Both groups improved performance after an error, but depressed individuals showed a greater error-following-error probability.
Conclusions:
- The abnormal response to negative feedback in depression was replicated in this unmedicated group.
- Impaired response to failure in depression may stem from a reduced motivating effect of errors.
- Findings have implications for neurobiological and psychological theories of depression.
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