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Published on: January 5, 2018
Impaired off-line memory consolidation in depression
Martin Dresler1, Michael Kluge, Lisa Genzel
1Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804 Munich, Germany. dresler@mpipsykl.mpg.de
Abstract:
Sleep is critically involved in the consolidation of procedural memory. In major depression (MD) and during antidepressant pharmacotherapy, changes in sleep EEG are well documented. Here, we test if off-line motor memory consolidation is impaired in MD. 50 medicated patients with an acute episode of MD, 50 normal controls and 12 patients with a remitted episode of MD were assessed using a sequential finger tapping task before and after a night of sleep. Although depressed patients and control subjects did not differ in practice-dependent learning, healthy subjects showed markedly overnight improvements in tapping performance of 18% while patients failed to show any improvement. This pattern became even more striking when the subjects were divided by an age threshold of 30years: In the 30+yrs group the healthy subjects showed 16% overnight increase in motor performance, whereas the patients showed -10% overnight decrease. In contrast, patients and controls in the =30yrs group showed virtually the same motor performance, as well as remitted patients and controls in the 30+yrs group. In addition, the younger controls showed stronger overnight improvements than the older controls. This pattern might be interpreted as a synergistic interaction between age and depression: Off-line motor memory consolidation is not affected in young patients, but severely impaired in older patients with an acute episode of MD. This impairment seems to recover after remission from depression.
Insights
Major depression impairs overnight motor memory consolidation, especially in older adults. This deficit appears to improve after depression remission, suggesting age-related vulnerability.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Sleep Research
Background:
- Sleep is crucial for procedural memory consolidation.
- Major depression (MD) and antidepressant treatments alter sleep patterns.
- The impact of MD on off-line motor memory consolidation remains unclear.
Purpose of the Study:
- To investigate whether off-line motor memory consolidation is impaired in patients with major depression.
- To examine the influence of age on this impairment.
- To assess if motor memory consolidation recovers after depression remission.
Main Methods:
- Sequential finger tapping task administered before and after sleep.
- Comparison of performance between medicated MD patients, healthy controls, and remitted MD patients.
- Analysis stratified by age (30 years threshold).
Main Results:
- No difference in practice-dependent learning between groups.
- Healthy subjects showed 18% overnight improvement; MD patients showed no improvement.
- Older MD patients (30+ yrs) exhibited a 10% overnight decrease in performance, unlike controls.
- Younger MD patients (=30 yrs) and remitted patients showed performance similar to controls.
- Younger controls outperformed older controls in overnight improvement.
Conclusions:
- Off-line motor memory consolidation is severely impaired in older adults with acute major depression.
- This impairment is not evident in younger MD patients.
- Motor memory consolidation appears to recover following remission from depression.
- Age synergistically interacts with depression to affect motor memory consolidation.
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