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Neural signature of error processing in major depression
Kathrin Malejko1, Stefan Hafner2, Paul L Plener3,4
1Department of Psychiatry and Psychotherapy III, Ulm University Hospital, Leimgrubenweg 12-14, Ulm, Germany. kathrin.malejko@uni-ulm.de.
Abstract:
The clinical presentation of major depression (MD) is heterogenous and comprises various affective and cognitive symptoms including an increased sensitivity to errors. Various electrophysiological but only few functional magnetic resonance imaging (fMRI) studies investigated neural error processing in MD with inconsistent findings. Thus, reliable evidence regarding neural signatures of error processing in patients with current MD is limited despite its potential relevance as viable neurobiological marker of psychopathology. We therefore investigated a sample of 16 young adult female patients with current MD and 17 healthy controls (HC). During fMRI, we used an established Erikson-flanker Go/NoGo-paradigm and focused on neural alterations during errors of commission. In the absence of significant differences in rates of errors of commission in MD compared to HC, we observed significantly (p < 0.05, FWE-corrected on cluster level) enhanced neural activations of the dorsal anterior cingulate cortex (dACC) and the pre-supplementary motor area (pre-SMA) in MD relative to HC and thus, in brain regions consistently associated to neural error processing and corresponding behavioral adjustments. Considering comparable task performance, in particular similar commission error rates in MD and HC, our results support the evidence regarding an enhanced responsivity of neural error detection mechanisms in MD as a potential neural signature of increased negative feedback sensitivity as one of the core psychopathological features of this disorder.
Insights
Major depression (MD) patients show heightened brain activity in error-processing regions, specifically the dorsal anterior cingulate cortex and pre-SMA. This suggests enhanced neural responsivity to errors, a potential biomarker for MD.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Science
Background:
- Major depression (MD) presents with diverse symptoms, including heightened error sensitivity.
- Neuroimaging studies on neural error processing in MD have yielded inconsistent results.
- Limited understanding of neural signatures for error processing in current MD hinders biomarker development.
Purpose of the Study:
- To investigate neural alterations in error processing in young adult females with current MD using fMRI.
- To identify potential neurobiological markers of psychopathology in MD.
- To explore enhanced neural responsivity in error detection mechanisms.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was employed.
- An Erikson-flanker Go/NoGo paradigm was used to assess commission errors.
- A sample of 16 female patients with current MD and 17 healthy controls (HC) participated.
Main Results:
- No significant differences in commission error rates were found between MD and HC groups.
- Patients with MD exhibited significantly enhanced neural activations in the dorsal anterior cingulate cortex (dACC) and pre-supplementary motor area (pre-SMA) compared to HC.
- These activated regions are critical for neural error processing and behavioral adjustments.
Conclusions:
- Enhanced dACC and pre-SMA activation in MD during error processing suggests heightened responsivity of neural error detection mechanisms.
- This enhanced neural response, despite comparable task performance, may serve as a neural signature for increased negative feedback sensitivity in MD.
- Findings support the role of neural error processing alterations as a core psychopathological feature in major depression.
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