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Decision making and its correlates in recurrent depressive disorder.
Sandeep Singh1, Aarzoo Gupta2, Gurvinder Pal Singh3
1Department of Psychiatry, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India.
Indian Journal of Psychiatry
|January 22, 2024
Summary
Individuals with recurrent depressive disorder exhibit impaired decision-making, linked to dysfunctional metacognitive beliefs and poor executive functioning. These factors significantly influence psychosocial functioning in depression.
Area of Science:
- Cognitive Psychology
- Clinical Psychology
- Neuroscience
Background:
- Decision-making (DM) is crucial for daily functioning.
- Depression is associated with rumination, metacognitive deficits, and impaired executive functions.
- These cognitive impairments may negatively impact an individual's ability to make decisions.
Purpose of the Study:
- To compare decision-making, metacognition, and executive functioning between individuals with recurrent depressive disorder (RDD) and healthy controls (HCs).
- To investigate the relationships among these cognitive domains in both groups.
Main Methods:
- Cross-sectional comparative study with 40 participants (20 RDD, 20 HCs).
- Utilized Mini International Neuropsychiatric Interview, General Health Questionnaire, Melbourne Decision Making Questionnaire, Metacognitive Questionnaire, Wisconsin Card Sorting Test, and Controlled Oral Word Association Test.
Main Results:
- The RDD group showed higher scores for buck-passing, procrastination, hypervigilance, and dysfunctional metacognitive beliefs.
- RDD participants demonstrated poorer executive functioning compared to HCs.
- Procrastination was inversely correlated with executive functioning and metacognitive beliefs in the RDD group.
Conclusions:
- Decision-making is significantly related to executive functions and metacognitive beliefs.
- Dysfunctional metacognitive beliefs and impaired executive control contribute to poor decision-making and psychosocial dysfunction in RDD.
- Metacognitive beliefs and executive functioning are critical determinants of decision-making and overall psychosocial functioning.
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