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A systematic review of the impact of social cognitive deficits on psychosocial functioning in major depressive disorder and opportunities for therapeutic intervention

Published on Apr 1, 2019in Psychiatry Research-neuroimaging2.27
· DOI :10.1016/j.psychres.2019.02.035
Michael J Weightman6
Estimated H-index: 6
(University of Adelaide),
Matthew J. Knight5
Estimated H-index: 5
(University of Adelaide),
Bernhard T. Baune71
Estimated H-index: 71
(University of Adelaide)
Sources
Abstract
Abstract Social cognition is the ability to identify, perceive and interpret socially relevant information from the external world. It is an important adaptive trait, but is frequently affected in major depressive disorder by a mood-congruent interpretive bias. The present review examined the existing body of literature to determine (i) the impact social cognitive deficits in depression have on psychosocial functioning; and (ii) the utility of psychotropic, psychological and procedural interventions employed to target these deficits. A total of 107 studies met inclusion criteria for review. Social cognitive performance was found to adversely impact depressed patients’ psychosocial functioning across the key domains of general cognitive functioning and quality of life. Secondly, many current therapies were found to have a normalising effect on the social cognitive abilities of subjects with major depressive disorder, both at a neural and functional level. In particular, certain anti-depressant medications corrected facial affect recognition deficits, while several psychotherapeutic approaches improved impairments in theory of mind and negative interpretive bias.
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  • Citations (1)
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References124
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#1Bita Ajilchi (IAU: Islamic Azad University)H-Index: 4
#2Stephen R. Kisely (Dal: Dalhousie University)H-Index: 40
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#1Matthew J. Knight (University of Adelaide)H-Index: 5
#2Bernhard T. Baune (University of Melbourne)H-Index: 71
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#1Timothy Bird (Edin.: University of Edinburgh)H-Index: 4
#2Massimo Tarsia (Edin.: University of Edinburgh)H-Index: 1
Last. Matthias Schwannauer (Edin.: University of Edinburgh)H-Index: 17
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#1Katharina Förster (WWU: University of Münster)H-Index: 8
#2Silke Jörgens (WWU: University of Münster)H-Index: 4
Last. Bernhard T. Baune (University of Adelaide)H-Index: 71
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Abstract To understand how cognitive dysfunction contributes to social cognitive deficits in depression, we investigated the relationship between executive function and social cognitive performance in adolescents and young adults during current and remitted depression, compared to healthy controls. Social cognition and executive function were measured in 179 students (61 healthy controls and 118 patients with depression; Mage = 20.60 years; SDage = 3.82 years). Hierarchical regression models wer...
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#1Ronny RedlichH-Index: 23
#2Christian BürgerH-Index: 10
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#1Weizhen Xie (RUC: Renmin University of China)H-Index: 11
#2Huanhuan Li (RUC: Renmin University of China)H-Index: 5
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#1Hillary L. Smith (FSU: Florida State University)H-Index: 4
#2Kirsten H. Dillon (Duke University)H-Index: 7
Last. Jesse R. Cougle (FSU: Florida State University)H-Index: 32
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Abstract Interpretation Bias Modification (IBM) is gaining attention in the literature as an intervention that alters cognitive biases and reduces associated symptoms. Forty, primarily college-aged, non-treatment-seeking adults with major depressive disorder (MDD) were randomly assigned to receive either IBM targeting hostile interpretation bias (IBM-H) or a healthy video control (HVC) condition. Compared to those in HVC, participants in IBM-H reported more benign interpretations and fewer hosti...
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Major depressive disorder (MDD) is associated with disrupted relationships with partners, family, and peers. These problems can precipitate the onset of clinical illness, influence severity and the prospects for recovery. Here, we investigated whether individuals who have recovered from depression use interpersonal signals to form favourable appraisals of others as social partners. Twenty recovered-depressed adults (with >1 adult episode of MDD but euthymic and medication-free for six months) an...
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#1Vibeke H. Dam (UCPH: University of Copenhagen)H-Index: 1
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BACKGROUND: Cognitive disturbances are common and disabling features of major depressive disorder (MDD). Previous studies provide limited insight into the co-occurrence of hot (emotion-dependent) and cold (emotion-independent) cognitive disturbances in MDD. Therefore, we here map both hot and cold cognition in depressed patients compared to healthy individuals. METHODS: We collected neuropsychological data from 92 antidepressant-free MDD patients and 103 healthy controls. All participants comple...
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#2Katie Lancaster (RU: Rutgers University)H-Index: 2
Last. Helen M. Genova (RU: Rutgers University)H-Index: 21
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Impairments in cognitive processing related to social understanding and communication (i.e., "social cognition") are well documented after moderate or severe traumatic brain injury (TBI) and can contribute to negative functional outcome. Depression is also a common feature of TBI with detrimental functional consequences. We evaluated relationships between social cognition, depression symptom severity, and functional status in individuals with chronic TBI (>1 year post injury; n = 25) and healthy...
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#1Louise Birkedal Glenthøj (Centre for Mental Health)
#1Louise Birkedal Glenthøj (Centre for Mental Health)H-Index: 5
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#1Matthew J. Knight (University of Adelaide)H-Index: 5
#2Bernhard T. Baune (WWU: University of Münster)H-Index: 71
Background: Recent evidence suggests that depressed patients experience social cognitive deficits (e.g., poor affect recognition). However, very little is known regarding the contribution of social cognitive deficits to psychosocial dysfunction (e.g., occupational functioning). In particular, the mechanistic roles of depression severity and cognitive deficits (e.g., memory) in this domain have not been explored. The current study evaluated the extent to which mood symptoms and cognitive deficits...
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