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Self-referential processing in depressed adolescents: A high-density event-related potential study
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Despite the alarming increase in the prevalence of depression during adolescence, particularly among female adolescents, the pathophysiology of depression in adolescents remains largely unknown. Event-related potentials (ERPs) provide an ideal approach to investigate cognitive-affective processes associated with depression in adolescents, especially in the context of negative self-referential processing biases. In this study, healthy (n = 30) and depressed (n = 22) female adolescents completed a self-referential encoding task while ERP data were recorded. To examine cognitive-affective processes associated with self-referential processing, P1, P2, and late positive potential (LPP) responses to negative and positive words were investigated, and intracortical sources of scalp effects were probed using low-resolution electromagnetic tomography (LORETA). Additionally, we tested whether key cognitive processes (e.g., maladaptive self-view, self-criticism) previously implicated in depression related to ERP components. Relative to healthy female subjects, depressed females endorsed more negative and fewer positive words, and free recalled and recognized fewer positive words. With respect to ERPs, compared with healthy female adolescents, depressed adolescents exhibited greater P1 amplitudes following negative words, which was associated with a more maladaptive self-view and self-criticism. In both early and late LPP responses, depressed females showed greater activity following negative versus positive words, whereas healthy females demonstrated the opposite pattern. For both P1 and LPP, LORETA revealed reduced inferior frontal gyrus activity in response to negative words in depressed versus healthy female adolescents. Collectively, these findings suggest that the P1 and LPP reflect biased self-referential processing in female adolescents with depression. Potential treatment implications are discussed. (PsycINFO Database Record
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“Distorted self-referential thinking is a hallmark of adolescent MDD (72), and these biases potentiate suicidal thinking (73).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [72]
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Metadata
- Authors
- Auerbach, R. P., Stanton, C. H., Proudfit, G. H., & Pizzagalli, D. A.
- Affiliations
- Harvard University (US)
- Stony Brook University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2015-05
- Volume
- 124
- Issue
- 2
- Pages
- 233-245
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC4429006
- OpenAlex
- W2133058207
- Cited by
- 168
- References
- 48
- Citations by year
- 2026: 18 · 2025: 21 · 2024: 20 · 2023: 16 · 2022: 20 · 2021: 16 · 2020: 15 · 2019: 12 · 2018: 12 · 2017: 8 · 2016: 10
- FWCI
- 15.11
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Abnormal Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH097786, R01MH68376 and R01MH101521)
- Harvard Medical School
- Klingenstein Third Generation Foundation
- Tommy Fuss Fund
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- adolescent depression, self-referential processing, P1 component, late positive potential, P2 component, self-criticism, inferior frontal gyrus, LORETA source localization, emotional word processing, adolescent girls
- MeSH terms
- Adolescent, Affect, Depressive Disorder, Major, Major Depressive Disorder, Evoked Potentials, Female, Humans, Self Concept, Prefrontal Cortex
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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