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Self-referential processing in depressed adolescents: A high-density event-related potential study
Open accessAbstract
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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Depression: A cognitive perspective
LeMoult, J., & Gotlib, I. H. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.06.008 · Cited by 792
Examining emotion regulation in depression: A review and future directions
Joormann, J., & Stanton, C. H. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.07.007 · Cited by 749
Self-citationNeural correlates associated with suicide and nonsuicidal self-injury in youth
Auerbach, R. P., Pagliaccio, D., Allison, G. O., Alqueza, K. L., & Alonso, M. F. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.06.002 · Cited by 204
Self-citationNeuroimaging the consciousness of self: Review, and conceptual-methodological framework
Frewen, P., Schroeter, M. L., Riva, G., Cipresso, P., Fairfield, B., Padulo, C., Kemp, A. H., Palaniyappan, L. K., Owolabi, M. O., Kusi‐Mensah, K., et al. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.01.023 · Cited by 186
Abnormal neural responses to feedback in depressed adolescents.
Webb, C. A., Auerbach, R. P., Bondy, E., Stanton, C. H., Foti, D., & Pizzagalli, D. A. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000228 · Cited by 93
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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
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