Investigating the Link Between Depression, Cognition, and Motivation in Late Childhood

Adolescent Depressive Symptoms: The Role of Late Childhood Frontal EEG Asymmetry, Executive Function, and Adolescent Cognitive Reappraisal

Cognitive reappraisal is adaptive for decreasing symptoms of depression; however, a gap in the research is understanding the childhood processes that contribute to cognitive reappraisal in adolescence. This study examined executive function and frontal electroencephalogram (EEG) asymmetry during late childhood as predictors of adolescent cognitive reappraisal and depressive symptoms. Data were from 123 participants in late childhood (age 10) and adolescence (age 14.5). A moderated mediation model was fit to the data to examine frontal EEG asymmetry as a moderator in the relation between late childhood inhibitory control and adolescent cognitive reappraisal as well as adolescent cognitive reappraisal and adolescent depressive symptoms. Results indicated lower inhibitory control was associated with lower cognitive reappraisal when children had right frontal EEG asymmetry. Lower cognitive reappraisal in turn was associated with higher depressive symptoms for children with right frontal EEG asymmetry. Working memory and cognitive flexibility were also examined but were not significant indicators. Results suggest the potential for targeting inhibitory control and cognitive reappraisal to diminish depressive symptoms particularly among adolescents with right frontal EEG asymmetry.

Current Evidence and Theories in Understanding the Relationship between Cognition and Depression in Childhood and Adolescence: A Narrative Review

The present narrative review has covered the current evidence regarding the role of cognitive impairments during the early phase of major depressive disorder (MDD), attempting to describe the cognitive features in childhood, adolescence and in at-risk individuals. These issues were analyzed considering the trait, scar and state hypotheses of MDD by examining the cold and hot dimensions, the latter explained in relation to the current psychological theoretical models of MDD. This search was performed on several electronic databases up to August 2022. Although the present review is the first to have analyzed both cold and hot cognitive impairments considering the trait, scar and state hypotheses, we found that current evidence did not allow to exclusively confirm the validity of one specific hypothesis since several equivocal and discordant results have been proposed in childhood and adolescence samples. Further studies are needed to better characterize possible cognitive dysfunctions assessing more systematically the impairments of cold, hot and social cognition domains and their possible interaction in a developmental perspective. An increased knowledge on these topics will improve the definition of clinical endophenotypes of enhanced risk to progression to MDD and, to hypothesize preventive and therapeutic strategies to reduce negative influences on psychosocial functioning and well-being.