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Yao JY, Zheng ZW, Zhang Y, Su SS, Wang Y, Tao J, Peng YH, Wu YR, Jiang WH, Qiu JY. Electrophysiological evidence for the characteristics of implicit self-schema and other-schema in patients with major depressive disorder: An event-related potential study. Front Psychiatry 2023; 14:1131275. [PMID: 37113549 PMCID: PMC10126260 DOI: 10.3389/fpsyt.2023.1131275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 03/27/2023] [Indexed: 04/29/2023] Open
Abstract
Background The significance of implicit self-schema and other-schema in major depressive disorder (MDD) is highlighted by both cognitive theory and attachment theory. The purpose of the current study was to investigate the behavioral and event-related potential (ERP) characteristics of implicit schemas in MDD patients. Methods The current study recruited 40 patients with MDD and 33 healthy controls (HCs). The participants were screened for mental disorders using the Mini-International Neuropsychiatric Interview. Hamilton Depression Rating Scale-17 and Hamilton Anxiety Rating Scale-14 were employed to assess the clinical symptoms. Extrinsic Affective Simon Task (EAST) was conducted to measure the characteristics of implicit schemas. Meanwhile, reaction time and electroencephalogram data were recorded. Results Behavioral indexes showed that HCs responded faster to positive self and positive others than negative self (t = -3.304, p = 0.002, Cohen's d = 0.575) and negative others (t = -3.155, p = 0.003, Cohen's d = 0.549), respectively. However, MDD did not show this pattern (p > 0.05). The difference in other-EAST effect between HCs and MDD was significant (t = 2.937, p = 0.004, Cohen's d = 0.691). The ERP indicators of self-schema showed that under the condition of positive self, the mean amplitude of LPP in MDD was significantly smaller than that in HCs (t = -2.180, p = 0.034, Cohen's d = 0.902). The ERP indexes of other-schema showed that HCs had a larger absolute value of N200 peak amplitude for negative others (t = 2.950, p = 0.005, Cohen's d = 0.584) and a larger P300 peak amplitude for positive others (t = 2.185, p = 0.033, Cohen's d = 0.433). The above patterns were not shown in MDD (p > 0.05). The comparison between groups found that under the condition of negative others, the absolute value of N200 peak amplitude in HCs was larger than that in MDD (t = 2.833, p = 0.006, Cohen's d = 1.404); under the condition of positive others, the P300 peak amplitude (t = -2.906, p = 0.005, Cohen's d = 1.602) and LPP amplitude (t = -2.367, p = 0.022, Cohen's d = 1.100) in MDD were smaller than that in HCs. Conclusion Patients with MDD lack positive self-schema and positive other-schema. Implicit other-schema might be related to abnormalities in both the early automatic processing stage and the late elaborate processing stage, while the implicit self-schema might be related only to the abnormality in the late elaborate processing stage.
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Yin X, Shen J, Jiang N, Sun J, Wang Y, Sun H. Relationship of explicit/implicit self-esteem discrepancies, suicide ideation, and suicide risk in patients with major depressive disorder. Psych J 2022; 11:936-944. [PMID: 35996046 DOI: 10.1002/pchj.580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 04/25/2022] [Indexed: 11/10/2022]
Abstract
The present study was conducted to explore the associations between explicit self-esteem (ESE), implicit self-esteem (ISE), ESE/ISE discrepancies, depression severity, suicidal ideation (SI), and suicide risk among patients with major depressive disorder (MDD). To this end, 36 MDD patients with SI, 35 MDD patients without SI, and 32 healthy controls were recruited. All participants were interviewed using the Mini International Neuropsychiatric Interview (MINI), and they also completed the Beck Depression Inventory (BDI). The Beck Scale for Suicide Ideation-Chinese Version (BSI-CV) and the Rosenberg Self-Esteem Scale (SES) were used for the analysis. Further, the Implicit Association Test (IAT) was conducted to assess participants' ISE. The study revealed significant differences in ESE among the three groups, F(2, 90) = 44.88, p < .001. In particular, the group of MDD patients with SI had the lowest score. The interaction between the size and direction of ESE/ISE discrepancy was associated with depression severity, β = -.50, p = .004, and SI, β = -.39, p = .045. Among the four types of self-esteem, individuals with diminished self-esteem had the highest SI score whereas individuals with low congruent self-esteem had the highest suicide risk score. Based on these findings, the study suggested that diminished self-esteem could help in the early detection of depression and SI. Low-congruent self-esteem may also be considered a screening factor for suicide risk.
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Affiliation(s)
- Xunbao Yin
- Weifang University, Weifang, China.,School of Psychology, Weifang Medical University, Weifang, China
| | - Jianfei Shen
- School of Psychology, Weifang Medical University, Weifang, China
| | - Nengzhi Jiang
- School of Psychology, Weifang Medical University, Weifang, China
| | - Jing Sun
- School of Psychology, Weifang Medical University, Weifang, China
| | - Yanyu Wang
- School of Psychology, Weifang Medical University, Weifang, China
| | - Hongwei Sun
- School of Psychology, Weifang Medical University, Weifang, China
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Yao J, Lin Q, Zheng Z, Chen S, Wang Y, Jiang W, Qiu J. Characteristics of implicit schemas in patients with major depressive disorder. Gen Psychiatr 2022; 35:e100794. [PMID: 35866002 PMCID: PMC9240893 DOI: 10.1136/gpsych-2022-100794] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 06/02/2022] [Indexed: 11/06/2022] Open
Abstract
Background Many psychotherapy theories emphasise the importance of self-schema and other-schema, but most previous studies focused on the explicit self-schema in major depressive disorder (MDD). However, the limited studies of implicit self-schema in MDD have shown inconsistencies in their findings. Furthermore, only a few studies have investigated the implicit other-schema, and the pathway illustrating how implicit schemas influence depression remains unclear. Aims The primary aim of our study was to explore the characteristics of implicit self-schema and other-schema in patients with MDD. We also examine the chain-mediating effect of attachment relationships and interpersonal trust. Methods The present study included 88 patients with MDD and 88 healthy controls (HCs). The Hamilton Depression Rating Scale-17, Experiences in Close Relationships Inventory—Revised Questionnaire, Trust Scale and the Extrinsic Affective Simon Task (EAST) were used to assess depressive symptoms, attachment relationships, interpersonal trust and implicit schemas, respectively. Paired sample t-test was used to compare the reaction time (RT) for positive and negative words within the two groups. Analysis of covariance was used to explore the difference between two groups from the perspective of implicit schemas and interpersonal patterns. The chain mediation model was verified by bootstrap. Results (1) For interpersonal patterns, patients with MDD scored significantly higher on attachment anxiety (F=82.150, p<0.001) and attachment avoidance (F=23.192, p<0.001) and scored significantly lower on the predictability (F=30.297, p<0.001), dependence (F=39.728, p<0.001) and faith (F=60.997, p<0.001) dimensions of interpersonal trust. (2) As for implicit schemas, no significant difference was found between the RT for positive self-words and negative self-words in patients with MDD (t=−1.056, p=0.294). However, the HC responded faster to positive self-words than negative self-words (t=−3.286, p=0.001). The RT for positive other-words and negative other-words were significantly different in both patients with MDD (t=2.943, p=0.004) and HCs (t=−2.482, p=0.015), with opposite directions. The EAST effect of other-schema in patients with MDD was significantly different from that in HCs (F=13.051, p<0.001). (3) For the total sample, the EAST effect of other-schema significantly correlated with attachment avoidance, interpersonal trust and depressive symptoms. Attachment avoidance and interpersonal trust were the chain mediators between the EAST effect of other-schema and depressive symptoms (95% CI: −0.090 to −0.008). However, no significant results were found for the EAST effect of other-schema when correlation and mediation analyses were performed for HCs and patients with MDD separately. Conclusions This study verified that patients with MDD have abnormal interpersonal patterns and negative implicit schemas. However, no mediating effect of attachment relationships and interpersonal trust was found.
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Affiliation(s)
- Jiayu Yao
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qingqing Lin
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ziwei Zheng
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shuangyi Chen
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yuan Wang
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wenhui Jiang
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jianyin Qiu
- Department of Psychological Counseling & Psychotherapy, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Amey RC, Leitner JB, Liu M, Forbes CE. Neural mechanisms associated with semantic and basic self-oriented memory processes interact moderating self-esteem. iScience 2022; 25:103783. [PMID: 35169686 PMCID: PMC8829795 DOI: 10.1016/j.isci.2022.103783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 08/30/2020] [Accepted: 01/14/2022] [Indexed: 10/31/2022] Open
Abstract
Individuals constantly encounter feedback from others and process this feedback in various ways to maintain positive situational state self-esteem in relation to semantic-based or trait self-esteem. Individuals may utilize episodic or semantic-driven processes that modulate feedback in two different ways to maintain general self-esteem levels. To date, it is unclear how these processes work while individuals receive social feedback to modulate state self-esteem. Utilizing neural regions associated with semantic self-oriented and basic encoding processes (medial prefrontal cortex (mPFC) and posterior cingulate cortex (PCC), respectively), in addition to time-frequency and Granger causality analyses to assess mPFC and PCC interactions, this study examined how the encoding of social feedback modulated individuals' (N = 45) post-task state self-esteem in relation to their trait self-esteem. Findings highlight the dynamic interplay between mPFC and PCC that modulate state self-esteem in relation to trait self-esteem, to maintain high self-esteem in general in the moment and over time.
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Affiliation(s)
- Rachel C Amey
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA
| | - Jordan B Leitner
- Department of Psychology, University of California Berkeley, Berkeley, CA, USA
| | - Mengting Liu
- Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, USA
| | - Chad E Forbes
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA
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Liu X, Wang X, Liu Y, Gao F, Xia J, Fan J, Zhu X. The abnormal implicit memory to positive and negative stimuli in patients with current and remitted major depressive disorder: A systematic review and meta-analysis. Front Psychiatry 2022; 13:1043987. [PMID: 36704726 PMCID: PMC9871490 DOI: 10.3389/fpsyt.2022.1043987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 12/12/2022] [Indexed: 01/11/2023] Open
Abstract
INTRODUCTION In patients with current major depressive disorder (cMDD) a general abnormal implicit memory has been reported. However, the elaborate function of implicit memory when processing stimuli with different emotions (i.e., positive, neutral, and negative) in current and remitted (rMDD) patients is unclear. The present review examines implicit memory's general and elaborate in cMDD and rMDD patients. METHODS We conducted meta-analyses based on published studies meeting criteria in Web of Science, PubMed, and EMBASE databases between 1990 and July 2022. The full sample patients included cMDD = 601 and rMDD = 143. RESULTS Initial analysis of cMDD patients revealed a general implicit memory deficit. Subsequent subgroup analyses showed that the implicit memory performance to neutral stimuli is poorer in cMDD patients than controls, but recovered in rMDD patients; the deficient implicit memory to positive stimuli existed in cMDD and rMDD patients; the implicit memory performance to negative stimuli in cMDD patients is similar to controls but poorer in rMDD patients. CONCLUSION These findings indicate that the negative bias in cMDD patients might compensate for the general implicit memory deficit. Together, the implicit memory to neutral stimuli could recover with remission, whereas still abnormal in processing positive and negative stimuli. These results suggested that the abnormal implicit memory to positive and negative information might be relevant to depression pathogenesis. SYSTEMATIC REVIEW REGISTRATION https://www.crd.york.ac.uk/prospero, identifier CRD42020205003.
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Affiliation(s)
- Xingze Liu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Xiang Wang
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Yao Liu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Feng Gao
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Jie Xia
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Jie Fan
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
| | - Xiongzhao Zhu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Medical Psychological Institute of Central South University, Changsha, Hunan, China.,National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
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Salehinejad MA, Nejati V, Nitsche MA. Neurocognitive correlates of self-esteem: From self-related attentional bias to involvement of the ventromedial prefrontal cortex. Neurosci Res 2020; 161:33-43. [DOI: 10.1016/j.neures.2019.12.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 10/31/2019] [Accepted: 12/10/2019] [Indexed: 01/31/2023]
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7
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Dai J, Gao H, Zhang L, Chen H. Attention and memory biases for aggressive information in college students with fragile high self-esteem. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2020; 56:118-128. [PMID: 32468585 DOI: 10.1002/ijop.12683] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Accepted: 04/22/2020] [Indexed: 11/10/2022]
Abstract
In this study, we examined attention and memory biases for aggressive information in two groups of college students. Individuals with fragile high self-esteem (n = 30) and individuals with secure high self-esteem (n = 30) first performed a dot-probe task investigating attention bias, followed by a memory task. Incidental free recall of words presented in the memory task was then completed to assess memory bias. Results revealed that individuals with fragile high self-esteem exhibited significant attention and memory biases for aggressive words compared with secure high self-esteem individuals. Attention bias for aggressive words was positively correlated with memory bias in individuals with fragile high self-esteem, but no correlation was found for individuals with secure high self-esteem. These findings suggest that individuals with fragile high self-esteem selectively attend to and remember aggression-related information. They may process information in ways that are congruent with an aggression-related schema. This study reveals the aggressive cognitive processes of individuals with fragile high self-esteem, which may be related to aggression.
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Affiliation(s)
- Jiaxing Dai
- College of Psychology, Liaoning Normal University, Dalian, China
| | - Heming Gao
- College of Psychology, Liaoning Normal University, Dalian, China
| | - Lihua Zhang
- College of Psychology, Liaoning Normal University, Dalian, China
| | - Hong Chen
- College of Psychology, Liaoning Normal University, Dalian, China
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8
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Kim ES, Kim HE, Kim JJ. The neural influence of autobiographical memory related to the parent-child relationship on psychological health in adulthood. PLoS One 2020; 15:e0231592. [PMID: 32282812 PMCID: PMC7153857 DOI: 10.1371/journal.pone.0231592] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 03/26/2020] [Indexed: 12/31/2022] Open
Abstract
The recollection of childhood memories is affected by the subjects involved, such as father and mother, and by the context. This study aimed to clarify the neural influence of autobiographical memory related to the parent-child relationship on psychological health in adulthood. Twenty-nine healthy volunteers participated in a functional magnetic resonance imaging experiment using a childhood memory recollection task, in which they appraised the emotion a parent would have provided in a given situation. Whole-brain univariate and psychophysiological interaction analyses were performed. Neuroimaging results indicated notable involvement of the caudal anterior cingulate cortex and precuneus in autobiographical memory related to the parent-child relationship, and their activities were closely associated with the level of depression and self-esteem, respectively. The functional connectivity results indicated increased connectivity between the caudal anterior cingulate cortex and fusiform gyrus for the father-positive condition compared to the mother-positive condition and there was a positive correlation between the strength of connectivity between the two regions and the anxiety level. Our findings suggest the processing of negative affect and the personalness of autobiographical memories are distinctly engaged depending on the parent in question and the situational valence. The present study illuminates the impact of autobiographical memory processes on various dimensions of psychological health.
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Affiliation(s)
- Eun Seong Kim
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Occupational Therapy, Chunnam Techno University, Gokseong, Republic of Korea
| | - Hesun Erin Kim
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Jae-Jin Kim
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Psychiatry, Yonsei University Gangnam Severance Hospital, Seoul, Republic of Korea
- * E-mail:
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9
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Huang L, Thai J, Zhong Y, Peng H, Koran J, Zhao XD. The Positive Association Between Empathy and Self-Esteem in Chinese Medical Students: A Multi-Institutional Study. Front Psychol 2019; 10:1921. [PMID: 31496978 PMCID: PMC6712570 DOI: 10.3389/fpsyg.2019.01921] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 08/05/2019] [Indexed: 12/30/2022] Open
Abstract
Background Empathy is an important element of the physician-patient relationship and is a critical personality trait for medical students. However, research has shown that it declines during undergraduate medical education. It is still unclear how empathy interrelates with the psychological elements of medical students, in particular, self-esteem. This study examined the relationship between empathy and self-esteem to explore other possible methods to improve medical students’ empathy. Methods A stratified sampling strategy was used to select 1690 medical students from 3 medical institutions in Shanghai as study participants. The questionnaires used to collect data included the Jefferson Scale of Physician Empathy-Student Version (JSPE-S), the Rosenberg Self-esteem Scale (RSES), and a self-made inventory on personal information. Descriptive analysis, independent t-test, One-Way ANOVA, and linear regression were used to analyze the data. Results The mean empathy score among medical students was 102.73 with SD = 12.64. Multiple regression analysis revealed that, “age,” “perception of the importance of empathy,” “academic pressure,” “desire to be a doctor after graduation,” and “self-esteem” were significant predictors of empathy (P < 0.05) and the adjusted R2 was 0.462. The correlation matrix between empathy and self-esteem was significant (r = 0.510, P < 0.01). Self-esteem explained 15.5% of the variation of empathy in the final regression model. Conclusion There was a positive association between self-esteem and empathy. Self-esteem is one of many factors which contribute to medical students’ empathy. Age, academic pressure, attitude toward empathy and future career also play a critical role in medical student empathy. Enhancing medical students’ self-esteem may be an efficacious way to improve medical students’ empathy.
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Affiliation(s)
- Lei Huang
- Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.,Medical Education Division, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Jessica Thai
- College of Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Yuan Zhong
- Medical Education Division, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Hao Peng
- School of Medicine, Tongji University, Shanghai, China
| | - Jessica Koran
- College of Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Xu-Dong Zhao
- School of Medicine, Tongji University, Shanghai, China.,Shanghai East Hospital Affiliated to Tongji University, Shanghai, China.,Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China
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Lou Y, Lei Y, Mei Y, Leppänen PHT, Li H. Review of Abnormal Self-Knowledge in Major Depressive Disorder. Front Psychiatry 2019; 10:130. [PMID: 30984035 PMCID: PMC6447699 DOI: 10.3389/fpsyt.2019.00130] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 02/22/2019] [Indexed: 12/16/2022] Open
Abstract
Background: Major depressive disorder (MDD) is an affective disorder that is harmful to both physical and mental health. Abnormal self-knowledge, which refers to abnormal judgments about oneself, is a core symptom of depression. However, little research has summarized how and why patients with MDD differ from healthy individuals in terms of self-knowledge. Objective: To gain a better understanding of MDD, we reviewed previous studies that focused on the behavioral and neurological changes of self-knowledge in this illness. Main Findings: On the behavioral level, depressed individuals exhibited negative self-knowledge in an explicit way, while more heterogeneous patterns were reported in implicit results. On the neurological level, depressed individuals, as compared with non-depressed controls, showed abnormal self-referential processing in both early perception and higher cognitive processing phases during the Self-Referential Encoding Task. Furthermore, fMRI studies have reported aberrant activity in the medial prefrontal cortex area for negative self-related items in depression. These results revealed several behavioral features and brain mechanisms underlying abnormal self-knowledge in depression. Future Studies: The neural mechanism of implicit self-knowledge in MDD remains unclear. Future research should examine the importance of others' attitudes on the self-concept of individuals with MDD, and whether abnormal self-views may be modified through cognitive or pharmacological approaches. In addition, differences in abnormal self-knowledge due to genetic variation between depressed and non-depressed populations remain unconfirmed. Importantly, it remains unknown whether abnormal self-knowledge could be used as a specific marker to distinguish healthy individuals from those with MDD. Conclusion: This review extends our understanding of the relationship between self-knowledge and depression by indicating several abnormalities among individuals with MDD and those who are at risk for this illness.
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Affiliation(s)
- Yixue Lou
- College of Psychology and Sociology, Shenzhen University, Shenzhen, China.,Faculty of Education and Psychology, University of Jyväskylä, Jyväskylä, Finland.,Center for Neurogenetics, Shenzhen Institute of Neuroscience, Shenzhen, China
| | - Yi Lei
- College of Psychology and Sociology, Shenzhen University, Shenzhen, China.,Center for Neurogenetics, Shenzhen Institute of Neuroscience, Shenzhen, China
| | - Ying Mei
- College of Psychology and Sociology, Shenzhen University, Shenzhen, China.,Center for Neurogenetics, Shenzhen Institute of Neuroscience, Shenzhen, China
| | - Paavo H T Leppänen
- Faculty of Education and Psychology, University of Jyväskylä, Jyväskylä, Finland
| | - Hong Li
- College of Psychology and Sociology, Shenzhen University, Shenzhen, China.,Center for Neurogenetics, Shenzhen Institute of Neuroscience, Shenzhen, China
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11
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Smeijers D, Vrijsen JN, van Oostrom I, Isaac L, Speckens A, Becker ES, Rinck M. Implicit and explicit self-esteem in remitted depressed patients. J Behav Ther Exp Psychiatry 2017; 54:301-306. [PMID: 27821349 DOI: 10.1016/j.jbtep.2016.10.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Revised: 09/21/2016] [Accepted: 10/23/2016] [Indexed: 01/11/2023]
Abstract
BACKGROUND AND OBJECTIVES Low self-esteem is a symptom of depression and depression vulnerability. Prior research on self-esteem has largely focused on implicit (ISE) and explicit self-esteem (ESE) as two separate constructs, missing their interaction. Therefore, the current study investigated the interaction between ISE and ESE in a depression-vulnerable group (remitted depressed patients; RDs), compared to never-depressed controls (ND). METHODS Seventy-five RDs and 75 NDs participated in the study. To measure ESE, the Rosenberg Self-Esteem Scale (RSES) was used. The Implicit Association Test (IAT) and the Name Letter Preference Task (NLPT) were used to assess ISE. RESULTS RDs reported lower ESE than NDs. However, the two groups did not differ on ISE. RDs exhibited a damaged self-esteem or a low-congruent self-esteem, similar to what has been found in currently depressed patients. Moreover, damaged self-esteem was associated with residual depressive symptoms. LIMITATIONS The results need to be interpreted with care because the IAT and NLPT did not reveal the same associations with the clinical measures. CONCLUSIONS Implicit and explicit self-esteem may be different constructs in depression and studying the combination is important. The present study provides evidence indicating that damaged self-esteem may be more detrimental than low congruent self-esteem.
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Affiliation(s)
- Danique Smeijers
- Behavioural Science Institute, Radboud University Nijmegen, The Netherlands.
| | - Janna N Vrijsen
- Department of Psychiatry, Radboud University Medical Centre, The Netherlands
| | - Iris van Oostrom
- Department of Psychiatry, Radboud University Medical Centre, The Netherlands
| | - Linda Isaac
- Behavioural Science Institute, Radboud University Nijmegen, The Netherlands
| | - Anne Speckens
- Department of Psychiatry, Radboud University Medical Centre, The Netherlands
| | - Eni S Becker
- Behavioural Science Institute, Radboud University Nijmegen, The Netherlands
| | - Mike Rinck
- Behavioural Science Institute, Radboud University Nijmegen, The Netherlands
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12
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Demeyer I, Romero N, De Raedt R. Assessment of Implicit Self-Esteem in Older Adults: The Role of Actual and Ideal Self-Esteem in Negative Mood. Assessment 2017; 25:302-309. [DOI: 10.1177/1073191117691607] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The interplay between actual and ideal self-esteem may be a key component in emotional disorders. Since automatic self-evaluations are not always consciously accessible, assessment through implicit measures is necessary. Given the lack of implicit self-esteem measures in late life, we aimed to identify a reliable measure and to clarify the role of actual and ideal self-esteem in mood and depressive symptoms in older adults. Forty-nine older adults completed two adapted Go/No go Association tasks measuring implicit actual and ideal self-esteem and measures of mood and depressive symptoms. The two Go/No go Association tasks showed satisfactory internal consistency. Moderation analyses revealed that lower actual self-esteem in older adults is related to higher levels of sad mood when ideal self-esteem is high. Moreover, lower actual self-esteem is related to more anxious mood. Given the role of self-esteem in emotional well-being, a reliable measure for older adults is crucial to improve age-appropriate diagnostics and treatment.
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