TY - JOUR PY - 2014// TI - Modulating speed-accuracy strategies in major depression JO - Journal of psychiatric research A1 - Vallesi, Antonino A1 - Canalaz, Francesca A1 - Balestrieri, Matteo A1 - Brambilla, Paolo SP - 103 EP - 108 VL - 60 IS - N2 - BACKGROUND: Depression is associated with deficits in cognitive flexibility. The role of general slowing in modulating more specific cognitive deficits is however unclear.

AIM: We assessed how depression affects the capacity to strategically adapt behavior between harsh and prudent response modalities and how general and specific processes may contribute to performance deficits.

METHODS: Patients suffering from major depression and age- and education-matched healthy controls were asked to randomly stress either speed or accuracy during perceptual decision-making.

RESULTS: Diffusion models showed that patients with depression kept using a less conservative strategy after a trial with speed vs. accuracy instructions. Additionally, the depression group showed a slower rate of evidence accumulation as indicated by a generally lower drift rate.

CONCLUSIONS: These data demonstrate that less efficient strategic regulation of behavior in depression is due not only to general slowing, but also to more specific deficits, such as a rigid dependence on past contextual instructions. Future studies should investigate the neuro-anatomical basis of this deficit.

Language: en

LA - en SN - 0022-3956 UR - http://dx.doi.org/10.1016/j.jpsychires.2014.09.017 ID - ref1 ER -