Cognitive theories of depression posit that maladaptive information processing increases the risk for depression recurrence. There is increasing theoretical and empirical support for the cognitive control of emotional information as a vulnerability factor for depression recurrence. In this investigation, findings from behavioral studies that compared the cognitive control of emotional information between participants with remitted major depressive disorder (rMDD) and healthy control (HC) participants were examined. Response times (RTs) and error rates were used as outcome variables, and aspects of clinical features, sample characteristics, and methodology and design were examined as moderating variables. The final review included 44 articles with a total of 2,081 rMDD participants and 2,285 HC participants. The two groups significantly differed in the difference score between RTs for negative and positive stimuli. Specifically, the difference in RTs between negative and positive stimuli was larger in participants with rMDD than in HC participants, indicating greater difficulty controlling irrelevant negative (vs. positive) stimuli in rMDD. Such cognitive control bias may be associated with preferential processing of negative over positive information in working memory. This imbalance may then be linked to other emotional information processing biases and emotion dysregulation, thereby increasing the risk for depression recurrence. Implications, limitations, and future directions are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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缓解抑郁症中情绪信息的偏见认知控制：荟萃分析综述。


抑郁症的认知理论认为，适应不良的信息处理会增加抑郁症复发的风险。越来越多的理论和实证支持情绪信息的认知控制是抑郁症复发的脆弱因素。在这项调查中，对行为研究的结果进行了比较，该研究比较了重度抑郁症缓解（rMDD）参与者和健康对照（HC）参与者之间对情绪信息的认知控制。响应时间（RT）和错误率被用作结果变量，临床特征、样本特征、方法和设计等方面被作为调节变量进行检查。最终评审包括 44 篇文章，共有 2,081 名 rMDD 参与者和 2,285 名 HC 参与者。两组在消极和积极刺激的 RT 分数差异上存在显着差异。具体来说，rMDD 参与者的消极和积极刺激之间的 RT 差异比 HC 参与者更大，这表明 rMDD 中控制不相关消极（相对于积极）刺激的难度更大。这种认知控制偏差可能与工作记忆中消极信息相对于积极信息的优先处理有关。这种不平衡可能与其他情绪信息处理偏差和情绪失调有关，从而增加抑郁症复发的风险。讨论了影响、局限性和未来方向。 （PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。