Negative self-referential processing has fruitfully been studied in unipolar depressed patients, but remarkably less in patients with bipolar disorder (BD). This exploratory study examines the relation between task-based self-referential processing and depressive symptoms in BD and their possible importance to the working mechanism of mindfulness-based cognitive therapy (MBCT) for BD. The study population consisted of a subsample of patients with BD (n = 49) participating in an RCT of MBCT for BD, who were assigned to MBCT + TAU (n = (...) 23) or treatment as usual (TAU) (n = 26). Patients performed the self-referential encoding task (SRET), which measures (1) positive and (2) negative attributions to oneself as well as (3) negative self-referential memory bias, before and after MBCT + TAU or TAU. At baseline, all three SRET measures were significantly related to depressive symptoms in patients with BD. Moreover, repeated measures analyses of variance revealed that negative self-referential memory bias diminished over time in the MBCT + TAU group, compared with the TAU group. Given the preliminary nature of our findings, future research should explore the possibly mediating role of reducing negative self-referential memory bias in preventing and treating depressive symptoms in BD through MBCT. (shrink)

Numerous studies have investigated the neuro-cognitive mechanism of learning words in isolation or in semantic contexts recently. However, emotion as an important influencing factor on novel word learning has not been fully considered in the previous studies and how emotion affect word learning and the underlying neural mechanism have not been systematically investigated. 16 participants were trained to learn novel concrete or abstract words under negative, neutral and positive contextual emotions in continuous three days, and fufilled the testing tasks in (...) day1 and day3 during fMRI scanning. We compared the brain activations in day1 and day3 aming to investigate the role of contextual emotions in learning different types of words and the corresponding neural plasticity changes. Behaviorally, the performance for the words learned in negative context was lower than the neutral and positive contexts, which indicated that the contextual emotions had significant impact on novel word learning. Correspondingly, the functional plasticity changes of the right angular (AG), bilateral insula and anterior cingulate gyrus (ACC) induced by word learning were modulated by the contextual emotions. And the insula also was sensitive to the concreteness of the learned words. More importantly, the functional plasticity changes of left inferior frontal gyrus(L IFG) and left fusiform(L FG) were interactively influenced by the contextual emotions and words’ concreteness, suggesting that the contextual emotional information had a discriminable effect on different types of words in the neural mechanism level. These results demonstrate that the emotional information in contexts is inevitable for word learning, and the role of contextual emotions in brain plasticity for learning was discussed. (shrink)

Cognitive theories of depression assert that negative self-referent cognition has a causal role in the development and maintenance of depression symptoms, but few studies have examined temporal associations between these constructs using intensive, longitudinal sampling strategies. In three samples of undergraduate students, we examined associations between change in self-referent processing and depression across 5 daily assessments (Sample 1, N = 303, 1,194 measurements, 79% adherence), 7 daily assessments (Sample 2, N = 313, 1,784 measurements, 81% adherence), and 7 weekly assessments (...) (Sample 3; N = 155, 833 measurements, 81% adherence). Random intercept cross-lagged panel models indicated large cross-lagged effects in two of the three samples (Samples 1 and 3 but not Sample 2), such that more negative self-referent thinking than usual was significantly associated with a subsequent increase in depression symptoms at the next time lag. Notably, change in depression from usual was not associated with increases in negative self-referent processing at the next time point in any sample. These findings suggest that change in negative self-referent processing may be causally linked to future increases in depression on a day-to-day and week-to-week basis, although confidence in this conclusion is tempered somewhat by a lack of replication in Sample 2. (shrink)