Emotional recognition training modifies neural response to emotional faces but does not improve mood in healthy volunteers with high levels of depressive symptoms

Ian Penton-Voak, Sally Adams, Katherine Button, Meg Fluharty, Michael Dalili, Michael Browning, Emily Holmes, Catherine Harmer, Marcus Munafo

Research output: Contribution to journalArticle (Academic Journal)

10 Downloads (Pure)

Abstract

Background

There is demand for new, effective and scalable treatments for depression, and development of new forms of cognitive bias modification (CBM) of negative emotional processing biases has been suggested as possible interventions to meet this need.

Methods

We report two double blind RCTs, in which volunteers with high levels of depressive symptoms (Beck Depression Inventory ii (BDI-ii) > 14) completed a brief course of emotion recognition training (a novel form of CBM using faces) or sham training. In Study 1 (N = 36), participants completed a post-training emotion recognition task whilst undergoing functional magnetic resonance imaging to investigate neural correlates of CBM. In Study 2 (N = 190), measures of mood were assessed post-training, and at 2-week and 6-week follow-up.

Results

In both studies, CBM resulted in an initial change in emotion recognition bias, which (in Study 2) persisted for 6 weeks after the end of training. In Study 1, CBM resulted in increases neural activation to happy faces, with this effect driven by an increase in neural activity in the medial prefrontal cortex and bilateral amygdala. In Study 2, CBM did not lead to a reduction in depressive symptoms on the BDI-ii, or on related measures of mood, motivation and persistence, or depressive interpretation bias at either 2 or 6-week follow-ups.

Conclusions

CBM of emotion recognition has effects on neural activity that are similar in some respects to those induced by Selective Serotonin Reuptake Inhibitors (SSRI) administration (Study 1), but we find no evidence that this had any later effect on self-reported mood in an analogue sample of non-clinical volunteers with low mood (Study 2).

Original languageEnglish
Number of pages9
JournalPsychological Medicine
Volume2020
Early online date17 Feb 2020
DOIs
Publication statusE-pub ahead of print - 17 Feb 2020

Structured keywords

  • Brain and Behaviour
  • Cognitive Science
  • Social Cognition
  • Tobacco and Alcohol
  • Physical and Mental Health

Keywords

  • cognitive bias modification
  • depression
  • emotion recognition
  • facial expression
  • interpretive bias
  • low mood

Fingerprint Dive into the research topics of 'Emotional recognition training modifies neural response to emotional faces but does not improve mood in healthy volunteers with high levels of depressive symptoms'. Together they form a unique fingerprint.

  • Cite this