Motor imagery in unipolar major depression. 2014

Djamila Bennabi, and Julie Monnin, and Emmanuel Haffen, and Nicolas Carvalho, and Pierre Vandel, and Thierry Pozzo, and Charalambos Papaxanthis
Department of Clinical Psychiatry, University Hospital of Besançon , Besançon , France ; EA 481 Neurosciences, University Hospital of Besançon , Besançon , France ; FondaMental Foundation , Créteil , France.

BACKGROUND Motor imagery is a potential tool to investigate action representation, as it can provide insights into the processes of action planning and preparation. Recent studies suggest that depressed patients present specific impairment in mental rotation. The present study was designed to investigate the influence of unipolar depression on motor imagery ability. METHODS Fourteen right-handed patients meeting DSM-IV criteria for unipolar depression were compared to 14 matched healthy controls. Imagery ability was accessed by the timing correspondence between executed and imagined movements during a pointing task, involving strong spatiotemporal constraints (speed/accuracy trade-off paradigm). RESULTS Compared to controls, depressed patients showed marked motor slowing on both actual and imagined movements. Furthermore, we observed greater temporal discrepancies between actual and mental movements in depressed patients than in healthy controls. Lastly, depressed patients modulated, to some extent, mental movement durations according to the difficulty of the task, but this modulation was not as strong as that of healthy subjects. CONCLUSIONS These results suggest that unipolar depression significantly affects the higher stages of action planning and point out a selective decline of motor prediction.

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