Decision making and Special Attention in Major Depressive and Generalized Anxiety Disorders

Document Type : Research Paper

Authors

Al-Zahra University

Abstract

This study aimed to investigate the differences of decision making and special attention between major depressive disorder (MDD) and generalized anxiety disorder (GAD) patients. The sample size was 100 of patients that 50 of them were selected for MDD group as well as 50 for GAD group. Participants were selected randomly among the clients of psychiatric hospitals. This study was experimental and was conducted in three phase. The SCID semi-structural inventory of diagnosis and DASS-21 scale were applied for measuring MDD and GAD. The N-Back software test was applied for measuring the special attention and decision making (Khodadadi, Mashhadi & Amani, 2014). Results of one way ANOVA to compare the mean of decision making were 0, 3.97 & 2.52 as well as for special attention 2.43, 38.24 & 28.74. These findings showed that the MDD patients are weak in searching and focusing the cue whereas they are quick when deciding whether to stabilize the cue. In contrast, the GAD patients are same as the MDD patients in focusing and searching the cue while they significantly hesitate when deciding to stabilize it. Special attention is same in both disorders but high speed in decision making is the cognitive factor ruling the major depressive disorder.

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References

 
 Ansari, T. L., & Derakshan, N. (2010). Anxiety Impairs Inhibi­tory Control but not Volitional Action Control. Journal of Cognition and Emotion, 24(2), 241-254.
Ansari, T. L., & Derakshan, N. (2011). The Neural Correlates of Impaired Inhibitory Control in Anxiety, Neuropsychologia, 49(5),1146-1153.
American Psychiatric Association. (2014). Diagnostic and Statistical Manual of Mental Disorders 5th Revised. Washington, DC: Author.
Belli, R. F. (2012). True and False Recovered Memories: Toward and Reconciliation of the Debate. New York: Springer.
Brockman, M. S., & Russell, S. T. (2009). Decision-Making/Reasoning Skills. Building Partnerships for Youth: National 4-H Council and the University of Arizona.
Brown, T. N., Akiyama, M. K., White, I. K., Jayaratne, T. E., & Anderson, E. S. (2009). Differentiating contemporary racial prejudice from old-fashioned racial prejudice. Race and Social Problems, 1(2), 97-110.
Buckley, P. (2014). Stress-related and Psychological Health and Safety. Available from www.hse.gov.uk/statistics.
Cella, M. (2010). Impaired Flexible Decision-Making in Major Depressive Disorder. Journal of Affective Disorder, 124(1-2), 207–210.
Chase, H. W. (2010) Regret and the Negative Evaluation of Decision Outcomes in Major Depression. Cognitive and Affective BehavioralNeuroscience, 10(3),406–413.
Chen, Y. N., Mitra, S. & Schlaghecken, F. (2008). Sub-processes of working memory in the N-back test. Clinical Neurophysiology, 119(7), 1546-1559.
 Cisler, J. M., & Koster, E. H. (2010). Mechanisms of Attentional Biases towards Threat in the Anxiety Disorders: An Integrative Review. Clinical Psychology Review, 30(2), 203-216.
De Visser, L. (2010) Trait Anxiety Affects Decision-Making Differently in Healthy Men and Women: Towards Gender-Specific Endophenotypes of Anxiety. Neuropsychologia, 48(6), 1598–1606.
Eshel, N., Roiser, J. P. (2010). Reward and Punishment Processing in Depression. Biological Psychiatry, 68(2),118–124.
Gilbert, S. B. (2009). Psychiatric Crash Cart: Treatment Strategies for the Emergency Department. Advanced Emergency Nursing Journal, 31(4), 298-308.
Han, G. (2012). Selective Neurocognitive Impairments in Adolescents with Major Depressive Disorder. Journal of Adolescence, 35(1), 11–20.
Harle, K. M. (2010). The Impact of Depression on Social Economic Decision-Making. Journal of Abnormal Psychology, 119, 440–446.
Jekel, J .F., Katz, D. L., & Elmore, J. G. (2001). Epidemiology, Biostatistics and Preventive Medicine. 2nd Edition, Saunders: UK.
Kane, M. J., Conway, A. R., Miura, T. K., & Colfesh, G. J. (2007). Working Memory, Attention Control and the N-Back Task: A Question of Construct Validity. Journal of Experimental Psychology and Learning Memory Cognition, 33(3), 615-622.
Kiosses, D. N., Ravdin, L. D., Gross, J. J., Raue, P., Kotbi, N., Alexopoulos, G. S. (2015). Problem Adaptation Therapy for Older Adults with Major Depression and Cognitive Impairment a Randomized Clinical Trial. JAMA Psychiatry, 72(1), 22-30.
Lempert, K. M., & Pizzagalli, D. A. (2010). Delay Discounting and Future-Directed Thinking in Anhedonic Individuals. Journal of Behavior Therapy & Experimental Psychiatry, 41, 258–264.
Marinova, P., Koychev, I., Laleva, L., Kancheva, L., Tsvetkov,M., Tilyukov, R., Vandeva, D., Felthouse, A., Koychev, G. (2014). Nightmares and suicide: Predicting risk in depression. Psychiatria Danubina, 26(2), 159-164.
Mueller, E. M. (2013). Future-Oriented Decision-Making in Generalized Anxiety Disorder is Evident across Different Versions of the Iowa Gambling Task. Journal of Behavioral Therapy and Experimental Psychiatry, 41(2), 165–171.
Nideffer, R. M., & Sagal, M. (2006). Concentration and attention control training. In J. M. Williams (Ed.), New York: McGraw-Hill.
Noori, R., Jafari, F., Moazen, B., Khoddami, H. R., Farhoudian, A., & Rafiey, H. (2015). Evaluation of Anxiety and Depression among Female Spouses of Iranian Male Drug Dependents. International Journal of High Risk Behavior and Addiction, 4(1), e21624.
Pudrovska, T. & Karraker, A. (2014). Gender, Job Authority, and Depression. Journal of Health and Social Behavior, 55(4), 424–441.
Peckham, A. D., McHugh, R. K., & Otto, M. W. (2010). A Meta-Analysis of the Magnitude of Biased Attention in Depression. Depression and Anxiety, Vol. 27 )12(, 1135–1142.
Pizzagalli, D. A. (2014). Frontocingulate Dysfunction in Depression: Toward Biomarkers of Treatment Response. Neuropsychopharmacology, 36, 183–206.
Randenborgh, A. (2010) Decision-Making in Depression: Differences in Decisional Conflict between Healthy and Depressed Individuals. Clinical Psychology & Psychotherapy, 17 )4(, 285–298.
Russo, M., Mahon, K. & Burdick, K. E. (2015). Measuring Cognitive Functions in MDD: Emerging Assessment Tools. Journal of Depression and Anxiety. 32(4), 262-269.
Sadeghi, H., Abolghasemi, A. & Hajloo, H. (2013). Comparison of Cognitive Failures and Academic Performance among the Students with and without Developmental Coordination Disorder. International Journal of Psychology and Behavioral Research, 2(2), 79-85.
Sarabi, P., Vashni, A., shahmalki, L. & Parvizi, F. (2015). The Relationship between Loneliness and Depression in Children of Divorce. Journal of Applied Environmental and Biological Science, 4(5S), 126-130.
Verkuil, B. (2009). Effects of Explicit and Implicit Perseverative Cognition on Cardiac Recovery after Cognitive Stress. International Journal ofPsychophysiology, 74(3), 220–228.
Walker, K. (2001). Decision Making, K-State Research and Extension. US: Manhattan, KS.
Walker, K., Torres, N. & Turner, J. (2006). Make up Your Mind—Improving Your Decision Making Skills. University of Florida IFAS Extension, Gainesville, FL.
Werner, N. S. (2009). Relationships between Affective States and Decision-Making. International Journal of Psychophysiology, 74, 259–265.
 
Journal of Psychological Studies
Volume 12, Issue 1
June 2016
Pages 47-64

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