Review Article

Autobiographical Memory Disturbances in Depression: A Novel Therapeutic Target?

Table 2

Functional neuroimaging studies which investigated brain networks involved in autobiographical memory (AM) processing in individuals with depression.

ReferenceSample size ()Sample characteristicsNeuroimaging approach/taskMain findings

Whalley et al., 2012 [78]15 individuals with MDD
  
15 controls
Age and education matched

Age: controls > MDD
  
Gender ratio: controls = MDD
1.5 T fMRI/recognition taskParticipants with MDD displayed a lower activation of the right middle frontal cortex and bilateral inferior frontal gyrus, with only the right inferior frontal gyrus meeting the stricter cluster extent threshold

Young et al., 2012 [79]12 unmedicated individuals with MDD

14 controls
MDD: 4 females,
age = 34 ± 11, WASI = 120 ± 15

Controls: 7 females,
age = 29 ± 9, WASI = 118 ± 12
3.0 T fMRI/computerized AM testActivation of the left hippocampus/striatum and right parahippocampal gyrus was higher for AM recall than a subtraction task in HC but lower in MDD; activation of the anterior insula bilaterally was lower for specific AM recall versus subtraction with the magnitude of the decrement being higher in MDD

Zhu et al., 2012 [80]35 individuals with a first MDE

35 matched controls
MDE: 18 females,
age = 20 ± 2

Controls: 19 females,
age = 20 ± 2
1.5 T fMRI/AMTParticipants with depression exhibited increased functional connectivity between the medial prefrontal cortex and ACC and decreased functional connectivity in the PCC/precuneus; the increased functional connectivity in the PCC/precuneus correlated negatively with OGM

Young et al., 2013 [81]16 healthy controls (HC)

16 individuals at-risk for MDD (HR)

16 individuals with MDD (MDD)
HC: 11 females, age 36 ± 10,
WASI = 114 ± 10

HR: 11 females, age 33 ± 11,
WASI = 109 ± 7

MDD: 11 females,
age 38 ± 10, WASI = 115 ± 9
3.0 T fMRI/computerized AM testDuring recollection of specific AMs compared to example generation, the following differences were noted:
(1) Right Medial Frontal Polar Cortex: MDD > HR and MDD > HC
(2) Right Frontal Operculum: HC > HR and MDD > HR
(3) Right Pregenual ACC: MDD > HC and MDD > HR
(4) Left Pregenual ACC: MDD > HC and MDD > HR
(5) Left Cuneus: HR > MDD; HR > HC; MDD > HC and HR > MDD

Young et al., 2014 [82]16 healthy controls (HC)

16 formerly depressed individuals (rMDD)

16 individuals with current depression (cMDD)
HC: 10 females, age = 27 ± 8,
WASI = 111 ± 10

rMDD: 10 females, age = 32 ± 12,
WASI = 110 ± 9

cMDD: 10 females, age = 34 ± 9,
WASI = 104 ± 9
3.0 T fMRI/computerized AM testDuring recollection of specific AMs compared to example generation, the following differences were noted:
(1) Right lateral OFC: rMDD > HC and rMDD > cMDD
(2) Right inferior temporal gyrus: rMDD > HC and rMDD > cMDD
(3) Right parahippocampus/hippocampus: rMDD > HC and rMDD > cMDD
(4) Left DMPFC: cMDD > rMDD; cMDD > HC and rMDD > HC
(5) Left parahippocampus/hippocampus: cMDD > rMDD; cMDD > HC and rMDD > HC
(6) Left anterior insula: cMDD > rMDD; cMDD > HC and rMDD > HC

MDD = major depressive disorder; MDE = major depressive episode; fMRI = functional magnetic resonance imaging; HC = healthy controls; ACC = anterior cingulate cortex; PCC = posterior cingulate cortex; OGM = overgeneral autobiographical memories; HR = individuals at risk for MDD; OFC = orbitofrontal cortex; rMDD = remitted MDD; cMDD = current major depressive episode; WASI = Wechsler Abbreviated Scale of Intelligence. Treatment-naïve; female count in the sample; age: mean ± SD (years); WASI: mean ± SD.