Motivation and cognitive control in depression

Neurosci Biobehav Rev. 2019 Jul:102:371-381. doi: 10.1016/j.neubiorev.2019.04.011. Epub 2019 May 27.

Abstract

Depression is linked to deficits in cognitive control and a host of other cognitive impairments arise as a consequence of these deficits. Despite of their important role in depression, there are no mechanistic models of cognitive control deficits in depression. In this paper we propose how these deficits can emerge from the interaction between motivational and cognitive processes. We review depression-related impairments in key components of motivation along with new cognitive neuroscience models that focus on the role of motivation in the decision-making about cognitive control allocation. Based on this review we propose a unifying framework which connects motivational and cognitive control deficits in depression. This framework is rooted in computational models of cognitive control and offers a mechanistic understanding of cognitive control deficits in depression.

Keywords: Anhedonia; Cognitive control; Controllability of environment; Depression; Effort; Motivation; Reward anticipation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anhedonia / physiology*
  • Cognitive Dysfunction / etiology
  • Cognitive Dysfunction / physiopathology*
  • Decision Making / physiology*
  • Depressive Disorder / complications
  • Depressive Disorder / physiopathology*
  • Executive Function / physiology*
  • Humans
  • Models, Biological*
  • Motivation / physiology*
  • Reward*