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Anticipated and imagined futures: prospective cognition and depressed mood following brain injury.

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cam.issuedOnline2018-08-21
dc.contributor.authorMurphy, Fionnuala C
dc.contributor.authorPeers, Polly V
dc.contributor.authorBlackwell, Simon E
dc.contributor.authorHolmes, Emily A
dc.contributor.authorManly, Tom
dc.contributor.orcidMurphy, Fionnuala C [0000-0001-9180-0174]
dc.contributor.orcidPeers, Polly V [0000-0003-4470-9508]
dc.contributor.orcidBlackwell, Simon E [0000-0002-3313-7084]
dc.contributor.orcidHolmes, Emily A [0000-0001-7319-3112]
dc.contributor.orcidManly, Tom [0000-0003-1137-4457]
dc.date.accessioned2018-11-08T00:31:04Z
dc.date.available2018-11-08T00:31:04Z
dc.date.issued2019-03
dc.description.abstractOBJECTIVES: Depression, which is common following acquired brain injury (ABI), has been shown to predict cognitive impairment, rehabilitation outcome, and quality of life. Whilst many studies have examined links between depression and cognitive-affective processing in the non-ABI population, their applicability to this important clinical group, where cognitive difficulties can be marked, remains unknown. Here, we investigated biases in prospective cognition, which is known to be disrupted in (non-ABI) depression yet important for well-being. DESIGN: Cross-sectional design with three groups (depressed ABI, non-depressed ABI, and non-ABI control participants). Continuous data were additionally analysed in correlation analyses. METHODS: Individuals with ABI varying in extent of self-reported depression and matched non-ABI control participants completed assessments of mood and prospective cognition (anticipating and imagining future events), alongside background tests of executive function and fluid intelligence. RESULTS: Relative to non-depressed ABI and control participants, depressed ABI individuals demonstrated a reduced positive bias in prospective cognition: whereas non-depressed ABI and control participants generated more examples of likely or possible positive versus negative future events, there was no evidence for such a positive bias in depressed ABI participants. Non-depressed ABI and control participants also reported more vivid mental imagery for positive versus negative future scenarios, whereas such a pattern was not evident in depressed ABI participants. This pattern emerged despite background impairments in fluid intelligence and executive function associated with ABI. CONCLUSIONS: These findings (1) elucidate depression-linked cognitive-affective processes following ABI, where cognitive difficulties are common, and (2) highlight psychological processes associated with depression that are common to ABI and non-ABI populations. PRACTITIONER POINTS: Clinical implications A relative negative bias in future-directed cognition is associated with depressed mood in individuals with chronic ABI. Such processes may contribute to the onset and maintenance of depression following ABI. These findings suggest it may be important to consider a role for prospective cognition in psychological interventions for depression following ABI. Limitations of the study The extent to which depressed mood following ABI is associated with biases in other cognitive domains remains unclear. Whether similar patterns would be observed in acute patients with more profound cognitive difficulties requires further investigation. Despite large effect sizes, our sample size is modest; these effects thus require replication in larger groups.
dc.format.mediumPrint-Electronic
dc.identifier.doi10.17863/CAM.32129
dc.identifier.eissn2044-8260
dc.identifier.issn0144-6657
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/284757
dc.languageeng
dc.language.isoeng
dc.publisherWiley
dc.publisher.urlhttp://dx.doi.org/10.1111/bjc.12202
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectacquired brain injury
dc.subjectcognition
dc.subjectcognitive bias
dc.subjectdepression
dc.subjectexecutive function
dc.subjectprospective cognition
dc.subjectAdult
dc.subjectAffect
dc.subjectAged
dc.subjectBias
dc.subjectBrain Injuries
dc.subjectCase-Control Studies
dc.subjectCognition
dc.subjectCross-Sectional Studies
dc.subjectDepression
dc.subjectExecutive Function
dc.subjectFemale
dc.subjectHumans
dc.subjectImagination
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProspective Studies
dc.subjectQuality of Life
dc.subjectSelf Report
dc.subjectTreatment Outcome
dc.titleAnticipated and imagined futures: prospective cognition and depressed mood following brain injury.
dc.typeArticle
dcterms.dateAccepted2018-07-16
prism.endingPage109
prism.issueIdentifier1
prism.publicationDate2019
prism.publicationNameBr J Clin Psychol
prism.startingPage91
prism.volume58
pubs.funder-project-idMRC (unknown)
pubs.funder-project-idMedical Research Council (MC_U105559837)
pubs.funder-project-idMedical Research Council (MC_UU_00005/10)
rioxxterms.licenseref.startdate2019-03
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1111/bjc.12202

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