The subcortical dysfunction hypothesis of memory deficits in depression: neuropsychological validation in a subgroup of patients

J Clin Exp Neuropsychol. 1992 Sep;14(5):687-706. doi: 10.1080/01688639208402856.

Abstract

The subcortical dysfunction hypothesis of verbal learning and memory deficits in depression was evaluated by comparing the memory test profiles of unipolar depressives (n = 40) and bipolar depressives (n = 9) with those of patients with a prototypical subcortical dementia (Huntington's disease, HD), patients with a prototypical cortical dementia (Alzheimer's disease, AD), and normal controls. In a discriminant function analysis that well-differentiated the HD, AD, and normal subjects, it was found that 28.6% of the depressed patients were classified as HD patients (DEP-HD subjects), 49.0% were classified as normals (DEP-N subjects), none were classified as AD patients, and 22.4% were not well-classified. The DEP-HD group closely resembled the HD group on additional indices of verbal learning and memory, and differed from the DEP-N group, which strongly resembled the normal control group. DEP-N patients also performed significantly better than DEP-HD patients on a number of other neuropsychological tests (e.g., WAIS-R Digit Symbol, category fluency, Trail Making Test Part B). The findings provide support for the subcortical dysfunction hypothesis, but only for a subgroup of depressed patients. Implications for differentiating depressive "pseudodementia" from AD are discussed.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Alzheimer Disease / physiopathology
  • Alzheimer Disease / psychology
  • Bipolar Disorder / physiopathology
  • Bipolar Disorder / psychology
  • Cerebral Cortex / physiopathology*
  • Depressive Disorder / physiopathology*
  • Humans
  • Huntington Disease / physiopathology
  • Huntington Disease / psychology
  • Memory Disorders / etiology
  • Memory Disorders / physiopathology*
  • Memory Disorders / psychology
  • Middle Aged
  • Neuropsychological Tests*