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Low-dose tryptophan depletion in recovered depressed women induces impairments in autobiographical memory specificity

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Abstract

Background

Depressed patients perform poorly on tests of autobiographical memory specificity (AMS); this may have negative consequences for other important cognitive abilities, delays recovery from mood episodes, and, in recovered patients, may mediate vulnerability to future episodes. Although the cognitive mechanisms underlying AMS deficits are beginning to be understood, the neurobiological mechanisms remain unclear. Serotonin is implicated in both depression and long-term memory; therefore, temporary lowering of brain serotonin function via acute tryptophan depletion (ATD) offers a means of studying the role of serotonin in autobiographical memory specificity.

Materials and methods

In this study, 24 previously depressed women underwent low-dose ATD or sham depletion and completed tests of initial and delayed memory, recollection- and familiarity-based recognition, and AMS.

Results

ATD did not differentially affect state mood. Compared with sham depletion, ATD impaired immediate recall on the Auditory Verbal Learning Test. Although ATD did not differentially impair recollection- and familiarity-based recognition, it did slow recognition of positive words. ATD also reduced autobiographical memory specificity in response to negative cue words.

Discussion

The results confirm previous findings that low-dose ATD can reinstate depression-congruent biases in cognition without causing depressive mood in vulnerable populations. The ATD-induced reduction in memory specificity suggests that serotonergic dysfunction may mediate depressive deficits in autobiographical memory; the interaction of cognitive and neurobiological vulnerability mechanisms is discussed.

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Notes

  1. Note that we used the mean RT to choose “old” or “new” separated by subsequent judgement type (“remember” or “know”) rather than the time to choose “remember” or “know,” because participants were instructed to make the first choice as quickly and accurately as possible but had as long as they needed to make the second choice.

  2. One participant in each group had a missing RT value because they made no responses of that type; these values were replaced using expectation–maximization within the group.

  3. Collapsed across valence and time of testing, there was no difference in the number of specific memories recalled for the two lists [paired t test: t(22) = 0.577, n.s.]. However, when the data were separated by valence, there were more specific memories recalled for positive cue words on list B than list A [t(22) = 2.44, p = 0.023]; there was no such difference for negative cue words [t(22) = 1.70, n.s.]. When list order was included in the overall mixed design ANOVA testing the effect of ATD on AMS, the only significant effect involving list order was a three-way interaction involving time, valence, and list order [p = 0.033]. There were no other significant effects involving list order, and the crucial time × valence × drink interaction remained significant. Given that there were no interactions involving list order and drink type, we do not believe this detracts from our main results regarding effects of ATD on AMS.

  4. We were not specifically interested in the effect of ATD on NGT; the Number Generation Task was included to examine whether any change in AMS could be attributed to changes in executive function. A 2 (drink) × 2 (time) mixed design ANOVA with Number Generation Task errors as the dependent variable showed no main effects and no interactions [all p values ≥ 0.30]. However, when baseline Number Generation Task errors were introduced as a covariate in the AMS analysis, there was a time × NGT interaction [F(1, 19) = 3.274, p = 0.018], which arose because those who made more errors on the Number Generation Task errors at baseline had a greater decline (or smaller increase) in memory specificity at t5 relative to baseline, independent of drink and cue valence [R (23) = −0.436, p = 0.038]. Crucially, the time × valence × drink interaction for AMS remained significant [p = 0.031], indicating that the decline in memory specificity to negative words following ATD was independent of baseline Number Generation Task errors.

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Acknowledgments

This study was funded by a Wellcome Trust Program grant to JMGW (GR067797). ADMH was supported by an Overseas Research Student Award from Universities UK and a Clarendon Scholarship. We thank Martina di Simplicio, Michael Browning, and Matthew Taylor for their clinical support and Abbie Pringle, Kamilla Miskowiak, and Mike Franklin for technical assistance with the study.

Statement of interests

CJH has acted as a paid consultant for Lundbeck, Servier, and Merck, Sharpe and Dohme and is a shareholder in P1vital. The other authors have no relevant interests.

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Correspondence to Anneke D. M. Haddad.

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Haddad, A.D.M., Williams, J.M.G., McTavish, S.F.B. et al. Low-dose tryptophan depletion in recovered depressed women induces impairments in autobiographical memory specificity. Psychopharmacology 207, 499–508 (2009). https://doi.org/10.1007/s00213-009-1693-2

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  • DOI: https://doi.org/10.1007/s00213-009-1693-2

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