The challenges of dissociating the cognitive effects of depression from those of aging have limited the translation of cognitive neuroscience to patient-oriented research in geriatric depression. This has created a critical need for behavioral paradigms that can quantify how key features of cognitive performance interact with depression and age, and for experimental studies that can identify their neural and clinical correlates. This K23 Mentored Patient-Oriented Career Development Award will allow the candidate to become a leader in research that integrates cognitive neuroscience with clinical research on the nature and outcomes of cognitive dysfunction in depression. The career development plan builds upon the candidate's background as a clinical neuropsychologist and will enable him to design and execute cognitive neuroscience research that is clinically informed, as well as clinical research that is based on sound neuroscience. The training plan includes academic study of the theories and methodologies of cognitive neuroscience, in conjunction with intensive hands-on experience developing cognitive tasks and collecting and processing functional neuroimaging data. The candidate's training will allow him complete the aims of the proposed research study, which are to: 1) examine the effects of depression on the efficiency of attentional control in young and old adults during visual search, 2) examine the mediating effects of anhedonia on the efficiency of attentional control in depression, and 3) examine influences of age, anhedonia, and depression on the neural mechanisms of attentional control using functional magnetic resonance imaging. Future study proposals will extend these findings by integrating assessments of specific symptom profiles and clinical outcomes in depression with experimental analysis of their cognitive and neural correlates. The candidate's program of research has the potential to identify clinical phenotypes of depression that are associated with cognitive deficits across the adult lifespan, and to provide preliminary validation of visual search as a clinical measure of attention in depression. Both of these outcomes are important to translating cognitive neuroscience tasks to patient-oriented research in treatment discovery and development.

Public Health Relevance

of this project to public health is that differentiating the cognitive deficits of depression and anhedonia from those of aging has the potential to advance understanding of the pathophysiology of depression. This advancement will improve clinical diagnosis, and ultimately contribute to more efficacious approaches to prevent, manage, and cure depression.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH087741-05
Application #
8599484
Study Section
Adult Psychopathology and Disorders of Aging Study Section (APDA)
Program Officer
Chavez, Mark
Project Start
2010-01-01
Project End
2014-12-31
Budget Start
2014-01-01
Budget End
2014-12-31
Support Year
5
Fiscal Year
2014
Total Cost
$133,145
Indirect Cost
$9,863
Name
Duke University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Potter, Guy G; McQuoid, Douglas R; Whitson, Heather E et al. (2016) Physical frailty in late-life depression is associated with deficits in speed-dependent executive functions. Int J Geriatr Psychiatry 31:466-74
Dzierzewski, Joseph M; Potter, Guy G; Jones, Richard N et al. (2015) Cognitive functioning throughout the treatment history of clinical late-life depression. Int J Geriatr Psychiatry 30:1076-84
Fieo, Robert; Mukherjee, Shubhabrata; Dmitrieva, Natalia O et al. (2015) Differential item functioning due to cognitive status does not impact depressive symptom measures in four heterogeneous samples of older adults. Int J Geriatr Psychiatry 30:911-8
Gross, Alden L; Mungas, Dan M; Crane, Paul K et al. (2015) Effects of education and race on cognitive decline: An integrative study of generalizability versus study-specific results. Psychol Aging 30:863-80
Potter, Guy G; McQuoid, Douglas R; Steffens, David C (2015) Appetite loss and neurocognitive deficits in late-life depression. Int J Geriatr Psychiatry 30:647-54
Wang, Lihong; Chou, Ying-Hui; Potter, Guy G et al. (2015) Altered Synchronizations among Neural Networks in Geriatric Depression. Biomed Res Int 2015:343720
Madden, David J; Parks, Emily L; Davis, Simon W et al. (2014) Age mediation of frontoparietal activation during visual feature search. Neuroimage 102 Pt 2:262-74
Hayden, Kathleen M; Potter, Guy G (2014) More evidence for the benefits of cognitive activity over the lifespan. Evid Based Med 19:114
Steffens, David C; McQuoid, Douglas R; Smoski, Moria J et al. (2013) Clinical outcomes of older depressed patients with and without comorbid neuroticism. Int Psychogeriatr 25:1985-90
Potter, Guy G; Madden, David J; Costello, Mathew C et al. (2013) Reduced comparison speed during visual search in late life depression. J Clin Exp Neuropsychol 35:1060-70

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