Association between olfactory function and inhibition of emotional competing distractors in major depressive disorder

Sci Rep. 2020 Apr 14;10(1):6322. doi: 10.1038/s41598-020-63416-7.

Abstract

We aimed to investigate the changes of olfaction of major depressive disorder (MDD) before and after medical treatment, and to preliminarily scrutinize the association between the olfactory function and the severity of depressive symptoms, response inhibition, and emotional responding. Forty-eight medicine-naïve MDD patients plus 33 healthy controls (HC) matched on gender, ages, and level of education, were recruited in the test group. The Chinese Smell Identification Test (CSIT), Self-reported Olfactory Scale (SROS), 17-item Hamilton Depression Rating Scale (HAMD-17), Hamilton Anxiety Rating Scale (HAMA), and mean reaction time/accuracy rate (ΔMRT) of emotional Stroop test were measured. The patients were assessed before the treatment (baseline) and 3 months after the treatment (follow-up). The data at the baseline level were measured then associated using multiple linear regression stepwise analysis. The MDD patients had lower scores of the CSIT and SROS and longer ΔMRT at baseline level compared to HC while the ΔMRT of MDD patients remained longer after 3-month treatment (p's < 0.05). At the baseline level, the regression equation including age and ΔMRT of negative word-color congruent (NEG-C), was finally observed as follows: y(CSIT) = 10.676-0.063 × 1-0.002 × 2, [x1 = the age(y), x2 = the NEG-C (ms)]. The olfactory function of MDD appears to be correlated negatively with the age and the ΔMRT of negative stimuli before treatment. After the remission of MDD, the olfactory dysfunction was improved, which might be regarded as a responding phenotype of brain function of MDD rather than the emotional responding.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Antidepressive Agents / pharmacology
  • Antidepressive Agents / therapeutic use*
  • Case-Control Studies
  • Cognition / drug effects
  • Cognition / physiology
  • Depressive Disorder, Major / complications*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / drug therapy
  • Depressive Disorder, Major / physiopathology
  • Emotions / drug effects
  • Emotions / physiology
  • Female
  • Follow-Up Studies
  • Humans
  • Inhibition, Psychological*
  • Male
  • Middle Aged
  • Olfaction Disorders / diagnosis
  • Olfaction Disorders / drug therapy
  • Olfaction Disorders / etiology*
  • Olfaction Disorders / physiopathology
  • Olfactory Cortex / drug effects
  • Olfactory Cortex / physiopathology
  • Olfactory Perception / drug effects
  • Olfactory Perception / physiology*
  • Reaction Time / physiology
  • Severity of Illness Index
  • Treatment Outcome
  • Young Adult

Substances

  • Antidepressive Agents