Abstract
Changes within the prefrontal cortex (PFC) have been associated with both mood disorders and with specific impairments in cognitive testing. The left PFC has been implicated in relational processing, that is, binding different pieces of information. We hypothesized that among older depressives and elderly controls, lower performance on one test of relational processing would be associated with smaller volume of the orbital frontal cortex (OFC). A total of 30 depressed and 40 control subjects were included in the study. All subjects were administered the Benton Visual Retention Test (BVRT). Subjects received a standardized magnetic resonance imaging, for which volumes of the OFC and total brain were calculated. We found that, controlling for age and education, total correct on BVRT was associated with left OFC volume normalized for total brain volume among the entire sample. For the depressed sample only, the number of perseverative errors was negatively associated with left OFC volume normalized for total brain volume after controlling for age and education. These results add to the literature linking mood and cognitive disturbances to the PFC. Future studies with a larger sample employing functional measures are warranted.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Alexopoulos GS, Kiosses DN, Klimstra S, Kalayam B, Bruce ML (2002). Clinical presentation of the ‘depression-executive dysfunction syndrome’ of late life. Am J Geriatr Psychiatry 10: 98–106.
Badgaiyan RD, Schacter DL, Alpert NM (2002). Retrieval of relational information: a role for the left inferior prefrontal cortex. Neuroimage 17: 393–400.
Benton A (1974). Revised Visual Retention Test: Clinical and Experimental Applications 4th edn Psychological Corporation: New York, NY.
Byrum CE, MacFall JR, Charles HC, Chitilla VR, Boyko OB, Upchurch L et al (1996). Accuracy and reproducibility of brain and tissue volumes using a magnetic resonance imaging segmentation method. Psychiatry Res 67: 215–234.
Coman E, Moses JA, Kraemer HC, Friedman L, Benton AL, Yesavage J (1999). Geriatric performance on the Benton Visual Retention Test: demographic and diagnostic considerations. Clin Neuropsychol 13: 66–77.
Dolan RJ, Fletcher PC (1997). Dissociating prefrontal and hippocampal function in episodic memory coding. Nature 388: 582–585.
Eslinger PE, Pepin P, Benton AL (1988). Different patterns of visual memory errors occur with aging and dementia. J Clin Exp Neuropsychol 10: 60–61 (abstract).
Folstein MF, Folstein SE, McHugh PR (1975). Mini-Mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: 189–198.
Johnson MK, Raye CL, Mitchell KJ, Greene EJ, Anderson AW (2003). FMRI evidence for an organization of prefrontal cortex by both type of process and type of information. Cereb Cortex 13: 265–273.
Kikinis R, Shenton ME, Gerig G, Martin J, Anderson M, Metcalf D et al (1992). Routine quantitative analysis of brain and cerebrospinal fluid spaces with MR imaging. J Magn Reson Imaging 2: 619–629.
Kiosses DN, Klimstra S, Murphy C, Alexopoulos GS (2001). Executive dysfunction and disability in elderly patients with major depression. Am J Geriatr Psychiatry 9: 269–274.
Lai T-J, Payne M, Byrum CE, Steffens DC, Krishnan KRR (2000). Reduction of orbital frontal cortex volume in geriatric depression. Biol Psychiatry 48: 971–975.
La Rue A, D’Elia LF, Clarke EO, Spar JE, Jarvik LF (1986). Clinical tests of memory in dementia, depression, and healthy aging. J Psychol Aging 1: 69–77.
Landerman R, George LK, Campbell RT, Blazer DG (1989). Alternative models of the stress buffering hypothesis. Am J Commun Psychol 17: 626–642.
Montgomery SA, Asberg M (1979). A new depression scale designed to be sensitive to change. Br J Psychiatry 134: 382–389.
Morris JC, Heyman A, Mohs RC, Hughes JP, Van Belle G, Fillenbaum G et al (1989). The Consortium to Establish a Registry for Alzheimer's Disease (CERAD), I: clinical and neuropsychological assessment of Alzheimer disease. Neurology 39: 1159–1165.
Mottaghy FM, Shah NJ, Krause BJ, Schmidt D, Halsband U, Jancke L et al (1999). Neuronal correlates of encoding and retrieval in episodic memory during a paired-word association learning task: a functional magnetic resonance imaging study. Exp Brain Res 128: 332–342.
Paradiso S, Crespo Facorro B, Andreasen NC, O’Leary DS, Watkins LG, Boles Ponto L et al (1997). Brain activity assessed with PET during recall of word lists and narratives. Neuroreport 8: 3091–3096.
Parkin AJ, Bindschaedler C, Harsent L, Metzler C (1996). Pathological false alarm rates following damage to the left frontal cortex. Brain Cogn 32: 14–27.
Petrides M, Alivisatos B, Frey S (2002). Differential activation of the human orbital, mid-ventrolateral, and mid-dorsolateral prefrontal cortex during the processing of visual stimuli. Proc Natl Acad Sci USA 99: 5649–5654.
Robins N, Helzer JE, Croughan J, Ratcliff KS (1981). National Institute of Mental Health diagnostic interview schedule. Arch Gen Psychiatry 38: 381–389.
Rugg MD, Fletcher PC, Chua PM, Dolan RJ (1999). The role of the prefrontal cortex in recognition memory and memory for source: an fMRI study. Neuroimage 10: 520–529.
Schacter DL, Norman KA, Koutstaal W (1998). The cognitive neuroscience of constructive memory. Annu Rev Psychol 49: 289–318.
Simons JS, Graham KS, Owen AM, Patterson K, Hodges JR (2001). Perceptual and semantic components of memory for objects and faces: a pet study. J Cogn Neurosci 13: 430–443.
Steffens DC, Hays JC, Krishnan KR (1999). Disability in geriatric depression. Am J Geriatr Psychiatry 7: 34–40.
Taylor WD, Steffens DC, McQuoid DR, Payne ME, Lee SH, Lai TJ et al (2003). Smaller orbital frontal cortex volumes associated with functional disability in depressed elders. Biol Psychiatry 53: 144–149.
Acknowledgements
We do not have any affiliation that could potentially bias this work. We gratefully acknowledge Ms Martha Payne in the Neuropsychiatric Imaging Research Laboratory at Duke University Medical Center for her expertise in developing the orbital frontal cortex volumetric analysis methodology. This study was supported by NIMH Grants P50 MH60451 and R01 MH54846.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Steffens, D., McQuoid, D., Welsh-Bohmer, K. et al. Left Orbital Frontal Cortex Volume and Performance on the Benton Visual Retention Test in Older Depressives and Controls. Neuropsychopharmacol 28, 2179–2183 (2003). https://doi.org/10.1038/sj.npp.1300285
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.npp.1300285
Keywords
This article is cited by
-
The neurobiology of apathy in depression and neurocognitive impairment in older adults: a review of epidemiological, clinical, neuropsychological and biological research
Translational Psychiatry (2022)
-
Degree of contribution (DoC) feature selection algorithm for structural brain MRI volumetric features in depression detection
International Journal of Computer Assisted Radiology and Surgery (2015)
-
The interaction between stress and exercise, and its impact on brain function
Metabolic Brain Disease (2014)
-
An fMRI study of reward circuitry in patients with minimal or extensive history of major depression
European Archives of Psychiatry and Clinical Neuroscience (2014)
-
The brain reward circuitry in mood disorders
Nature Reviews Neuroscience (2013)


