Behavioral and neuroimaging correlates of attentional biases to angry faces in individuals in remission from depression: a population-derived study

Background Depressed individuals show attentional biases in the processing of emotional stimuli, such as negative face expressions. Some of these biases persist in previously depressed individuals, but their mechanisms remain largely unknown. Methods A population-derived cohort ( n = 134, 68 females; 21 - 92 years) was recruited by Cam-CAN. Functional MRI was acquired during a gender discrimination task, which used angry and neutral faces. Drift diffusion modelling (DDM) was used to investigate the latent components of the decision process, focusing on the effect of emotional valence. DDM parameters were correlated with activity in brain regions. Results 14% of participants reported a history of depression in remission. The best fitting DDM specified a different drift rate for angry and neutral faces. A slower drift rate for angry faces predicted depression in remission (OR 0.092, p = 0.048). This effect persisted after accounting for current depression symptoms and drift rate for neutral faces. Participants with a slower drift rate for angry faces demonstrated increased activations in the bilateral insula, bilateral inferior frontal gyrus and bilateral parietal cortex when viewing angry relative to neutral faces. Conclusions Our results suggest a persistent attentional bias in the processing of angry faces in individuals with depression in remission, over and above their current depressive symptoms. The imaging findings suggest that the slowing is associated with changes in areas involved in emotional regulation and evidence accumulation. Attentional biases in the processing of emotional information may reflect a trait, rather than state, in individuals with depression. ### Competing Interest Statement The authors have declared no competing interest.