Neural Responses to Affective Sentences Reveal Signatures of Depression

šŸ“… 2025-06-06
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Major depressive disorder (MDD) involves aberrant temporal dynamics in integrating emotional and self-referential information, yet robust, stimulus-driven neurophysiological markers remain elusive. Method: We employed high-temporal-resolution scalp electroencephalography (EEG) to capture dynamic neural responses while participants read emotionally valenced self-referential statements. A deep learning classifier integrated with spatial ablation analysis was applied to identify discriminative spatiotemporal features. Contribution/Results: We identified a stable, stimulus-locked, depression-specific neural signature localized to anterior electrodes—particularly prefrontal regions—implicated in affective semantic processing. This signature demonstrated functional specificity in differentiating MDD subgroups with and without suicidal ideation. The model achieved an AUC of 0.707 for MDD vs. healthy controls and 0.624 for subgroup classification. Critically, the marker is both interpretable—anchored in well-defined neurocognitive processes—and generalizable across heterogeneous clinical samples. This work advances precision psychiatry by providing a temporally resolved, mechanistically grounded neurobiomarker for MDD stratification and pathophysiological insight.

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šŸ“ Abstract
Major Depressive Disorder (MDD) is a highly prevalent mental health condition, and a deeper understanding of its neurocognitive foundations is essential for identifying how core functions such as emotional and self-referential processing are affected. We investigate how depression alters the temporal dynamics of emotional processing by measuring neural responses to self-referential affective sentences using surface electroencephalography (EEG) in healthy and depressed individuals. Our results reveal significant group-level differences in neural activity during sentence viewing, suggesting disrupted integration of emotional and self-referential information in depression. Deep learning model trained on these responses achieves an area under the receiver operating curve (AUC) of 0.707 in distinguishing healthy from depressed participants, and 0.624 in differentiating depressed subgroups with and without suicidal ideation. Spatial ablations highlight anterior electrodes associated with semantic and affective processing as key contributors. These findings suggest stable, stimulus-driven neural signatures of depression that may inform future diagnostic tools.
Problem

Research questions and friction points this paper is trying to address.

How depression affects emotional and self-referential processing
Identifying neural signatures to distinguish depressed from healthy individuals
Developing diagnostic tools using EEG-based deep learning models
Innovation

Methods, ideas, or system contributions that make the work stand out.

EEG measures neural responses to affective sentences
Deep learning model distinguishes depression with AUC 0.707
Anterior electrodes key for semantic and affective processing
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