Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-26T16:04:14.463Z Has data issue: false hasContentIssue false

The utility of an RDoC motor domain to understand psychomotor symptoms in depression

Published online by Cambridge University Press:  16 October 2018

S. Walther*
Affiliation:
Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland
J.A. Bernard
Affiliation:
Department of Psychological and Brain Sciences, Texas A&M Institute for Neuroscience, Texas A & M University, College Station, TX, USA
V. A. Mittal
Affiliation:
Department of Psychology, Department of Psychiatry, Northwestern University, Evanston, IL, USA
S.A. Shankman
Affiliation:
Department of Psychiatry, Northwestern University, Evanston, IL, USA
*
Author for correspondence: Dr Sebastian Walther, E-mail: sebastian.walther@upd.unibe.ch

Abstract

Despite the clinical impact of motor symptoms such as agitation or retardation on the course of depression, these symptoms are poorly understood. Novel developments in the field of instrumentation and mobile devices allow for dimensional and continuous recording of motor behavior in various settings, particularly outside the laboratory. Likewise, the use of novel assessments enables to combine multimodal neuroimaging with behavioral measures in order to investigate the neural correlates of motor dysfunction in depression. The research domain criteria (RDoC) framework will soon include a motor domain that will provide a framework for studying motor dysfunction in mood disorders. In addition, new studies within this framework will allow investigators to study motor symptoms across different stages of depression as well as other psychiatric diagnoses. Finally, the introduction of the RDoC motor domain will help test how motor symptoms integrate with the original five RDoC domains (negative valence, positive valence, cognitive, social processes, and arousal/regulation).

Type
Commentary
Copyright
Copyright © Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (APA) (2013) Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Arlington, VA: American Psychiatric Association.Google Scholar
Aron, AR and Poldrack, RA (2006) Cortical and subcortical contributions to stop signal response inhibition: role of the subthalamic nucleus. Journal of Neuroscience 26, 24242433.Google Scholar
Asgari, M and Shafran, I (2010) Predicting severity of Parkinson's disease from speech. Conference proceedings: 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society 2010, 52015204.Google Scholar
Bernard, JA and Mittal, VA (2015) Updating the research domain criteria: the utility of a motor dimension. Psychological Medicine 45, 26852689.Google Scholar
Bernard, JA, Dean, DJ, Kent, JS, Orr, JM, Pelletier-Baldelli, A, Lunsford-Avery, JR, Gupta, T and Mittal, VA (2014) Cerebellar networks in individuals at ultra high-risk of psychosis: impact on postural sway and symptom severity. Human Brain Mapping 35, 40644078.Google Scholar
Bernard, JA, Orr, JM and Mittal, VA (2016) Differential motor and prefrontal cerebello-cortical network development: evidence from multimodal neuroimaging. Neuroimage 124, 591601.Google Scholar
Bewernick, BH, Urbach, AS, Broder, A, Kayser, S and Schlaepfer, TE (2017) Walking away from depression-motor activity increases ratings of mood and incentive drive in patients with major depression. Psychiatry Research 247, 6872.Google Scholar
Bostan, AC, Dum, RP and Strick, PL (2010) The basal ganglia communicate with the cerebellum. Proceedings of the National Academy of Sciences of the United States of America 107, 84528456.Google Scholar
Bracht, T, Federspiel, A, Schnell, S, Horn, H, Hofle, O, Wiest, R, Dierks, T, Strik, W, Muller, TJ and Walther, S (2012) Cortico-cortical white matter motor pathway microstructure is related to psychomotor retardation in major depressive disorder. PLoS One 7, e52238.Google Scholar
Bracht, T, Schnell, S, Federspiel, A, Razavi, N, Horn, H, Strik, W, Wiest, R, Dierks, T, Muller, TJ and Walther, S (2013) Altered cortico-basal ganglia motor pathways reflect reduced volitional motor activity in schizophrenia. Schizophrenia Research 143, 269276.Google Scholar
Caligiuri, MP and Ellwanger, J (2000) Motor and cognitive aspects of motor retardation in depression. Journal of Affective Disorders 57, 8393.Google Scholar
Cantisani, A, Stegmayer, K, Bracht, T, Federspiel, A, Wiest, R, Horn, H, Muller, TJ, Schneider, C, Hofle, O, Strik, W and Walther, S (2016) Distinct resting-state perfusion patterns underlie psychomotor retardation in unipolar vs. bipolar depression. Acta Psychiatrica Scandinavica 134, 329338.Google Scholar
Cheniaux, E, Silva, RAD, Santana, CM and Filgueiras, A (2018) Changes in energy and motor activity: core symptoms of bipolar mania and depression? Revista Brasileira de Psiquiatria 40, 233237.Google Scholar
Chouinard, PA and Paus, T (2006) The primary motor and premotor areas of the human cerebral cortex. Neuroscientist 12, 143152.Google Scholar
Cortese, L, Caligiuri, MP, Malla, AK, Manchanda, R, Takhar, J and Haricharan, R (2005) Relationship of neuromotor disturbances to psychosis symptoms in first-episode neuroleptic-naive schizophrenia patients. Schizophrenia Research 75, 6575.Google Scholar
Dean, DJ, Walther, S, Bernard, JA and Mittal, VA (2018) Motor clusters reveal differences in risk for psychosis, cognitive functioning, and thalamocortical connectivity: evidence for vulnerability subtypes. Clinical Psychological Science 6, 721734.Google Scholar
DeLong, M and Wichmann, T (2009) Update on models of basal ganglia function and dysfunction. Parkinsonism and Related Disorders 15(Suppl. 3), S237S240.Google Scholar
Dutschke, LL, Stegmayer, K, Ramseyer, F, Bohlhalter, S, Vanbellingen, T, Strik, W and Walther, S (2018) Gesture impairments in schizophrenia are linked to increased movement and prolonged motor planning and execution. Schizophrenia Research 200, 4249.Google Scholar
Garvey, MA and Cuthbert, BN (2017) Developing a motor systems domain for the NIMH RDoC program. Schizophrenia Bulletin 43, 935936.Google Scholar
Jansiewicz, EM, Goldberg, MC, Newschaffer, CJ, Denckla, MB, Landa, R and Mostofsky, SH (2006) Motor signs distinguish children with high functioning autism and Asperger's syndrome from controls. Journal of Autism and Devopmental Disorders 36, 613621.Google Scholar
Kendler, KS (2016) Phenomenology of schizophrenia and the representativeness of modern diagnostic criteria. JAMA Psychiatry 73, 10821092.Google Scholar
Lang, PJ, McTeague, LM and Bradley, MM (2016) RDoc, DSM, and the reflex physiology of fear: a biodimensional analysis of the anxiety disorders spectrum. Psychophysiology 53, 336347.Google Scholar
Leonpacher, AK, Liebers, D, Pirooznia, M, Jancic, D, MacKinnon, DF, Mondimore, FM, Schweizer, B, Potash, JB, Zandi, PP, Consortium NGIBD and Goes, FS (2015) Distinguishing bipolar from unipolar depression: the importance of clinical symptoms and illness features. Psychological Medicine 45, 24372446.Google Scholar
McTeague, LM, Huemer, J, Carreon, DM, Jiang, Y, Eickhoff, SB and Etkin, A (2017) Identification of common neural circuit disruptions in cognitive control across psychiatric disorders. American Journal of Psychiatry 174, 676685.Google Scholar
Mittal, VA and Wakschlag, LS (2017) Research domain criteria (RDoC) grows up: strengthening neurodevelopment investigation within the RDoC framework. Journal of Affective Disorders 216, 3035.Google Scholar
Mittal, VA and Walker, EF (2007) Movement abnormalities predict conversion to Axis I psychosis among prodromal adolescents. Journal of Abnormal Psychology 116, 796803.Google Scholar
Mittal, VA, Orr, JM, Turner, JA, Pelletier, AL, Dean, DJ, Lunsford-Avery, J and Gupta, T (2013) Striatal abnormalities and spontaneous dyskinesias in non-clinical psychosis. Schizophrenia Research 151, 141147.Google Scholar
Mittal, VA, Bernard, JA and Northoff, G (2017) What can different motor circuits tell us about psychosis? An RDoC perspective. Schizophrenia Bulletin 43, 949955.Google Scholar
Novick, JS, Stewart, JW, Wisniewski, SR, Cook, IA, Manev, R, Nierenberg, AA, Rosenbaum, JF, Shores-Wilson, K, Balasubramani, GK, Biggs, MM, Zisook, S and Rush, AJ, investigators SD (2005) Clinical and demographic features of atypical depression in outpatients with major depressive disorder: preliminary findings from STAR*D. Journal of Clinical Psychiatry 66, 10021011.Google Scholar
Obeso, JA, Rodriguez-Oroz, MC, Stamelou, M, Bhatia, KP and Burn, DJ (2014) The expanding universe of disorders of the basal ganglia. Lancet 384, 523531.Google Scholar
Owoeye, O, Kingston, T, Scully, PJ, Baldwin, P, Browne, D, Kinsella, A, Russell, V, O'Callaghan, E and Waddington, JL (2013) Epidemiological and clinical characterization following a first psychotic episode in major depressive disorder: comparisons with schizophrenia and bipolar I disorder in the Cavan-Monaghan First Episode Psychosis Study (CAMFEPS). Schizophrenia Bulletin 39, 756765.Google Scholar
Parker, G (2000) Classifying depression: should paradigms lost be regained? American Journal of Psychiatry 157, 11951203.Google Scholar
Peralta, V and Cuesta, MJ (2017) Motor abnormalities: from neurodevelopmental to neurodegenerative through “functional” (neuro)psychiatric disorders. Schizophrenia Bulletin 43, 956971.Google Scholar
Picard, N and Strick, PL (1996) Motor areas of the medial wall: a review of their location and functional activation. Cerebral Cortex 6, 342353.Google Scholar
Pier, MP, Hulstijn, W and Sabbe, BG (2004) Differential patterns of psychomotor functioning in unmedicated melancholic and nonmelancholic depressed patients. Journal of Psychiatric Research 38, 425435.Google Scholar
Razavi, N, Horn, H, Koschorke, P, Hugli, S, Hofle, O, Muller, T, Strik, W and Walther, S (2011) Measuring motor activity in major depression: the association between the Hamilton Depression Rating Scale and actigraphy. Psychiatry Research 190, 212216.Google Scholar
Sabbe, B, Hulstijn, W, Van Hoof, J and Zitman, F (1996 a) Fine motor retardation and depression. Journal of Psychiatric Research 30, 295306.Google Scholar
Sabbe, B, van Hoof, J, Hulstijn, W and Zitman, F (1996 b) Changes in fine motor retardation in depressed patients treated with fluoxetine. Journal of Affective Disorders 40, 149157.Google Scholar
Sabbe, B, Hulstijn, W, van Hoof, J, Tuynman-Qua, HG and Zitman, F (1999) Retardation in depression: assessment by means of simple motor tasks. Journal of Affective Disorders 55, 3944.Google Scholar
Sagheer, TA, Assaad, S, Haddad, G, Hachem, D, Haddad, C and Hallit, S (2018) Neurological soft signs in bipolar and unipolar disorder: a case-control study. Psychiatry Research 261, 253258.Google Scholar
Sakurai, H, Suzuki, T, Yoshimura, K, Mimura, M and Uchida, H (2017) Predicting relapse with individual residual symptoms in major depressive disorder: a reanalysis of the STAR*D data. Psychopharmacology 234, 24532461.Google Scholar
Scarmeas, N, Hadjigeorgiou, GM, Papadimitriou, A, Dubois, B, Sarazin, M, Brandt, J, Albert, M, Marder, K, Bell, K, Honig, LS, Wegesin, D and Stern, Y (2004) Motor signs during the course of Alzheimer disease. Neurology 63, 975982.Google Scholar
Schrijvers, D, Maas, YJ, Pier, MP, Madani, Y, Hulstijn, W and Sabbe, BG (2009) Psychomotor changes in major depressive disorder during sertraline treatment. Neuropsychobiology 59, 3442.Google Scholar
Sobin, C and Sackeim, HA (1997) Psychomotor symptoms of depression. American Journal of Psychiatry 154, 417.Google Scholar
Stange, JP, Zulueta, J, Langenecker, SA, Ryan, KA, Piscitello, A, Duffecy, J, McInnis, MG, Nelson, P, Ajilore, O and Leow, A (2018) Let your fingers do the talking: passive typing instability predicts future mood outcomes. Bipolar Disorders 20, 285288.Google Scholar
Stuivenga, M and Morrens, M (2014) Prevalence of the catatonic syndrome in an acute inpatient sample. Frontiers in Psychiatry 5, 174.Google Scholar
Ulbricht, CM, Dumenci, L, Rothschild, AJ and Lapane, KL (2016) Changes in depression subtypes for women during treatment with citalopram: a latent transition analysis. Archives of Womens Mental Health 19, 769778.Google Scholar
Ulbricht, CM, Dumenci, L, Rothschild, AJ and Lapane, KL (2018) Changes in depression subtypes among men in STAR*D: a latent transition analysis. American Journal of Mens Health 12, 513.Google Scholar
van Diermen, L, Walther, S, Cools, O, Fransen, E, Birkenhager, TK, Sabbe, BCG and Schrijvers, D (2018) Observer-rated retardation but not agitation corresponds to objective motor measures in depression. Acta Neuropsychiatrica, 16. Published online 30 July 2018 https://doi.org/10.1017/neu.2018.21.Google Scholar
van Harten, PN, Walther, S, Kent, JS, Sponheim, SR and Mittal, VA (2017) The clinical and prognostic value of motor abnormalities in psychosis, and the importance of instrumental assessment. Neuroscience and Biobehavioral Reviews 80, 476487.Google Scholar
Walther, S (2015) Psychomotor symptoms of schizophrenia map on the cerebral motor circuit. Psychiatry Research 233, 293298.Google Scholar
Walther, S and Mittal, VA (2017) Motor system pathology in psychosis. Current Psychiatry Reports 19, 97.Google Scholar
Walther, S, Hofle, O, Federspiel, A, Horn, H, Hugli, S, Wiest, R, Strik, W and Muller, TJ (2012 a) Neural correlates of disbalanced motor control in major depression. Journal of Affective Disorders 136, 124133.Google Scholar
Walther, S, Hugli, S, Hofle, O, Federspiel, A, Horn, H, Bracht, T, Wiest, R, Strik, W and Muller, TJ (2012 b) Frontal white matter integrity is related to psychomotor retardation in major depression. Neurobiology of Disease 47, 1319.Google Scholar
Walther, S, Ramseyer, F, Horn, H, Strik, W and Tschacher, W (2014) Less structured movement patterns predict severity of positive syndrome, excitement, and disorganization. Schizophrenia Bulletin 40, 585591.Google Scholar
Walther, S, Stegmayer, K, Federspiel, A, Bohlhalter, S, Wiest, R and Viher, PV (2017) Aberrant hyperconnectivity in the motor system at rest is linked to motor abnormalities in schizophrenia spectrum disorders. Schizophrenia Bulletin 43, 982992.Google Scholar
Willems, AE, Sommer, IE, Tenback, DE, Koning, JP and van Harten, PN (2016) Instrumental measurements of spontaneous dyskinesia and schizotypy in subjects with auditory verbal hallucinations and healthy controls. Psychiatry Research 244, 2427.Google Scholar
Wilson, JE, Niu, K, Nicolson, SE, Levine, SZ and Heckers, S (2015) The diagnostic criteria and structure of catatonia. Schizophrenia Research 164, 256262.Google Scholar
Yin, Y, Wang, M, Wang, Z, Xie, C, Zhang, H, Zhang, H, Zhang, Z and Yuan, Y (2018) Decreased cerebral blood flow in the primary motor cortex in major depressive disorder with psychomotor retardation. Progress in Neuropsychopharmacology and Biological Psychiatry 81, 438444.Google Scholar