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Psychomotor retardation in major depressive disorder: A dimension to be rediscovered?

Published online by Cambridge University Press:  17 April 2020

T. Mauras*
Affiliation:
ICM-A-IHU, service de psychiatrie, Pitié Salpétrière, Paris, France Mauras
*
Adresse e-mail :thomasmauras@gmail.com

Abstract

Psychomotor activity is one of the traits we most immediately perceive in others. Psychomotor slowing, which can be easily noticed on a first medical examination, is a symptom which may be prodromal of psychic disturbances.

Historically, psychomotor retardation is a characteristic attached to depression, especially melancholia. Some studies show that psychomotor retardation is associated with good therapeutic prognosis, including positive response to electro-convulsivo-therapy. The cluster of non-verbal symptoms includes both basic aspects related to motor behavior such as attitudes and movements and more complex aspects such as goal-directed behaviors. We will see that this intuitive and fundamental dimension of clinical depression is not homogeneous. From a motor point of view, hypo-bradykinesia in depression may be compared to the one found in cortico-subcortical syndromes such as Parkinson's disease. This comparison suggests that key brain structures such as the basal ganglia could be involved in depression.

Moreover, the loss of vital energy is the dominant psychopathological explanation linked to psychomotor retardation. From a phenomenological point of view, this interpretation seems to be relevant but appears disappointing as an experimental variable. However, motivation, understood as the factor that energizes the behavior seems to be an interesting and promising concept.

Experimentally, it is possible to measure how much an individual is able to invest energy in order to achieve a goal.

The impact of depression on the process of incentive motivation will be analyzed before turning to a description of therapeutic interventions related to psychomotor field such as sports or sensorimotor stimulations that appear to be promising tracks for clinical improvement.

Type
S24A
Copyright
Copyright © European Psychiatric Association 2014

Disclosure of interest

The author declares that he has no conflicts of interest concerning this article.

Acknowledgments

ICM-A-IHU, for its grant.

References

Further reading

Bennabi, DVandel, PPapaxanthis, CPozzo, THaffen, E. Psychomotor retardation in depression: a systematic review of diagnostic, pathophysiologic, and therapeutic implications. Biomed Res Int 2013:158746.Google ScholarPubMed
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Van Loo, HMde Jonge, PRomeijn, J.-WKessler, RCSchoevers, RAData-driven subtypes of major depressive disorder: a systematic review. BMC Med 23012;10:156.CrossRefGoogle Scholar
Pessiglione, MSchmidt, LDraganski, BKalisch, RLau, HDolan, RJFrith, CD.How the brain translates money into force: a neuroimaging study of subliminal motivation. Science 2007;316:904–6.CrossRefGoogle ScholarPubMed
Radovanović, SJovičić, MMarić, NPKostić, V.Gait characteristics in patients with major depression performing cognitive and motor tasks while walking. Psychiatry Res 2014;217:3946.CrossRefGoogle Scholar
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