Hypothyroidism and Major Depression: A Common Executive Dysfunction?

Little is known about the possible link between the cognitive disorders associated with hypothyroidism and those encountered in depression. This study examines attentional and executive functions as well as the intensity of anxiety and depressive symptoms in hypothyroidism and major depression and the possible link between these symptoms and cognitive disturbances. This study confirms the existence of psychomotor slowing associated with attentional and executive disturbance in major depression as well as in hypothyroidism. However, while depressed subjects manifested a conscious bias with material of negative emotional valence, no such bias was found in the hypothyroid subjects. While the hypothyroid state is accompanied by anxiety/depressive symptoms, it seems that the latter are too discrete for an attentional bias to be observed with material with a negative emotional valence

Defensive reactions to health-promoting information: an overview and implications for future research

It is a common finding that recipients of threatening health-promoting information are motivated to dismiss or disregard the information, thus reacting defensively'. This article gives an overview of the literature on defensive reactions to health-promoting information. A distinction is made between: (1) avoidance, (2) denial, (3) cognitive reappraisal and (4) suppression. Although these defensive reactions have been studied repeatedly and thoroughly, we propose that a number of questions remain unanswered. First, little is known about whether avoidance, denial, cognitive reappraisal and suppression have distinct or similar effects on emotional experience and health-conducive behaviour. Second, little is known about the development of defensive reactions over time in case recipients are repeatedly exposed to health-promoting information, which is often the case in a real-life setting. In the present article, we present preliminary answers to these questions, suggesting that cognitive reappraisal has greater potential to result in effective emotion regulation and is more likely to impede healthy behaviour than the other three strategies. We also propose that defensive reactions to health-promoting information do not always reduce health-conducive responses but can co-occur with more adaptive responses or even facilitate them. Finally, we present a hypothesised model of the development of defensiveness over time