Evidence map›Paper›PMID 24176142›Full record

ArticlePsychological medicine2014

Temporal discounting in major depressive disorder.

E Pulcu, P D Trotter, E J Thomas, M McFarquhar, G Juhasz, B J Sahakian, J F W Deakin, R Zahn, I M Anderson, R Elliott

Abstract read
In one paragraph

Article in Psychological medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. The Genoeconomics of Impulsive Intertemporal Choice: A Critical Review.Journal of the experimental analysis of behavior · 2026
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  14. Article
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  16. Article
  17. Delay Discounting and Risk Tolerance in Obsessive Compulsive Disorder: Results From the Global OCD Study.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  18. Lesions to Different Regions of the Frontal Cortex Have Dissociable Effects on Voluntary Persistence in Humans.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  19. Article
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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

E PulcuSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
P D TrotterSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
E J ThomasSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
M McFarquharSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
G JuhaszSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
B J SahakianDepartment of Psychiatry,University of Cambridge, and MRC Wellcome Trust Behavioural and Clinical Neuroscience Institute,Cambridge,UK.
J F W DeakinSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
R ZahnSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
I M AndersonSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.
R ElliottSchool of Medicine, Neuroscience and Psychiatry Unit,University of Manchester and Manchester Academic Health Science Centre,Manchester,UK.

Funding

Medical Research Council G0001354Medical Research Council G0900593Medical Research Council G0902304
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is associated with abnormalities in financial reward processing. Previous research suggests that patients with MDD show reduced sensitivity to frequency of financial rewards. However, there is a lack of conclusive evidence from studies investigating the evaluation of financial rewards over time, an important aspect of reward processing that influences the way people plan long-term investments. Beck's cognitive model posits that patients with MDD hold a negative view of the future that may influence the amount of resources patients are willing to invest into their future selves.

methodWe administered a delay discounting task to 82 participants: 29 healthy controls, 29 unmedicated participants with fully remitted MDD (rMDD) and 24 participants with current MDD (11 on medication).

resultsPatients with current MDD, relative to remitted patients and healthy subjects, discounted large-sized future rewards at a significantly higher rate and were insensitive to changes in reward size from medium to large. There was a main effect of clinical group on discounting rates for large-sized rewards, and discounting rates for large-sized rewards correlated with severity of depressive symptoms, particularly hopelessness.

conclusionsHigher discounting of delayed rewards in MDD seems to be state dependent and may be a reflection of depressive symptoms, specifically hopelessness. Discounting distant rewards at a higher rate means that patients are more likely to choose immediate financial options. Such impairments related to long-term investment planning may be important for understanding value-based decision making in MDD, and contribute to ongoing functional impairment.

Indexed as

RewardAdultDelay DiscountingFemaleHumansMajor Depressive DisorderMaleMiddle Aged

Identifiers

PMID24176142
PMCPMC4035754

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.