» Articles » PMID: 25604917

[Cognitive Deficits in Unipolar Major Depression]

Overview
Journal Nervenarzt
Specialty Neurology
Date 2015 Jan 22
PMID 25604917
Authors
Affiliations
Soon will be listed here.
Abstract

Cognitive deficits are common symptom presentations in neurology and psychiatry. Cognitive symptoms during major depressive episodes cause subjective distress as well as difficulties during therapy and psychosocial reintegration. Depression-associated cognitive symptoms are characterized by a mood-congruent information processing bias as well as by cognitive performance deficits. A diagnostically relevant profile of neuropsychological impairments specific to depression has not yet been identified. Nevertheless, deficits of executive and declarative memory functions have repeatedly been reported. The time course of cognitive deficits after remission of mood is not entirely clear. Depending on the point of time of the reinvestigation, patients may still exhibit pronounced cognitive deficits. This article presents the current knowledge about cognitive symptoms in major depression, including the pathophysiology and treatment options.

References
1.
Behnken A, Schoning S, Gerss J, Konrad C, de Jong-Meyer R, Zwanzger P . Persistent non-verbal memory impairment in remitted major depression - caused by encoding deficits?. J Affect Disord. 2009; 122(1-2):144-8. DOI: 10.1016/j.jad.2009.07.010. View

2.
Schoning S, Zwitserlood P, Engelien A, Behnken A, Kugel H, Schiffbauer H . Working-memory fMRI reveals cingulate hyperactivation in euthymic major depression. Hum Brain Mapp. 2008; 30(9):2746-56. PMC: 6870640. DOI: 10.1002/hbm.20702. View

3.
Holsboer F . The corticosteroid receptor hypothesis of depression. Neuropsychopharmacology. 2000; 23(5):477-501. DOI: 10.1016/S0893-133X(00)00159-7. View

4.
Kessler R, Berglund P, Demler O, Jin R, Koretz D, Merikangas K . The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003; 289(23):3095-105. DOI: 10.1001/jama.289.23.3095. View

5.
Rapp M, Dahlman K, Sano M, Grossman H, Haroutunian V, Gorman J . Neuropsychological differences between late-onset and recurrent geriatric major depression. Am J Psychiatry. 2005; 162(4):691-8. DOI: 10.1176/appi.ajp.162.4.691. View