Persistent non-verbal memory impairment in remitted major depression — Caused by encoding deficits?
Abstract
Background While neuropsychological impairments are well described in acute phases of major depressive disorders (MDD), little is known about the neuropsychological profile in remission. There is evidence for episodic memory impairments in both acute depressed and remitted patients with MDD. Learning and memory depend on individuals' ability to organize information during learning. This study investigates non-verbal memory functions in remitted MDD and whether nonverbal memory performance is mediated by organizational strategies whilst learning.Methods 30 well-characterized fully remitted individuals with unipolar MDD and 30 healthy controls matching in age, sex and education were investigated. Non-verbal learning and memory were measured by the Rey-Osterrieth-Complex-Figure-Test (RCFT). The RCFT provides measures of planning, organizational skills, perceptual and non-verbal memory functions. For assessing the mediating effects of organizational strategies, we used the Savage Organizational Score.Results Compared to healthy controls, participants with remitted MDD showed more deficits in their non-verbal memory function. Moreover, participants with remitted MDD demonstrated difficulties in organizing non-verbal information appropriately during learning. In contrast, no impairments regarding visual-spatial functions in remitted MDD were observed.Limitations Except for one patient, all the others were taking psychopharmacological medication. The neuropsychological function was solely investigated in the remitted phase of MDD.Conclusions Individuals with MDD in remission showed persistent non-verbal memory impairments, modulated by a deficient use of organizational strategies during encoding. Therefore, our results strongly argue for additional therapeutic interventions in order to improve these remaining deficits in cognitive function.
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A significant proportion of major depressive disorder patients continue to experience significant cognitive impairment despite conventional antidepressants.
“However, a significant proportion of MDD patients continue to experience significant cognitive impairment.”
From Cognitive remission: a novel objective for the treatment of major depression? (2016) · cites this paper as [18]
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- Authors
- Behnken, A., Schöning, S., Gerß, J., Konrad, C., de Jong-Meyer, R., Zwanzger, P., & Arolt, V.
- Affiliations
- University of Münster (DE)
- Philipps University of Marburg (DE)
- Corresponding author
- Behnken, Andreas
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 122
- Issue
- 1-2
- Pages
- 144-148
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2030380365
- Cited by
- 79
- References
- 38
- Citations by year
- 2025: 3 · 2024: 4 · 2021: 7 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 6 · 2016: 10 · 2015: 8 · 2014: 9 · 2013: 4 · 2012: 10
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- nonverbal memory, episodic memory, memory encoding, organizational strategy, Rey-Osterrieth Complex Figure Test, visuospatial memory, cognitive deficits in depression, neuropsychological profile
- MeSH terms
- Adult, Attention, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Memory Disorders, Middle Aged, Neuropsychological Tests, Pattern Recognition, Visual, Psychometrics, Psychomotor Performance, Reference Values, Retention, Psychology, Reproducibility of Results, Executive Function
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