Cognition as a treatment target in depression
Open accessAbstract
Cognitive dysfunction in depression is associated with poorer clinical outcomes and impaired psychosocial functioning. However, most treatments for depression do not specifically target cognition. Neurocognitive deficits such as memory and concentration problems tend to persist after mood symptoms recover. Improving cognition in depression requires a better understanding of brain systems implicated in depression. A comprehensive approach is warranted for refined methods of assessing and treating cognitive dysfunction in depression.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Taken together, these findings highlight the need for neurocognitive functioning to be a key target of treatment for depression.
“Taken together, these findings highlight the need for neurocognitive functioning to be a key target of treatment for depression (Gonda et al., 2015;Kaser et al., 2017).”
From Neurocognitive effects of theta burst stimulation for treatment-resistant depression in adults: A systematic review and recommendations for future research (2025) · cites this paper as Kaser et al., 2017
Cognitive dysfunction is a core symptom of depression that can persist during the remitted state, worsens with increasing numbers of depressive episodes, and results in disrupted psychosocial functioning.
“As cognitive dysfunction is a core symptom of depression that can persist during the remitted state (Bora et al., 2013;Hasselbalch et al., 2011;Kaser et al., 2017), worsens with increasing numbers of depressive episodes (Hasselbalch et al., 2013), and results in disrupted psychosocial functioning (Hasselbalch et al., 2011;Kaser et al., 2017;McCall and Dunn, 2003)”
From Neurocognitive effects of theta burst stimulation for treatment-resistant depression in adults: A systematic review and recommendations for future research (2025) · cites this paper as Kaser et al., 2017
Cognitive deficits affect an estimated 20-90% of patients with major depressive disorder.
“it has been estimated that cognitive deficits affect 20-90% of MDD patients22-27.”
From Dysregulation of adult hippocampal neuroplasticity in major depression: Pathogenesis and therapeutic implications (2022) · cites this paper as [25]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Cognitive impairment in euthymic major depressive disorder: a meta-analysis
Bora, E., Harrison, B. J., Yücel, M., & Pantelis, C. (2013) · Psychological Medicine · doi:10.1017/s0033291712002085 · Cited by 551 · see citing works
Conradi, H. J., Ormel, J., & de Jonge, P. (2011) · Psychological Medicine · doi:10.1017/s0033291710001911 · Cited by 515 · see citing works
Effect of Acute Antidepressant Administration on Negative Affective Bias in Depressed Patients
Harmer, C. J., O’Sullivan, U., Favaron, E., Massey-Chase, R., Ayres, R., Reinecke, A., Goodwin, G. M., & Cowen, P. J. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09020149 · Cited by 485 · see citing works
Katona, C., Hansen, T., & Olsen, C. K. (2012) · International Clinical Psychopharmacology · doi:10.1097/yic.0b013e3283542457 · Cited by 445 · cited 1× · see citing works
“The first study to report pro-cognitive effects of vortioxetine showed improvement in digit symbol test performance in elderly depressed patients (Katona et al. 2012).”
BackgroundMcIntyre, R. S., Lophaven, S., & Olsen, C. K. (2014) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145714000546 · Cited by 433 · see citing works
Recurrent depressive symptoms and the incidence of dementia and mild cognitive impairment
Dotson, V. M., Beydoun, M. A., & Zonderman, A. B. (2010) · Neurology · doi:10.1212/wnl.0b013e3181e62124 · Cited by 385 · see citing works
Mørk, A., Pehrson, A., Brennum, L. T., Nielsen, S. M., Zhong, H., Lassen, A. B., Miller, S., Westrich, L., Boyle, N. J., Sánchez, C., et al. (2012) · The Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.111.189068 · Cited by 271 · see citing works
Shilyansky, C., Williams, L. M., Gyurak, A., Harris, A., Usherwood, T., & Etkin, A. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)00012-2 · Cited by 249 · see citing works
MAJER, M., ISING, M., KÜNZEL, H., BINDER, E. B., HOLSBOER, F., MODELL, S., & ZIHL, J. (2004) · Psychological Medicine · doi:10.1017/s0033291704002697 · Cited by 180 · see citing works
Druss, B. G., Schlesinger, M., & Allen, H. M. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.5.731 · Cited by 146 · see citing works
A Prospective Trial of Modafinil as an Adjunctive Treatment of Major Depression
DeBattista, C., Lembke, A., Solvason, H. B., Ghebremichael, R., & Poirier, J. (2004) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000104910.75206.b9 · Cited by 144 · see citing works
Cognitive Effects of Pharmacotherapy for Major Depressive Disorder: A Systematic Review
Keefe, R. S. E., McClintock, S. M., Roth, R. M., Doraiswamy, P. M., Tiger, S., & Madhoo, M. (2014) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.13r08609 · Cited by 107 · cited 1× · see citing works
“Overall, conventional antidepressants have very limited, if any effects at all on cognition in depression (Keefe et al. 2014).”
BackgroundLam, R. W. M., Michalak, E. E., Bond, D. J., Tam, E. M., Axler, A., & Yatham, L. N. (2012) · Depression Research and Treatment · doi:10.1155/2012/630206 · Cited by 71 · see citing works
Flagged first, then by citations
Research works printed but not linked: 7
- Buist-Bouwman MA, Ormel J, de Graaf R, Vollebergh WA (2004). Functioning after a major depressive episode: complete or incomplete recovery? Journal of Affective Disorders 82, 363-371.
- Gorwood P, Corruble E, Falissard B, Goodwin GM (2008). Toxic effects of depression on brain function: impairment of delayed recall and the cumulative length of depressive disorder in a large sample of depressed outpatients. American Journal of Psychiatry 165, 731-739.
- Goss AJ, Kaser M, Costafreda SG, Sahakian BJ, Fu CH (2013). Modafinil augmentation therapy in unipolar and bipolar depression: a systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Psychiatry 74, 1101-1107.
- Hasselbalch BJ, Knorr U, Kessing LV (2011). Cognitive impairment in the remitted state of unipolar depressive disorder: a systematic review. Journal of Affective Disorders 134, 20-31.
- Kessing LV, Andersen PK (2004). Does the risk of developing dementia increase with the number of episodes in patients with depressive disorder and in patients with bipolar disorder? Journal of Neurology, Neurosurgery and Psychiatry 75, 1662-1666.
- National Academies of Sciences, Engineering, and Medicine (2015). Enabling Discovery, Development, and Translation Of treatments for Cognitive Dysfunction in Depression: Workshop Summary. National Academies Press: Washington, DC.
- Rock PL, Roiser JP, Riedel WJ, Blackwell AD (2014). Cognitive impairment in depression: a systematic review and meta-analysis. Psychological Medicine 29, 1-12.
Cited by
Sorted by citations
Tartt, A. N., Mariani, M. B., Hen, R., Mann, J. J., & Boldrini, M. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01520-y · Cited by 408 · see citing works
Cormack, F., McCue, M., Taptiklis, N., Skirrow, C., Glazer, E., Panagopoulos, E., van Schaik, T. A., Fehnert, B., King, J., & Barnett, J. H. (2019) · JMIR Mental Health · doi:10.2196/12814 · Cited by 79 · see citing works
Dam, V. H., Stenbæk, D. S., Köhler-Forsberg, K., Ip, C., Ozenne, B., Sahakian, B. J., Knudsen, G. M., Jørgensen, M. B., & Frokjaer, V. G. (2022) · Translational Psychiatry · doi:10.1038/s41398-022-02240-1 · Cited by 27 · see citing works
Self-citationFluharty, M., Paul, E., Bone, J., Bu, F., Sonke, J., & Fancourt, D. (2021) · PLOS ONE · doi:10.1371/journal.pone.0261532 · Cited by 28 · see citing works
Hutnyan, M., & McClintock, S. M. (2025) · Transcranial Magnetic Stimulation · doi:10.1016/j.transm.2025.100088 · Cited by 2 · see citing works
- Authors
- Kaser, M., Zaman, R., & Sahakian, B. J.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Sahakian, B. J.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-12-12
- Volume
- 47
- Issue
- 6
- Pages
- 987-989
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2560030205
- Cited by
- 96
- References
- 13
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 13 · 2022: 29 · 2021: 10 · 2020: 12 · 2019: 5 · 2018: 11
- FWCI
- 4.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- National Institute for Health and Care Research (CL-2016-14-003)
- 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
- depression, cognitive impairment, memory impairment, concentration difficulties, treatment goals, neurocognitive impairment, psychosocial functioning, brain systems, cognitive assessment, cognitive rehabilitation
- MeSH terms
- Depressive Disorder, Humans, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review