Cited by 84Treatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesDementia and Cognitive Impairment Research

Cognitive Dysfunction in Major Depressive Disorder: Assessment, Impact, and Management

Open access
Chakrabarty, Trisha, Hadjipavlou, George, Lam, Raymond W.·2016·Focus

Abstract

Cognitive dysfunction is increasingly being recognized as an important clinical dimension in major depressive disorder. This review summarizes the existing data on the epidemiology, assessment, and treatment of cognitive dysfunction among nonelderly adults with the disorder. Overall, cognitive dysfunction is prevalent, persists through periods of symptom remission, and may be independently associated with functional outcomes. However, although the evidence increasingly suggests that clinicians should be heedful of their patients' cognitive functioning, there is as yet no consensus on how best to monitor cognition clinically. In addition, although most studies have reported improved cognition with antidepressant medications, psychotherapy, and neuromodulation, the clinical significance of these improvements is unclear, and high-level evidence to guide decision making is limited. Nonetheless, given the important functional implications, clinicians should assess and monitor cognition and optimize both medication and psychological treatments to mitigate cognitive dysfunction among patients with major depressive disorder.

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Crossref · 10.1176/appi.focus.20150043

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Authors
Chakrabarty, T., Hadjipavlou, G., & Lam, R. W.
Affiliations
University of British Columbia (CA)
Venue
Focus
Published
2016-04
Volume
14
Issue
2
Pages
194-206
ISSN
  • 1541-4094 (ISSN-L)
  • 1541-4108
OpenAlex
W2337977328
Cited by
84
References
44
Citations by year
2026: 12 · 2025: 12 · 2024: 13 · 2023: 15 · 2022: 11 · 2021: 7 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 1 · 2015: 1
FWCI
2.14
Type
journal article
Language
en
Open access
Locations
  • FOCUS The Journal of Lifelong Learning in Psychiatry (publishedVersion)
  • PubMed Central (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
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
cognitive impairment, major depressive disorder, cognitive assessment, antidepressant treatment, psychotherapy, neuromodulation, functional outcome, symptom remission, non-elderly adults, cognitive monitoring

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