Cognitive Dysfunction in Major Depressive Disorder: Assessment, Impact, and Management
Open accessAbstract
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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Objective measures of neuro-cognition are impacted in depression.
“Additionally, we used a multidimensional approach to evaluate trial outcomes; symptom assessments were complemented with evaluation of change in subjective mental health behaviors and quality of life, as well as change in objective measures of neuro-cognition that are impacted in depression [31–37].”
From Personalized machine learning guided intervention for optimizing lifestyle behaviors in depression: a pilot study (2026) · cites this paper as [33]
Depression can be associated with cognitive deficits.
“Notably, while depression can be associated with cognitive deficits [31–37]”
From Personalized machine learning guided intervention for optimizing lifestyle behaviors in depression: a pilot study (2026) · cites this paper as [33]
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Mahableshwarkar, A. R., Zajecka, J., Jacobson, W., Chen, Y., & Keefe, R. S. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2015.52 · Cited by 307 · see citing works
Nan, J., Purpura, S., Jaiswal, S., Afshar, H., Maric, V., Manchanda, J. K., Taylor, C. T., Ramanathan, D., & Mishra, J. (2026) · NPP—Digital Psychiatry and Neuroscience · doi:10.1038/s44277-026-00062-3 · Cited by 1 · see citing works
- 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
- PMC
- PMC6519654
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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