Cited by 217Treatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNeural and Behavioral Psychology Studies

Longitudinal Assessment of Neuropsychological Function in Major Depression

Douglas, Katie M., Porter, Richard J.·2009·Australian & New Zealand Journal of Psychiatry

Abstract

Neuropsychological impairment is a core component of major depression, yet its relationship to clinical state is unclear. The aims of the present review were to determine which neuropsychological domains and tasks were most sensitive to improvement in clinical state in major depression and to highlight the methodological issues in such research. Studies that included a baseline and at least one follow-up neuropsychological testing session in adults with major depression were identifed using MEDLINE, Web of Science and ScienceDirect databases. Thirty studies were included in the review. Findings in younger adult populations suggested that improvement in mood was most strongly related to improved verbal memory and verbal fluency, while measures of executive functioning and attention tended to remain impaired across treatment. In late-life major depression, improved psychomotor speed was most closely related to treatment response, but there was much inconsistency between study findings, which may be due to methodological issues. In major depression, particular neuropsychological domains are more strongly related to clinical state than others. The findings from the present review suggest that the domains most sensitive to clinical state are verbal learning and memory, verbal fluency and psychomotor speed. In contrast, measures of attention and executive functioning perhaps represent more trait-like markers of major depression. With further methodologically sound research, the changes in neuropsychological function associated with treatment response may provide a means of evaluating different treatment strategies in major depression.

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Crossref · 10.3109/00048670903279887

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60 of 60 references verified0 citation errors · 0 not checkable

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  • Cognitive dysfunction in major depressive disorder encompasses several domains, including executive function, verbal memory, and attention.

    “Cognitive dysfunction in major depressive disorder (MDD) encompasses several domains, including but not limited to executive function, verbal memory, and attention.”
  • The most replicated findings indicate that cognitive impairment in major depressive disorder encompasses several domains, notably attention, memory, psychomotor speed, and executive function.

    “Notwithstanding the heterogeneity across individual studies, the most replicated findings indicate that cognitive impairment in MDD encompasses several domains, notably attention, memory, psychomotor speed, and executive function [7–9].”

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Authors
Douglas, K. M., & Porter, R. J.
Affiliations
University of Otago (NZ)
Venue
Australian & New Zealand Journal of Psychiatry
Published
2009-12
Volume
43
Issue
12
Pages
1105-1117
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
OpenAlex
W2055084163
Cited by
217
References
60
Citations by year
2026: 4 · 2025: 9 · 2024: 7 · 2023: 8 · 2022: 15 · 2021: 16 · 2020: 17 · 2019: 16 · 2018: 21 · 2017: 11 · 2016: 14 · 2015: 21 · 2014: 14 · 2013: 20 · 2012: 10
FWCI
0.82
Type
journal article
Language
en
Open access
closed
Locations
  • Australian & New Zealand Journal of Psychiatry (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
major depressive disorder, neuropsychological deficits, treatment response, verbal memory, verbal fluency, psychomotor speed, executive function, attention, geriatric depression, longitudinal assessment, trait markers
MeSH terms
Age Factors, Attention, Major Depressive Disorder, Depressive Disorder, Major, Humans, Memory, Neuropsychological Tests, Psychomotor Performance, Verbal Learning, Executive Function

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