Relationship between residual symptoms of depression and self-reported cognitive impairment

CNS Spectr. 2010 Jan;15(1):46-51. doi: 10.1017/s1092852900000298.

Abstract

Objective: The present study aimed to investigate the associations between residual symptoms of depression and specific self-reported symptoms in several cognitive domains.

Methods: The study investigated 117 patients with partially or fully remitted major depressive disorder (MDD) after treatment with antidepressant medications.

Results: Fatigue was significantly associated with inability to focus, alertness, and feeling "blue"; low interest and difficulty with concentration were associated with apathy. No associations were found between deficits in the cognitive domains considered and residual symptoms such as self-blaming, feeling worthless, feeling hopeless, having suicidal thoughts, difficulty with sleep, and lack of appetite.

Conclusion: Among MDD remitted patients endorsing residual symptoms such as fatigue and feeling "blue", deficits in a range of cognitive domains should be carefully assessed and treated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antidepressive Agents / therapeutic use
  • Cognition Disorders / complications*
  • Cognition Disorders / psychology*
  • Depression / complications*
  • Depression / drug therapy
  • Fatigue / etiology
  • Feeding and Eating Disorders / etiology
  • Humans
  • Middle Aged
  • Neuropsychological Tests
  • Personality Inventory
  • Psychiatric Status Rating Scales
  • Self Concept*
  • Sleep Wake Disorders / etiology

Substances

  • Antidepressive Agents