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Cognition in depression: Can we THINC-it better?
Bernhard T Baune1, Gin S Malhi2, Grace Morris2
1Mood Assessment and Classification (MAC) Committee, Australia; Discipline of Psychiatry, University of Adelaide, Adelaide, SA, Australia.
Journal of Affective Disorders
|September 5, 2017
Summary
Cognitive deficits are common in depression, impacting patient recovery. This article discusses assessment barriers and proposes tools to help clinicians identify and manage these cognitive issues in mood disorders.
Area of Science:
- Psychiatry
- Neuroscience
- Clinical Psychology
Background:
- Cognitive compromise, including deficits in working memory and attention, is prevalent in depression and mood disorders.
- These cognitive impairments can perpetuate the depressive state by influencing emotional processing and attention biases.
Purpose of the Study:
- To highlight the importance of cognitive assessment in depression and mood disorders.
- To identify barriers to cognitive assessment in clinical practice.
- To propose tools for effective cognitive assessment in mood disorder patients.
Main Methods:
- Expert opinion from the Mood Assessment and Classification (MAC) Committee.
- Discussion of contentious aspects of mood disorder diagnosis and assessment.
- Review of barriers and potential tools for cognitive assessment.
Main Results:
- Cognition is identified as a critical factor for clinicians to consider in depression and mood disorders.
- Barriers to cognitive assessment in clinical practice were identified.
- Potential tools for implementing cognitive assessments in clinical settings were proposed.
Conclusions:
- Effective cognitive assessment is imperative for identifying patients with deficits and supporting functional recovery.
- Understanding cognitive factors can deepen insights into the pathogenesis of depression and mood disorders.
- Informing treatment strategies through cognitive assessment is a key future direction.
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