在重大抑郁症过程中认知功能的变化:系统性审查和元分析
Elayne Ahern1,2, Jessica White3,4, Eadaoin Slattery5
1School of Psychology, Dublin City University, Glasnevin, Dublin 9, Ireland. elayne.ahern@ul.ie.
Neuropsychology review
|February 5, 2024
概括
大型抑郁症 (MDD) 认知缺陷在治疗后的改善是微不足道的. 反复出现的情节可能会降低认知恢复能力,突出显示在MDD认知健康方面需要早期干预.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 大型抑郁症 (MDD) 与持续的认知障碍有关.
- 这些缺陷在活跃疾病和缓解阶段都会影响个体.
研究的目的:
- 系统地审查和元分析MDD认知功能的发展轨迹.
- 调查人口,临床和治疗因素如何随着时间的推移缓和认知变化.
主要方法:
- 一项系统的搜索确定了在MDD中认知功能的测试-重新测试间隔≥12周的研究.
- 使用随机效应建模,汇集了69项元分析研究 (4639名患者) 的数据.
- 在44个变量中评估认知变化,计算效果大小 (Hedges' g).
主要成果:
- 超过95%的认知变量显示非显著的,可以忽略不计的或微小的改善.
- 改善与健康对照中观察到的潜在实践效应相当.
- 抑郁症状的减少和之前的情节数量缓和了认知变化,表明了状态和痕效应.
结论:
- 在MDD的认知变化通常在治疗后很小.
- 认知恢复能力可能会随着剧情复发的增加而减少.
- 在MDD的早期认知干预可以改善预后和功能恢复.
更多相关视频
10:13Assessment of Age-related Changes in Cognitive Functions Using EmoCogMeter, a Novel Tablet-computer Based Approach
Published on: February 14, 2014
13.7K
08:42Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
Published on: May 19, 2015
10.6K
相关概念视频
Cognitive Development During Adulthood
111
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
111
Depression: Overview
244
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
244
Depressive Disorders: MDD and Dysthymia
136
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
136
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Long-term Depression
2.5K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.5K
Alzheimer's Disease: Overview
487
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
487
