Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder

Background: Major depressive disorder (MDD) is associated with a wide range of cognitive deficits. However, it remains unclear whether there will be a major cognitive deficit independently caused by depression at acute episodes of MDD.Method: A comprehensive neurocognitive test battery was used to a...

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Main Authors: Jin Liu, Qiangli Dong, Xiaowen Lu, Jinrong Sun, Liang Zhang, Mi Wang, Ping Wan, Hua Guo, Futao Zhao, Yumeng Ju, Danfeng Yan, Haolun Li, Han Fang, Weilong Guo, Mei Liao, Xiangyang Zhang, Yan Zhang, Bangshan Liu, Lingjiang Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00836/full
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author Jin Liu
Jin Liu
Qiangli Dong
Qiangli Dong
Xiaowen Lu
Xiaowen Lu
Jinrong Sun
Jinrong Sun
Liang Zhang
Liang Zhang
Mi Wang
Mi Wang
Ping Wan
Hua Guo
Futao Zhao
Yumeng Ju
Yumeng Ju
Danfeng Yan
Danfeng Yan
Haolun Li
Haolun Li
Han Fang
Han Fang
Weilong Guo
Weilong Guo
Mei Liao
Mei Liao
Xiangyang Zhang
Yan Zhang
Yan Zhang
Bangshan Liu
Bangshan Liu
Lingjiang Li
Lingjiang Li
spellingShingle Jin Liu
Jin Liu
Qiangli Dong
Qiangli Dong
Xiaowen Lu
Xiaowen Lu
Jinrong Sun
Jinrong Sun
Liang Zhang
Liang Zhang
Mi Wang
Mi Wang
Ping Wan
Hua Guo
Futao Zhao
Yumeng Ju
Yumeng Ju
Danfeng Yan
Danfeng Yan
Haolun Li
Haolun Li
Han Fang
Han Fang
Weilong Guo
Weilong Guo
Mei Liao
Mei Liao
Xiangyang Zhang
Yan Zhang
Yan Zhang
Bangshan Liu
Bangshan Liu
Lingjiang Li
Lingjiang Li
Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
Frontiers in Psychiatry
depression
cognitive function
neurocognition
executive function
processing speed
author_facet Jin Liu
Jin Liu
Qiangli Dong
Qiangli Dong
Xiaowen Lu
Xiaowen Lu
Jinrong Sun
Jinrong Sun
Liang Zhang
Liang Zhang
Mi Wang
Mi Wang
Ping Wan
Hua Guo
Futao Zhao
Yumeng Ju
Yumeng Ju
Danfeng Yan
Danfeng Yan
Haolun Li
Haolun Li
Han Fang
Han Fang
Weilong Guo
Weilong Guo
Mei Liao
Mei Liao
Xiangyang Zhang
Yan Zhang
Yan Zhang
Bangshan Liu
Bangshan Liu
Lingjiang Li
Lingjiang Li
author_sort Jin Liu
title Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
title_short Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
title_full Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
title_fullStr Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
title_full_unstemmed Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive Disorder
title_sort exploration of major cognitive deficits in medication-free patients with major depressive disorder
publisher Frontiers Media S.A.
series Frontiers in Psychiatry
issn 1664-0640
publishDate 2019-11-01
description Background: Major depressive disorder (MDD) is associated with a wide range of cognitive deficits. However, it remains unclear whether there will be a major cognitive deficit independently caused by depression at acute episodes of MDD.Method: A comprehensive neurocognitive test battery was used to assess the executive function, processing speed, attention, and memory in 162 MDD patients and 142 healthy controls (HCs). A multivariate analysis of variance, hierarchical regression analyses and general linear regression analyses were used to explore the possible major cognitive deficits and their predictor variables.Results: MDD patients showed extensive impairment in all four cognitive domains. Impairment of executive function and processing speed were found to persist even with other cognitive domains and clinical variables being accounted for. Executive function and processing speed were further predicted by total disease duration and depression severity, respectively.Conclusions: Executive function and processing speed may be two distinct major deficits at acute episodes of MDD. Furthermore, the executive function is likely originated from the cumulative effect of disease duration and processing speed is possibly derived from the temporary effect of current depressive episode.
topic depression
cognitive function
neurocognition
executive function
processing speed
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00836/full
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spelling doaj-2df9f2fe5bc34d1d8d30c5bbec68501d2020-11-25T01:15:00ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-11-011010.3389/fpsyt.2019.00836495280Exploration of Major Cognitive Deficits in Medication-Free Patients With Major Depressive DisorderJin Liu0Jin Liu1Qiangli Dong2Qiangli Dong3Xiaowen Lu4Xiaowen Lu5Jinrong Sun6Jinrong Sun7Liang Zhang8Liang Zhang9Mi Wang10Mi Wang11Ping Wan12Hua Guo13Futao Zhao14Yumeng Ju15Yumeng Ju16Danfeng Yan17Danfeng Yan18Haolun Li19Haolun Li20Han Fang21Han Fang22Weilong Guo23Weilong Guo24Mei Liao25Mei Liao26Xiangyang Zhang27Yan Zhang28Yan Zhang29Bangshan Liu30Bangshan Liu31Lingjiang Li32Lingjiang Li33Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, Zhumadian Psychiatric Hospital, Zhumadian, ChinaDepartment of Psychiatry, Zhumadian Psychiatric Hospital, Zhumadian, ChinaDepartment of Psychiatry, Zhumadian Psychiatric Hospital, Zhumadian, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaCAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, ChinaMental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, ChinaBackground: Major depressive disorder (MDD) is associated with a wide range of cognitive deficits. However, it remains unclear whether there will be a major cognitive deficit independently caused by depression at acute episodes of MDD.Method: A comprehensive neurocognitive test battery was used to assess the executive function, processing speed, attention, and memory in 162 MDD patients and 142 healthy controls (HCs). A multivariate analysis of variance, hierarchical regression analyses and general linear regression analyses were used to explore the possible major cognitive deficits and their predictor variables.Results: MDD patients showed extensive impairment in all four cognitive domains. Impairment of executive function and processing speed were found to persist even with other cognitive domains and clinical variables being accounted for. Executive function and processing speed were further predicted by total disease duration and depression severity, respectively.Conclusions: Executive function and processing speed may be two distinct major deficits at acute episodes of MDD. Furthermore, the executive function is likely originated from the cumulative effect of disease duration and processing speed is possibly derived from the temporary effect of current depressive episode.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00836/fulldepressioncognitive functionneurocognitionexecutive functionprocessing speed