open access

Vol 12, No 3 (2015)
Research paper
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Relationships between depression and cognitive deficits in the opinions of psychiatrists

Sławomir Murawiec, Dominika Dudek, Wojciech Datka
Psychiatria 2015;12(3):161-168.

open access

Vol 12, No 3 (2015)
Prace oryginalne - nadesłane

Abstract

Introduction: Cognitive deficits constitute an integral part of depressive symptomatology and are mainly considered by practitioners as secondary to typical depressive symptoms. Cognitive impairment is one of the main causes of depressive patients’ poor functioning during the episode of depression and in remission. They are observed already in the first depressive episode and may correlate with the severity of depression and may persist regardless of the improvement of depression during treatment. The aim of the study was to investigate psychiatrist opinions and practice in the treatment of patients with depression in the context of cognitive symptoms in this disorder.

Material and methods: Special questionnaire was designed for the purpose of this study.

Results: 41 psychiatrist (23 women and 14 men, 4 record missed) answered the questionnaire. Respondents we mainly experienced consultant psychiatrists from medium size urban centers. According to 95% of them cognitive deficits are manifested by at least half or most of the patients with depression. All patients with depression are actively questioned by psychiatrist about the cognitive deficits in 28% of cases, and most of them in 59% of cases. Nearly all psychiatrist discuss the cognitive deficits in case of complains of the patients, but 25% of them not in every single case. According to psychiatrist’ opinions cognitive symptoms in depression are secondary to basic depressive, “always” in 57% and in 21% “in half” of the patients, and are not secondary in 21% opinions. Consequently psychiatrist are convicted that they disappear with the clinical remission and will not be present in the remission period of the disorder. But anyway 82% of psychiatrist considers the impact of medication on cognitive deficits as an important factor in the process of medication choice for the patients with depression. Most of respondents do not experience difficulties in relating to this topic both in the sphere of knowledge and everyday practice.

Conclusion: according to psychiatrists cognitive deficits in schizophrenia are secondary to depressive symptoms and are not independent dimension of this disorder, the diaper with the clinical remission regardless the particular medication chosen, but they declare that they take into account the impact of medication on cognitive deficits in the process of choice of particular drug.

Abstract

Introduction: Cognitive deficits constitute an integral part of depressive symptomatology and are mainly considered by practitioners as secondary to typical depressive symptoms. Cognitive impairment is one of the main causes of depressive patients’ poor functioning during the episode of depression and in remission. They are observed already in the first depressive episode and may correlate with the severity of depression and may persist regardless of the improvement of depression during treatment. The aim of the study was to investigate psychiatrist opinions and practice in the treatment of patients with depression in the context of cognitive symptoms in this disorder.

Material and methods: Special questionnaire was designed for the purpose of this study.

Results: 41 psychiatrist (23 women and 14 men, 4 record missed) answered the questionnaire. Respondents we mainly experienced consultant psychiatrists from medium size urban centers. According to 95% of them cognitive deficits are manifested by at least half or most of the patients with depression. All patients with depression are actively questioned by psychiatrist about the cognitive deficits in 28% of cases, and most of them in 59% of cases. Nearly all psychiatrist discuss the cognitive deficits in case of complains of the patients, but 25% of them not in every single case. According to psychiatrist’ opinions cognitive symptoms in depression are secondary to basic depressive, “always” in 57% and in 21% “in half” of the patients, and are not secondary in 21% opinions. Consequently psychiatrist are convicted that they disappear with the clinical remission and will not be present in the remission period of the disorder. But anyway 82% of psychiatrist considers the impact of medication on cognitive deficits as an important factor in the process of medication choice for the patients with depression. Most of respondents do not experience difficulties in relating to this topic both in the sphere of knowledge and everyday practice.

Conclusion: according to psychiatrists cognitive deficits in schizophrenia are secondary to depressive symptoms and are not independent dimension of this disorder, the diaper with the clinical remission regardless the particular medication chosen, but they declare that they take into account the impact of medication on cognitive deficits in the process of choice of particular drug.

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Keywords

depression, cognitive deficits, pharmacotherapy

About this article
Title

Relationships between depression and cognitive deficits in the opinions of psychiatrists

Journal

Psychiatria (Psychiatry)

Issue

Vol 12, No 3 (2015)

Article type

Research paper

Pages

161-168

Bibliographic record

Psychiatria 2015;12(3):161-168.

Keywords

depression
cognitive deficits
pharmacotherapy

Authors

Sławomir Murawiec
Dominika Dudek
Wojciech Datka

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