ترجمه مقاله نقش ضروری ارتباطات 6G با چشم انداز صنعت 4.0
- مبلغ: ۸۶,۰۰۰ تومان
ترجمه مقاله پایداری توسعه شهری، تعدیل ساختار صنعتی و کارایی کاربری زمین
- مبلغ: ۹۱,۰۰۰ تومان
ABSTRACT
Cognitive impairment in patients with depression is often overlooked because cognitive deficits and symptoms of depression often overlap. Understanding the neurobiological aspects of cognitive deficits is important, because cognition evolves as a therapeutic target in treating depression. Cognitive symptoms can precede or linger after symptoms of depression, such as sleep, appetite, and affective symptoms, improve. Emerging literature on medications targeting cognition in patients with depression should be considered when clinical decisions are made. Residual cognitive symptoms have been identified as a predictor of poor outcomes when treating depression. Referral to psychiatry should be considered in patients with residual symptoms where diagnosis is unclear.
CONCLUSIONS
Cognitive impairment research, as it relates to depression, is still emerging. Future studies and standards should move toward standardized assessment and evaluation of cognitive outcomes in patients with depression. Multiple serotonin receptors will likely have a role in treating depression, and multiple neurotransmitter interactions involving glutamate and dopamine probably contribute to improving cognitive symptoms of depression. Antidepressant properties that target cognition are an emerging topic that needs further study. Nonpharmacologic strategies should also be entertained. Psychotherapy, the mainstay in treatment for depression, should always be considered in the holistic care of patients suffering from depression. Discussing cognitive deficits and treatment options, including medication, therapy, and referral, with patients such as Hilda is important, considering current evolving evidence. As with all cases of depression, it is important to rule out other causes of depression and cognitive deficits and consider psychiatric referral. A case like hers shows that shared decision making is an ideal strategy for communicating “best practices.”