دانلود رایگان مقاله انگلیسی نقص شناختی در بیماران مبتلا به افسردگی - الزویر 2018

عنوان فارسی
نقص شناختی در بیماران مبتلا به افسردگی
عنوان انگلیسی
Cognitive Deficits in Patients With Depression
صفحات مقاله فارسی
0
صفحات مقاله انگلیسی
10
سال انتشار
2018
نشریه
الزویر - Elsevier
فرمت مقاله انگلیسی
PDF
نوع مقاله
ISI
نوع نگارش
مقالات پژوهشی (تحقیقاتی)
رفرنس
دارد
پایگاه
اسکوپوس
کد محصول
E10078
رشته های مرتبط با این مقاله
روانشناسی، پزشکی
گرایش های مرتبط با این مقاله
روانشناسی شناخت، روانپزشکی
مجله
مجله برای کارورزان پرستاری - Journal for Nurse Practitioners
دانشگاه
Robert Morris University - Moon Township - PA
کلمات کلیدی
شناخت و افسردگی، آزمایش برای نقص شناختی، حوزه های شناختی افسردگی، درمان نقص شناختی در بیماران مبتلا به افسردگی، نوروبیولوژی نقص های شناختی در بیماران مبتلا به افسردگی
doi یا شناسه دیجیتال
https://doi.org/10.1016/j.nurpra.2018.03.006
چکیده

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.

نتیجه گیری

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.”


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