PSYC 235 Lecture Notes - Lecture 4: Major Depressive Episode, Cognitive Disorder, Executive Functions
Document Summary
Clinical remission does not equal return to functioning. Functional deficits are persistent across several domains and are a primary complain among patients. Cognitive impairment precedes, persists past, and predicts depressive episodes. Cognition, and as a consequence, functioning, can be improved in depression. Remission doesn"t always feel like remission in mdd. On the ham-d index remission is getting a score less than or equal to 7: with this way of measurement remission is about 50/50. When people self reported whether they felt they were in remission or not it was about 55 yes, 45 no. Severity of depression poorly associated with work performance. Depressed and improved group have must more deficits in job performance when compared to control. Conclusion: symptom recovery doesn"t mean better job performance. All of the above come together to affect everyday functions. Cognitive symptoms are prevalent and persistent in depression. 94% of time patients present with cognitive symptoms during major depressive episode.