memory and depression tute 1 Flashcards
Types of Depression
-Reactive
-Major Depressive Disorder / Major
Depressive Episode
-Persistent Depressive Disorder
-Bipolar Disorder
signs/symptoms
- Lowered Mood
- Behavioural Changes
- Sleeping less/more
- Eating less/more
- Increased lethargy
- Psychomotor retardation
Epidemiology
-Approximately 15% -20% of individuals will suffer from depression at some point in their lifetime -Depression is best treated with a combination of pharmacological and non -pharmacological treatment
Cognitive Effects of Depression
-Cognition is usually normal, or near normal
-Some depressed individuals experience
genuine cognitive difficulties Information processing speed
-Memory
-Attention
-Reasoning
Depression Related Dementia (DRD)
-Typically occurs in elderly patients Can be misdiagnosed as Alzheimer’s disease or other age-related diseases -Characterised by: Withdrawal of interest Psychomotor retardation Laboured thinking Impaired cognition
The memory symptoms of DRD
-Information processing speed Slowed Attention Poor sustained attention Preoccupied with depressive themes Reasoning Impaired working memory
DRD symptoms continued
-Anterograde memory Impaired new learning with very flattened learning curve Impaired delayed recall Recognition memory is relatively intact -Retrograde memory Impairments can occur Can experience temporal confusion
DRD vs. other memory disorders:
Brain Areas Responsible
-Memory impairments not suggestive of temporal lobe dysfunction
-More consistent with:
Reduced encoding due to attention deficits
Impaired retrieval due to frontal lobe
dysfunction
neuroimaging in DRD
-No structural changes
evident
-Functional imaging reveals some changes
Generalised reduction in function
Often particular reduction in frontal lobe and cingulate
regions
Often see functional reduction in subcortical region
DRD Recovery
-Cognition improves with successful treatment of depression
-Traditionally considered full recovery would occur
-Emerging evidence that neurotransmitter
‘imbalances’ in chronic depression might cause permanent changes to underlying neural structures
?Permanent mild memory difficulties