Podcast
Questions and Answers
According to DSM-5, which cognitive symptom is identified as a diagnostic criterion for a major depressive episode?
According to DSM-5, which cognitive symptom is identified as a diagnostic criterion for a major depressive episode?
- Increased speed of cognitive processing.
- Improved memory and recall abilities.
- A diminished ability to think or concentrate. (correct)
- Heightened creativity and imagination.
Disturbances in intricate brain circuitry that affect cognition can originate from which of the following levels?
Disturbances in intricate brain circuitry that affect cognition can originate from which of the following levels?
- Nutritional deficiencies affecting neurotransmitter synthesis.
- Atmospheric pressure influencing neuronal firing rates.
- Societal influences on individual thought processes.
- Dysregulation at any point from gene transcription through network communication. (correct)
Besides self-reporting, which method is used to assess cognitive symptoms of depression?
Besides self-reporting, which method is used to assess cognitive symptoms of depression?
- Analysis of handwriting samples.
- Assessment of personal fashion choices.
- Evaluation of interpersonal relationship success.
- Objective neuropsychological tests. (correct)
Which method of cognitive assessment relies on an individual's subjective impression of their cognitive abilities?
Which method of cognitive assessment relies on an individual's subjective impression of their cognitive abilities?
What might cognitive dysfunction in mental illnesses indicate about brain function?
What might cognitive dysfunction in mental illnesses indicate about brain function?
What aspect of cognitive rating would include behavioral observation?
What aspect of cognitive rating would include behavioral observation?
Where might cognitive impairment originate?
Where might cognitive impairment originate?
What type of organization is King's College London?
What type of organization is King's College London?
In the Trail-Making Test, Part B, what does a higher score indicate?
In the Trail-Making Test, Part B, what does a higher score indicate?
Which cognitive domain is most likely to be impaired in patients with depression based on the information provided?
Which cognitive domain is most likely to be impaired in patients with depression based on the information provided?
Which type of cognition is more likely to be associated with antidepressant response?
Which type of cognition is more likely to be associated with antidepressant response?
Which area of the brain is primarily associated with 'cold cognition'?
Which area of the brain is primarily associated with 'cold cognition'?
What is the distinguishing feature of the Trail-Making Test, Part B, compared to Part A?
What is the distinguishing feature of the Trail-Making Test, Part B, compared to Part A?
Which of the following cognitive processes is considered 'cold cognition'?
Which of the following cognitive processes is considered 'cold cognition'?
According to the information, which brain area is associated with processing emotions and is linked to hot cognition?
According to the information, which brain area is associated with processing emotions and is linked to hot cognition?
If a patient takes longer than three minutes to complete the Trail-Making Test Part B, what might this suggest?
If a patient takes longer than three minutes to complete the Trail-Making Test Part B, what might this suggest?
In individuals with Major Depressive Disorder (MDD), what is a common discrepancy observed regarding cognitive function?
In individuals with Major Depressive Disorder (MDD), what is a common discrepancy observed regarding cognitive function?
Why are bedside cognitive function tests like the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) often insufficient for assessing cognitive dysfunction in depression?
Why are bedside cognitive function tests like the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) often insufficient for assessing cognitive dysfunction in depression?
What is the primary benefit of using self-rated cognitive questionnaires in evaluating cognitive abilities?
What is the primary benefit of using self-rated cognitive questionnaires in evaluating cognitive abilities?
In the Digit Symbol Substitution Test (DSST), what cognitive domain is primarily being assessed?
In the Digit Symbol Substitution Test (DSST), what cognitive domain is primarily being assessed?
What is the main purpose of the Rey Auditory Verbal Learning Test (RAVLT)?
What is the main purpose of the Rey Auditory Verbal Learning Test (RAVLT)?
A clinician is evaluating a patient with suspected cognitive impairment related to depression. The patient performs well on the MoCA but reports significant difficulties with memory and concentration. What is the most appropriate next step?
A clinician is evaluating a patient with suspected cognitive impairment related to depression. The patient performs well on the MoCA but reports significant difficulties with memory and concentration. What is the most appropriate next step?
A researcher is designing a study to investigate the effectiveness of a new cognitive training program for individuals with depression. Which combination of cognitive assessments would provide the most comprehensive evaluation of treatment outcomes?
A researcher is designing a study to investigate the effectiveness of a new cognitive training program for individuals with depression. Which combination of cognitive assessments would provide the most comprehensive evaluation of treatment outcomes?
An individual scores poorly on the Digit Symbol Substitution Test (DSST). Which of the following factors could potentially contribute to this result, aside from cognitive impairment?
An individual scores poorly on the Digit Symbol Substitution Test (DSST). Which of the following factors could potentially contribute to this result, aside from cognitive impairment?
Flashcards
Trail-Making Test, Part B
Trail-Making Test, Part B
A test where patients connect circles alternating between numbers and letters.
Executive Function
Executive Function
Executive function involves higher-level cognitive processes like planning, problem-solving, and working memory.
Hot Cognition
Hot Cognition
Cognitive processes influenced by emotion and linked to responses to feedback.
Cold Cognition
Cold Cognition
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MDD Cognitive Discordance
MDD Cognitive Discordance
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Hot Cognition and Mood Disorders
Hot Cognition and Mood Disorders
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Brain areas of Hot Cognition
Brain areas of Hot Cognition
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Bedside Cognitive Tests
Bedside Cognitive Tests
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Brain areas of Cold Cognition
Brain areas of Cold Cognition
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Self-Rated Cognitive Questionnaires
Self-Rated Cognitive Questionnaires
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Digit Symbol Substitution Test
Digit Symbol Substitution Test
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Dorsal Lateral Prefrontal Cortex
Dorsal Lateral Prefrontal Cortex
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RAVLT (Auditory Learning)
RAVLT (Auditory Learning)
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California Auditory Verbal Learning Test
California Auditory Verbal Learning Test
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Immediate Recall
Immediate Recall
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Delayed Recall
Delayed Recall
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Cognitive Impairment
Cognitive Impairment
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Cognitive Domains
Cognitive Domains
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Cognitive Dysfunction in Mental Illnesses
Cognitive Dysfunction in Mental Illnesses
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Cognitive Symptoms in DSM-5
Cognitive Symptoms in DSM-5
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Cognitive Assessment Methods
Cognitive Assessment Methods
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Subjective Cognitive Assessment
Subjective Cognitive Assessment
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Clinician Ratings
Clinician Ratings
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Objective Neuropsychological Tests
Objective Neuropsychological Tests
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Study Notes
- Cognitive impairment is a factor in numerous mental illnesses.
- Brain circuitry disturbances can impair cognitive domains like attention, learning, memory, and processing speed.
- Multiple mental illnesses exhibit cognitive dysfunction due to dysregulation.
- DSM-5 identifies cognitive symptoms as a criteria for major depressive episode diagnosis.
- One diagnostic criterion for depression is "A diminished ability to think or concentrate nearly every day, either by subjective account or observed by others."
- Cognitive symptoms of depression can be assessed through subjective self-reports and objective measures.
- Clinician ratings, interviews, behavioral observation, and objective neuropsychological tests are used in cognitive assessment.
- Subjectively reported symptoms and objectively measured deficits often differ in major depressive disorder (MDD).
- Cognitive function bedside tests like the Mini Mental State Examination and Montreal Cognitive Assessment (MoCA) can assess cognitive impairment.
- These tests are screens for significant cognitive impairments but aren't adequate for the milder cognitive dysfunction in depression.
- Self-rated cognitive questionnaires, like Perceived Deficits Questionnaire, offer insight into a person's subjective experience of their cognitive abilities.
- The Digit Symbol Substitution Test requires matching symbols with digits which measures a speed of processing.
- The score represents the number of correct symbols drawn in 90 seconds, with a maximum score of 93.
- The Auditory Verbal Learning Test (RAVLT) is used to assess immediate and delayed recall.
- Patients with depression perform worse on RAVLT compared to age-matched individuals.
- Executive function, captured by the Trail-Making Test, Part B, involves connecting circles alternating between numbers and letters.
- Results are reported as time to complete; higher scores indicate greater impairment and executive dysfunction.
- In the Trail-Making Test, most people finish in three minutes.
- Hot cognition relates to emotional processing and response to negative feedback.
- Changes in the hot system are linked to antidepressant response and general mood.
- Cold cognition relates to emotion-independent, logical thinking and executive control.
- Hot cognition is linked to the ventral medial prefrontal cortex and emotional processing areas like the amygdala.
- Cold cognition is associated with the dorsolateral prefrontal cortex via the basal ganglia and parietal cortex.
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Description
Cognitive impairment affects attention, learning, memory, and processing speed. Brain circuitry disturbances can cause this impairment. Cognitive symptoms in depression are assessed using self-reports, interviews, and neuropsychological tests.