Effect of Cognitive Behavioral Therapy on Improving the Cognitive Function in Major and Minor Depression

He, Hui-li; Zhang, Ming; Gu, Chuanzheng; Xue, Ranran; Liu, Hongxia; Gao, Cai-feng; Duan, Hongbo

doi:10.1097/nmd.0000000000000954

Cited by 11 publications

(5 citation statements)

References 25 publications

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“…Another study found a brief CBT intervention to be more effective than usual care at reducing illness intrusiveness in patients with chronic obstructive pulmonary disease (Renn et al, 2018). Research has also discovered that CBT can lead to enhancements in cognitive functioning as well as improvements in mood (He et al, 2019), and that improvements in depressive symptoms can lead to improvements in cognitive functioning over time (Douglas & Porter, 2009). Therefore, evidence from research has demonstrated that CBT can be an effective intervention for not only enhancing mood, but also potentially reducing perceived illness intrusiveness and enhancing cognitive functioning.…”

Section: Implications For Treatmentmentioning

confidence: 99%

Illness intrusiveness: A key part of the cognition-mood link in multiple sclerosis.

Vissicchio¹,

Altaras²,

Seng³

et al. 2023

Rehabilitation Psychology

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Purpose: The current study attempted to expand the literature on cognition and mood in MS by determining if illness intrusiveness may potentially serve as an intermediary factor in the wellestablished cognition-mood relationship in people with MS. Method: This study employed a retrospective cross-sectional design to answer this question. Baseline neuropsychological test data and mood questionnaires from 199 participants with clinically definite MS were used in this study. The sample was middle-aged (M = 48.4, SD = 11.8), highly educated (M = 14.6, SD = 2.2), majority female (76.9%) and majority White (74.5%). Assumptions for parametric statistics and ordinary least squares regression were met. Conditional process models evaluated whether illness intrusiveness mediated the relationship between cognitive functioning and psychiatric symptoms. Results: In total, 33.2% of the sample met criteria for clinically significant anxiety, 41.7% met criteria for depression, and 27.8% of the sample met criteria for processing speed impairment, consistent with other MS samples. Illness intrusiveness was found to mediate the relationship between processing speed and depression, ab = À.07, 95% CI [À.15, À.002], processing speed and anxiety, ab = À.06, 95% CI [À.12, À.02], and processing speed and more general mood disturbance, ab = À.08, 95% CI [À.13, À.0005]. Conclusions: Illness intrusiveness was found to be a potential important intermediary mechanism by which the primary cognitive impairment in MS, processing speed, impacts mood in this disease population. Conclusions, treatment implications, and directions for future research in light of these findings were discussed. Impact and ImplicationsProcessing speed is related to mood symptoms in people with MS, and illness intrusiveness is a possible pathway by which slowed processing speed influences mood. A potential explanation for these findings is that processing speed is the most common cognitive impairment in MS, and often affects people earlier in life when people's careers and relationships are less well-established. It will be important for clinicians to assess how cognitive impairment is influencing the lives of people with MS including their relationships, goals, and engagement in recreational activities. Cognitive rehabilitation may be an important treatment recommendation, as improving cognition may be able to reduce the perceived burden of the disease and enhance mood. Cognitive behavioral psychotherapy may be another important recommendation for helping MS patients to view their illness from a new perspective.

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Section: Implications For Treatmentmentioning

confidence: 99%

Illness intrusiveness: A key part of the cognition-mood link in multiple sclerosis.

Vissicchio¹,

Altaras²,

Seng³

et al. 2023

Rehabilitation Psychology

View full text Add to dashboard Cite

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“…Two reviewed studies examined the effects of CBT, with one examining changes in 'cold' functions and the other examining 'hot' neurocognitive processes. He et al (2019) reported the effects of CBT and General Health Education (GHE) versus GHE alone, on a range of neuro cognitive functions in patients with DSM-IV minor or major depression. Neurocognitive function improved over time in both treatment groups, with retesting completed at 12, 24, 36 and 60 weeks.…”

Section: Studies In Patients On Concomitant Medicationmentioning

confidence: 99%

Systematic review of the effects of evidence-based psychotherapies on neurocognitive functioning in mood disorders

Groves

Douglas

Milanovic

et al. 2021

Aust N Z J Psychiatry

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Objective: Neurocognitive impairment is considered a core feature of mood disorders. Research has shown that neurocognitive impairment often persists beyond mood symptom resolution and can have significant deleterious effects on interpersonal relationships, academic achievement, occupational functioning and independent living. As such, neurocognitive impairment has become an important target for intervention. In this systematic review, we aimed to examine the extant literature to ascertain whether current standard evidence-based psychotherapies can improve neurocognitive functioning in mood disorders. Method: Studies examining changes in neurocognitive functioning following evidence-based psychotherapy were identified using MEDLINE, PsycINFO and Web of Science databases. Given the heterogeneity of study procedures, treatment protocols and patient samples, a narrative rather than meta-analytic review technique was employed. Results: Nineteen studies (21 articles) met inclusion criteria. There was preliminary evidence of improved executive functioning following evidence-based psychotherapy for Major Depressive Disorder and Bipolar Disorder. There was also some signal of reduced negative biases in emotional information processing following psychotherapy in depression. Due to methodological variability across studies however, it was difficult to draw clear conclusions. Conclusion: Findings from the current review suggest that evidence-based psychotherapies may influence some aspects of neurocognitive functioning in mood disorders. This continues to be an ongoing area of importance and warrants further research.

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“…According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), major depressive disorder or major depression is described by a group of symptoms affecting a person’s ability to study, eat, sleep, work, and enjoy previous pleasurable activities and is disabling and preventing a person from normal functioning (American Psychiatric Association (APA, 2013)). Moreover, persistent depressive disorder is described by long-term (2 years or longer) symptoms that may not be sufficiently severe to disable a person but can affect functioning or feeling (APA, 2013; He et al, 2019; Vandeleur et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effects of Emotional Intelligence Training on Symptom Severity in Patients With Depressive Disorders

et al. 2022

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Depressive disorders affect individual’s thoughts, feelings, and social interactions. Enhancing emotional competencies of depressed individuals may alleviate their suffering. Purpose: This study aimed to compare depression severity and emotional intelligence before and after emotional intelligence training in patients with depressive disorders. Methods: A nonrandomized trial (one-group pretest–posttest) research design was applied to 69 patients purposively recruited. The patients’ sociodemographic and clinical data were collected. The Beck Depression Inventory-II and Trait Emotional Intelligence Questionnaire-Short Form were completed before and immediately after an 8-weeks of focused weekly group training. Results: A significant improvement in the scores of well-being, self-control, emotionality, and sociability; total emotional intelligence scores; and total depression scores was perceived after training ( Z = 5.601, 4.398, 5.686, and 3.516; 4.943; and 2.387, respectively). Implications for Nursing Practice: As emotional intelligence can be learned; it may be a target for interventions when dealing with patients with depressive disorders by strengthening their emotional intelligence.

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Effect of Cognitive Behavioral Therapy on Improving the Cognitive Function in Major and Minor Depression

Cited by 11 publications

References 25 publications

Illness intrusiveness: A key part of the cognition-mood link in multiple sclerosis.

Illness intrusiveness: A key part of the cognition-mood link in multiple sclerosis.

Systematic review of the effects of evidence-based psychotherapies on neurocognitive functioning in mood disorders

Effects of Emotional Intelligence Training on Symptom Severity in Patients With Depressive Disorders

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