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Cognitive Dysfunction in Depression: The Sad Forgetfulness

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Detalhes bibliográficos
Resumo:INTRODUCTION: About 30% to 40% of elderly people with depression have a reversible cognitive impairment, commonly referred to as pseudodementia, the treatable condition most often confused with dementia. Our objective was to review the existing evidence on cognitive dysfunction in depression and the main differences in diagnosis, approach, and prognosis, in comparison with dementia.METHODS: Literature review using the following MeSH terms: “Depressive Disorder”, “Cognitive Dysfunction” and “Dementia”.RESULTS AND CONCLUSION: Many situations may present as a cognitive deficit, warranting a complete clinical history and assessment of the independent living skills of the patient. Neurological examination should always be performed, as well as the exclusion of the main organic causes of cognitive impairment. The role of the family doctor is important in the guidance of a patient with memory complaints and depressive symptoms. In some cases, this may imply a multidisciplinary approach between Family Medicine, Psychiatry and Neurology.
Autores principais:Cardoso, Raquel Lobo
Outros Autores:Duarte, Leonor Luz; Monteiro, Ana; Cruz, Vítor Tedim; Vitória-Silva, Joana; Silva, Filipa Ramalho e
Assunto:Depressão Disfunção Cognitiva Perturbação Depressiva Cognition Disorders Depression Depressive Disorder
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:CUF
Idioma:português
Origem:Gazeta Médica
Descrição
Resumo:INTRODUCTION: About 30% to 40% of elderly people with depression have a reversible cognitive impairment, commonly referred to as pseudodementia, the treatable condition most often confused with dementia. Our objective was to review the existing evidence on cognitive dysfunction in depression and the main differences in diagnosis, approach, and prognosis, in comparison with dementia.METHODS: Literature review using the following MeSH terms: “Depressive Disorder”, “Cognitive Dysfunction” and “Dementia”.RESULTS AND CONCLUSION: Many situations may present as a cognitive deficit, warranting a complete clinical history and assessment of the independent living skills of the patient. Neurological examination should always be performed, as well as the exclusion of the main organic causes of cognitive impairment. The role of the family doctor is important in the guidance of a patient with memory complaints and depressive symptoms. In some cases, this may imply a multidisciplinary approach between Family Medicine, Psychiatry and Neurology.