The neuropsychological profile of psychotic major depression and its relation to cortisol.

Abstract:

BACKGROUND:Our study described the neuropsychological profile of psychotic major depression (PMD) compared to nonpsychotic major depression (NPMD) patients and psychiatrically healthy controls (HC). We predicted that higher cortisol levels would be associated with greater cognitive deficits. METHODS:Twenty-nine PMDs, 24 NPMDs, and 26 HCs were recruited at Stanford University Medical Center. Psychiatric ratings, cortisol levels from 1800-0900 hours, and neuropsychological test data were obtained. RESULTS:PMDs had more severe cognitive impairments compared with NPMDs and HCs with the exception of simple verbal attention. PMDs had elevated mean cortisol levels from 1800 to 0100 hours which were significantly correlated with poorer verbal memory and psychomotor speed performance. Cortisol slopes from 1800 to 0100 hours were also significantly correlated with verbal memory and working memory. CONCLUSIONS:While PMDs' ability to attend passively to information appears intact, they have more difficulty processing, manipulating, and encoding new information. Elevated cortisol levels, as seen in PMD patients, are associated with poorer cognitive performance especially related to verbal memory for lists of words and working memory.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Gomez RG,Fleming SH,Keller J,Flores B,Kenna H,DeBattista C,Solvason B,Schatzberg AF

doi

10.1016/j.biopsych.2005.11.010

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

472-8

issue

5

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(05)01422-8

journal_volume

60

pub_type

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