Depression-related cognitive impairment: possibilities for its pharmacological treatment.

Abstract:

:Depression-related cognitive impairment (DRCI) is a condition which despite its initial treatment response, shows a progressive deterioration. No consistent therapeutic strategies have been proposed to combat this condition. This may be due to a reluctance to treat the cognitively impaired, a failure to recognise the deleterious prognosis or a poor understanding of the likely pathogenesis. Increasing evidence implicates the hypothalamo-pituitary-adrenal (HPA) axis as a key neurobiological determinant of the presentation and course of depression-induced cognitive decline. By utilising agents which control central glucocorticoid hyperactivity over a sustained period, whilst avoiding those agents which may compromise cognitive abilities, there exists a pharmacological strategy which may minimise the morbidity of cognitive impairment related to depressive illness.

journal_name

J Affect Disord

authors

Mitchell AJ,Dening TR

doi

10.1016/0165-0327(95)00070-4

subject

Has Abstract

pub_date

1996-01-22 00:00:00

pages

79-87

issue

3-4

eissn

0165-0327

issn

1573-2517

pii

0165-0327(95)00070-4

journal_volume

36

pub_type

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