Subjective experiences of neurocognitive functioning in young people with major depression.
Identifieur interne : 000699 ( Main/Exploration ); précédent : 000698; suivant : 000700Subjective experiences of neurocognitive functioning in young people with major depression.
Auteurs : Catherine Morey-Nase [Australie] ; Lisa J. Phillips [Australie] ; Shayden Bryce [Australie] ; Sarah Hetrick [Nouvelle-Zélande] ; Andrea L. Wright [Australie] ; Emma Caruana [Australie] ; Kelly Allott [Australie]Source :
- BMC psychiatry [ 1471-244X ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Trouble dépressif majeur, Troubles neurocognitifs.
- Adolescent, Auto-évaluation diagnostique, Femelle, Humains, Jeune adulte, Mâle.
English descriptors
- KwdEn :
- MESH :
Abstract
BACKGROUND
Research suggests that young people with major depressive disorder (MDD) experience neurocognitive deficits and that these are associated with poorer functional and clinical outcomes. However, we are yet to understand how young people experience such difficulties. The aim of the current study was to explore the subjective experiences of neurocognitive functioning among young people with MDD.
METHODS
Semi-structured qualitative interviews were conducted with 11 young people (aged 17-24 years) attending a specialist clinic for youth experiencing moderate-severe depression. Interview transcripts were analysed via Thematic Analysis to identify patterns and themes representing how young people with MDD subjectively experience neurocognitive deficits.
RESULTS
Five main themes were identified: (1) experience of neurocognitive complaints; (2) relationship between neurocognitive complaints and depression; (3) impact on functioning; (4) strategies and supports; and (5) neurocognitive complaints and treatment. Overall, young people with MDD commonly experienced a range of subjective neurocognitive complaints. These appeared to have a bidirectional relationship with depressive symptomatology and significantly disrupted vocational, social and independent functioning, and aspects of psychological well-being including self-esteem. Neurocognitive difficulties represented an experiential barrier to psychological therapeutic engagement and were perceived as variably responsive to psychotropic medications, highlighting the need for targeted intervention.
DISCUSSION
Neurocognitive difficulties are a common and pervasive experience for young people with MDD, with perceived impacts on depressive symptoms, attitudinal beliefs, everyday functioning and therapeutic engagement. Subjective neurocognitive complaints may therefore contribute to or exacerbate personal challenges faced by young people with MDD and thus, require early identification, consideration in psychological formulation, and treatment. Further research into the mechanisms of neurocognitive impairment in MDD is also needed.
DOI: 10.1186/s12888-019-2197-1
PubMed: 31272419
PubMed Central: PMC6609361
Affiliations:
Links toward previous steps (curation, corpus...)
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Phillips</name><affiliation wicri:level="4"><nlm:affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Bryce, Shayden" sort="Bryce, Shayden" uniqKey="Bryce S" first="Shayden" last="Bryce">Shayden Bryce</name><affiliation wicri:level="1"><nlm:affiliation>Orygen The National Centre of Excellence in Youth Mental Health, Parkville, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen The National Centre of Excellence in Youth Mental Health, Parkville</wicri:regionArea><wicri:noRegion>Parkville</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Hetrick, Sarah" sort="Hetrick, Sarah" uniqKey="Hetrick S" first="Sarah" last="Hetrick">Sarah Hetrick</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Psychological Medicine, University of Auckland, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Wright, Andrea L" sort="Wright, Andrea L" uniqKey="Wright A" first="Andrea L" last="Wright">Andrea L. Wright</name><affiliation wicri:level="4"><nlm:affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Caruana, Emma" sort="Caruana, Emma" uniqKey="Caruana E" first="Emma" last="Caruana">Emma Caruana</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology and Counselling, La Trobe University, Bundoora, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Psychology and Counselling, La Trobe University, Bundoora</wicri:regionArea><wicri:noRegion>Bundoora</wicri:noRegion></affiliation></author><author><name sortKey="Allott, Kelly" sort="Allott, Kelly" uniqKey="Allott K" first="Kelly" last="Allott">Kelly Allott</name><affiliation wicri:level="4"><nlm:affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia. kelly.allott@orygen.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Orygen The National Centre of Excellence in Youth Mental Health, Parkville, Australia. kelly.allott@orygen.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen The National Centre of Excellence in Youth Mental Health, Parkville</wicri:regionArea><wicri:noRegion>Parkville</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia. kelly.allott@orygen.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j">BMC psychiatry</title><idno type="eISSN">1471-244X</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Depressive Disorder, Major (psychology)</term><term>Diagnostic Self Evaluation (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Neurocognitive Disorders (psychology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Auto-évaluation diagnostique (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Trouble dépressif majeur (psychologie)</term><term>Troubles neurocognitifs (psychologie)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Trouble dépressif majeur</term><term>Troubles neurocognitifs</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depressive Disorder, Major</term><term>Neurocognitive Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Diagnostic Self Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Auto-évaluation diagnostique</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Research suggests that young people with major depressive disorder (MDD) experience neurocognitive deficits and that these are associated with poorer functional and clinical outcomes. However, we are yet to understand how young people experience such difficulties. The aim of the current study was to explore the subjective experiences of neurocognitive functioning among young people with MDD.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Semi-structured qualitative interviews were conducted with 11 young people (aged 17-24 years) attending a specialist clinic for youth experiencing moderate-severe depression. Interview transcripts were analysed via Thematic Analysis to identify patterns and themes representing how young people with MDD subjectively experience neurocognitive deficits.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Five main themes were identified: (1) experience of neurocognitive complaints; (2) relationship between neurocognitive complaints and depression; (3) impact on functioning; (4) strategies and supports; and (5) neurocognitive complaints and treatment. Overall, young people with MDD commonly experienced a range of subjective neurocognitive complaints. These appeared to have a bidirectional relationship with depressive symptomatology and significantly disrupted vocational, social and independent functioning, and aspects of psychological well-being including self-esteem. Neurocognitive difficulties represented an experiential barrier to psychological therapeutic engagement and were perceived as variably responsive to psychotropic medications, highlighting the need for targeted intervention.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Neurocognitive difficulties are a common and pervasive experience for young people with MDD, with perceived impacts on depressive symptoms, attitudinal beliefs, everyday functioning and therapeutic engagement. Subjective neurocognitive complaints may therefore contribute to or exacerbate personal challenges faced by young people with MDD and thus, require early identification, consideration in psychological formulation, and treatment. Further research into the mechanisms of neurocognitive impairment in MDD is also needed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31272419</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>17</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-244X</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>07</Month><Day>04</Day></PubDate></JournalIssue><Title>BMC psychiatry</Title><ISOAbbreviation>BMC Psychiatry</ISOAbbreviation></Journal><ArticleTitle>Subjective experiences of neurocognitive functioning in young people with major depression.</ArticleTitle><Pagination><MedlinePgn>209</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12888-019-2197-1</ELocationID><Abstract><AbstractText Label="BACKGROUND">Research suggests that young people with major depressive disorder (MDD) experience neurocognitive deficits and that these are associated with poorer functional and clinical outcomes. However, we are yet to understand how young people experience such difficulties. The aim of the current study was to explore the subjective experiences of neurocognitive functioning among young people with MDD.</AbstractText><AbstractText Label="METHODS">Semi-structured qualitative interviews were conducted with 11 young people (aged 17-24 years) attending a specialist clinic for youth experiencing moderate-severe depression. Interview transcripts were analysed via Thematic Analysis to identify patterns and themes representing how young people with MDD subjectively experience neurocognitive deficits.</AbstractText><AbstractText Label="RESULTS">Five main themes were identified: (1) experience of neurocognitive complaints; (2) relationship between neurocognitive complaints and depression; (3) impact on functioning; (4) strategies and supports; and (5) neurocognitive complaints and treatment. Overall, young people with MDD commonly experienced a range of subjective neurocognitive complaints. These appeared to have a bidirectional relationship with depressive symptomatology and significantly disrupted vocational, social and independent functioning, and aspects of psychological well-being including self-esteem. Neurocognitive difficulties represented an experiential barrier to psychological therapeutic engagement and were perceived as variably responsive to psychotropic medications, highlighting the need for targeted intervention.</AbstractText><AbstractText Label="DISCUSSION">Neurocognitive difficulties are a common and pervasive experience for young people with MDD, with perceived impacts on depressive symptoms, attitudinal beliefs, everyday functioning and therapeutic engagement. Subjective neurocognitive complaints may therefore contribute to or exacerbate personal challenges faced by young people with MDD and thus, require early identification, consideration in psychological formulation, and treatment. Further research into the mechanisms of neurocognitive impairment in MDD is also needed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Morey-Nase</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Phillips</LastName><ForeName>Lisa J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bryce</LastName><ForeName>Shayden</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Orygen The National Centre of Excellence in Youth Mental Health, Parkville, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hetrick</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wright</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caruana</LastName><ForeName>Emma</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Psychology and Counselling, La Trobe University, Bundoora, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allott</LastName><ForeName>Kelly</ForeName><Initials>K</Initials><Identifier Source="ORCID">0000-0002-0640-4634</Identifier><AffiliationInfo><Affiliation>Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia. kelly.allott@orygen.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Orygen The National Centre of Excellence in Youth Mental Health, Parkville, Australia. kelly.allott@orygen.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia. kelly.allott@orygen.org.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Psychiatry</MedlineTA><NlmUniqueID>100968559</NlmUniqueID><ISSNLinking>1471-244X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003865" MajorTopicYN="N">Depressive Disorder, Major</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059026" MajorTopicYN="Y">Diagnostic Self Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019965" MajorTopicYN="N">Neurocognitive Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Depression</Keyword><Keyword MajorTopicYN="Y">Functioning</Keyword><Keyword MajorTopicYN="Y">Neurocognition</Keyword><Keyword MajorTopicYN="Y">Qualitative study</Keyword><Keyword MajorTopicYN="Y">Subjective experience</Keyword><Keyword MajorTopicYN="Y">Well-being</Keyword><Keyword MajorTopicYN="Y">Youth</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>01</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>06</Month><Day>25</Day></PubMedPubDate><PubMedPubDate 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uniqKey="Allott K" first="Kelly" last="Allott">Kelly Allott</name><name sortKey="Bryce, Shayden" sort="Bryce, Shayden" uniqKey="Bryce S" first="Shayden" last="Bryce">Shayden Bryce</name><name sortKey="Bryce, Shayden" sort="Bryce, Shayden" uniqKey="Bryce S" first="Shayden" last="Bryce">Shayden Bryce</name><name sortKey="Caruana, Emma" sort="Caruana, Emma" uniqKey="Caruana E" first="Emma" last="Caruana">Emma Caruana</name><name sortKey="Phillips, Lisa J" sort="Phillips, Lisa J" uniqKey="Phillips L" first="Lisa J" last="Phillips">Lisa J. Phillips</name><name sortKey="Wright, Andrea L" sort="Wright, Andrea L" uniqKey="Wright A" first="Andrea L" last="Wright">Andrea L. Wright</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Hetrick, Sarah" sort="Hetrick, Sarah" uniqKey="Hetrick S" first="Sarah" last="Hetrick">Sarah Hetrick</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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