Faust Kyle, Nelson Brady D, Sarapas Casey, Pliskin Neil H
a Department of Psychology , University of Rhode Island , Kingston , RI , USA.
b Department of Psychology , Stony Brook University , Stony Brook , NY , USA.
Appl Neuropsychol Adult. 2017 Jul-Aug;24(4):350-356. doi: 10.1080/23279095.2016.1185426. Epub 2016 Jun 7.
There is strong evidence that depression is associated with neuropsychological deficits across multiple domains. However, research on this topic has spanned a variety of measures with different psychometric properties and normative samples, which prevents drawing definitive conclusions about the pattern of neuropsychological deficiencies. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a brief neurocognitive battery that is routinely used in clinical settings and provides co-normed measures of attention, language, memory, and visuospatial/constructional skills. The present study examined the association between depression and RBANS performance in a sample of 66 18-65 year-old adults who completed a neuropsychological evaluation at an outpatient clinic. Results indicated that depressed participants, relative to controls, demonstrated poorer performance in immediate and delayed memory, attention, and visuospatial/constructional abilities, and the four domains were diminished to a similar degree. These results were replicated using a continuous measure of depression symptoms. In addition, the association between depression and delayed memory was at least partially due to current psychotropic medication. The present study suggests that the RBANS is sensitive to the neuropsychological deficits typically found in depression, such that mild to moderate depression in adult outpatients is associated with comparable deficits in attention, memory, and visuospatial/constructional abilities.
有充分证据表明,抑郁症与多个领域的神经心理缺陷有关。然而,关于这一主题的研究涉及各种具有不同心理测量特性和常模样本的测量方法,这使得难以就神经心理缺陷的模式得出明确结论。可重复神经心理状态评估量表(RBANS)是一种简短的神经认知量表,常用于临床环境,可提供注意力、语言、记忆以及视觉空间/构建技能的共同常模测量。本研究在66名年龄在18至65岁之间、在门诊完成神经心理评估的成年人样本中,考察了抑郁症与RBANS表现之间的关联。结果表明,与对照组相比,抑郁参与者在即时和延迟记忆、注意力以及视觉空间/构建能力方面表现较差,且这四个领域的能力下降程度相似。使用抑郁症症状的连续测量方法重复了这些结果。此外,抑郁症与延迟记忆之间的关联至少部分归因于当前的精神药物治疗。本研究表明,RBANS对抑郁症中常见的神经心理缺陷敏感,即成人门诊患者中的轻度至中度抑郁症与注意力、记忆以及视觉空间/构建能力方面的类似缺陷有关。