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Self-Evaluation of Memory Functioning in Depressed Patients During a Symptomatic Episode and After Recovery

Published online by Cambridge University Press:  16 April 2020

E. Biringer
Affiliation:
Division of Psychiatry, Helse Fonna HF, Haugesund, Norway Section of Psychiatry, University of Bergen, Bergen, Norway
K. Sundet
Affiliation:
Department of Psychology, University of Oslo, Oslo, Norway
A. Lund
Affiliation:
Section of Psychiatry, University of Bergen, Bergen, Norway

Abstract

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Objective:

Depressed patients tend to under-estimate their everyday memory function. Whether this under-estimation is related to the depressive state, or whether it represents underlying personality traits present also between or after depressive episodes, is not clear.

Methods:

Comparisons of subjective memory evaluation as measured by the Everyday Memory Questionnaire (EMQ) were made between sub-groups with Current Depression (N=14), Previous Depression (N=19), and Healthy Controls (N=10). Analyses were adjusted for effects of sociodemographic variables, use of medication, and premorbid intellectual abilities (Similarities sub-test (WASI)). To assess the relationship between affective state and subjective memory function irrespective of actual memory performance, adjustment for objective memory performance as represented by the Total recall sub-task from CVLT and Long-delayed free recall from RCFT was included in a final step in the ANCOVA model.

Results:

The overall crude relationship between group and EMQ total score was significant (F(2,40)=4.11, p=0.011, eta sq.= .17). In posthoc follow-up tests, the Currently Depressed reported significantly lower on EMQ than both Previously Depressed and Controls (Dunnett's C test, p= .018 and p= .034, respectively). However, after adjustment for relevant confounders and mediators, both the Previously and Currently Depressed performed significantly worse on EMQ compared to Controls (overall ANCOVA F(2,33)=9.22, p= .001, eta sq.= .36; pairwise follow-ups p= .001 and p= .011, respectively).

Conclusion:

Depressed patients’ under-estimation of their memory function is independent of mood state and it may represent a vulnerability or personality structure involving negative cognitive patterns that may be successfully targeted by cognitive therapy.

Type
P01-229
Copyright
Copyright © European Psychiatric Association 2009
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