Evidence map›Paper›PMID 40754805›Full record

Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Effectiveness of cognitive remediation in subjects with major depressive disorder: A multicenter randomized controlled study in a real-world setting.

Stefano Barlati, Gabriele Nibbio, Antonello Bellomo, Bernardo Carpiniello, Cristina Colombo, Serafino De Giorgi, Giacomo Deste, Giuseppe Maina, Giovanni Martinotti, Alfonso Tortorella and 7 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Stefano BarlatiDepartment of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-1784-3915
Gabriele NibbioDepartment of Clinical and Experimental Sciences, https://ror.org/02q2d2610University of Brescia, Brescia, Italy.
Antonello BellomoDepartment of Clinical and Experimental Medicine, https://ror.org/01xtv3204University of Foggia, Foggia, Italy.ORCID https://orcid.org/0000-0002-0642-0802
Bernardo CarpinielloSection of Psychiatry, Department of Medical Sciences and Public Health, https://ror.org/003109y17University of Cagliari, Cagliari, Italy.ORCID https://orcid.org/0000-0002-5385-7871
Cristina ColomboDepartment of Clinical Neurosciences, University Vita-Salute San Raffaele, Milan, Italy.
Serafino De GiorgiDepartment of Mental Health, ASL Lecce, Lecce, Italy.
Giacomo DesteDepartment of Clinical and Experimental Sciences, https://ror.org/02q2d2610University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0001-9392-4015
Giuseppe MainaDepartment of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.ORCID https://orcid.org/0000-0002-2533-140X
Giovanni MartinottiDepartment of Neurosciences, Imaging and Clinical Sciences, Università degli Studi G. D'Annunzio, Chieti, Italy.
Alfonso TortorellaDepartment of Psychiatry, University of Perugia, Perugia, Italy.
Gabriele Di SalvoDepartment of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.
Mario LucianoDepartment of Psychiatry, University of Campania "L.Vanvitelli", Naples, Italy.ORCID https://orcid.org/0000-0002-4338-1371
Federica PinnaSection of Psychiatry, Department of Medical Sciences and Public Health, https://ror.org/003109y17University of Cagliari, Cagliari, Italy.
Antonio VentriglioDepartment of Clinical and Experimental Medicine, https://ror.org/01xtv3204University of Foggia, Foggia, Italy.ORCID https://orcid.org/0000-0002-3934-7007
Andrea FiorilloDepartment of Psychiatry, University of Campania "L.Vanvitelli", Naples, Italy.ORCID https://orcid.org/0000-0002-6926-0762
Antonio VitaDepartment of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy.
CogRemMDD Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment represents a central component of major depressive disorder (MDD), affecting a large proportion of people living with MDD and showing a consistent negative impact on social, interpersonal, and occupational functioning and subjective quality of life. Cognitive remediation (CR) is a training-based psychosocial intervention targeting cognitive performance and psychosocial functioning that has shown consistent evidence of effectiveness in individuals with schizophrenia and that could provide significant benefits also in people with MDD: this study aimed to assess the effects of a computerized CR intervention in adults living with MDD.

methodsParticipants recruited in this single blind multicentric randomized controlled trial were allocated to receive a computerized CR intervention delivered by an active and trained therapist or to an active control condition (computer games - CG). Outcomes were measured with validated instruments by blind assessors and included cognitive performance, depressive symptoms, and psychosocial functioning. Outcomes were assessed using mixed models for repeated measures, considering baseline and end-of-treatment scores.

resultsHundred and one participants (CR=52 and CG=49) were included and 81 (CR=45 and CG=36) completed the study. CR produced superior results in clinician-rated depressive symptoms (

conclusionsCR represents an effective intervention in MDD, improving clinical outcomes and cognitive performance in a clinician-rated and in a subjective manner, which should be more consistently implemented in clinical practice and included in MDD treatment recommendations.

Indexed as

Cognitive DysfunctionCognitive RemediationMajor Depressive DisorderOutcome Assessment, Health CareTherapy, Computer-AssistedAdultFemaleHumansMaleMiddle AgedPsychosocial FunctioningSingle-Blind Methodcognitioncognitive rehabilitationcognitive remediationcognitive trainingdepressionRCT

Identifiers

PMID40754805
PMCPMC12438982

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.