Undoubtedly, adopting a symptom-oriented rather than a purely diagnostic-based approach is essential for optimisation of depression treatments as Stefan Gold and Christian Otte suggest in their Correspondence. Symptoms do not respond equally to interventions and, indeed, research on their trajectories seems to be the way forward in precision psychiatry. However, both diagnostic (eg, DSM) and scale (eg, Montgomery-Åsberg Depression Rating Scale) instruments that are used to determine the presence of these symptoms usually restrict the assessment of cognition to one item, which could be summarised as a subjective report of impaired concentration or indecisiveness ().

中文翻译：

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情感和认知症状对抑郁症缓解的不同影响-作者的回复。

毫无疑问，如Stefan Gold和Christian Otte在他们的通讯中所建议的那样，采用以症状为导向而不是纯粹基于诊断的方法对于优化抑郁症治疗至关重要。症状对干预的反应不同，实际上，对它们的运动轨迹的研究似乎是精确精神病学的发展方向。但是，用于确定是否存在这些症状的诊断（例如DSM）和量表（例如Montgomery-Åsberg抑郁量表）通常将认知评估限制为一项，可以概括为一个主观报告。注意力不集中或优柔寡断（）。