The authors examined the effect of antidepressant treatment on cognitive pe
rformances in people with mild traumatic brain injury. An 8-week nonrandomi
zed, single-blind placebo run-in trial of sertraline was completed and neur
opsychological testing measures were compared before and after the treatmen
t trial. Results showed improvements in psychomotor speed, recent verbal me
mory, recent visual memory, and general cognitive efficiency. Improvements
were also seen in self-perception of cognitive symptomatology. it appears t
hat successful depression treatment resulted in significant alleviation of
cognitive impairments, which may not have been accounted for by natural rec
overy alone.