Conclusions
depressive thoughts, cognitive distortions, cognitive distortion, depressive symptoms, MDD, depression
DTS, RECURRENCES, RECURRENCE
Our findings contribute to the literature by generating new information regarding the mediation role of depressive thoughts on depression. It was found that the presence of cognitive distortions was linked to depressive symptoms, and this relationship was partially explained by the DTS scale. Future research should investigate whether cognitive distortions can serve as a predictive marker to identify which patients are more likely to respond favorably to specific types of treatment (e.g., pharmacological, neuromodulation, or psychological treatment) in order to prevent recurrences and control polymorphisms. Early detection and treatment of depressive symptoms are crucial for preventing depression. Follow-up studies to identify factors that can contribute to a higher risk of recurrence than those with lower levels of distortion are recommended. We believe that studies comparing euthymic and symptomatic states in the same patient can also provide valuable insights in this field. Overall, we conclude that incorporating a cognitive distortion evaluation into the treatment plan may be advantageous in achieving better treatment outcomes in MDD.