When assessing a patient with severe depression, which of the following would the healthcare provider identify as a cognitive alteration?

Patients diagnosed with depression may experience cognitive, affective, behavioral, or physiological alterations. A somatic delusion, the false belief that the patient has some physical defect or disease (e.g. the patient might think he/she has an internal parasite), is a cognitive alteration associated with depression. The other choices are affective alterations.