Depression
Medical Authors: Roxanne Dryden-Edwards, MD and Dennis Lee, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR
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Women and Depression
Medical Author: Carolyn Janet Crandall, MD, FACP
Medical Editor: William C. Shiel Jr., MD, FACP,
FACR
 Depression is a complex matter. In recent years, with burgeoning research progress, we are finding out that depression is much more common than many of us thought. At least 15% (and likely more) of women take an antidepressant during their lifetime. Depression is much more common in women than in men, but the reason for this female predominance is unclear.
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What is a depressive disorder?
Depressive disorders have been with mankind since the beginning of recorded history. In the Bible, King David, as well as Job, suffered from this affliction. Hippocrates referred to depression as melancholia, which literally means black bile. Black bile, along with blood, phlegm, and yellow bile were the four humors (fluids) that described the basic medical physiology theory of that time. Depression, also referred to as clinical depression, has been portrayed in literature and the arts for hundreds of years, but what do we mean today when we refer to a depressive disorder? In the 19th century, depression was seen as an inherited weakness of temperament. In the first half of the 20th century, Freud linked the development of depression to guilt and conflict. John Cheever, the author and a modern sufferer of depressive disorder, wrote of conflict and experiences with his parents as influencing his development of depression.
In the 1950s and 60s, depression was divided into two types, endogenous
and neurotic. Endogenous means that the depression comes from within the body,
perhaps of genetic origin, or comes out of nowhere. Neurotic or reactive
depression has a clear environmental precipitating factor, such as the death of
a spouse, or other significant loss, such as the loss of a job. In the 1970s
and 80s, the focus of attention shifted from the cause of depression to its
effects on the afflicted people. That is to say, whatever the cause in a
particular case, what are the symptoms and impaired functions that experts can
agree make up a depressive disorder? Although there is some argument even today
(as in all branches of medicines), most experts agree that:
- A depressive disorder is a syndrome (group of symptoms) that reflects a
sad and/or irritable mood exceeding normal sadness or grief. More specifically, the sadness of
depression is characterized by a greater intensity and duration and by more
severe symptoms and functional disabilities than is normal.
- Depressive signs and symptoms are characterized not only by negative thoughts, moods, and behaviors but also by specific changes in bodily functions (for example, crying spells, body aches, low energy or libido, as well as problems with eating, weight, or sleeping). The functional changes of clinical depression are often called neurovegetative signs. This means that the nervous system changes in the brain cause many physical symptoms that result in diminished activity and participation.
- Certain people with depressive disorder, especially bipolar depression
(manic depression),
seem to have an inherited vulnerability to this condition.
- Depressive disorders are a huge public-health problem, due to its affecting millions of people.
- The statistics on the costs due to depression in the United States include huge amounts of direct costs, which are for treatment, and indirect costs, such as lost productivity and absenteeism.
- In a major medical study, depression caused significant problems in the
functioning of those affected more often than did arthritis, hypertension,
chronic lung disease, and diabetes, and in two categories of problems, as often
as coronary artery disease.
- Depression can increase the risks for developing coronary artery disease,
HIV, asthma, and some other medical illnesses. Furthermore, it can increase the
morbidity (illness/negative health effects) and mortality (death) from these conditions.
- Depression is usually first identified in a primary-care setting, not in a
mental health practitioner's office. Moreover, it often assumes various
disguises, which causes depression to be frequently underdiagnosed.
- In spite of clear research evidence and clinical guidelines regarding
therapy, depression is often undertreated. Hopefully, this situation can change
for the better.
- For full recovery from a mood disorder, regardless of whether there is a
precipitating factor or it seems to come out of the blue, treatment with
medication and/or electroconvulsive therapy (ECT) (see discussion below) and
psychotherapy are necessary.
Next: What are the types of depression and their symptoms? »
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