Depression
Contents
Depression medically encompasses a large variety of different mood disorders whose common features are a sad, empty, or irritable mood co-occurring with bodily and cognitive changes that significantly disrupt an individual's ability to function.1These different mood disorders have different durations, timing, or presumed origin. However, differentiating normal sadness/grief from a depressive episode requires a careful and meticulous examination. For example: the death of a loved one may cause great suffering, but it does not typically produce a medically defined depressive episode.1
Within the context of psychoactive substance usage, depressivity is often accompanied by other coinciding effects such as anxiety, irritability and dysphoria. It is most commonly induced through prolonged chronic stimulant or depressant use, during the withdrawal symptoms of almost any substance, or during the comedown/crash of a stimulant. It is associated specifically with higher alcohol consumption.4However, it is worth noting that substance-induced depressivity is often much shorter lasting than clinical depression, usually subsiding once the effects or withdrawal symptoms of a drug have ended.
If you suspect that you are experiencing symptoms of depression, it is highly recommended to seek out therapeutic medical attention and/or a support group. Additionally, you may want to read our depression reduction effect and Psychedelic Therapy review.
It is worth noting that depression as an effect has an unfortunately non-specific definition. It is due to this that there are a number of other relevant terms which should be taken into account when trying to understand this state of mind. These are listed and described below:
Depressivity
Depressivity is medically recognized as feelings of being intensely sad, miserable, and/or hopeless. Some patients describe an absence of feelings and/or dysphoria; difficulty recovering from such moods; pessimism about the future; pervasive shame and/or guilt; feelings of inferior self-worth; and thoughts of suicide and suicidal behavior.2Depressive symptoms may include fatigue, lack of ability to concentrate, or significant changes in weight or sleep.3Major Depressive Disorder
Major Depressive Disorder (MDD) is medically recognized as discrete episodes of depressivity lasting at least two weeks (although most episodes last considerably longer).1This is the traditional characterization for the term medical term depression.
Dysthymia
Dysthymia is medically recognized as a chronic major depressive disorder and is typically diagnosed after two years of continued mood disturbance.12
Acute depressivity
Acute depressivity (colloquially referred to as "feeling depressed"), when indicated by either self-report or observation made by others, encompasses the following symptoms:
- Feeling intensely sad, miserable, and/or hopeless along with pessimism about the future.
- Anhedonia: a markedly diminished interest or pleasure in all, or almost all, activities.
- Unintentional weight losses and gains.
- Inability to sleep or sleeping too much.
- Restlessness or feeling slowed down.
- Intense fatigue or loss of energy.
- Feelings worthless or excessive/inappropriate guilt (which may be delusional)
- Diminished ability to think/concentrate, or indecisiveness.
- Recurrent thoughts of death (not just fear of dying).
- Recurrent suicidal ideation: without a specific plan, having a plan, or a suicide attempt.
For a diagnosis of major depressive disorder to be accurate, the symptoms must cause readily observable distress or impairment in social, occupational, or other important areas of functioning for an extended period of time. The episode must not be better explained by a different mood disorder. The symptoms also cannot be attributable to the physiological effects of a substance or another medical condition.
Analysis
References
See Also
External Links
Citations
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
- Dowlati, Y., Herrmann, N., Swardfager, W., Liu, H., Sham, L., Reim, E. K., & Lanctôt, K. L. (2010). A meta-analysis of cytokines in major depression. Biological psychiatry, 67(5), 446-457.
- Conner, K. R., Pinquart, M., & Gamble, S. A. (2009). Meta-analysis of depression and substance use among individuals with alcohol use disorders. Journal of substance abuse treatment, 37(2), 127-137.
- Sullivan, P. F., Neale, M. C., & Kendler, K. S. (2000). Genetic epidemiology of major depression: review and meta-analysis. American Journal of Psychiatry, 157(10), 1552-1562.
- Risch, N., Herrell, R., Lehner, T., Liang, K. Y., Eaves, L., Hoh, J., ... & Merikangas, K. R. (2009). Interaction between the serotonin transporter gene (5-HTTLPR), stressful life events, and risk of depression: a meta-analysis. Jama, 301(23), 2462-2471.
- Howren, M. B., Lamkin, D. M., & Suls, J. (2009). Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis. Psychosomatic medicine, 71(2), 171-186.
- Cuijpers, P., & Smit, F. (2002). Excess mortality in depression: a meta-analysis of community studies. Journal of affective disorders, 72(3), 227-236.
- Rock, P. L., Roiser, J. P., Riedel, W. J., & Blackwell, A. D. (2014). Cognitive impairment in depression: a systematic review and meta-analysis. Psychological medicine, 44(10), 2029.
- Videbech, P., & Ravnkilde, B. (2004). Hippocampal volume and depression: a meta-analysis of MRI studies. American Journal of Psychiatry, 161(11), 1957-1966.
- McDermott, L. M., & Ebmeier, K. P. (2009). A meta-analysis of depression severity and cognitive function. Journal of affective disorders, 119(1-3), 1-8.
- Burke, H. M., Davis, M. C., Otte, C., & Mohr, D. C. (2005). Depression and cortisol responses to psychological stress: a meta-analysis. Psychoneuroendocrinology, 30(9), 846-856.
- Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Archives of internal medicine, 166(21), 2314-2321.
- Eyre, H. A., Air, T., Pradhan, A., Johnston, J., Lavretsky, H., Stuart, M. J., & Baune, B. T. (2016). A meta-analysis of chemokines in major depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 68, 1-8.
- Sen, S., Duman, R., & Sanacora, G. (2008). Serum brain-derived neurotrophic factor, depression, and antidepressant medications: meta-analyses and implications. Biological psychiatry, 64(6), 527-532.
- Kvam, S., Kleppe, C. L., Nordhus, I. H., & Hovland, A. (2016). Exercise as a treatment for depression: a meta-analysis. Journal of affective disorders, 202, 67-86.