Depression
Depression is a common but serious psychiatric disorder that profoundly impacts mood, behavior, and physical health. Characterized by persistent feelings of sadness and a loss of interest in daily activities, it arises from a complex interplay of genetic and environmental factors.
Overview
Depression (also known as major depression or major depressive disorder) is a psychiatric disorder that affects mood, behavior, and overall health. It causes prolonged feelings of sadness, emptiness, or hopelessness, and a loss of interest in activities that were once enjoyed.
People with depression may experience a variety of symptoms, including:
- Changes in appetite (leading to overeating or not eating enough)
- Changes in sleeping patterns (sleeping too much or insomnia)
- Loss of energy
- Difficulty concentrating
- Physical features such as headaches, unexplained aches and pains, unusually slow or fast movements, and digestive problems
To receive a diagnosis of depression, an individual must exhibit signs and symptoms nearly every day for at least 2 weeks. However, the features of this condition vary widely. Depression most commonly begins in late adolescence or early adulthood, though it can appear at any age. If untreated, episodes can last for weeks, months, or years, and can recur. Affected individuals may have difficulty functioning in daily life, school, or work, and have a higher risk of substance abuse and dying by suicide than the general population.
Related Conditions
Several health conditions are closely related to depression or feature it as a characteristic characteristic:
- Dysthymia: Long-lasting symptoms that are similar to, but less severe than, those of major depression.
- Perinatal or postpartum depression: Depression that occurs around or following the birth of a child.
- Seasonal affective disorder: Depression triggered by the changing of the seasons.
- Bipolar disorder: A condition that can include both "highs" (manic episodes) and depressive episodes.
- Generalized anxiety disorder
- Schizoaffective disorder: A condition where depression or another mood disorder occurs alongside features of schizophrenia.
Frequency
Depression is one of the most common mental health disorders in the United States, affecting more than 19 million American adolescents and adults. In 2016, 6.7 percent of adults and 12.8 percent of adolescents reported having at least one episode of depression. The condition is about twice as common in women as in men, which may be related in part to hormonal factors.
Causes & Risk Factors
Depression is known to run in families, suggesting that genetic factors contribute to the risk. However, research into the genetics of depression is in its early stages, and very little is known for certain about its specific genetic basis. Studies suggest that variations in many genes, each having a small effect, combine to increase overall risk.
Determining genetic risk factors is challenging because what is currently classified as "depression" may actually be multiple distinct disorders with similar symptoms but different genetic underpinnings. Additionally, genetic variations related to depression may differ between men and women.
The genes thought to be associated with depression have diverse functions in the brain:
- Some genes may control the production, transport, and activity of chemicals that relay chemical signals, allowing nerve cells (neurons) to communicate with one another.
- Other genes may influence the growth, maturation, and maintenance of neurons, as well as synaptic plasticity—the ability of connections between neurons to change and adapt over time in response to experience.
Environmental Factors
Nongenetic (environmental) factors play critical roles in a person's risk of developing depression. The disorder can be triggered by:
- Substance abuse
- Certain medications
- Stressful life events (such as divorce or the death of a loved one)
- Relationship difficulties or social isolation
- Unemployment or financial problems
- Childhood abuse or neglect
- Physical illnesses, such as cancer, thyroid disease, and chronic pain
It is highly likely that environmental conditions interact with genetic factors to determine an individual's overall risk of developing the disease.
Inheritance
Depression does not have a clear pattern of inheritance in families. People who have a close relative (such as a parent or sibling) with depression appear to have a two to three times greater risk of developing the condition than the general public. However, many people who develop depression have no family history of the disorder, and many with an affected relative never develop it.
Other Names for This Condition
- Clinical depression
- Depressive disorder
- Major depression
- Major depressive disorder
- MDD
- Unipolar depression
