Depression

What Is Depression?

Depression is a complex disorder, involving many systems of the body, including the immune system, either as cause or effect. It disrupts sleep and it interferes with appetite, in some cases causing weight loss, in others weight gain. Because of its complexity, a full understanding of depression has been elusive.

According to the World Health Organization, depression is now the leading cause of disability worldwide. Globally, more than 300 million people of all ages suffer from depression.

Depression comes in many forms—from major depression to dysthymia and seasonal affective disorder. In addition, depressive episodes are features of bipolar disorder.

Depression is often accompanied by anxiety. Research indicates that not only do the two conditions co-occur but that they overlap in genetic vulnerability patterns.

Scientists have some evidence that depression susceptibility is also related to diet, both directly—through inadequate consumption of nutrients such as omega-3 fats—and indirectly, through the variety of bacteria that populate the gut. Of course, depression involves mood and thoughts as well as the body, and it causes pain for both those with the disorder and those who care about them. Depression is increasingly common in children.

Even in the most severe cases, depression is highly treatable. The condition is often cyclical, and early treatment may prevent or forestall recurrent episodes.

Many studies show that the most effective treatment is cognitive-behavioral therapy, which addresses problematic thought patterns, with or without the use of antidepressant drugs. In addition, evidence is quickly accumulating that regular mindfulness meditation, on its own or combined with cognitive therapy, can stop depression before it starts by effectively disengaging attention from the repetitive negative thoughts that often set in motion the downward spiral of mood. 

For more on causes, symptoms, and treatments of depressive disorders, see our Diagnosis Dictionary. 

What Are the Signs of Depression?

Not everyone who is depressed experiences every symptom. Some people experience a few symptoms, some many. The severity of symptoms varies among individuals and also varies over time.

Depression often involves persistent sad, anxious, or empty mood, feelings of hopelessness or pessimism, and feelings of guilt, worthlessness, or helplessness. It can also involve loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex. Decreased energy, fatigue, or a sense of being “slowed down” are also common, as are restlessness, irritability, and difficulty concentrating, remembering, or making decisions. Many with depression have thoughts of death or suicide.

People with depression may experience disruptions in sleep (insomnia, early-morning awakening or oversleeping) and in eating behavior (appetite changes, weight loss or gain).

Persistent physical symptoms may include headaches, digestive disorders, and chronic pain.

depression
depression

What Causes Depression?

There is no single known cause of depression. Rather, it likely results from a combination of genetic, biological, environmental, and psychological factors. Major negative experiences—trauma, loss of a loved one, a difficult relationship, or any stressful situation that overwhelms the ability to cope—may trigger a depressive episode. Subsequent depressive episodes may occur with or without an obvious trigger.

Depression is not an inherent consequence of negative life events. Research increasingly suggests that it is only when such events set in motion excessive rumination and negative thought patterns, especially about oneself, that mood enters a downward spiral.

Research utilizing brain-imaging technologies, such as magnetic resonance imaging (MRI), shows that the brains of people who have depression look different than those of people without depression. The parts of the brain responsible for regulating mood, thinking, sleep, appetite, and behavior appear to function abnormally. It is not clear which changes seen in the brain may be the cause of depression and which ones the effect.

Some types of depression tend to run in families, suggesting there may be some genetic vulnerability to the disorder.