There are various explanation of unipolar depression. Those are:
The Biological View
Research on genetic factors, biochemical factors, brain
circuits, and the immune system suggests that unipolar depression often has
biological causes.
1. Genetic Factors
Three types of research show that some people may inherit a
predisposition to unipolar depression:
• Family
Pedigree Studies
Around 30% of close relatives of a person with depression
also suffer from it, compared with less than 10% in the general population.
• Twin Studies
If one identical twin has unipolar depression, there is a 38%
chance the other twin has already had or will develop it.
• Gene Studies
Using molecular biology, researchers can identify genes
linked to depression. Studies suggest unipolar depression may be tied to genes
on at least two-thirds of the body’s 23 chromosomes.
2. Biochemical factors
• Neurotransmitters:
Low activity of two neurotransmitter chemicals,
norepinephrine and serotonin, has been strongly linked to unipolar depression..
• hypothalamic-pituitary-adrenal
(HPA) pathway:
If one identical twin has unipolar depression, there is a 38%
chance the other twin has already had or will develop it.
• Hormones:
The hypothalamic-pituitary-adrenal (HPA) pathway is one of
the brain’s stress pathways. In people with depression, pathway is often overly
reactive. As a result, their bodies
release excessive amounts of cortisol and related stress hormones during
stressful situations. Another hormone linked to depression is melatonin, often
called the “Dracula hormone” because it is released only in the dark. High
level of melatonin can lead to depression.
3. Brain Circuits
• Brain
circuits —networks of brain structures that work together, triggering each
other into action and producing a particular kind of emotional or behavioral
reaction. Dysfunction in brain circuit can contribute to unipolar depression.
• Several brain
structures are linked with depression, including the prefrontal cortex,
hippocampus, amygdala, and subgenual cingulate (also called Brodmann Area 25)
• Among
depressed people, activity and blood flow are unusually low in certain parts
and unusually high in other parts of the prefrontal cortex; the hippocampus is
undersized and its production of new neurons is low; activity and blood flow
are high in the amygdala; the subgenual cingulate is particularly small and
active; and the communication, or interconnectivity, between these various
structures is often problematic.
4. The Immune System
• Immune system
dysregulation produce depression.
• It is the
body’s network of activities and body cells that fight off bacteria, viruses,
and other foreign invaders.
• When people
are under intense stress for a while, their immune systems may become
dysregulated, leading to slower functioning of important white blood cells
called lymphocytes and to increased production of pro-inflammatory cytokines,
proteins that spread throughout the body and cause inflammation and various
illnesses.
The Psychological View
The psychological models, such as psychodynamic and
cognitive-behavioral models also explain unipolar depression.
1. Psychodynamic Model
Sigmund Freud (1917) and Karl Abraham (1911, 1916) were the
first to give a psychodynamic explanation of depression. They noticed that
depression looks very similar to grief after losing a loved one.
According to them, when someone loses a loved one, a set of
unconscious processes begins.
At first, the mourner cannot accept the loss and mentally
goes back to the oral stage of development—a time in infancy when the child is
completely dependent on their parents and cannot separate their own identity
from them.
By regressing to this stage, the mourner merges their
identity with the lost loved one, almost as if to keep them alive inside. This
process is called introjection.
During introjection, the mourner directs all feelings about
the loved one—both love and anger—toward themselves. For most people, this is
temporary and they eventually recover. But for some, especially those who did
not have their dependency needs properly met in childhood, the grief deepens
and turns into clinical depression.
Freud also explained that many people get depressed without
losing someone close. He introduced the idea of symbolic (or imagined) loss,
where a person treats other kinds of experiences—such as failure, rejection, or
disappointment—as if they were the loss of a loved one.
2. The Cognitive-Behavioral Model
Cognitive-behavioral theories proposed that unipolar
depression is a results from a combination of problematic behaviors and
dysfunctional ways of thinking. These theories fall into three groups:
A. THE BEHAVIORAL DIMENSION
Psychologist Peter Lewinsohn suggest that depression is
connected to changes in the number of rewards and punishments people experience
in life.
He explained that when life’s positive rewards decrease, some
people start doing fewer productive activities. As the rewards in life
decrease, these people do even fewer constructive activities, which lead to
depression.
Research supports this idea. Studies show that depressed
people usually report receiving fewer positive rewards than non-depressed
people. Also, when their rewards increase, their mood often improves
B. THE COGNITIVE DIMENSION
Psychologist Aaron Beck believed that depression is mainly
caused by negative thinking. He explained that four things that create
depression: maladaptive attitudes, the cognitive triad, errors in thinking, and
automatic thoughts.
• MALADAPTIVE
ATTITUDES:
These are inaccurate attitudes that often start in childhood.
For example, “My worth depends on everything I do perfectly.”
• COGNITIVE
TRIAD:
They think negatively in three main areas:
1. experiences
2. the self
3. the future
• ERRORS IN
THINKING:
Depressed people often make error in their thinking and
logic. For example, they may jump to negative conclusions without enough
evidence.
• AUTOMATIC
THOUGHTS:
They experience a constant stream of negative thoughts,
such as “I’m not good enough” or “My situation is hopeless.” Research
supports Beck’s theory. Studies show that depressed people hold more
maladaptive attitudes and make more errors in thinking than non-depressed
people. They also tend to have stronger automatic thoughts. However, research
also shows that while negative thinking is linked to depression, it may not
always be the root cause. It’s possible that depression itself creates mood
problems first, which then lead to negative thinking, making the condition
worse.
C. THE COGNITIVE-BEHAVIORAL INTERPLAY
According to psychologist Martin Seligman (1975), feelings of
helplessness are at the center of depression.
It holds that people become depressed when they think:
(1) that they no longer have control over the reinforcements
(the rewards and punishments) in their lives, and (2) that they themselves are
responsible for this helpless state. The learned helplessness explanation of
depression has been revised somewhat over the past several decades.
THE ATTRIBUTION-HELPLESSNESS THEORY: when people view events
as beyond their control, they ask themselves why this is so.
The Socio-cultural View
Sociocultural theorists propose that unipolar depression is
influenced by the social context that surrounds people. There are two kinds of sociocultural views —
the family-social perspective and the multicultural perspective.
1. The Family-Social Perspective
A decline in social rewards plays an important role in
depression. This link works in both directions.
• Depressed
people often have weaker social skills. They may speak slowly and quietly,
pause too much, or take longer to respond in conversations. They may repeatedly
ask others for reassurance. These behaviors can make others feel uncomfortable,
causing them to avoid the depressed person. As a result, the depressed person’s
social contacts and rewards decrease.
2. The Multicultural Perspective
Researchers also study depression from a multicultural angle,
focusing on two areas:
a) Gender and
Depression
Women are twice as likely as men to be diagnosed with
unipolar depression.
b) Cultural
Background and Depression
People across cultures experience depression with similar
symptoms. However, the exact expression of depression differs by culture. In
non-Western countries, physical symptoms are more common, such as fatigue,
weakness, sleep problems, and weight loss. In contrast, cognitive symptoms like
self-blame, low self-esteem, and guilt are less emphasized than in Western
countries.
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