28. Epidemiology and prevention of depression and mood disorders

From greek.doctor
  • Epidemiology
    • Depression is the most common mood disorder
    • 20 million people every year
    • Female > male
    • Major cause of disability in young
  • Criteria for major depression
    • Depressed mood
    • Diminished interest
    • Weight changes
    • Sleep disturbances
    • Loss of energy
    • Feelings of worthlessness
    • Feelings of excessive guilt
    • Problems concentrating
  • Risk factors
    • Biological factors
      • Genetic predisposition (concordance 50%)
      • Dysfunction of HPA
      • Increased level of stress hormones
    • Psychosocial factors
      • Trauma
      • Stress
      • Learned helplessness
    • Comorbidities
      • Chronic illnesses
      • Chronic pain
  • Prevention
    • Teach problem-solving skills
      • Break problems into smaller chunks
    • Teach emotion-coping skills
      • Challenge irrational thoughts
      • Acknowledge and express emotions
    • Decrease stigma associated with depression
    • Increase availability of help services