Depression is related to the normal emotions of sadness andbereavement, but it does not remit when the external cause ofthese emotions dissipates, and it is disproportionate to theircause. Classic severe states of depression often have no externalprecipitating cause. It is difficult, however, to draw cleardistinctions between depressions with and those without psychosocialprecipitating events.1 The diagnosis of major depressive disorderrequires a distinct change of mood, characterized by sadnessor irritability and accompanied by at least several psychophysiologicalchanges, such as disturbances in sleep, appetite, or sexualdesire; constipation; loss of the ability to experience . . . [Full Text of this Article]
Genetics
The Monoamine-Deficiency Hypothesis
Stress, the Hypothalamic–Pituitary–Adrenal Axis, and Growth Factors
Other Possible Mechanisms
Summary
Source Information
From Ben Gurion University of the Negev, Beersheba, Israel.
Address reprint requests to Dr. Belmaker at Beersheba Mental Health Center, P.O. Box 4600, Beersheba, Israel, or at belmaker@bgu.ac.il.
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