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Masked depression (MD) was a proposed form of atypical depression [1] in which somatic symptoms or behavioural disturbances dominate the clinical picture and disguise the underlying affective disorder. [2] The concept is not currently supported by the mental health profession. [3]
Depression can have multiple, sometimes overlapping, origins. Depression can be a symptom of some mood disorders, some of which are also commonly called depression, such as major depressive disorder, bipolar disorder and dysthymia. [7] Additionally, depression can be a normal temporary reaction to life events, such as the loss of a loved one.
The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. [11]
An alternate, widely used classification publication is the International Classification of Diseases (ICD), produced by the World Health Organization (WHO). [13] The ICD has a broader scope than the DSM, covering overall health as well as mental health; chapter 6 of the ICD specifically covers mental, behavioral and neurodevelopmental disorders.
The kindling hypothesis of depression posits that each period of depression in someone with major depressive disorder (MDD) causes neurological changes that predispose the person to future episodes. While the first episode of depression is often triggered by major life events, future episodes are less likely to be tied to circumstantial factors ...
Depression (kinesiology), an anatomical term of motion, refers to downward movement, the opposite of elevation; Depression (physiology), a reduction in a biological variable or the function of an organ; Central nervous system depression, physiological depression of the central nervous system that can result in loss of consciousness
Although the exact origin of depression is unclear, it is believed to involve biological, psychological, and social aspects. [2] Socioeconomic status, life experience, genetics, and personality traits are believed to be factors in the development of depression and may represent an increased risk of developing a major depressive episode. [3]
These subtypes are multidimensional in that patients usually experience multiple subtypes, instead of being limited to fitting into one subtype category. Currently, this set of subtypes is associated with melancholic personality disorders. All depression spectrum personality disorders are melancholic and can be looked at in terms of these subtypes.
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