| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
British Medical Bulletin 57:17-32 (2001)
© 2001 Oxford University Press
Recent developments in understanding the psychosocial aspects of depression
Socio-Medical Research Centre, Academic Department of Psychiatry, St Thomas' Hospital, London, UK
Recent advances in the psychosocial understanding of depression have elaborated an already complex aetiological model. Yet each new strand seems to echo, and forge links with, themes uncovered earlier, making it easier to see what is common about the 'final common pathway' to onset. For example, although recent stressors have for some time been recognised predictors of onset, new insights about the origins of these stressors have overlapped with other new work on depression and childhood adversity to identify a group who 'produce' their own severe life events in response to early negative experience. And recent studies have traced the well-known gender difference in depressive prevalence to differences both in gender role involvement with the provoking life events and in styles of support-seeking/support-giving. What emerges is the powerlessness, loss and humiliation characterising the final pathway. Both naturalistic studies and controlled trials suggest that psychosocial situations reflecting the opposite emotional meaning, that is new hope, characterise a similar pathway to remission. Conclusions speculate whether awareness of this pathway might enhance purely pharmacological treatment.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  M. S. Webb and M. P. Carey The early health consequences of smoking: Relationship with psychosocial factors among treatment-seeking Black smokers Nicotine Tob Res, May 1, 2009; 11(5): 564 - 571. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Walters, M. Ashworth, and A. Tylee Ethnic density, physical illness, social deprivation and antidepressant prescribing in primary care: ecological study The British Journal of Psychiatry, September 1, 2008; 193(3): 235 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Virtanen, S Koskinen, M Kivimaki, T Honkonen, J Vahtera, K Ahola, and J Lonnqvist Contribution of non-work and work-related risk factors to the association between income and mental disorders in a working population: the Health 2000 Study Occup. Environ. Med., March 1, 2008; 65(3): 171 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. J. Waldinger, G. E. Vaillant, and E. J. Orav Childhood Sibling Relationships as a Predictor of Major Depression in Adulthood: A 30-Year Prospective Study Am J Psychiatry, June 1, 2007; 164(6): 949 - 954. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Wieclaw, E. Agerbo, P. B. Mortensen, H. Burr, F. Tuchsen, and J. P. Bonde Work related violence and threats and the risk of depression and stress disorders. J Epidemiol Community Health, September 1, 2006; 60(9): 771 - 775. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Cohen, P. R. Houck, K. Szanto, M. A. Dew, S. E. Gilman, and C. F. Reynolds III Social Inequalities in Response to Antidepressant Treatment in Older Adults Arch Gen Psychiatry, January 1, 2006; 63(1): 50 - 56. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. H. Ice and J. Yogo Measuring Stress Among Luo Elders: Development of the Luo Perceived Stress Scale Field Methods, November 1, 2005; 17(4): 394 - 411. [Abstract] [PDF]
|
|
|
|
 |
|
 C. Muntaner, W. W. Eaton, R. Miech, and P. O'Campo Socioeconomic Position and Major Mental Disorders Epidemiol. Rev., July 1, 2004; 26(1): 53 - 62. [Full Text] [PDF]
|
|
|
|
 |
|
 K. M. Mehta, K. Yaffe, K. M. Langa, L. Sands, M. A. Whooley, and K. E. Covinsky Additive Effects of Cognitive Function and Depressive Symptoms on Mortality in Elderly Community-Living Adults J. Gerontol. A Biol. Sci. Med. Sci., May 1, 2003; 58(5): M461 - 467. [Abstract] [Full Text] [PDF]
|
|