Major Depressive Disorder And Life Stressors
By: Dr Carla Kesrouani
Categories:
Major Depressive Disorder And Life Stressors
Depression or major depressive disorder, is a serious and common mental illness impacting how one thinks, feels and functions. Additionally, life stressors represent a primary trigger and leading cause of this problem.
Developing From Stressors
Depression episodes often begin following significant life changes or prolonged stress. Stressful events like losing a job, divorce, trauma, serious illness or bereavement frequently induce initial episodes in predisposed individuals.
Accumulation of Chronic Stress
In addition, depression regularly stems from the accumulation of multiple minor stressors over extended periods. Chronic stress at work, ongoing relationship difficulties or constant financial pressures increase vulnerability by wearing down coping abilities.
Excessive stress hormones like cortisol and adrenaline sensitize the brain over time, elevating risk for depression. Stressors become more likely to trigger episodes as resilience decreases.
Genetic & Biological Factors
Genetics also play a role for some by shaping the brain in ways that affect how one responds to and recovers from stressors. Certain genes have been linkedto abnormalities in neurotransmitter levels and the stress response system.Yet stress is still needed to initiate depression in genetically predisposed individuals.
Childhood Adversity
Early life adversities such as abuse, neglect and family dysfunction can also increase vulnerability by impacting neurodevelopment and forming negative patterns that persist into adulthood. However, these risks often only materialize when stressors are encountered later in life.
Personality & Cognitive Styles
Individual differences like neuroticism, pessimism, negative thinking styles and low self-esteem represent relatively stable risk factors. But it usually takes encountering stressors for these traits to actually result in depressive symptoms.
Modifiable External Trigger
In summary, though genetics, childhood trauma, and certain personality attributes and cognitive styles contribute to depression vulnerability, life stressors are likely the most important and potentially modifiable risk factor. Major stressful events induce initial episodes in those predisposed, while chronic stressors feed into and sustain depressive symptoms over time.
Tackling life stressors directly thus represents the most promising approach for preventing depression from developing – and recurring – in the first place. Reducing, managing and reframing stressors may have a bigger impact on population-level depression rates than trying to alter less mutable factors like genetics and personality.
Interventions that target resilience building, coping skills training, social support enhancement, cognitive restructuring and lifestyle changes show the most promise for preventing depression by allowing individuals to better withstand and recover from the stressful challenges of everyday life.
Other Common Disorders
Meanwhile, other common mental health conditions include:
- Anxiety disorders – characterized by excessive worrying or fear, triggered by factors like stress. Many people with depression also have anxiety.
- Bipolar disorder – involving episodes of mania and depression throughout one’s life. Genetics and biological differences likely predominate risk for bipolar.
- Borderline personality disorder – a long-termpattern of instability in relationships, self-image, mood and behavior. Often develops from childhood trauma.
While depression affects the most people, all mental illnesses deserve compassion and proper treatment. But reducing life stressors through social and lifestyle changes represents the most promising avenue forpreventing depression from developingin the first place.