Page 9 - Seniorstoday August-2023 Issue
P. 9

men to experience depression. Some
         studies show that one-third of women will
         experience a major depressive episode in
         their lifetime.


         Possible factors include the following:
         Greater exposure to, heightened response
         to or inability to cope with daily stresses.
          Higher levels of monoamine oxidase (the            Stressful life events: Tough experiences,
         enzyme that degrades neurotransmitters             such as the passing of a loved one, trauma-
         considered important for mood).                    physical or mental, divorce, isolation
                                                            and lack of support, can trigger clinical
         Higher rates of thyroid dysfunction.               depression in people; however, such events
         Endocrine changes that occur with                  do not usually because lasting, severe
         menstruation and at menopause.                     depression except in people predisposed to
          FAMILIAL There is a high degree of                a mood disorder.
         heritability (approximately 40%) when               At the end of the day, Depression can
         first-degree relatives (parents/children/          affect anyone—even a person who appears
         siblings) have depression.                         to live in relatively ideal circumstances.
          Genetics: Depression can run in families.
         For example, if one identical twin has             What happens?
         depression, the other has a 70 percent             Depression probably causes changes in the
         chance of having the illness sometime              areas of the brain that control mood. Nerve
         in life. It could make you almost three            cells may function poorly in certain regions
         times as likely to develop the condition as        of the brain; Miscommunication between
         someone without a family history of the            nerve cells or nerve circuits can make it
         condition.                                         harder for a person to regulate mood.
          However, you can have clinical                     It could be caused by an imbalance of
         depression without a family history of it.         neurotransmitters, including serotonin,
          PersonalitY: People with low self-                norepinephrine and dopamine. While
         esteem, who are easily overwhelmed by              initially they were thought to be a
         stress, or who are generally vulnerable or         primary issue, recent theories suggest
         pessimistic are more likely to experience          that disturbances in more complex neural
         depression.                                        circuits cause secondary imbalances
          Environmental factors: Continuous                 of neurotransmitters, including
         exposure to violence, neglect, abuse or            abnormal regulation of cholinergic,
         poverty may make some people more                  catecholaminergic (noradrenergic or
         vulnerable to depression.                          dopaminergic), glutamatergic, and
          Childhood development: Multiple                   serotonergic (5-hydroxytryptamine)
         adverse childhood experiences (ACEs)               neurotransmission
         such as abuse and trauma are associated             Hormonal changes may also negatively
         with the development of clinical                   affect mood. An individual’s life experience
         depression later in life.                          affects these biological processes.


        SENIORS TODAY | ISSUE #50 | AUGUST 2023                                                             7
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