Major Depression
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Major depression is a widespread and costly problem in American society. According to the Nutrition Health Center, between 13 million and 14 million people will experience major depressive disorder annually, (Depression, 2005). Of this number, only 20 percent will receive adequate treatment, largely because of the stigmatization associated with mental illness, lack of access to effective mental health care, or lack of education and awareness regarding depression. In the U.S. 7.3 percent of women, 3.6 percent of men, 2.5 percent of children, and 8.3 percent of adolescents suffer from major depressive disorder, (Depression, 2005). While clinical depression is often treated by psychologists or psychiatrists, this particular mental disorder is also a ôcommon presenting problemö that is addressed by clinical social workers (Austrian, 1995, pp. 17-18). Of treatment approaches, pharmacological methods are the method of choice among clinicians. It is the purpose of this report to first delineate the symptomatology of depression and then describe some of the theories of its etiology, considering biopsychosocial factors which may contribute to the disorder and discussing the impact of specific environmental variables. Finally, the implications for a range of interventions targeting the depressed client will be discussed. The symptomatology of depression includes ôdifficulties in performing everyday activities of living,ö chronic fatigue, ho
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onset of depression in all populations while the existence of familial or other support networks also seems to prevent the onset of this disorder or ameliorate many of its effects. Social support is seen by Cummings, et al (2003, p. 27) as ôassisting in preventing the onset of depression among older African-Americansö who are more likely than Caucasian Americans to enjoy the support of extended families. However, when poverty, which leads to social isolation and chronic illnesses are considered, these differences tend to diminish. Starks, Poulin, and Kisely (2005, p. 580) conductive research on Canadians, suing data from the Community Health Survey Cycle, and found that following characteristics were at increased risk for major depression: ôfemale sex; widowed; separated or divorced marital status; low income; and 20 or more comorbid medical conditions.ö However, only 40 percent of the respondents in this study reported seeking help or consulting their health practitioner or a mental health specialist over their depression, (Starks et al., 2005).
Sloan and Kornstein (2003, pp. 582-583) have stated that for most patients presenting with clinical depression, treatment paradigms often include the use of antidepressant pharmace
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Approximate Word count = 2915
Approximate Pages = 12 (250 words per page)
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