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Depression can occur in association with virtually all the other psychiatric and physical diagnoses. Physical illness increases the risk of developing severe depressive illness. There are two broadly different mechanisms. The most obvious has a psychological or cognitive mechanism. Thus, the illness may provide the life event or chronic difficulty that triggers a depressive episode in a vulnerable individual. Secondly, more specific associations appear to exist between depression and particular physical disorders. These may turn out to be of particular etiological interest. The best examples are probably stroke and cardiovascular disease. Finally, major depression, but especially minor depression, dysthymia, and depressive symptoms merge with other manifestations of human distress with which patients present to their doctors. Such somatic presentations test the conventional distinction between physical and mental disorder and are a perennial source of controversy.

Type

Journal article

Journal

Dialogues Clin Neurosci

Publication Date

2006

Volume

8

Pages

259 - 265

Keywords

Depressive Disorder, Fatigue Syndrome, Chronic, Heart Diseases, Humans, Pain, Psychiatric Status Rating Scales, Severity of Illness Index