FEATURES OF THE OCCURRENCE AND PASSING OF RECURRENT DEPRESSIVE DISORDER: CURRENT STATUS
(OVERVIEW)
DOI:
https://doi.org/10.11603/1811-2471.2021.v.i2.12196Keywords:
recurrent depressive disorder, antidepressants, neurophysiological factors, genetic factors of depression, inflammatory biomarkers in depressionAbstract
Today recurrent depressive disorder is considered as a complex biological phenomenon involving dysregulation of neuroendocrine immunological processes, with a clear hereditary predisposition, where genetic factors play a significant role in the formation, development and clinical manifestations of depressive states.
The aim – to investigate the current view on the occurrence and clinical manifestations of recurrent depressive disorder.
Material and Methods. Databases PubMed, MedLine, EMBASE, CINAHL, PsycINFO were used. The search included publications until 2019. The studies were included provided that they met all of the following criteria: studies over the past five years, which aimed to identify risk factors for depressive disorder, factors that may complicate the course of MDD and diagnostic methods.
Results. The results of recent studies provide a better understanding of the genetic and neurophysiological architecture of this disease, as well as pave the way for further research into the biological mechanisms of depression, which can become therapeutic targets for potentially fundamentally new antidepressants. The importance of early development of the nervous system as a risk factor for mental disorders is becoming increasingly apparent. Despite the evidence for a link between perinatal depression and an increase in the development of psychopathology in offspring, many factors can mitigate or, conversely, worsen the effects of depression in the mother. These factors affect the fetus from early pregnancy to early life, with a wide range of consequences. Some of the most studied are such as genetics, maternal abuse and the use of antidepressants during pregnancy. As well as other less studied factors - such as the role of the father, eating habits and the impact of the duration and severity of mental problems of parents on the child.
Conclusions. Despite the availability of encouraging research results, including genetic and epigenetic, gene expression studies, a combination of biomarkers in the blood, neurocognitive and neuroimaging studies, this area needs further study.
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