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Role Of Depression In Psychiatric Illnesses

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Depression is often referred to as the “common cold” of psychiatric illnesses since it can affect anyone and has no guaranteed cure. One estimation is that approximately 20% of Americans will experience at least one depressive episode in their lifetime, and that approximately 20% of those patients will remain depressed for at least five years (Hirschfeld, 2012). Many factors have been thought to play a causal role in the development of depression, the most obvious of which are those which relate to the environmental or genetic characteristics of the individual. For instance, traumatic childhood experiences and genetic vulnerabilities have been shown to increase the risk of developing depression in adulthood (Saveanu and Nemeroff, 2012; Ménard, …show more content…

BDNF, and other neurotrophins, play a major role in development by assisting with the migration, proliferation, and differentiation of growing cells (Dwivedi, 2009). While in the adult brain, neurotrophins have been implicated in neuronal maintenance and neurogenesis (Dwivedi, 2009). BDNF in particular has been shown to be involved in synaptic plasticity, learning and memory, and in promoting the survival of serotonergic neurons (Allen and Dawbarn, 2006). Altered synaptic plasticity has been shown to correlate with depression, especially with respect to learning and memory, and altered connections between areas such as the amygdala and pre-frontal cortex (Marsden, 2013). This altered circuitry would then in turn cause a decreased control of emotions and an increase in negative responses to events, symptoms easily observed in depression (Marsden, 2013). The role of BDNF in enhancing neuron function and neuroplasticity, as well as the observed correlation between BDNF levels and the action of antidepressants, forms the basis of the neurotrophin hypothesis of …show more content…

Transgenic mouse models with a deletion of TrkB have shown little of the normal improvement usually created by treatment with antidepressants (Rantamäki et al., 2007; Li et al., 2008). Specific deletion of TrkB from neural progenitor cells in the dentate gyrus of the hippocampus, which have previously been shown to increase neurogenesis, caused decreased neurogenesis in response to treatment (Encinas, Vaahtokari, & Enikolopov, 2006; Li et al., 2008). Additionally, the elimination of response to antidepressants was not seen in animals that had TrkB eliminated from already differentiated neurons, rather than from progenitor cells (Li et al.

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