1 / 14

Community Medicine V Dr. Mehrdad Askarian MD, MPH Professor of Community Medicine

Community Medicine V Dr. Mehrdad Askarian MD, MPH Professor of Community Medicine. Depression. Depression. Descriptive epidemiology Life time prevalence: M=5-12%, F=10-25% Prevalence: M=4.7%, F=6% Incidence: 1.6% Sex: F=M*2, Stress, Hormones, Weakness

mirabel-isambero
Télécharger la présentation

Community Medicine V Dr. Mehrdad Askarian MD, MPH Professor of Community Medicine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Community Medicine VDr. Mehrdad Askarian MD, MPHProfessor of Community Medicine

  2. Depression

  3. Depression • Descriptive epidemiology • Life time prevalence: M=5-12%, F=10-25% • Prevalence: M=4.7%, F=6% • Incidence: 1.6% • Sex: F=M*2, Stress, Hormones, Weakness • Age: 50% of patients are 20-50 y/o. increasing in <20 y/o bcz of alcohol, stressors. • Groups: no definite difference

  4. Depression • Descriptive epidemiology • Religion: +ve effect • Environment: 20-30% of persons in hospitals have degrees of depression • Marital status: less in married • Family hx: +ve effect, alcoholism, suicidal attempts • Social & Cultural: more in immigrants, urban, young adults, low economics

  5. Depression • Descriptive epidemiology • Good prognostic factors: mild dx, no psychosis, short hospital admissions, good friendship, marriage, good social capacity during last 5 years, less than one hospitalization, older age of onset. • Poor prognosis: concordance with dysthymia, alcoholism, more than one admission hx, Male gender.

  6. Depression • Descriptive epidemiology • Risk factors: multifactor, Social, Spiritual, biologic, psychiatric,

  7. Depression • Descriptive epidemiology • Biological • Biogenic amines (NEP, Ser, Dop) • Endocrine – neurologic Axis: (Adrenal, thyroid, hormonal changes like prol, FSH…) • Circadian cycle disturbances & Sleep disorders • Immuno-neurogenic imbalance: (cortis-hypothal) • Neuroanatomic changes: smaller frontal lobe, lower blood supply • Genetics: strong

  8. Depression • Descriptive epidemiology • Biological • Biogenic amines (NEP, Ser, Dop) • Endocrine – neurologic Axis: (Adrenal, thyroid, hormonal changes like prol, FSH…) • Circadian cycle disturbances & Sleep disorders • Immuno-neurogenic imbalance: (cortis-hypothal) • Neuroanatomic changes: smaller frontal lobe, lower blood supply • Genetics: strong

  9. Depression • Descriptive epidemiology • Psychosocial Factors: • Environmental and life stress: (parent loss<11y/o, partner loss • Family: very important • Personalities: paranoids, antisocials, externalizing, projection protects • Psychoanalytic & psychodynamics: loss of love object • Educationalists: adaptation • Cognitive hypothesis: -ve judgement from himself then vicious cycle

  10. Depression • Descriptive epidemiology • Spritual: • Protects people

  11. Depression • Prevention • Primary: teaching different groups • Secondary: Screening & treatment • Tertiary: Spritual, Supportive, Family therapy

  12. Any Comments or Questions?

  13. DISCUSSION & QUESTIONS??

  14. Thank you for your kind attention

More Related