Explanation of depression as an adaptation to surroundings better accepted by patients than depression as a disease

Clinical Question

Does framing depression as an adaptation to one's environment, rather than as a disease, result in better patient outcomes?

Bottom line

Explaining to patients that their depressive symptoms are an adaptation to their current circumstances, rather than as a "disease like any other," may produce less stigma and greater patient acceptance and self-efficacy. It may be time we all start thinking of depression as a signal that something in a patient's life needs more attention and not as something endogenous; this approach opens up the toolbox. The "chemical imbalance" explanation of depression, if true at all, may be the effect and not the cause. 1b-

Study design: Randomized controlled trial (nonblinded)

Funding: Foundation

Setting: Outpatient (any)

Reviewer

Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine
Tufts University
Boston, MA


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Comments

Anonymous

Depression often environmentally triggered

This approach will help patients better accept treatment and will dig deeper into root causes of depression; environmental triggers

ARUP KUMAR DHARA

Impact assessment

Excellent