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Do reasons for major depression act as causes?

K S Kendler1, J Myers, L J Halberstadt

  • 1Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA. kendler@vcu.edu

Molecular Psychiatry
|March 9, 2011
PubMed
Summary

Reasons for major depression (MD) do not act as causes. Understanding depressive episodes doesn't correlate with scientifically validated risk factors, challenging common sense beliefs about MD etiology.

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Area of Science:

  • Psychiatry
  • Psychology
  • Behavioral Science

Background:

  • Human behavior is understood through subjective reasons and objective causes.
  • The common sense hypothesis posits that reasons for major depression (MD) function as causes.

Purpose of the Study:

  • To evaluate the hypothesis that understandable depressive episodes correlate with fewer objective causes.
  • To investigate the relationship between the understandability of MD episodes and validated risk factors.

Main Methods:

  • Assessed understandability of past-year MD episodes in 630 twins using DSM IV criteria and contextual information.
  • Utilized linear and logistic regression to predict 12 validated MD risk factors from understandability ratings.

Main Results:

  • No significant association found between understandability and 11 of the 12 validated risk factors for MD.
  • A higher cotwin risk for MD was associated with greater understandability, contradicting the hypothesis.

Conclusions:

  • The study does not support the hypothesis that reasons for MD act as causes.
  • Understanding does not equate to scientific explanation; reasons may be unreliable indicators of objective illness risk factors.