U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Links from OMIM

Major depressive disorder(MDD)

MedGen UID:
266123
Concept ID:
C1269683
Mental or Behavioral Dysfunction
Synonyms: MDD; UNIPOLAR DEPRESSION
SNOMED CT: Major depressive disorder (370143000); Major depression (370143000)
 
Genes (locations): FKBP5 (6p21.31); HTR2A (13q14.2); TPH2 (12q21.1)
 
Monarch Initiative: MONDO:0002009
OMIM®: 608516

Definition

Depression (also known as major depression or major depressive disorder) is a psychiatric disorder that affects mood, behavior, and overall health. It causes prolonged feelings of sadness, emptiness, or hopelessness, and a loss of interest in activities that were once enjoyed. People with depression may also have changes in appetite (leading to overeating or not eating enough), changes in sleeping patterns (sleeping too much or not being able to sleep), loss of energy, and difficulty concentrating. Although depression is considered primarily a mental health disorder, it can also have physical features including headaches, other unexplained aches and pains, unusually slow or fast movements, and digestive problems. To be diagnosed with depression, an individual must have signs and symptoms nearly every day for at least 2 weeks. However, the features of this condition vary widely.

Depression most commonly begins in late adolescence or early adulthood, although it can appear at any age. If untreated, episodes of depression can last for weeks, months, or years, and can go away and come back (recur). Affected individuals may have difficulty functioning in their daily lives, including at school or work. People with depression have a higher risk of substance abuse problems and dying by suicide than the general population.

Several health conditions are closely related to depression or have depression as a characteristic feature. These include dysthymia (which has long-lasting signs and symptoms that are similar to, but not as severe as, those of depression), perinatal or postpartum depression (which occurs around or following the birth of a child), seasonal affective disorder (which is triggered by the changing of the seasons), bipolar disorder (which can include both "highs," or manic episodes, and depressive episodes), and generalized anxiety disorder. In people with schizoaffective disorder, depression or another mood disorder occurs together with features of schizophrenia (a brain disorder that affects a person's thinking, sense of self, and perceptions). [from MedlinePlus Genetics]

Clinical features

From HPO
Depression
MedGen UID:
4229
Concept ID:
C0011581
Mental or Behavioral Dysfunction
Frequently experiencing feelings of being down, miserable, and/or hopeless; struggling to recover from these moods; having a pessimistic outlook on the future; feeling a pervasive sense of shame; having a low self-worth; experiencing thoughts of suicide and engaging in suicidal behavior.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMajor depressive disorder

Professional guidelines

PubMed

Lam RW, Kennedy SH, Adams C, Bahji A, Beaulieu S, Bhat V, Blier P, Blumberger DM, Brietzke E, Chakrabarty T, Do A, Frey BN, Giacobbe P, Gratzer D, Grigoriadis S, Habert J, Ishrat Husain M, Ismail Z, McGirr A, McIntyre RS, Michalak EE, Müller DJ, Parikh SV, Quilty LS, Ravindran AV, Ravindran N, Renaud J, Rosenblat JD, Samaan Z, Saraf G, Schade K, Schaffer A, Sinyor M, Soares CN, Swainson J, Taylor VH, Tourjman SV, Uher R, van Ameringen M, Vazquez G, Vigod S, Voineskos D, Yatham LN, Milev RV
Can J Psychiatry 2024 Sep;69(9):641-687. Epub 2024 May 6 doi: 10.1177/07067437241245384. PMID: 38711351Free PMC Article
Trivedi MH
J Clin Psychiatry 2020 Mar 17;81(2) doi: 10.4088/JCP.UT17042BR1C. PMID: 32220155
Cuijpers P, Quero S, Dowrick C, Arroll B
Curr Psychiatry Rep 2019 Nov 23;21(12):129. doi: 10.1007/s11920-019-1117-x. PMID: 31760505Free PMC Article

Curated

UK NICE Guideline NG222, Depression in adults: treatment and management, 2022

Recent clinical studies

Etiology

Wu A, Zhang J
J Neuroinflammation 2023 Nov 27;20(1):283. doi: 10.1186/s12974-023-02964-x. PMID: 38012702Free PMC Article
Abdoli N, Salari N, Darvishi N, Jafarpour S, Solaymani M, Mohammadi M, Shohaimi S
Neurosci Biobehav Rev 2022 Jan;132:1067-1073. Epub 2021 Nov 4 doi: 10.1016/j.neubiorev.2021.10.041. PMID: 34742925
Fornaro M, De Berardis D, Anastasia A, Fusco A
Adv Exp Med Biol 2021;1305:449-461. doi: 10.1007/978-981-33-6044-0_22. PMID: 33834412
Berger T, Lee H, Young AH, Aarsland D, Thuret S
Trends Mol Med 2020 Sep;26(9):803-818. Epub 2020 May 14 doi: 10.1016/j.molmed.2020.03.010. PMID: 32418723
Hirschfeld RM
J Affect Disord 2014 Dec;169 Suppl 1:S12-6. doi: 10.1016/S0165-0327(14)70004-7. PMID: 25533909

Diagnosis

Rao S, Broadbear J
Australas Psychiatry 2019 Dec;27(6):573-577. Epub 2019 Oct 1 doi: 10.1177/1039856219878643. PMID: 31573324
Chan V, Moore J, Derenne J, Fuchs DC
Child Adolesc Psychiatr Clin N Am 2019 Jul;28(3):363-375. Epub 2019 Apr 10 doi: 10.1016/j.chc.2019.02.008. PMID: 31076114
Pan Z, Park C, Brietzke E, Zuckerman H, Rong C, Mansur RB, Fus D, Subramaniapillai M, Lee Y, McIntyre RS
CNS Spectr 2019 Feb;24(1):22-29. Epub 2018 Nov 23 doi: 10.1017/S1092852918001207. PMID: 30468135
Murphy MJ, Peterson MJ
Sleep Med Clin 2015 Mar;10(1):17-23. Epub 2014 Dec 12 doi: 10.1016/j.jsmc.2014.11.009. PMID: 26055669Free PMC Article
Uher R, Payne JL, Pavlova B, Perlis RH
Depress Anxiety 2014 Jun;31(6):459-71. Epub 2013 Nov 22 doi: 10.1002/da.22217. PMID: 24272961

Therapy

Ling Y, Crotti A
Adv Neurobiol 2024;37:623-637. doi: 10.1007/978-3-031-55529-9_35. PMID: 39207717
Cai M, Wang H, Zhang X
Adv Exp Med Biol 2019;1180:277-295. doi: 10.1007/978-981-32-9271-0_15. PMID: 31784969
Kaur Gill A, Bansal Y, Bhandari R, Kaur S, Kaur J, Singh R, Kuhad A, Kuhad A
Drugs Today (Barc) 2019 Jul;55(7):423-437. doi: 10.1358/dot.2019.55.7.2958474. PMID: 31347611
Dubovsky SL
Psychother Psychosom 2018;87(3):129-139. Epub 2018 May 22 doi: 10.1159/000488945. PMID: 29788008
Kornstein SG, Schneider RK
J Clin Psychiatry 2001;62 Suppl 16:18-25. PMID: 11480880

Prognosis

Gao P, Cao G, Liu J, Yang F, Liu M
Psychiatry Res 2024 Jan;331:115668. Epub 2023 Dec 6 doi: 10.1016/j.psychres.2023.115668. PMID: 38101074
Ebert DD, Buntrock C, Mortier P, Auerbach R, Weisel KK, Kessler RC, Cuijpers P, Green JG, Kiekens G, Nock MK, Demyttenaere K, Bruffaerts R
Depress Anxiety 2019 Apr;36(4):294-304. Epub 2018 Dec 6 doi: 10.1002/da.22867. PMID: 30521136Free PMC Article
GBD 2016 Disease and Injury Incidence and Prevalence Collaborators
Lancet 2017 Sep 16;390(10100):1211-1259. doi: 10.1016/S0140-6736(17)32154-2. PMID: 28919117Free PMC Article
Hirschfeld RM
J Clin Psychiatry 2012;73 Suppl 1:5-9. doi: 10.4088/JCP.11096su1c.01. PMID: 22951236
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T
Obstet Gynecol 2005 Nov;106(5 Pt 1):1071-83. doi: 10.1097/01.AOG.0000183597.31630.db. PMID: 16260528

Clinical prediction guides

Tian S, Sun Y, Shao J, Zhang S, Mo Z, Liu X, Wang Q, Wang L, Zhao P, Chattun MR, Yao Z, Si T, Lu Q
Hum Brain Mapp 2020 Apr 1;41(5):1249-1260. Epub 2019 Nov 22 doi: 10.1002/hbm.24872. PMID: 31758634Free PMC Article
Delmas H, Batail JM, Falissard B, Robert G, Rangé M, Brousse S, Soulabaille J, Drapier D, Naudet F
Sci Rep 2017 Jun 1;7(1):2629. doi: 10.1038/s41598-017-02411-x. PMID: 28572626Free PMC Article
Panaite V, Hindash AC, Bylsma LM, Small BJ, Salomon K, Rottenberg J
Int J Psychophysiol 2016 Jan;99:108-13. Epub 2015 Dec 8 doi: 10.1016/j.ijpsycho.2015.12.002. PMID: 26681648Free PMC Article
Roffman JL, Witte JM, Tanner AS, Ghaznavi S, Abernethy RS, Crain LD, Giulino PU, Lable I, Levy RA, Dougherty DD, Evans KC, Fava M
Psychother Psychosom 2014;83(6):364-70. Epub 2014 Oct 16 doi: 10.1159/000364906. PMID: 25323387
Gray LB, Dubin-Rhodin A, Weller RA, Weller EB
Curr Psychiatry Rep 2009 Apr;11(2):106-13. doi: 10.1007/s11920-009-0017-x. PMID: 19302763

Recent systematic reviews

Haikazian S, Chen-Li DCJ, Johnson DE, Fancy F, Levinta A, Husain MI, Mansur RB, McIntyre RS, Rosenblat JD
Psychiatry Res 2023 Nov;329:115531. Epub 2023 Oct 11 doi: 10.1016/j.psychres.2023.115531. PMID: 37844352
Alli SR, Gorbovskaya I, Liu JCW, Kolla NJ, Brown L, Müller DJ
Int J Mol Sci 2022 Apr 19;23(9) doi: 10.3390/ijms23094494. PMID: 35562885Free PMC Article
COVID-19 Mental Disorders Collaborators
Lancet 2021 Nov 6;398(10312):1700-1712. Epub 2021 Oct 8 doi: 10.1016/S0140-6736(21)02143-7. PMID: 34634250Free PMC Article
Nikolova VL, Smith MRB, Hall LJ, Cleare AJ, Stone JM, Young AH
JAMA Psychiatry 2021 Dec 1;78(12):1343-1354. doi: 10.1001/jamapsychiatry.2021.2573. PMID: 34524405Free PMC Article
Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, Leucht S, Ruhe HG, Turner EH, Higgins JPT, Egger M, Takeshima N, Hayasaka Y, Imai H, Shinohara K, Tajika A, Ioannidis JPA, Geddes JR
Lancet 2018 Apr 7;391(10128):1357-1366. Epub 2018 Feb 21 doi: 10.1016/S0140-6736(17)32802-7. PMID: 29477251Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2022
      UK NICE Guideline NG222, Depression in adults: treatment and management, 2022

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...