The dynamic nature of depression: a new micro-level perspective of mental disorder that meets current challenges.

Abstract:

:The examination of moment-to-moment, 'micro-level' patterns of experience and behaviour using experience sampling methodology has contributed to our understanding of the 'macro-level' development of full-blown symptoms and disorders. This paper argues that the micro-level perspective can be used to identify the smallest building blocks underlying the onset and course of mental ill-health. Psychopathology may be the result of the continuous dynamic interplay between micro-level moment-to-moment experiences and behavioural patterns over time. Reinforcing loops between momentary states may alter the course of mental health towards either a more or less healthy state. An example with observed data, from a population of individuals with depressive symptoms, supports the validity of a dynamic network model of psychopathology and shows that together and over time, this continuous interplay between momentary states may result in the cluster of symptoms we call major depressive disorder. This approach may help conceptualize the nature of mental disorders, and generate individualized insights useful for diagnosis and treatment in psychiatry.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Wichers M

doi

10.1017/S0033291713001979

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

1349-60

issue

7

eissn

0033-2917

issn

1469-8978

pii

S0033291713001979

journal_volume

44

pub_type

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