Depression
A psychiatric condition characterized by such symptoms as an unhappy mood; loss of interests, energy, and appetite; and difficulty concentrating
Electroconvulsive shock therapy (ECT)
A last-resort treatment for unmanageable depression, in which a strong electrical current is passed through the brain, causing a seizure
Repetitive transcranial magnetic stimulation (rTMS)
A noninvasive treatment in which repeated pulses of focused magnetic energy are used to stimulate the cortex through the scalp
Monoamine oxidase (MOA)
An enzyme that breaks down monoamine neurotransmitters, thereby inactivating them
Affective disorder
Disorders characterized by alterations of emotion or mood
Selective serotonin reuptake inhibitor (SSRI)
An antidepressant drug that blocks the reuptake of transmitter at serotonergic synapses
Cognitive behavioral therapy (CBT)
Psychotherapy aimed at correcting negative thinking and consciously changing behaviors as a way of changing feelings
Brain changes associated with depression
Increased activation in the frontal lobes during cognitive tasks and amygdala during emotional processing
Decreased blood flow to brain areas implicated in attention
Reduced hippocampal volume, and reduced activation during memory tasks
Learned helplessness
A learning paradigm in which individuals are subject to inescapable, unpleasant conditions
Evidence in support of the monoamine hypothesis
MOA drugs are successful in reducing depressive symptoms
Lower levels of serotonin metabolites have been found in CSF in individuals with depression compared to control individuals
Lower concentrations of serotonin and its metabolites in postmortem brain tissue in individuals with depression compared to control individuals
Depletion of serotonin worsens depressive state
Evidence against the monoamine hypothesis
Increase serotonin levels immediately, but people don’t experience a reduction in symptoms until weeks later
Many people don’t respond to MOA drugs
Serotonin depletion doesn’t induce depression in healthy people
Antidepressants don’t elevate mood in healthy people
Increased risk of suicide in adolescents and children using SSRI
Animal behavioral tests used to study depression
Learned helplessness
Forced swim test
Sucrose preference test