Thomas Homes and Richard Rahe in the 1960s first demosntrated that stress may precipitate illness by studying the kinds of events preceding the onset of tuberculosis. Interestingly, there were also positive life changes among these events e.g. Marriage, birth of baby. According to Himes and Rahe, it is the "change" associated with these events that generates the stress.
ICD-11 Criteria for Depression (Recurrent Depressive Disorder) 6A71 Recurrent depressive disorder is characterised by a history or at least two depressive episodes separated by at least several months without significant mood disturbance. A depressive episode is characterised by a period of depressed mood or diminished interest in activities occurring most of the day, nearly every day during a period lasting at least two weeks accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness or excessive or inappropriate guilt, hopelessness, recurrent thoughts of death or suicide, changes in appetite or sleep, psychomotor agitation or retardation, and reduced energy or fatigue. There have never been any prior manic, hypomanic, or mixed episodes, which would indicate the presence of a Bipolar disorder. Inclusions: Seasonal depressive disorder Exclusions: ...
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