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A Unified Model of Depression

2016/03/29 by Aaron T. Beck, Keith Bredemeier · 3 citations
Psychology · Neuroscience · #Mental Health Research Topics #Stress Responses and Cortisol #Tryptophan and brain disorders

paper · doi:10.1177/2167702616628523

openalex publication_date 2016/03/29 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

We propose that depression can be viewed as an adaptation to conserve energy after the perceived loss of an investment in a vital resource such as a relationship, group identity, or personal asset. Tendencies to process information negatively and experience strong biological reactions to stress (resulting from genes, trauma, or both) can lead to depressogenic beliefs about the self, world, and future. These tendencies are mediated by alterations in brain areas/networks involved in cognition and emotion regulation. Depressogenic beliefs predispose individuals to make cognitive appraisals that amplify perceptions of loss, typically in response to stressors that impact available resources. Clinical features of severe depression (e.g., anhedonia, anergia) result from these appraisals and biological reactions that they trigger (e.g., autonomic, immune, neurochemical). These symptoms were presumably adaptive in our evolutionary history, but are maladaptive in contemporary times. Thus, severe depression can be considered an anachronistic manifestation of an evolutionarily based “program.”

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