Major Depressive Disorder

Tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu (MDD), linalojulikana tu kama huzuni, ni tatizo la akili lililo na sifa za angalau wiki mbili za huzuni ambao upo kwa hali nyingi.[1] Mara nyingi huambatana na upungufu wa kujithamini, kupoteza hamu kwa shughuli ambazo kwa kawaida zinafurahisha, nguvu za chini, na uchungu bila chanzo dhahiri.[1] Watu pia mara kwa mara wanaweza kuwa na imani za uongo au kuona au kusikia vitu ambavyo wengine hawawezi.[1] Watu wengine wana vipindi vya huzuni vinavyotenganishwa na miaka ambayo wapo sawa, huku wengine huwa na dalili karibu kila mara.[2] Tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu unaweza kuiathiri vibaya maisha ya mtu, maisha ya kazi, au elimu, sawa na tabia za kulala, kula na afya kijumla.[1][2] Kati ya 2-8% ya watu wazima walio na tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu hufa kwa kujiua,[3][4] na karibu 50% ya watu ambao hufa kwa kujitia kitanzi walikuwa na huzuni au tatizo jingine la hisia.[5]

Msongo wa mawazo
                                                      

Makala hii ina dalili ya kutungwa kwa kutegemea programu ya kompyuta kama vile "Google translation" au "wikimedia special:content translation" bila masahihisho ya kutosha. Watumiaji wanaombwa kuchunguza tena lugha, viungo na muundo wake. Wakiridhika na hali yake wanaweza kuondoa kigezo hiki kinachoonekana kwenye dirisha la kuhariri juu ya matini ya makala kwa kutumia alama za {{tafsiri kompyuta}} .

Sababu na utambuzi

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Chanzo kinaaminiwa kuwa mchanganyiko wa vipengele vya genetiki, mazingira, na kisaikolojia.[1] Vipengele vyenye hatari ni pamoja na historia ya familia ya hali, mabadiliko makuu katika maisha, dawa fulani, shida sugu za kiafya, namatumizi mabaya ya dawa.[1][2] Karibu 40% ya hatari hizi huonekana kuhusiana na jenetiki.[2] Utambuzi wa tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu unategemea uzoefu wa awali wa mtu na uchunguzi wa hali ya akili.[6] Hakuna vipimo vya mahabara kwa tatizo la kiakili linalosababisha huzuni.[2] Kupima, hata hivyo, kunaweza kufanywa ili kuondoa hali za kimwili zinazoweza kusababisha dalili kama hizo.[6] Tatizo la kiakili linalosababisha huzuni kali ni kali sana na hukaa kwa muda mrefu kuliko huzuni, ambao ni sehemu ya kawaida ya maisha.[2] Nguvu za Kazi Maalum ya Huduma za Uzuiaji Marekani (USPSTF) hupendekeza uchunguzi wa huzuni miongoni mwa walio na umri wa zaidi ya miaka 12,[7][8] huku mapitio ya awali ya Cochrane yalipata kuwa matumizi ya kawaida ya hojaji za uchunguzi una athari finyu katika utambuzi au matibabu.[9]

Tiba na matarajio yake

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Kawaida, watu wanatibiwa kwa ushauri na dawa za kupunguza huzuni.[1] Dawa huonekana kuwa faafu, japo athari hiyo inaweza kuwa tu na maana kwa wale ambao wana huzuni kali.[10][11] Si wazi iwapo dawa huathiri hatari ya kujitia kitanzi.[12] Aina za ushauri ambao hutumika ni pamoja na tiba ya utambuzi wa kitabia (CBT) na tiba ya watu binafsi.[1][13] Ikiwa hatua nyingine si faafu, tiba ya msukomsuko kielektroniki (ECT) unaweza kuzingatiwa.[1] Kulazwa hospitalini kunaweza kuwa muhimu katika hali za hatari ya kujiumiza na mara kwa mara kunaweza kutokea bila ruhusa ya mtu huyo.[14]

Uenezi na historia

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Tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu uliathiri takriban watu bilioni 216 (3% ya idadi ya watu ulimwenguni) mwaka wa 2015.[15] Asilimia ya watu ambao waliathiriwa kwa wakati mmoja maishani hutofautiana kuanzia 7% Japan hadi 21% Ufaransa.[16] Viwango vya maisha ni juu katika ulimwengu ulioendelea (15%) ikilinganishwa na ulimwengu unaoendelea (11%).[16] Husababisha ya pili zaidi miaka ya kuishi na ulemavu, baada ya maumivu ya chini ya mgongo.[17] Mwanzo wa kawaida zaidi ni wakati mtu ana umri wa miaka ya ishirini na thelathini.[2][16] Wanawake huathiriwa karibu mara mbili ya wanaume.[2][16] Muungano wa Madaktari wa Ugonjwa wa kiakili Marekani waliongeza "Tatizo la kiakili linalosababisha huzuni kali kwa muda mrefu" kwa Mwongozo wa Utambuzi na Takwimu za Matatizo ya Kiakili (DSM-III) 1980.[18] Ulikuwa mgawanyiko wa jakamoyo ya huzuni katika (DSM-III) ya awali, ambao pia umezunguka hali ambazo kwa sasa zinajulikana kama huzuni kali na tatizo la marekebisho na hisia za huzuni.[18] Wale ambao wanaathiriwa au waliathiriwa hapo awali wanaweza kuwaunyanyapaa.[19]

Tanbihi

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  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 "Depression". NIMH. Mei 2016. Ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 5 Agosti 2016. Iliwekwa mnamo 31 Julai 2016. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)CS1 maint: date auto-translated (link)
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 American Psychiatric Association (2013), Diagnostic and Statistical Manual of Mental Disorders (tol. la 5th), Arlington: American Psychiatric Publishing, ku. 160–168, ISBN 978-0-89042-555-8, ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 31 Julai 2016, iliwekwa mnamo 22 Julai 2016 {{citation}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)CS1 maint: date auto-translated (link)
  3. Richards, C. Steven; O'Hara, Michael W. (2014). The Oxford Handbook of Depression and Comorbidity (kwa Kiingereza). Oxford University Press. uk. 254. ISBN 9780199797042. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  4. Strakowski, Stephen; Nelson, Erik (2015). Major Depressive Disorder (kwa Kiingereza). Oxford University Press. uk. PT27. ISBN 9780190264321.
  5. Bachmann, S (6 Julai 2018). "Epidemiology of Suicide and the Psychiatric Perspective". International Journal of Environmental Research and Public Health. 15 (7): 1425. doi:10.3390/ijerph15071425. PMC 6068947. PMID 29986446. Half of all completed suicides are related to depressive and other mood disorders{{cite journal}}: CS1 maint: date auto-translated (link) CS1 maint: unflagged free DOI (link)
  6. 6.0 6.1 Patton, Lauren L. (2015). The ADA Practical Guide to Patients with Medical Conditions (kwa Kiingereza) (tol. la 2). John Wiley & Sons. uk. 339. ISBN 9781118929285. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  7. Siu AL, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, García FA, Gillman M, Herzstein J, Kemper AR, Krist AH, Kurth AE, Owens DK, Phillips WR, Phipps MG, Pignone MP (Januari 2016). "Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement". JAMA. 315 (4): 380–7. doi:10.1001/jama.2015.18392. PMID 26813211.{{cite journal}}: CS1 maint: date auto-translated (link)
  8. Siu AL (Machi 2016). "Screening for Depression in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement". Annals of Internal Medicine. 164 (5): 360–6. doi:10.7326/M15-2957. PMID 26858097.{{cite journal}}: CS1 maint: date auto-translated (link)
  9. Gilbody S, House AO, Sheldon TA (Oktoba 2005). "Screening and case finding instruments for depression". The Cochrane Database of Systematic Reviews (4): CD002792. doi:10.1002/14651858.CD002792.pub2. PMID 16235301.{{cite journal}}: CS1 maint: date auto-translated (link)
  10. Fournier JC, DeRubeis RJ, Hollon SD, Dimidjian S, Amsterdam JD, Shelton RC, Fawcett J (Januari 2010). "Antidepressant drug effects and depression severity: a patient-level meta-analysis". JAMA. 303 (1): 47–53. doi:10.1001/jama.2009.1943. PMC 3712503. PMID 20051569.{{cite journal}}: CS1 maint: date auto-translated (link)
  11. Kirsch I, Deacon BJ, Huedo-Medina TB, Scoboria A, Moore TJ, Johnson BT (Februari 2008). "Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration". PLoS Medicine. 5 (2): e45. doi:10.1371/journal.pmed.0050045. PMC 2253608. PMID 18303940.{{cite journal}}: CS1 maint: date auto-translated (link) CS1 maint: unflagged free DOI (link)
  12. Braun C, Bschor T, Franklin J, Baethge C (2016). "Suicides and Suicide Attempts during Long-Term Treatment with Antidepressants: A Meta-Analysis of 29 Placebo-Controlled Studies Including 6,934 Patients with Major Depressive Disorder". Psychotherapy and Psychosomatics. 85 (3): 171–9. doi:10.1159/000442293. PMID 27043848.
  13. Driessen E, Hollon SD (Septemba 2010). "Cognitive behavioral therapy for mood disorders: efficacy, moderators and mediators". The Psychiatric Clinics of North America. 33 (3): 537–55. doi:10.1016/j.psc.2010.04.005. PMC 2933381. PMID 20599132.{{cite journal}}: CS1 maint: date auto-translated (link)
  14. American Psychiatric Association (2006). American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders: Compendium 2006 (kwa Kiingereza). American Psychiatric Pub. uk. 780. ISBN 9780890423851.
  15. Hitilafu ya kutaja: Invalid <ref> tag; no text was provided for refs named GBD2015Pre
  16. 16.0 16.1 16.2 16.3 Kessler RC, Bromet EJ (2013). "The epidemiology of depression across cultures". Annual Review of Public Health. 34: 119–38. doi:10.1146/annurev-publhealth-031912-114409. PMC 4100461. PMID 23514317.
  17. Global Burden of Disease Study 2013 Collaborators (Agosti 2015). "Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013". Lancet. 386 (9995): 743–800. doi:10.1016/S0140-6736(15)60692-4. PMC 4561509. PMID 26063472. {{cite journal}}: |author= has generic name (help)CS1 maint: date auto-translated (link) CS1 maint: numeric names: authors list (link)
  18. 18.0 18.1 Hersen, Michel; Rosqvist, Johan (2008). Handbook of Psychological Assessment, Case Conceptualization, and Treatment, Volume 1: Adults (kwa Kiingereza). John Wiley & Sons. uk. 32. ISBN 9780470173565. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  19. Strakowski, Stephen M.; Nelson, Erik (2015). "Introduction". Major Depressive Disorder (kwa Kiingereza). Oxford University Press. uk. Chapter 1. ISBN 9780190206185. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)

Marejeo

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Viungo vya nje

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