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Sumber : Update on Neurobiological of Depression, NEUROBIOLOGICAL ALTERATIONS THAT RESULT FROM EARLY LIFE TRAUMA
http://www.medscape.org/viewarticle/412866_3
Etiology
Familiality
• Family data indicate that if one parent has a mood disorder, a
child will have a risk of between 10 and 25 percent for mood
disorder.
• If both parents are affected, this risk roughly doubles.
• The more members of the family who are affected, the
greater the risk is to a child.
• The risk is greater if the affected family members are first-
degree relatives rather than more distant relatives.
Etiology
Personality Factors
PREVALENSI
• Distimia = 5-6%
• Belum menikah, pendapatan rendah
• Bersamaan dgn gangguan lain seperti : depresi berat, anxietas,
substance abuse, ggn kepribadian ambang
• Riwayat keluarga dengan gangguan depresi berat (+)
• Riwayat pemakaian obat psikiatri: antidepressants, antimanik,
hipnotik sedatif
Etiologi
1. Faktor biologi
• Gejala gangguan distimik ~ gangguan depresi
berat
• Dasar psikopatologi berbeda.
• Neurotransmiter: serotonin dan noradrenergik
Etiologi
2. Faktor psikososial
gangguan ini berasal dari perkembangan ego dan
kepribadian dan berpuncak pada kesulitan dalam
beradaptasi pada masa remaja dan dewasa.