User:RachelPWendt/sandbox

Alyssanichols (talk) 02:23, 8 March 2016 (UTC)This article is lacking a lot of information and only provides the definition and history of endogenous depression. A question I have regarding the article is can you go back and see how it used to be before people made changes to it? And also I was wondering if only having a smaller amount of information changes how credible this article is or its impact on the topic? Two references that would be good to use are:

Andrus, B. M., Blizinsky, K., Vedell, P. T., Dennis, K., Shukla, P. K., Schaffer, D. J.,. . . Redei, E. E. (2010). Gene expression patterns in the hippocampus and amygdala of endogenous depression and chronic stress models. Molecular Psychiatry Mol Psychiatry, 17(1), 49-61. Retrieved February 27, 2016

Joiner, T. E. (2001). Negative attributional style, hopelessness depression and endogenous depression. Behaviour Research and Therapy, 39(2), 139-149. Retrieved February 28, 2016

bold = bold

bold = inserting a link

Lead Section--Rachel Pfenning-Wendt
Endogenous Depression (melancholia) is an atypical sub-class of the mood disorder, major depressive disorder (clinical depression). General depressive symptoms are due to cognitive, social, biological, or environmental factors that result in persistent feelings of sadness and distress. Endogenous Depression stems from Major Depressive Disorder through the absence of an external (social, environmental) factor but presence of an internal (cognitive, biological) stressor. Since symptoms are due to a biological phenomenon, prevalence rates tend to be higher in older adults; however, the severity is lower than in younger adults. Due to this fact, biological-focused treatment plans are often used in therapy as they provide the best prognosis. RachelPWendt (talk) 04:02, 30 March 2016 (UTC)

feedback I like how you incorporated information that was already in the article into your lead section. I think we should work to combine our information with information already present on the topic. It seems that most of our information in the lead sections match up. I think your lead section was very easy to ready and know what to expect in the article. Good work! Ellenhonsa (talk) 17:04, 30 March 2016 (UTC)

Lead Section--Ellen Honsa
Endogenous Depression is a subtype of the mood disorder, major depressive disorder. This atypical type of depression includes patients with treatment-resistant, non-psychotic, major depressive disorder, characterized by abnormal behavior of the endogenous opioid system. Endogenous depression occurs without the presence of stress or trauma, showing that it may have a biological basis. Symptoms of endogenous depression vary in severity, type, and frequency. Furthermore, because the symptoms are due to biological phenomenon, prevalence is higher in older adults. Due to this, biological focused treatment is often used in the field when providing a prognosis.

FEEDBACK: Ellen, I like how you bold-faced the term 'Endogenous Depression' so that it stands out from the rest. I'm thinking we should incorporate the first sentence of the existing lead into ours, just so the author doesn't feel like we just totally re-did his article. I also like how your structured your lead from general to specific--I tried to do that with mine but it looks better in yours. Since there's not much information on this topic I think it's okay if we don't elaborate on the info too much in the lead. This way, we'll have more to talk about in the actual article. One thing I suggest we both add is the criteria for diagnosing Endogenous Depression. I know we will also talk about it later on, but if we give a brief overview of the criteria I think it would allow readers to grasp a general overview. It looks like we both talked about the type of disorder, risk factors (biological), prevalence (older adults), and treatment (biological-focused)--this will make combining them a lot easier! RachelPWendt (talk) 21:51, 30 March 2016 (UTC)

Endogenous Depression
Endogenous depression (melancholia) is an atypical sub-class of the mood disorder, major depressive disorder (clinical depression). Endogenous depression occurs due to the presence of an internal (cognitive, biological) stressor instead of an external (social, environmental) stressor. Patients are typically characterized by abnormal behavior of the endogenous opioid system which results in treatment-resistant, non-psychotic, major depressive disorder. Symptoms vary in severity, type, and frequency and can be attributed to cognitive, social, biological, or environmental factors that result in persistent feelings of sadness and distress. Since symptoms are due to a biological phenomenon, prevalence rates tend to be higher in older adults. Due to this fact, biological-focused treatment plans are often used in therapy to ensure the best prognosis. RachelPWendt (talk) 03:42, 7 April 2016 (UTC) Ellenhonsa (talk) 17:55, 7 April 2016 (UTC)

Symptoms
The forefront indication a depressive episode is manifesting is the sudden loss of energy or motivation in daily routines. When this occurs, it is not uncommon for individuals to seek medical attention with excessive worrying or anxiety that a more severe, physiological disease may be the underlying issue. However, without an actual disease present, this neurotic thinking often results in severe anxiety, sleep disturbance, and mood swings which may hinder social relationships. Individuals with endogenous depression may experience inconsistencies in symptom severity ("the swing of affect") which is often the reason for delayed treatment. If left untreated, symptoms may progress to a major depressive episode. RachelPWendt (talk) 17:41, 17 April 2016 (UTC)

Risk factors
Endogenous depression occurs as the results of an internal stressor—commonly cognitive or biological—and not an external factor. Potential risk factors include these cognitive or biological factors. Patients with endogenous depression often are more likely to have a positive family history of disorders and fewer psychosocial and environmental factors that cause their symptoms. A family history of depression and perceived poor intimate relationships are internal risk factors associated with this type of depression It is important to know these risk factors in order to take steps to recognize and help prevent this illness. Ellenhonsa (talk) 23:33, 17 April 2016 (UTC)

Prevalence
This type of depression often occurs due to biological reasons. Since symptoms are due to an internal phenomena, prevalence rates rend to be higher in older adults and more prevalent among women. Although endogenous depression has been associated with increased age, there has been few attempts to evaluate this fully. More research is needed to indicate factual prevalence rates on this type of depression in society. Ellenhonsa (talk) 23:33, 17 April 2016 (UTC)

Treatment
Individuals suffering from endogenous depression require treatment plans that focus on the internal, cognitive thought processes since internal stressors are the root of somatic symptoms. Individual cognitive therapy (ICT) is therefore a common treatment used to gain insight to the individual's internal conflicts or thoughts that are motivating their distressing symptoms. Once the cause of the symptoms are identified, sessions are used to develop new coping skills, behavior modification, and changes in beliefs.

As preventative measures, pharmaceuticals such as SSRI's and antidepressants may also be utilized to avoid further development or progression to Major Depressive Disorder. There have been few treatments targeted specifically toward Endogenous Depression; therefore, symptoms are often managed similarly to Major Depressive Disorder. One such treatment is electroconvulsive therapy (ECT). ECT is used as a treatment option for endogenous depression in adults, however, practitioners avoid the use of ECT in young adolescents due to rates of injury. RachelPWendt (talk) 04:07, 18 April 2016 (UTC) RachelPWendt (talk) 18:40, 28 April 2016 (UTC)