Depression and anxiety: maladaptive byproducts of adaptive mechanisms

Depression and anxiety disorders inflict untold harm on an enormous number of people. In the United States in a single year, nearly 10% of the population will suffer from a mood disorder and more than 20% will suffer from an anxiety disorder. Over the course of a lifetime, these numbers increase to 20% for mood disorders and 30% for anxiety disorders (National Institute of Mental Health 2016). From an evolutionary perspective, the prevalence of depression and anxiety disorders poses a serious puzzle. The typical onset of these disorders occurs before or during an individual’s reproductive years (Kessler et al., 2005) and they can be severely detrimental to even basic daily functioning. Why has natural selection left us vulnerable in this way?

[1]  F. Meacham,et al.  Adaptive behavior can produce maladaptive anxiety due to individual differences in experience , 2015, Evolution, medicine, and public health.

[2]  Pete C. Trimmer,et al.  Adaptive learning can result in a failure to profit from good conditions: implications for understanding depression , 2015, Evolution, medicine, and public health.

[3]  D. Kinney,et al.  Depression as an evolutionary strategy for defense against infection , 2013, Brain, Behavior, and Immunity.

[4]  Daniel Nettle,et al.  The Evolutionary Origins of Mood and Its Disorders , 2012, Current Biology.

[5]  Dan J Stein,et al.  Towards a genuinely medical model for psychiatric nosology , 2012, BMC Medicine.

[6]  M. Bateson,et al.  Anxiety: An Evolutionary Approach , 2011, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[7]  P. Watson,et al.  The bright side of being blue: depression as an adaptation for analyzing complex problems. , 2009, Psychological review.

[8]  R. Nesse Explaining depression: neuroscience is not enough, evolution is essential , 2009 .

[9]  Olga V. Demler,et al.  Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. , 2005, Archives of general psychiatry.

[10]  J. Hutchinson,et al.  Simple heuristics and rules of thumb: Where psychologists and behavioural biologists might meet , 2005, Behavioural Processes.

[11]  B. Kable Mental health. , 2005, Australian family physician.

[12]  Mike Mesterton-Gibbons,et al.  Genetic and cultural evolution of cooperation , 2004 .

[13]  D. Nettle Evolutionary origins of depression: a review and reformulation. , 2004, Journal of affective disorders.

[14]  Randolph M. Nesse,et al.  Natural selection and the regulation of defenses: A signal detection analysis of the smoke detector principle. , 2004 .

[15]  A. Garland,et al.  Overcoming reduced activity and avoidance: a Five Areas approach , 2002 .

[16]  E. Hagen The Bargaining Model of Depression , 2002 .

[17]  J. Isner,et al.  Bone Marrow as a Source of Endothelial Cells for Natural and Iatrogenic Vascular Repair , 2001, Annals of the New York Academy of Sciences.

[18]  R. Nesse,et al.  The Smoke Detector Principle , 2001, Annals of the New York Academy of Sciences.

[19]  L Sloman,et al.  The social competition hypothesis of depression. , 1994, The British journal of psychiatry : the journal of mental science.

[20]  George C. Williams,et al.  The Dawn of Darwinian Medicine , 1991, The Quarterly Review of Biology.

[21]  R. Nesse Evolutionary explanations of emotions , 1990, Human nature.

[22]  E. Klinger,et al.  Consequences of commitment to and disengagement from incentives. , 1975 .

[23]  A. Macnalty Medicine and the Public Health , 1948, British medical journal.