Evolutionary theories of depression: a critical review
Open accessAbstract
We critically review evolutionary theories of major depressive disorder (MDD). Because most instances of MDD appear to be caused by adversity, evolutionary theories of MDD generally propose that sadness and low mood evolved as beneficial responses to adversity, and that MDD is dysfunctional sadness and low mood. If so, MDD research should focus much more heavily on understanding the healthy functions of sadness and low mood to better understand how they dysfunction. A debate about the boundary between healthy sadness and MDD is then reviewed. In part, this debate turns on whether MDD's costliest symptoms could provide unknown benefits. Therefore, the review concludes by discussing 2 theories that explore possible benefits of prolonged anhedonia and suicidality.
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Many features of depression (e.g., anhedonia, negative thinking bias, social withdrawal) reduce exposure to social risks by inhibiting reward-approach behaviours.
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Different molecular targets, one purpose – treatment of depression
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- Authors
- Hagen, E. H.
- Affiliations
- Washington State University Vancouver (US)
- Corresponding author
- Hagen, Edward H
- ORCID
- Hagen, Edward H
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2011-12
- Volume
- 56
- Issue
- 12
- Pages
- 716-726
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W201348123
- Cited by
- 105
- References
- 166
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 12 · 2023: 10 · 2022: 5 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 8 · 2014: 6 · 2013: 6 · 2012: 5
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Evolutionary Psychology and Human Behavior
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- major depressive disorder, sadness, depressive mood, adversity, anhedonia, suicidality, evolutionary psychology of emotion
- MeSH terms
- Major Depressive Disorder, Depressive Disorder, Major, Biological Evolution, Humans, Psychological Theory
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