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Depression as a risk
marker for aggression
By Donald G. Dutton
INTRODUCTION
 Resemblance between depression and
aggression
 Depression connotes lethargy -making a
person aggressive
 Major depressive episode:
1. Feeling of sadness
2. Diminished interest in activities
3. In decisiveness -Not able to take
decisions
4. Recurrent thoughts of death
Depression and general aggression
• Broadband relation between
Externalizing and internalizing
• Aggression causes peer rejection
causes internalizing problems
• “causal role of depression and
aggression”
Depression and spousal aggression
• Studies Assessed “ depressive
symptomology increased the mild wife
assault by 30%and severe wife assault by
70%.
• Suggestion by clinical literature ‘males
who are depressed, display aggression
and violence but don't report the
depressed affect.’
• Sexuality and physical violence had
higher scores on depression.
Depression and spousal
homicide
• A triggering separation by the women
deepens depression, then
murder/suicide
• Risk factors of homicide were alcohol
abuse and jealousy.
• Major cause of spousal homicide was
being unemployed and problem alcohol
use.
Depression and child abuse
• Parent-child interactions of depressed
mothers and abusive mothers were
similar.
• Research showed that moderate
depression was associated with an
increase in probability of aggression to a
child.
Depression and aggression to
the self
• Suicide is the aggression towards self
(Frued)
• Suicide-escape from aversive self
awareness.( short of self standards)
PROCESSES LINKING
DEPRESSION TO AGGRESSION
Depression aggression
• Individuals with high rates of depression
showed alcohol dependency
• Alcohol dependency was estimated in
depressed individuals at 32.3% while it
was 9.5%for persons without depression.
• Evidence showed that AUD increases the
risk of MD rather than vice versa.
Depression and isolation
• Depressed individuals receive less social
support either actual or perceived.
• Non depressed subjects expressed a
general lack of interest for further contact
with depressed individuals.
Depression and rumination
• Inability to remove negative thoughts from
working memory.
 Sadness rumination-negative events to the
self
Anger rumination-external entity
• Catathymic crises : fluctuation between self
blame and other blame
Depression and impulsivity
• Depression has negative implications for self
regulation affecting behavior.
• “Impulsivity is neurophysiologically based
inability to conform behavior to its results.”
• Impulsive individuals are sensitive to rewards.
Depression and Internalized anger
• Internalized anger refers to suppressed(or
unexpressed anger at others)
• There is a correlation between high levels of
hostility and depression in patients with
internalized and externalized anger.
Depression and emotional
flooding
• Depression can serve as “flooding function
that generates anger and hence, increases
the likelihood of aggression.
• Authors concluded that both aggressive and
depressive responses may be displayed in
reaction to the same situation
COMMON CAUSES OF
DEPRESSION AND
AGGRESSION
Genetics
• Approach has been suggested by studies
indicating that a genetic variation in a
serotonin transporter gene is indicated in
depression.
Attachment style
• Insecure attachment style has been
linked to both depression and use of
aggression especially intimate partner
aggression.
• Attachment insecurity consistently relate
to more frequent and severe depression.
Conclusion
• Depression should constitute a routine
aspect of mental health assessment and
where present , should be viewed as a
risk factor for aggression.

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Depression...

  • 1. Depression as a risk marker for aggression By Donald G. Dutton
  • 3.  Resemblance between depression and aggression  Depression connotes lethargy -making a person aggressive  Major depressive episode: 1. Feeling of sadness 2. Diminished interest in activities 3. In decisiveness -Not able to take decisions 4. Recurrent thoughts of death
  • 4. Depression and general aggression • Broadband relation between Externalizing and internalizing • Aggression causes peer rejection causes internalizing problems • “causal role of depression and aggression”
  • 5. Depression and spousal aggression • Studies Assessed “ depressive symptomology increased the mild wife assault by 30%and severe wife assault by 70%. • Suggestion by clinical literature ‘males who are depressed, display aggression and violence but don't report the depressed affect.’ • Sexuality and physical violence had higher scores on depression.
  • 6. Depression and spousal homicide • A triggering separation by the women deepens depression, then murder/suicide • Risk factors of homicide were alcohol abuse and jealousy. • Major cause of spousal homicide was being unemployed and problem alcohol use.
  • 7. Depression and child abuse • Parent-child interactions of depressed mothers and abusive mothers were similar. • Research showed that moderate depression was associated with an increase in probability of aggression to a child.
  • 8. Depression and aggression to the self • Suicide is the aggression towards self (Frued) • Suicide-escape from aversive self awareness.( short of self standards)
  • 10. Depression aggression • Individuals with high rates of depression showed alcohol dependency • Alcohol dependency was estimated in depressed individuals at 32.3% while it was 9.5%for persons without depression. • Evidence showed that AUD increases the risk of MD rather than vice versa.
  • 11. Depression and isolation • Depressed individuals receive less social support either actual or perceived. • Non depressed subjects expressed a general lack of interest for further contact with depressed individuals.
  • 12. Depression and rumination • Inability to remove negative thoughts from working memory.  Sadness rumination-negative events to the self Anger rumination-external entity • Catathymic crises : fluctuation between self blame and other blame
  • 13. Depression and impulsivity • Depression has negative implications for self regulation affecting behavior. • “Impulsivity is neurophysiologically based inability to conform behavior to its results.” • Impulsive individuals are sensitive to rewards.
  • 14. Depression and Internalized anger • Internalized anger refers to suppressed(or unexpressed anger at others) • There is a correlation between high levels of hostility and depression in patients with internalized and externalized anger.
  • 15. Depression and emotional flooding • Depression can serve as “flooding function that generates anger and hence, increases the likelihood of aggression. • Authors concluded that both aggressive and depressive responses may be displayed in reaction to the same situation
  • 16. COMMON CAUSES OF DEPRESSION AND AGGRESSION
  • 17. Genetics • Approach has been suggested by studies indicating that a genetic variation in a serotonin transporter gene is indicated in depression.
  • 18. Attachment style • Insecure attachment style has been linked to both depression and use of aggression especially intimate partner aggression. • Attachment insecurity consistently relate to more frequent and severe depression.
  • 19. Conclusion • Depression should constitute a routine aspect of mental health assessment and where present , should be viewed as a risk factor for aggression.