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Journal of
Pharmacology & Clinical Research
ISSN: 2473-5574
Research Article
Volume 6 Issue 1 - July 2018
DOI: 10.19080/JPCR.2018.06.555680
J of Pharmacol & Clin Res
Copyright Š All rights are reserved by Luisetto Mauro
Mindset kinetics and Some Depression Status:
A New Quantitative Model Under
Biochemical-Toxicology Approach?
Luisetto Mauro*1
, Ghulam Rasool Mashori2
, Behzad Nili Ahmadabadi3
, Farhan Ahmad Khan4
, Kausar Rehman
Khan5
1
Applied pharmacologist, Independent Researcher, Italy
2
PhD in Clinical Pharmacology, Department of Pharmacology, Medical & Health Sciences for Woman, Peoples University of Medical and Health Sciences
for Women, Pakistan
3
Pharm D/PhD Innovative Pharmaceutical Product Development Specialist, USA
4
Professor & Head, Department of Pharmacology, ESIC Medical College, India
5
Preston University Karachi, Pakistan
Submission: July 18, 2018; Published: July 27, 2018
*Corresponding author: Luisetto Mauro, Applied pharmacologist, Independent Researcher, Italy, Tel: ;
Email:
Introduction
Depression is one of the most prevalent and debilitating
of the neuro- psychiatric disorders. According many Studies
cognitive therapy is as efficacious as antidepressant medications
at treating depression, and it seems to reduce the risk of relapse
even after its discontinuation. Cognitive-behavioral therapy
and antidepressant drugs probably engage some similar neural
mechanisms, as well as mechanisms that are distinctive to each.
A better specification and knowledge and of these mechanisms
might to be used to guide therapy selection and to improve
clinical outcomes. Today great emphasis concerns the neuro
transmitters status and its implication as main pharmacological
strategy.
But are we sure that is the only point of view to consider in
this kind of disorder? Starting from the effective efficacy level
of actual pharmacological therapy and the number of relapses
in some patients is relevant to observe this disorder under a
new light (the same also efficacy of some non-pharmacological
therapy). This work is produced starting from a medicinal
chemistry and biochemistry approach (kinetics) related to some
endogenous or exogenous noxa that can produce unbalances
of brain-mind. Every biological system presents a determinate
limit and brain-mind systems: an over stimulation of stressant
stimulus for long time or in acute can produce great effect in
more receptive subject. Single individual resilience ability and
residual biochemical buffer systems can help in balance the
system.
Theory of depression consider in example etiopathogenetic
(genetic, biochemistry), psychoanalytic factors and other
that contribute to the global status of a subject. Depression
conditions can be compared to a psychological manifestation of
the spirit which although has been influenced by hormonal level
and many other biological factors however has only relationship
J of Pharmacol & Clin Res 6(1): JPCR.MS.ID. 555680(2018) 001
Abstract
Depression is a state of low mood and aversion to activity that can affect a person’s thoughts, behavior, feelings and sense of well-being
(moderate or severe). Can we consider some depression status due to high amount of some stressant stimulus? or continuous stress in a limited
(or long) period? How can react mindset and brain in management a high amount of negative stressing thinking? Observing some relevant
literature also mindset kinetics must be considered to better classify this kind of disorder under a specific endogenous –exogenous biochemical-
toxicological aspect. Concept like Kinetics, reaction velocity limits, saturation of the systems, residual buffer properties are currently used in
biochemistry and related discipline. This concept can be applied also in some depression condition to better explain some phenomena?
Keywords: Depression; Mindset Kinetics; Toxicology; Theory of Constraints; Mindfulness; euroscience; Biochemistry
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
002
with hormones or neurotransmitters? are this the only factors
involved? In example drinking coffee you would become stressed
and angry, but anger is a product of someone’s provoking you, it
has nothing to do with coffee for caffeine. Even if this substantial
can enhance global reactivity. Yes, losing hope is slowing down
someone’s daily activity but this is only related to the serotonin
level?
In other example: pain is related to the endorphin level but
pain in example product of the deposit of crystals in the joints,
could be a pressure on trigeminal or sciatic nerve: therefore,
pain is not a product of endorphin level itself but a secondary
effect of Pathologic moves. Therefore, manipulating serotonin
and messing up with so many nervous circuits must cause new
disorder which we call them side effects. (In ex serotoninergic
syndrome).
Neurotransmitter manipulation like in anxiety and
antipsychotic and antidepressant drugs have been introduced
after 70s, and the psychomedical community and giant Pharma
and guaranteeing their income is trying to pathologize day after
day some in our opinion natural behavioral process of the spirit.
So, Tomorrow happiness could be considered as disorder? and
as well as yesterday too much energy of children was considered
not physiologic? Today some prestigious healthcare institution
is talking about also a pregnancy mood disorder? It is ridiculous.
Why the medical community is trying to pathologize everything
in next time?
Figure 1: corpuscular and ondulatory theory of light.
Is universally known that many psychologic or behavior
discipline can help unman being in correctly manage stressant
stimulus (mindfulness, yoga and many other discipline). In all
this discipline we observe in example great inside concentration
activity excluding external stressant stimulus. So, depression
can be considered more related to quality of thinking or to the
amount of negative thinking (and related time involved)? Why
the time can help some people to be more resilient after negative
stressant stimulus? Observing other scientific discipline in
example the light properties in physics discipline: it can be
considered under double condition: As undulatory properties
or as particle (and every property verified experimentally).
(In example see the quantum theory in chemical physics): two
different point of view of the same phenomena (Figures 1 & 2).
So, can we think some mindset-brain process under multiple
aspect phenomena? Thinking but also amount of thinking and
the global quality of thinking (positive or not) is a relevant factor
to better understand mindset status. And is very interesting
observe if the brain shows limits to manage this stressant
conditions?
Figure 2: Quantum theory, orbital energy, quantized energy
level (not linear but quantized).
The kinetics of this phenomena can help us to better clear
some psychologic- psychiatric, neurologic condition?
A global saturation of the system, in example due by high
stimulus as today we see in modern world, can contribute to
the efficiency of the systems? And what can be the effect in a
saturated system to substitute negative stress with positive?
In order to correctly evaluate the global system, the negative-
positive stress balances must be compared in example to a
receptorial model with agonist antagonist in competition
(pharmacological molecules) and observe the effect when
positive stimulus increase related the amount of negative (an
antagonist molecule can bind to the receptor avoiding the agonist
link) (Figure 3), and to correctly set the problem Is useful to
weigh stressant negative stimulus to correctly evaluate a physio-
pathologic condition? Why 2 centuries ago in medical textbooks
there wasn’t described anise as pathology? some psychologic-
psychiatric condition changed in last centuries in medical and
social approach? Contribute to this phenomenon high amount
of new stressant agents? (media, internet, civilization, business
conditions et other recent conditions). After high stressant
periods a download of metabolic-neurotransmitters and other
molecule is a natural pathway? Is a conservative strategy? It can
be compared to an aberrant metabolic process in some animals?
Figure 3: Antagonists bind to receptors but do not lead to
receptor activation.
Material and methods
With an observational approach and analyzing scientific
literature from biomedical databases (PubMed and other like
university library database) we try to verify if mindset kinetics
profile can influence. The depressive tract. Then we try to
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
003
produce an experimental tests hypothesis to verify the buffer
properties of brain-mind and kinetics involved in some brain-
mind phenomena. Mindset kinetics is also deeply involved in
many kinds of thinking and abilities or behavior like: catastrophic
thinking, extreme thinking, Mental traps, too rapid conclusion
approach, conflict management, Emotion management, positive
vision, Personal Goal setting, isolation , to search help ability
and resilience , self-esteem and self-motivation, critical thinking
approach , Love our self-ability (and Also other like : ability
to Change the frame of the situation in complex situations ,
Rethinking the problems, Mental training, change negative
thinking with pleasure activity, Stress management (coping
strategy), Living and thinking at the present moment (not in
past or in future), Emotional indifference and intelligence ,
Forgives ability, Contemplation exercise (mindfulness) to reduce
stressing situations , No guilt sense (to make more free your mind
and thinking ), Dream up (to brake the negative thinking), Make
more humor in the difficulties, Take distance from your negative
thinking (mindfulness),Verify our sense attribution to the
stressant situation, Open to new experiences, social intelligence,
Neophyte behavior, Learn new experience (positive), Use better
the opportunities, No fear for new situation).
Results
From literature: According article mindset kinetics under a
toxicological aspect “In order to evaluate stressing situation are
fundamental: kind of stress (in example high or not); amount of
global stressing condition, simultaneous; duration of stimulus
(chronic conditions?) individual status (resilience? stress
management ability, depression) psychologic but also genetic;
kinetics” [1] and in article Attitudes and skills in business
working setting: a HR management tool 2017: “ability to Treat
great problem in a simply way. Learning by the errors, lifelong
learning, Root causes analysis procedure (you can make errors
but what is crucial is your ability to rise on), Delegate more, Time
management (to do list and other management instruments),
give priority, Rethinking the great problems, searching help in
every situation, zero thinking ability, take your time ability to
give response.
Change the frame of the situation. Mental training, no
extreme thinking, lose comfort zone. Orientation attitudes (to
be oriented in all situation), what your goal, what your task,
what resource you need to do better a works (resource, help,
instruments, strategies) to say no ability negotiation, conflict
management, Positive thinking, Not catastrophic thinking, No
negativity in working settings, Not to think to be at the center
of the world, Pay attention to Mental traps, no rapid conclusion,
No preconception, Think to your positive things happened in the
day, Hard works to have more results help in work difficulties,
Stop negative thinking with pleasure activity, Thinking Oriented
to solution not only to problems, Positive results drive towards
more self-motivation, Use Entertainments as motivational force,
No mental traps, No mental limits, Trust in your instinct”[2].
“Stress Management and Coping Strategy Mindfulness: Living
and thinking now (not past or future) (Constantly thinking to
troubles make the mind weaker). Stop thinking (for 6 seconds),
take a pause form trouble, stop to the judgment, Emotional
indifference, Forgives ability (mindfulness), No intrusive
thinking, Changing sense of situation, Context, Make one think
on the same time, learn go slowly, no multitasking. Meditation
technique is one hobby. Give value to the others, listen the other
thinking in the right way. Contemplation (mindfulness) is to
reducestress.Noguiltsense(tomakefreeryourmind).Massages,
stretching, Sports, music, arts are hobbies. Holidays are to reduce
stress. Dream up (to break negative thinking). Laugh, sense of
humor, minimize, and leave drift the problems. Make humor in
the difficulties. Stop the working connections when you are not
at work or in office (if possible). Remember that life is also out of
office (family, friends, social). Build positive relationship (friends,
family and other). Learn to forgive mobbing management, to
search emotional support ability, Attention to the distortion in,
communication (up, down and between), Hear but not Listen
(think before to the real sense of what other says to you), Pay
attention to informal notice about you and to the your images
other see. Take distance from your thinking (mindfulness),
Verify our sense attribution to the situation, No too much rapid
response, Say you’re thinking with calm, No anger explosion,
Open to new experiences, Neophyte behavior, Learn some new
experience (positive), Use well the opportunities, No fear for the
new situation, Make Glide the situation, To complain frequently
results in negative cycle, Search social support, family, friends,
Searching fellow, alliances, Rapidly stop the cause of trouble,
before they increase(kill the monster before it increase), Take
time to give response (time to correctly think to the solution),
Deep knowledge in mobbing preventing activity (normative,
law, office, strategies), Request of write order about strange
request, register every strange situation, send write letter to
chief officer and to chief UR Manager office, Pay attention to your
body, emotional energy level, rest, Coaching supportive use [2].
According Erin P Gillung et al. [3] “Major depressive disorder
(MDD) is the leading cause of disability in the developed world,
yet broadly effective treatments remain elusive. Up to 40% of
patients with depression are unresponsive to at least two trials
of antidepressant medication and thus have “treatment-resistant
depression” (TRD). There is an urgent need for cost-effective,
non-pharmacologic, evidence-based treatments for TRD.
Mindfulness-Based Cognitive Therapy (MBCT) is an effective
treatment for relapse prevention and residual depression
in major depression but has not been previously studied in
patients with TRD in a large randomized trial” [3]. According
article A New Physio-Anatomic Brain Map 2017 “Why many area
and brain systems are interested by pharmaceutical industry
activity and other no? The same we can think a new method to
measure brain status observing some individual characteristics
as: All this indicator can be added to create a single data to verify
a normal status giving more objectivity is not a new procedure
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
004
but we think is innovative is to create a completive map using
this information. This approach can be useful in some field as
forensic science, jurisdictional settings, HR management, and
many other (Emotional Systems).
Depression level, anxious status, schizophrenia, emotional
status, or other pathological condition as Parkinson, coma,
epileptic status, exiting status, dementia, migraine, sleep
profile, hormonal status. And all other brain condition. Using
for example statistical analysis methods in order to not have a
relative condition that modify according the society evolution
level but a more objectivable parameter to use in stabile way
(nor relative). (What cells involved and related intensity of signal
and objectivable effect). Information that come from directly
from the cell or systems involved. We can have a physiology and
anatomic information complete related whit the efficacy of some
drugs or substances. This approach start from observing some
brain disease (or systemic) and the effect due by some iatrogenic
or toxic substanties and the drugs (used in therapy).
All this condition are often under pharmacological thera-
pies and the related receptor profile. (The same we can consider
the profile of addict’s substanties and related receptor). We can
see that in many situation we have an abuse or misuse of some
psychotropic drugs also in young people and this phenomena is
growing every year. Have we a single indicator to verify a normal
or abnormal brain status? or we are obliged to live in a psycholo-
gical status managed by pharmacological molecules? “[4].
Dean j et al written: “Major Depressive Disorder (MDD) is one
of the most common and debilitating mental disorders; however,
its etiology remains unclear. This paper aims to summarize
the major neurobiological underpinnings of depression,
synthesizing the findings into a comprehensive integrated view.
A literature review was conducted using Pubmed. Search terms
included “depression” or “MDD” and “biology”, “neurobiology”,
“inflammation”, “neurogenesis”, “monoamine”, and “stress”.
Articles from 1995 to 2016 were reviewed with a focus on the
connection between different biological and psychological
models. Some possible pathophysiological mechanisms of
depression include altered neurotransmission, HPA axis
abnormalities involved in chronic stress, inflammation, reduced
neuroplasticity, and network dysfunction.
All these proposed mechanisms are integrally related and
interact bidirectionally. In addition, psychological factors have
been shown to have a direct effect on neurodevelopment, causing
a biological predisposition to depression, while biological
factors can lead to psychological pathology as well. The authors
suggest that while it is possible that there are several different
endophenotypes of depression with distinct pathophysiological
mechanisms, it may be helpful to think of depression as one
united syndrome, in which these mechanisms interact as nodes
in a matrix. Depressive disorders are considered in the context of
the RDoC paradigm, identifying the pathological mechanisms at
every translational level, with a focus on how these mechanisms
interact. Finally, future directions of research are identified” [5].
Shin YC: “Various types of stress affect mental health in
the form of mood disorders, anxiety disorders, and suicidal
ideation. Recently, the increasing suicide rate in the working-age
population has become a major mental health concern in Korea.
Thus, we investigated what kind of stress influence depression,
anxiety, and suicidal ideation in Korean employees. The study
participants were 189,965 employees who attended health
screenings and responded to the Center for Epidemiologic
Study-Depression Scale, the Beck Anxiety Inventory, and a
questionnaire on the major causes of stress and suicidal ideation.
We investigated the major causes of stress by gender and age
categories and used binary logistic regression to determine
the impact of the causes of stress on depression, anxiety and
suicidal ideation. Of several stress causes, work-related stress
was the most prevalent, regardless of age category and gender,
followed by interpersonal relationships. However, interpersonal
relationships and financial problems were the predominant
causes of stress related to depression or suicidal ideation. This
research suggests that despite the fact that work is the most
common cause of stress for Korean employees, stress related
to life problems other than work has a greater influence on the
mental health of Korean employees” [6].
According to Harvey et al “The purpose of the present study
was to address
a)	 Whether exercise provides protection against new-
onset depression and anxiety.
b)	 If so, the intensity and amount of exercise required to
gain protection and, lastly.
c)	 The mechanisms that underlie any association.
A “healthy” cohort of 33,908 adults, selected based on having
no symptoms of common mental disorder or limiting physical
health conditions, was prospectively followed for 11 years.
Validated measures of exercise, depression, anxiety, and a range
of potential confounding and mediating factors were collected.
Undertaking regular leisure-time exercise was associated with
reduced incidence of future depression but not anxiety. Most
of this protective effect occurred at low levels of exercise and
was observed regardless of intensity. After adjustment for
confounders, the population attributable fraction suggests
that, assuming the relationship is causal, 12% of future cases
of depression could have been prevented if all participants
had engaged in at least 1 hour of physical activity each week.
The social and physical health benefits of exercise explained a
small proportion of the protective effect. Previously proposed
biological mechanisms, such as alterations in parasympathetic
vagal tone, did not appear to have a role in explaining the
protection against depression.
Regular leisure-time exercise of any intensity provides
protection against future depression but not anxiety. Relatively
modest changes in population levels of exercise may have
important public mental health benefits and prevent a
substantial number of new cases of depression” [7]. Prathikanti
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
005
S et al :“Conventional pharmacotherapies and psychotherapies
for major depression are associated with limited adherence
to care and relatively low remission rates. Yoga may offer an
alternative treatment option, but rigorous studies are few. This
randomized controlled trial with blinded outcome assessors
examined an 8-week hatha yoga intervention as mono-therapy
for mild-to-moderate major depression.
Investigators recruited 38 adults in San Francisco meeting
criteria for major depression of mild-to-moderate severity,
per structured psychiatric interview and scores of 14-28 on
Beck Depression Inventory-II (BDI). At screening, individuals
engaged in psychotherapy, antidepressant pharmacotherapy,
herbal or nutraceutical mood therapies, or mind-body practices
were excluded. Participants were 68% female, with mean age
43.4 years (SD = 14.8, range = 22-72), and mean BDI score 22.4
(SD = 4.5). Twenty participants were randomized to 90-minute
hatha yoga practice groups twice weekly for 8 weeks. Eighteen
participants were randomized to 90-minute attention control
education groups twice weekly for 8 weeks. Certified yoga
instructors delivered both interventions at a university clinic.
Primary outcome was depression severity, measured by BDI
scores every 2 weeks from baseline to 8 weeks. Secondary
outcomes were self-efficacy and self-esteem, measured by
scores on the General Self-Efficacy Scale (GSES) and Rosenberg
Self-Esteem Scale (RSES) at baseline and at 8 weeks.
In intent-to-treat analysis, yoga participants exhibited
significantly greater 8-week decline in BDI scores than controls
(p-value = 0.034). In sub-analyses of participants completing
final 8-week measures, yoga participants were more likely to
achieve remission, defined per final BDI score ≤ 9 (p-value =
0.018). Effect size of yoga in reducing BDI scores was large, per
Cohen’s d = -0.96 [95% CI, -1.81 to -0.12]. Intervention groups
did not differ significantly in 8-week change scores for either the
GSES or RSES. In adults with mild-to-moderate major depression,
an 8-week hatha yoga intervention resulted in statistically and
clinically significant reductions in depression severity” [8].
Piotr Gałecki et al: “Separating emotions from cognition
seems an impossible task in a human being’s everyday experien-
ces, similarly to the functional separation of frontal lobes and
hippocampal formations. Most of emotional experiences are
linked with cognitive processes, and emotions are an indispen-
sable element of cognition (the so-called principle of cognition
compatibility with mood). This principle affects not only me-
mory processes but also includes perception, attention, or lin-
guistic abilities [8,9]. It seems that the so-called “reptilian brain”
is in charge of steering our choices, while “rational” frontal lo-
bes are always one step behind. The pace of evolutionary chan-
ges does not keep up with the intensity of civilization changes.
Therefore, symptoms of depression may be one of the forms of
adaptation to excessively high requirements of the environment.
When summing up our deliberations regarding the etiology of
depression, can we simply claim that Nature has not finished its
work? We will leave this question without an answer” [9].
Ferrari f et al: “Depressive disorders are heterogeneous
diseases, and the complexity of symptoms has led to the
formulation of several aethiopathological hypotheses. This
heterogeneity may account for the following open issues about
antidepressant therapy:
i.	 Antidepressants show a time lag between
pharmacological effects, within hours from acute drug
administration, and therapeutic effects, within two-four
weeks of sub chronic treatment.
ii.	 This latency interval is critical for the patient because
of the possible further mood worsening that may result in
suicide attempts for the seemingly ineffective therapy and
for the apparent adverse effects.
iii.	 And only 60-70 % of treated patients successfully
respond to therapy. In this review, the complexity of
the biological theories that try to explain the molecular
mechanisms of these diseases is considered, encompassing
a)	 The classic “monoaminergic hypothesis” alongside
the updated hypothesis according to which long-term
therapeutically action of antidepressants is mediated by
intracellular signal transduction pathways.
b)	 The hypothalamic-pituitary-adrenal axis involvement.
Although these models have guided research efforts in the
field for decades, they have not generated a compelling and
conclusive model either for depression pathophysiology or
for antidepressant drugs’ action. So, other emerging theories
are discussed.
c)	 The alterations of neuroplasticity and neurotrophies in
selective vulnerable cerebral areas.
d)	 The involvement of inflammatory processes.
e)	 And the alterations in mitochondrial function and
neuronal bioenergetics. The focus is put on the molecular
and theoretical links between all these hypotheses, which
are not mutually exclusive but otherwise tightly correlated,
giving an integrated and comprehensive overview of the
neurobiology of depressive disorders” [10].
According to Forsyth et al “The purpose of this article is to
describe changes in positive and negative thinking in adult inpa-
tients with depression who attended an Advanced Practice Nur-
se-led Cognitive Behavioral Therapy group on 1 inpatient unit
in a large medical center. A descriptive design with a retrospec-
tive cohort chart review was conducted (n = 427). Positive and
negative thinking were measured by the Automatic Thoughts
Questionnaire at admission and at discharge. A paired t-test re-
vealed a significant change (p = .001) in both positive and negati-
ve thinking in the desired direction between admission and dis-
charge. It is important to measure clinical improvements” [11].
Trick L et al “Depression is common in people with long
term conditions and is associated with worse medical outcomes.
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
006
Previous research shows perseverative negative thinking (e.g.
worry, rumination) predicts subsequent depression and worse
medical outcomes, suggesting interventions targeting perseve-
rative negative thinking could improve depression and medical
outcomes. Previous studies recruited healthy individuals, howe-
ver. This review aimed to determine the temporal relationship
and strength of prospective association of perseverative nega-
tive thinking with depression, anxiety and emotional distress
in people with long term conditions. Four electronic databases
were searched for studies including standardized measures of
perseverative negative thinking and depression, anxiety or emo-
tional distress, and which presented prospective associations.
Findings were narratively synthesized.
Thirty studies were identified in a range of long term
conditions. Perseverative negative thinking and subsequent
depression, anxiety or emotional distress were significantly
correlated in most of studies (bivariate r=0.23 to r=0.73). 25
studies controlled for confounders, and in 15 perseverative
negative thinking predicted subsequent depression, anxiety
or emotional distress. Results varied according to condition
and study quality. Six of 7 studies found bivariate associations
between depression, anxiety or emotional distress and
subsequent perseverative negative thinking, though 2 studies
controlling for key covariates found no association. Few studies
assessed the impact of perseverative negative thinking on
medical outcomes.
Strongest evidence supported perseverative negative
thinking predicting subsequent depression, anxiety and
emotional distress in people with long term conditions. Further
prospective research is warranted to clarify the association of
perseverative negative thinking with subsequent poor medical
outcomes” [12] and Saori Nishikawa et al written: “Previous
studies have demonstrated an association between negative life
events (NLEs) in childhood and resilience/posttraumatic growth
(PTG) about the pathogenesis of major depressive disorder.
We hypothesized that the type and timing of NLEs interact to
influence mental health in the general youth population.
Therefore, the present study aimed to examine the effects of
NLE timing and intensity on current depressive symptoms, and
to determine the direct and indirect effects of NLEs/resilience on
PTG and depression among non-clinical adolescents. Data were
collected from 1,038 high-school students across seven high
schools in Fukui, Japan, during their freshman and sophomore
years (648 boys and 390 girls, mean age = 15.71, SD = 0.524).
Respondents completed a set of questionnaires designed to
evaluate the type and timing of NLEs, depressive and traumatic
symptoms, and PTG.
Cluster analysis was used to divide participants into three
groups based on outcomes: “cluster 1” (n = 631), for whom
depressive scores were significantly lower than other two
subgroups (p < 0.05, for both); “cluster 2” (n = 52), for whom
levels of current and past perceived stress associated with
NLEs were significantly higher than those of the other two
subgroups (p < 0.05, for both); “cluster 3” (n = 374), for whom
perceived stress at the time of NLE was significantly higher
than that of participants in the cluster 1 (p < 0.05) group, but
not the cluster 2 group. Our findings indicated that exposure to
NLEs at a younger age resulted in stronger negative outcomes
and that NLE timing and intensity were associated with PTG and
current symptoms of depression. Furthermore, path analysis
demonstrated that associations between perceived stress at
the time of NLEs were direct and indirect predictors of current
depression via PTG and that posttraumatic stress symptom and
PTG mediate the association between NLEs/trait-resiliency
and current depression. In conclusion, our findings suggest
that event intensity, NLE timing, and gender may play a role in
emotional vulnerability during adolescence” [13].
Discussion
Related the literature observed is relevant to introduce new
more objective way to the definition of depression status to be
pharmacologically treated to be separated to the subject that
take advantages with other non-pharmacological strategies. In
this kind of disorder also mindset kinetics and their specific
limits must be considered to evaluate in objective way saturation
situation of the system, specific buffer properties and resilience
abilities of individuals. In actual scenario a better objective way
to verify the amount of stressing condition, time of exposure and
quality must be introduced. A useful instrument for healthcare
professionals and patients (using also a toxicological approach:
what toxic condition, amount and time of exposure and under
a biochemical aspect (kinetics, max velocity of a system,
saturation) and not only the receptorial status.
Observing biochemistry kinetics law can we think that a
zero-order kinetics in mindset kinetics can reduce some mind-
brain disorder? (Only a determinate quantum of stressing
condition in a definite amount of time) (Figures 4-6).
Figure 4: Example of zero order kinetic.
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
007
Figure 5: Saturation kinetic.
Figure 6: Mindset buffer model.	
Conclusion
Scientist like Max Planck, Einstein, Bohr, de Broglie,
SchrĂśdinger, Heisenberg et others (involved in theory of quantum
chemical physic), E Goldratt (Theory of constraints), Michaelis-
Menten (kinetics theory), other biochemical and enzymatic
reaction theory must be deeply investigated also in other fields
like neuroscience and applied to better clear some process. The
factor that can join the organic theories to the psychological
approach can be an abnormal- pathological mindset kinetics
process or an overuse or saturation in some phyco- neurologic
process.
The single resilience ability or single buffer properties in
biochemical receptorial status must be also objectively. So is
crucial to verify in more objective way the global amount of
stressant stimulus, time long (acute or prolonged time), quality
of stressant condition and the single resilience abilities as well
as the buffer biochemical properties and other factors that can
be involved (environment, social situation, working condition,
health status). So, it is real crucial to introduce new diagnostic
objective tests to verify this condition. Considering the stressant
stimulus like an endogenous- exogenous toxic condition factor
can be interesting to think to new kind of Remedies. A Toxicology
status can be considered also a overuse of a system that can
produce great unbalances in physiology in some apparatus.
References
1.	 Luisetto M, Behzad NA, Ghulam RM (2018) Mindset Kinetics–Under
Toxicological Aspect. Psychol Behav Sci Int J 8(2).
2.	 Mauro L (2017) Attitudes and Skills in Business Working Settings: A
HR Management Tool. Bus Eco J 8: 291.
3.	 Stuart J Eisendrath, Erin P Gillung, Kevin L Delucchi, Maggie Chartier,
Daniel H Mathalon, et al. (2014) Mindfulness-based cognitive thera-
py (MBCT) versus the health-enhancement program (HEP) for adults
with treatment-resistant depression: a randomized control trial study
protocol. BMC Complement Altern Med 14: 95.
4.	 luisetto M, B Nili Ahmadabadi (2017) A New Physio-Anantomic Brain
Map short comunication Current Opinions in Neurological Science
1(3).
5.	 Dean J, Keshavan M (2017) The neurobiology of depression: An inte-
grated view. Asian J Psychiatr 27:101-111.
6.	 Shin YC, Lee D, Seol J, Lim SW, (2017) What Kind of Stress Is Associated
with Depression, Anxiety and Suicidal Ideation in Korean Employees? J
Korean Med Sci 32(5): 843-849.
7.	 Harvey SB, Øverland S, Hatch SL, Wessely S, Mykletun A, et al. (2018)
Exercise and the Prevention of Depression: Results of the HUNT Cohort
Study Am J Psychiatry 175(1): 28-36.
8.	 Prathikanti S, Rivera R, Cochran A, Tungol JG, Fayazmanesh N, Wein-
mann E (2017) Treating major depression with yoga: A prospective,
randomized, controlled pilot trial. PLoS One. 12(3): 0173869.
9.	 Piotr Gałecki, Monika TalarowskaA (2017) The Evolutionary Theory of
Depression Med Sci Monit 23: 2267-2274.
10.	Ferrari F, Villa RF (2017) The Neurobiology of Depression: An Integrat-
ed Overview from Biological Theories to Clinical Evidence. Mol Neuro-
biol 54(7): 4847-4865.
11.	Forsyth DM, Poppe K, Nash V, Alarcon RD, Kung S (2010) Measuring
changes in negative and positive thinking in patients with depression.
Perspect Psychiatr Care 46(4): 257-265.
12.	Trick L, Watkins E, Windeatt S, Dickens C (2016) The association of
perseverative negative thinking with depression, anxiety and emotion-
al distress in people with long term conditions: A systematic review J
Psychosom Res 91: 89-101.
13.	Saori Nishikawa, Takashi X Fujisawa, Masahiko Kojima, Akemi Tomoda
(2018) Type and Timing of Negative Life Events Are Associated with
Adolescent Depression, Front Psychiatry 9: 41.
Journal of Pharmacology & Clinical Research
How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New
Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680.
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Jpcr luisetto m, ghulam r m, behzad n a, farhan a k, kausar r k. mindset kinetics and some depression status a new quantitative model under biochemical toxicological approach 2018 j. pharmacology clinical research ,#pharmacology,#toxicology, #psyc pdf

  • 1. Journal of Pharmacology & Clinical Research ISSN: 2473-5574 Research Article Volume 6 Issue 1 - July 2018 DOI: 10.19080/JPCR.2018.06.555680 J of Pharmacol & Clin Res Copyright Š All rights are reserved by Luisetto Mauro Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach? Luisetto Mauro*1 , Ghulam Rasool Mashori2 , Behzad Nili Ahmadabadi3 , Farhan Ahmad Khan4 , Kausar Rehman Khan5 1 Applied pharmacologist, Independent Researcher, Italy 2 PhD in Clinical Pharmacology, Department of Pharmacology, Medical & Health Sciences for Woman, Peoples University of Medical and Health Sciences for Women, Pakistan 3 Pharm D/PhD Innovative Pharmaceutical Product Development Specialist, USA 4 Professor & Head, Department of Pharmacology, ESIC Medical College, India 5 Preston University Karachi, Pakistan Submission: July 18, 2018; Published: July 27, 2018 *Corresponding author: Luisetto Mauro, Applied pharmacologist, Independent Researcher, Italy, Tel: ; Email: Introduction Depression is one of the most prevalent and debilitating of the neuro- psychiatric disorders. According many Studies cognitive therapy is as efficacious as antidepressant medications at treating depression, and it seems to reduce the risk of relapse even after its discontinuation. Cognitive-behavioral therapy and antidepressant drugs probably engage some similar neural mechanisms, as well as mechanisms that are distinctive to each. A better specification and knowledge and of these mechanisms might to be used to guide therapy selection and to improve clinical outcomes. Today great emphasis concerns the neuro transmitters status and its implication as main pharmacological strategy. But are we sure that is the only point of view to consider in this kind of disorder? Starting from the effective efficacy level of actual pharmacological therapy and the number of relapses in some patients is relevant to observe this disorder under a new light (the same also efficacy of some non-pharmacological therapy). This work is produced starting from a medicinal chemistry and biochemistry approach (kinetics) related to some endogenous or exogenous noxa that can produce unbalances of brain-mind. Every biological system presents a determinate limit and brain-mind systems: an over stimulation of stressant stimulus for long time or in acute can produce great effect in more receptive subject. Single individual resilience ability and residual biochemical buffer systems can help in balance the system. Theory of depression consider in example etiopathogenetic (genetic, biochemistry), psychoanalytic factors and other that contribute to the global status of a subject. Depression conditions can be compared to a psychological manifestation of the spirit which although has been influenced by hormonal level and many other biological factors however has only relationship J of Pharmacol & Clin Res 6(1): JPCR.MS.ID. 555680(2018) 001 Abstract Depression is a state of low mood and aversion to activity that can affect a person’s thoughts, behavior, feelings and sense of well-being (moderate or severe). Can we consider some depression status due to high amount of some stressant stimulus? or continuous stress in a limited (or long) period? How can react mindset and brain in management a high amount of negative stressing thinking? Observing some relevant literature also mindset kinetics must be considered to better classify this kind of disorder under a specific endogenous –exogenous biochemical- toxicological aspect. Concept like Kinetics, reaction velocity limits, saturation of the systems, residual buffer properties are currently used in biochemistry and related discipline. This concept can be applied also in some depression condition to better explain some phenomena? Keywords: Depression; Mindset Kinetics; Toxicology; Theory of Constraints; Mindfulness; euroscience; Biochemistry
  • 2. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 002 with hormones or neurotransmitters? are this the only factors involved? In example drinking coffee you would become stressed and angry, but anger is a product of someone’s provoking you, it has nothing to do with coffee for caffeine. Even if this substantial can enhance global reactivity. Yes, losing hope is slowing down someone’s daily activity but this is only related to the serotonin level? In other example: pain is related to the endorphin level but pain in example product of the deposit of crystals in the joints, could be a pressure on trigeminal or sciatic nerve: therefore, pain is not a product of endorphin level itself but a secondary effect of Pathologic moves. Therefore, manipulating serotonin and messing up with so many nervous circuits must cause new disorder which we call them side effects. (In ex serotoninergic syndrome). Neurotransmitter manipulation like in anxiety and antipsychotic and antidepressant drugs have been introduced after 70s, and the psychomedical community and giant Pharma and guaranteeing their income is trying to pathologize day after day some in our opinion natural behavioral process of the spirit. So, Tomorrow happiness could be considered as disorder? and as well as yesterday too much energy of children was considered not physiologic? Today some prestigious healthcare institution is talking about also a pregnancy mood disorder? It is ridiculous. Why the medical community is trying to pathologize everything in next time? Figure 1: corpuscular and ondulatory theory of light. Is universally known that many psychologic or behavior discipline can help unman being in correctly manage stressant stimulus (mindfulness, yoga and many other discipline). In all this discipline we observe in example great inside concentration activity excluding external stressant stimulus. So, depression can be considered more related to quality of thinking or to the amount of negative thinking (and related time involved)? Why the time can help some people to be more resilient after negative stressant stimulus? Observing other scientific discipline in example the light properties in physics discipline: it can be considered under double condition: As undulatory properties or as particle (and every property verified experimentally). (In example see the quantum theory in chemical physics): two different point of view of the same phenomena (Figures 1 & 2). So, can we think some mindset-brain process under multiple aspect phenomena? Thinking but also amount of thinking and the global quality of thinking (positive or not) is a relevant factor to better understand mindset status. And is very interesting observe if the brain shows limits to manage this stressant conditions? Figure 2: Quantum theory, orbital energy, quantized energy level (not linear but quantized). The kinetics of this phenomena can help us to better clear some psychologic- psychiatric, neurologic condition? A global saturation of the system, in example due by high stimulus as today we see in modern world, can contribute to the efficiency of the systems? And what can be the effect in a saturated system to substitute negative stress with positive? In order to correctly evaluate the global system, the negative- positive stress balances must be compared in example to a receptorial model with agonist antagonist in competition (pharmacological molecules) and observe the effect when positive stimulus increase related the amount of negative (an antagonist molecule can bind to the receptor avoiding the agonist link) (Figure 3), and to correctly set the problem Is useful to weigh stressant negative stimulus to correctly evaluate a physio- pathologic condition? Why 2 centuries ago in medical textbooks there wasn’t described anise as pathology? some psychologic- psychiatric condition changed in last centuries in medical and social approach? Contribute to this phenomenon high amount of new stressant agents? (media, internet, civilization, business conditions et other recent conditions). After high stressant periods a download of metabolic-neurotransmitters and other molecule is a natural pathway? Is a conservative strategy? It can be compared to an aberrant metabolic process in some animals? Figure 3: Antagonists bind to receptors but do not lead to receptor activation. Material and methods With an observational approach and analyzing scientific literature from biomedical databases (PubMed and other like university library database) we try to verify if mindset kinetics profile can influence. The depressive tract. Then we try to
  • 3. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 003 produce an experimental tests hypothesis to verify the buffer properties of brain-mind and kinetics involved in some brain- mind phenomena. Mindset kinetics is also deeply involved in many kinds of thinking and abilities or behavior like: catastrophic thinking, extreme thinking, Mental traps, too rapid conclusion approach, conflict management, Emotion management, positive vision, Personal Goal setting, isolation , to search help ability and resilience , self-esteem and self-motivation, critical thinking approach , Love our self-ability (and Also other like : ability to Change the frame of the situation in complex situations , Rethinking the problems, Mental training, change negative thinking with pleasure activity, Stress management (coping strategy), Living and thinking at the present moment (not in past or in future), Emotional indifference and intelligence , Forgives ability, Contemplation exercise (mindfulness) to reduce stressing situations , No guilt sense (to make more free your mind and thinking ), Dream up (to brake the negative thinking), Make more humor in the difficulties, Take distance from your negative thinking (mindfulness),Verify our sense attribution to the stressant situation, Open to new experiences, social intelligence, Neophyte behavior, Learn new experience (positive), Use better the opportunities, No fear for new situation). Results From literature: According article mindset kinetics under a toxicological aspect “In order to evaluate stressing situation are fundamental: kind of stress (in example high or not); amount of global stressing condition, simultaneous; duration of stimulus (chronic conditions?) individual status (resilience? stress management ability, depression) psychologic but also genetic; kinetics” [1] and in article Attitudes and skills in business working setting: a HR management tool 2017: “ability to Treat great problem in a simply way. Learning by the errors, lifelong learning, Root causes analysis procedure (you can make errors but what is crucial is your ability to rise on), Delegate more, Time management (to do list and other management instruments), give priority, Rethinking the great problems, searching help in every situation, zero thinking ability, take your time ability to give response. Change the frame of the situation. Mental training, no extreme thinking, lose comfort zone. Orientation attitudes (to be oriented in all situation), what your goal, what your task, what resource you need to do better a works (resource, help, instruments, strategies) to say no ability negotiation, conflict management, Positive thinking, Not catastrophic thinking, No negativity in working settings, Not to think to be at the center of the world, Pay attention to Mental traps, no rapid conclusion, No preconception, Think to your positive things happened in the day, Hard works to have more results help in work difficulties, Stop negative thinking with pleasure activity, Thinking Oriented to solution not only to problems, Positive results drive towards more self-motivation, Use Entertainments as motivational force, No mental traps, No mental limits, Trust in your instinct”[2]. “Stress Management and Coping Strategy Mindfulness: Living and thinking now (not past or future) (Constantly thinking to troubles make the mind weaker). Stop thinking (for 6 seconds), take a pause form trouble, stop to the judgment, Emotional indifference, Forgives ability (mindfulness), No intrusive thinking, Changing sense of situation, Context, Make one think on the same time, learn go slowly, no multitasking. Meditation technique is one hobby. Give value to the others, listen the other thinking in the right way. Contemplation (mindfulness) is to reducestress.Noguiltsense(tomakefreeryourmind).Massages, stretching, Sports, music, arts are hobbies. Holidays are to reduce stress. Dream up (to break negative thinking). Laugh, sense of humor, minimize, and leave drift the problems. Make humor in the difficulties. Stop the working connections when you are not at work or in office (if possible). Remember that life is also out of office (family, friends, social). Build positive relationship (friends, family and other). Learn to forgive mobbing management, to search emotional support ability, Attention to the distortion in, communication (up, down and between), Hear but not Listen (think before to the real sense of what other says to you), Pay attention to informal notice about you and to the your images other see. Take distance from your thinking (mindfulness), Verify our sense attribution to the situation, No too much rapid response, Say you’re thinking with calm, No anger explosion, Open to new experiences, Neophyte behavior, Learn some new experience (positive), Use well the opportunities, No fear for the new situation, Make Glide the situation, To complain frequently results in negative cycle, Search social support, family, friends, Searching fellow, alliances, Rapidly stop the cause of trouble, before they increase(kill the monster before it increase), Take time to give response (time to correctly think to the solution), Deep knowledge in mobbing preventing activity (normative, law, office, strategies), Request of write order about strange request, register every strange situation, send write letter to chief officer and to chief UR Manager office, Pay attention to your body, emotional energy level, rest, Coaching supportive use [2]. According Erin P Gillung et al. [3] “Major depressive disorder (MDD) is the leading cause of disability in the developed world, yet broadly effective treatments remain elusive. Up to 40% of patients with depression are unresponsive to at least two trials of antidepressant medication and thus have “treatment-resistant depression” (TRD). There is an urgent need for cost-effective, non-pharmacologic, evidence-based treatments for TRD. Mindfulness-Based Cognitive Therapy (MBCT) is an effective treatment for relapse prevention and residual depression in major depression but has not been previously studied in patients with TRD in a large randomized trial” [3]. According article A New Physio-Anatomic Brain Map 2017 “Why many area and brain systems are interested by pharmaceutical industry activity and other no? The same we can think a new method to measure brain status observing some individual characteristics as: All this indicator can be added to create a single data to verify a normal status giving more objectivity is not a new procedure
  • 4. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 004 but we think is innovative is to create a completive map using this information. This approach can be useful in some field as forensic science, jurisdictional settings, HR management, and many other (Emotional Systems). Depression level, anxious status, schizophrenia, emotional status, or other pathological condition as Parkinson, coma, epileptic status, exiting status, dementia, migraine, sleep profile, hormonal status. And all other brain condition. Using for example statistical analysis methods in order to not have a relative condition that modify according the society evolution level but a more objectivable parameter to use in stabile way (nor relative). (What cells involved and related intensity of signal and objectivable effect). Information that come from directly from the cell or systems involved. We can have a physiology and anatomic information complete related whit the efficacy of some drugs or substances. This approach start from observing some brain disease (or systemic) and the effect due by some iatrogenic or toxic substanties and the drugs (used in therapy). All this condition are often under pharmacological thera- pies and the related receptor profile. (The same we can consider the profile of addict’s substanties and related receptor). We can see that in many situation we have an abuse or misuse of some psychotropic drugs also in young people and this phenomena is growing every year. Have we a single indicator to verify a normal or abnormal brain status? or we are obliged to live in a psycholo- gical status managed by pharmacological molecules? “[4]. Dean j et al written: “Major Depressive Disorder (MDD) is one of the most common and debilitating mental disorders; however, its etiology remains unclear. This paper aims to summarize the major neurobiological underpinnings of depression, synthesizing the findings into a comprehensive integrated view. A literature review was conducted using Pubmed. Search terms included “depression” or “MDD” and “biology”, “neurobiology”, “inflammation”, “neurogenesis”, “monoamine”, and “stress”. Articles from 1995 to 2016 were reviewed with a focus on the connection between different biological and psychological models. Some possible pathophysiological mechanisms of depression include altered neurotransmission, HPA axis abnormalities involved in chronic stress, inflammation, reduced neuroplasticity, and network dysfunction. All these proposed mechanisms are integrally related and interact bidirectionally. In addition, psychological factors have been shown to have a direct effect on neurodevelopment, causing a biological predisposition to depression, while biological factors can lead to psychological pathology as well. The authors suggest that while it is possible that there are several different endophenotypes of depression with distinct pathophysiological mechanisms, it may be helpful to think of depression as one united syndrome, in which these mechanisms interact as nodes in a matrix. Depressive disorders are considered in the context of the RDoC paradigm, identifying the pathological mechanisms at every translational level, with a focus on how these mechanisms interact. Finally, future directions of research are identified” [5]. Shin YC: “Various types of stress affect mental health in the form of mood disorders, anxiety disorders, and suicidal ideation. Recently, the increasing suicide rate in the working-age population has become a major mental health concern in Korea. Thus, we investigated what kind of stress influence depression, anxiety, and suicidal ideation in Korean employees. The study participants were 189,965 employees who attended health screenings and responded to the Center for Epidemiologic Study-Depression Scale, the Beck Anxiety Inventory, and a questionnaire on the major causes of stress and suicidal ideation. We investigated the major causes of stress by gender and age categories and used binary logistic regression to determine the impact of the causes of stress on depression, anxiety and suicidal ideation. Of several stress causes, work-related stress was the most prevalent, regardless of age category and gender, followed by interpersonal relationships. However, interpersonal relationships and financial problems were the predominant causes of stress related to depression or suicidal ideation. This research suggests that despite the fact that work is the most common cause of stress for Korean employees, stress related to life problems other than work has a greater influence on the mental health of Korean employees” [6]. According to Harvey et al “The purpose of the present study was to address a) Whether exercise provides protection against new- onset depression and anxiety. b) If so, the intensity and amount of exercise required to gain protection and, lastly. c) The mechanisms that underlie any association. A “healthy” cohort of 33,908 adults, selected based on having no symptoms of common mental disorder or limiting physical health conditions, was prospectively followed for 11 years. Validated measures of exercise, depression, anxiety, and a range of potential confounding and mediating factors were collected. Undertaking regular leisure-time exercise was associated with reduced incidence of future depression but not anxiety. Most of this protective effect occurred at low levels of exercise and was observed regardless of intensity. After adjustment for confounders, the population attributable fraction suggests that, assuming the relationship is causal, 12% of future cases of depression could have been prevented if all participants had engaged in at least 1 hour of physical activity each week. The social and physical health benefits of exercise explained a small proportion of the protective effect. Previously proposed biological mechanisms, such as alterations in parasympathetic vagal tone, did not appear to have a role in explaining the protection against depression. Regular leisure-time exercise of any intensity provides protection against future depression but not anxiety. Relatively modest changes in population levels of exercise may have important public mental health benefits and prevent a substantial number of new cases of depression” [7]. Prathikanti
  • 5. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 005 S et al :“Conventional pharmacotherapies and psychotherapies for major depression are associated with limited adherence to care and relatively low remission rates. Yoga may offer an alternative treatment option, but rigorous studies are few. This randomized controlled trial with blinded outcome assessors examined an 8-week hatha yoga intervention as mono-therapy for mild-to-moderate major depression. Investigators recruited 38 adults in San Francisco meeting criteria for major depression of mild-to-moderate severity, per structured psychiatric interview and scores of 14-28 on Beck Depression Inventory-II (BDI). At screening, individuals engaged in psychotherapy, antidepressant pharmacotherapy, herbal or nutraceutical mood therapies, or mind-body practices were excluded. Participants were 68% female, with mean age 43.4 years (SD = 14.8, range = 22-72), and mean BDI score 22.4 (SD = 4.5). Twenty participants were randomized to 90-minute hatha yoga practice groups twice weekly for 8 weeks. Eighteen participants were randomized to 90-minute attention control education groups twice weekly for 8 weeks. Certified yoga instructors delivered both interventions at a university clinic. Primary outcome was depression severity, measured by BDI scores every 2 weeks from baseline to 8 weeks. Secondary outcomes were self-efficacy and self-esteem, measured by scores on the General Self-Efficacy Scale (GSES) and Rosenberg Self-Esteem Scale (RSES) at baseline and at 8 weeks. In intent-to-treat analysis, yoga participants exhibited significantly greater 8-week decline in BDI scores than controls (p-value = 0.034). In sub-analyses of participants completing final 8-week measures, yoga participants were more likely to achieve remission, defined per final BDI score ≤ 9 (p-value = 0.018). Effect size of yoga in reducing BDI scores was large, per Cohen’s d = -0.96 [95% CI, -1.81 to -0.12]. Intervention groups did not differ significantly in 8-week change scores for either the GSES or RSES. In adults with mild-to-moderate major depression, an 8-week hatha yoga intervention resulted in statistically and clinically significant reductions in depression severity” [8]. Piotr Gałecki et al: “Separating emotions from cognition seems an impossible task in a human being’s everyday experien- ces, similarly to the functional separation of frontal lobes and hippocampal formations. Most of emotional experiences are linked with cognitive processes, and emotions are an indispen- sable element of cognition (the so-called principle of cognition compatibility with mood). This principle affects not only me- mory processes but also includes perception, attention, or lin- guistic abilities [8,9]. It seems that the so-called “reptilian brain” is in charge of steering our choices, while “rational” frontal lo- bes are always one step behind. The pace of evolutionary chan- ges does not keep up with the intensity of civilization changes. Therefore, symptoms of depression may be one of the forms of adaptation to excessively high requirements of the environment. When summing up our deliberations regarding the etiology of depression, can we simply claim that Nature has not finished its work? We will leave this question without an answer” [9]. Ferrari f et al: “Depressive disorders are heterogeneous diseases, and the complexity of symptoms has led to the formulation of several aethiopathological hypotheses. This heterogeneity may account for the following open issues about antidepressant therapy: i. Antidepressants show a time lag between pharmacological effects, within hours from acute drug administration, and therapeutic effects, within two-four weeks of sub chronic treatment. ii. This latency interval is critical for the patient because of the possible further mood worsening that may result in suicide attempts for the seemingly ineffective therapy and for the apparent adverse effects. iii. And only 60-70 % of treated patients successfully respond to therapy. In this review, the complexity of the biological theories that try to explain the molecular mechanisms of these diseases is considered, encompassing a) The classic “monoaminergic hypothesis” alongside the updated hypothesis according to which long-term therapeutically action of antidepressants is mediated by intracellular signal transduction pathways. b) The hypothalamic-pituitary-adrenal axis involvement. Although these models have guided research efforts in the field for decades, they have not generated a compelling and conclusive model either for depression pathophysiology or for antidepressant drugs’ action. So, other emerging theories are discussed. c) The alterations of neuroplasticity and neurotrophies in selective vulnerable cerebral areas. d) The involvement of inflammatory processes. e) And the alterations in mitochondrial function and neuronal bioenergetics. The focus is put on the molecular and theoretical links between all these hypotheses, which are not mutually exclusive but otherwise tightly correlated, giving an integrated and comprehensive overview of the neurobiology of depressive disorders” [10]. According to Forsyth et al “The purpose of this article is to describe changes in positive and negative thinking in adult inpa- tients with depression who attended an Advanced Practice Nur- se-led Cognitive Behavioral Therapy group on 1 inpatient unit in a large medical center. A descriptive design with a retrospec- tive cohort chart review was conducted (n = 427). Positive and negative thinking were measured by the Automatic Thoughts Questionnaire at admission and at discharge. A paired t-test re- vealed a significant change (p = .001) in both positive and negati- ve thinking in the desired direction between admission and dis- charge. It is important to measure clinical improvements” [11]. Trick L et al “Depression is common in people with long term conditions and is associated with worse medical outcomes.
  • 6. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 006 Previous research shows perseverative negative thinking (e.g. worry, rumination) predicts subsequent depression and worse medical outcomes, suggesting interventions targeting perseve- rative negative thinking could improve depression and medical outcomes. Previous studies recruited healthy individuals, howe- ver. This review aimed to determine the temporal relationship and strength of prospective association of perseverative nega- tive thinking with depression, anxiety and emotional distress in people with long term conditions. Four electronic databases were searched for studies including standardized measures of perseverative negative thinking and depression, anxiety or emo- tional distress, and which presented prospective associations. Findings were narratively synthesized. Thirty studies were identified in a range of long term conditions. Perseverative negative thinking and subsequent depression, anxiety or emotional distress were significantly correlated in most of studies (bivariate r=0.23 to r=0.73). 25 studies controlled for confounders, and in 15 perseverative negative thinking predicted subsequent depression, anxiety or emotional distress. Results varied according to condition and study quality. Six of 7 studies found bivariate associations between depression, anxiety or emotional distress and subsequent perseverative negative thinking, though 2 studies controlling for key covariates found no association. Few studies assessed the impact of perseverative negative thinking on medical outcomes. Strongest evidence supported perseverative negative thinking predicting subsequent depression, anxiety and emotional distress in people with long term conditions. Further prospective research is warranted to clarify the association of perseverative negative thinking with subsequent poor medical outcomes” [12] and Saori Nishikawa et al written: “Previous studies have demonstrated an association between negative life events (NLEs) in childhood and resilience/posttraumatic growth (PTG) about the pathogenesis of major depressive disorder. We hypothesized that the type and timing of NLEs interact to influence mental health in the general youth population. Therefore, the present study aimed to examine the effects of NLE timing and intensity on current depressive symptoms, and to determine the direct and indirect effects of NLEs/resilience on PTG and depression among non-clinical adolescents. Data were collected from 1,038 high-school students across seven high schools in Fukui, Japan, during their freshman and sophomore years (648 boys and 390 girls, mean age = 15.71, SD = 0.524). Respondents completed a set of questionnaires designed to evaluate the type and timing of NLEs, depressive and traumatic symptoms, and PTG. Cluster analysis was used to divide participants into three groups based on outcomes: “cluster 1” (n = 631), for whom depressive scores were significantly lower than other two subgroups (p < 0.05, for both); “cluster 2” (n = 52), for whom levels of current and past perceived stress associated with NLEs were significantly higher than those of the other two subgroups (p < 0.05, for both); “cluster 3” (n = 374), for whom perceived stress at the time of NLE was significantly higher than that of participants in the cluster 1 (p < 0.05) group, but not the cluster 2 group. Our findings indicated that exposure to NLEs at a younger age resulted in stronger negative outcomes and that NLE timing and intensity were associated with PTG and current symptoms of depression. Furthermore, path analysis demonstrated that associations between perceived stress at the time of NLEs were direct and indirect predictors of current depression via PTG and that posttraumatic stress symptom and PTG mediate the association between NLEs/trait-resiliency and current depression. In conclusion, our findings suggest that event intensity, NLE timing, and gender may play a role in emotional vulnerability during adolescence” [13]. Discussion Related the literature observed is relevant to introduce new more objective way to the definition of depression status to be pharmacologically treated to be separated to the subject that take advantages with other non-pharmacological strategies. In this kind of disorder also mindset kinetics and their specific limits must be considered to evaluate in objective way saturation situation of the system, specific buffer properties and resilience abilities of individuals. In actual scenario a better objective way to verify the amount of stressing condition, time of exposure and quality must be introduced. A useful instrument for healthcare professionals and patients (using also a toxicological approach: what toxic condition, amount and time of exposure and under a biochemical aspect (kinetics, max velocity of a system, saturation) and not only the receptorial status. Observing biochemistry kinetics law can we think that a zero-order kinetics in mindset kinetics can reduce some mind- brain disorder? (Only a determinate quantum of stressing condition in a definite amount of time) (Figures 4-6). Figure 4: Example of zero order kinetic.
  • 7. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 007 Figure 5: Saturation kinetic. Figure 6: Mindset buffer model. Conclusion Scientist like Max Planck, Einstein, Bohr, de Broglie, SchrĂśdinger, Heisenberg et others (involved in theory of quantum chemical physic), E Goldratt (Theory of constraints), Michaelis- Menten (kinetics theory), other biochemical and enzymatic reaction theory must be deeply investigated also in other fields like neuroscience and applied to better clear some process. The factor that can join the organic theories to the psychological approach can be an abnormal- pathological mindset kinetics process or an overuse or saturation in some phyco- neurologic process. The single resilience ability or single buffer properties in biochemical receptorial status must be also objectively. So is crucial to verify in more objective way the global amount of stressant stimulus, time long (acute or prolonged time), quality of stressant condition and the single resilience abilities as well as the buffer biochemical properties and other factors that can be involved (environment, social situation, working condition, health status). So, it is real crucial to introduce new diagnostic objective tests to verify this condition. Considering the stressant stimulus like an endogenous- exogenous toxic condition factor can be interesting to think to new kind of Remedies. A Toxicology status can be considered also a overuse of a system that can produce great unbalances in physiology in some apparatus. References 1. Luisetto M, Behzad NA, Ghulam RM (2018) Mindset Kinetics–Under Toxicological Aspect. Psychol Behav Sci Int J 8(2). 2. Mauro L (2017) Attitudes and Skills in Business Working Settings: A HR Management Tool. Bus Eco J 8: 291. 3. Stuart J Eisendrath, Erin P Gillung, Kevin L Delucchi, Maggie Chartier, Daniel H Mathalon, et al. (2014) Mindfulness-based cognitive thera- py (MBCT) versus the health-enhancement program (HEP) for adults with treatment-resistant depression: a randomized control trial study protocol. BMC Complement Altern Med 14: 95. 4. luisetto M, B Nili Ahmadabadi (2017) A New Physio-Anantomic Brain Map short comunication Current Opinions in Neurological Science 1(3). 5. Dean J, Keshavan M (2017) The neurobiology of depression: An inte- grated view. Asian J Psychiatr 27:101-111. 6. Shin YC, Lee D, Seol J, Lim SW, (2017) What Kind of Stress Is Associated with Depression, Anxiety and Suicidal Ideation in Korean Employees? J Korean Med Sci 32(5): 843-849. 7. Harvey SB, Øverland S, Hatch SL, Wessely S, Mykletun A, et al. (2018) Exercise and the Prevention of Depression: Results of the HUNT Cohort Study Am J Psychiatry 175(1): 28-36. 8. Prathikanti S, Rivera R, Cochran A, Tungol JG, Fayazmanesh N, Wein- mann E (2017) Treating major depression with yoga: A prospective, randomized, controlled pilot trial. PLoS One. 12(3): 0173869. 9. Piotr Gałecki, Monika TalarowskaA (2017) The Evolutionary Theory of Depression Med Sci Monit 23: 2267-2274. 10. Ferrari F, Villa RF (2017) The Neurobiology of Depression: An Integrat- ed Overview from Biological Theories to Clinical Evidence. Mol Neuro- biol 54(7): 4847-4865. 11. Forsyth DM, Poppe K, Nash V, Alarcon RD, Kung S (2010) Measuring changes in negative and positive thinking in patients with depression. Perspect Psychiatr Care 46(4): 257-265. 12. Trick L, Watkins E, Windeatt S, Dickens C (2016) The association of perseverative negative thinking with depression, anxiety and emotion- al distress in people with long term conditions: A systematic review J Psychosom Res 91: 89-101. 13. Saori Nishikawa, Takashi X Fujisawa, Masahiko Kojima, Akemi Tomoda (2018) Type and Timing of Negative Life Events Are Associated with Adolescent Depression, Front Psychiatry 9: 41.
  • 8. Journal of Pharmacology & Clinical Research How to cite this article: Luisetto M, Ghulam R M, Behzad N A, Farhan A K, Kausar R K. Mindset kinetics and Some Depression Status: A New Quantitative Model Under Biochemical-Toxicology Approach?. J of Pharmacol & Clin Res. 2018; 6(1): 555680. DOI: 10.19080/JPCR.2018.06.555680. 008 Your next submission with Juniper Publishers will reach you the below assets • Quality Editorial service • Swift Peer Review • Reprints availability • E-prints Service • Manuscript Podcast for convenient understanding • Global attainment for your research • Manuscript accessibility in different formats ( Pdf, E-pub, Full Text, Audio) • Unceasing customer service Track the below URL for one-step submission https://juniperpublishers.com/online-submission.php This work is licensed under Creative Commons Attribution 4.0 License DOI: 10.19080/JPCR.2018.06.555680