Sections
Introduction and Historical Context | Epidemiology | The Neuroendocrine Axes | Neurotransmitter Systems | Neuroimaging Studies | Inflammation, Depression, and Stress | Genetic Studies of Mood Disorders | Conclusion | References
Excerpt
The search for the biological substrates of affective disorders
spans many centuries. Indeed, Hippocrates (460–357 b.c.)
speculated that melancholia emerged when environmental conditions,
such as the alignment of the planets, caused the spleen to secrete
black bile, which then darkened the mood. During the next 2,000
years, few significant contributions to our understanding of mood
disorders emerged until Robert Burton's Anatomy
of Melancholy (1621). Positing that depressed people
often "are born of melancholy parents," Burton
anticipated the genetic underpinnings of melancholia as well as
other factors in the pathogenesis of depression, including alcohol,
diet, and biological rhythms. Through his careful longitudinal observations,
Emil Kraepelin (1856–1926) was subsequently able to detect
a genetic contribution to manic-depressive illness. Kraepelin also
hypothesized that other constitutional factors resulted in specific
brain abnormalities in manic-depressive patients, although postmortem tissue
studies were unrevealing.