Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting >Major Depression and

Related Disorders
Robert C. Smith, Gerald G. Osborn, Francesca C. Dwamena, Dale D'Mello, Laura Freilich, Heather S. Laird-Fick+
Table 4-1.The Biopsychosocial Dimensions of Depression

Predisposing Precipitating Perpetuating Preventive

Hypothyroidism
Family history Alcohol misuse
Biological Aerobic exercise
Nonadherence
Medical illness Medications
Medical illness

Positive self-talk
Psychological Learned helplessness
Mindfulness

Relationship breakup

Social Childhood trauma or neglect Social networks

Loss of employment

Bereavement

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