Depression and the risk factor
The biggest
risk factor of all for depression is loss. It may take the form of
bereavement, divorce, moving house or the loss of a job. Stress of any
sort is a well-recognized trigger for depression.
If a genetic disposition to depression does exist, it is clearly a risk
factor. Anyone has a one in five (20 percent) chance of suffering with
depression. The risk of both unipolar and bipolar disorder increases if
you have a close relative, such as a parent, brother or sister, who
suffers with depression.
The winter
risk
Sufferers from Seasonal Affective Disorder (SAD) are clearly at risk with the
onset of autumn and winter and the decreasing levels of natural light.
You can lower this risk by using a special light box every morning from
the autumn onwards. This device gives out bright light at
a particular wavelength and not only cures the depression of most SAD
sufferers, but is also an effective method of preventing a yearly
recurrence, once an initial diagnosis has been made.
Your Stress
Rating
The most
commonly used rating for stress is that composed by Holmes and Rahe in
1967. Access your stress rating by ticking the events you have
experienced in the last year, then add together the figures for each life
event:
Less than 150:
You have no more than the average risk of illness (30 percent).
150 - 299: You
have a 50 percent probability of developing an illness.
Over 300: You
have an 80 percent chance of developing an illness.
If you have
suffered with or have a predisposition for depression, the illness that
you develop may prove to be depression.
Stress Rating
Chart
| Death of a spouse |
100 |
| Divorce |
73 |
| Marital separation |
65 |
| Prison term |
63 |
| Death of a close family member |
63 |
| Personal injury or illness |
53 |
| Marriage |
50 |
| Loss of job |
47 |
| Marital reconciliation |
45 |
| Retirement |
45 |
| Change in family member's health |
44 |
| Pregnancy |
40 |
| Sexual difficulties |
39 |
| Addition to family |
39 |
| Business readjustment |
39 |
| Change in financial state |
38 |
| Death of a close friend |
37 |
| Change to different type of work |
36 |
| More/fewer marital arguments |
35 |
| Taking out a large mortgage or
loan |
31 |
| Foreclosure on mortgage or loan |
30 |
| Change in work responsibilities |
29 |
|
| Son or daughter leaving home |
29 |
| Trouble with in-laws |
29 |
| Outstanding personal achievement |
28 |
| Spouse begins or stops work |
26 |
| Starting or finishing school |
26 |
| Change in living conditions |
25 |
| Change of personal habits |
24 |
| Trouble with boss |
23 |
| Change in work hours or conditions |
20 |
| Change in residence |
20 |
| Change in school |
20 |
| Change in recreational habits |
19 |
| Change in organizational
activities |
19 |
| Change in social activities |
18 |
| Taking out a small mortgage or
loan |
17 |
| Change in sleeping habits |
16 |
| More/fewer family gatherings |
15 |
| Change in eating habits |
15 |
| Holiday |
13 |
| Christmas |
12 |
| Minor violation of the law |
11 |
|
Key Facts:
Recognize the risk at stressful times and, if necessary, take pre-emptive
action. Don't keep on piling stress upon stress; try to stagger changes.
