I hate it, you hate it, and yet few of us are truly free from the ripples of its existence. I could be talking about homework, or the flu, or the creepy baby in the store that won't stop staring at you like you're the first time they've seen another human being. But I'm not.
I am, unfortunately, talking about depression.
Heavy subject, I know. But bear with me. How many of us have dealt with depression in our lives, either personally or second-hand? If you're not raising your hand, I encourage you to really look at your closest circle of friends. Are you sure?
See, rates of depression are on the rise - especially among the younger generation. We're 6-8 times more likely to experience it than others our age in 1938 (1). In fact, some studies suggest that there may be a steady increase in rates across age cohorts (2). Why? What's with these suddenly sad generations? Is it something in the water?
Nope. Turns out it's something in our society.
When modernization of a country is measured by GDP (Gross Domestic Production), rates of depression have a positive correlation with level of modernity (9). More modern countries have more depressed youth.
Kessler RC, Angermeyer M, Anthony JC, RDEG, Demyttenaere K, Gasquet I, GDEG, Gluzman S, Gureje O, Haro JM, Kawakami N, Karam A, Levinson D, Medina Mora ME, Oakley Browne MA, Posada-Villa J, Stein DJ, Adley Tsang CH, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell BE, Berglund P, Gruber MJ, Petukhova M, Chatterji S, Ustun TB. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6:168–176.
This, by all accounts, makes no sense. Life should be easier - and thus less depressing - in more modern places. Think about it! Most of us don't have to worry about dying to a flash flood or starvation, of getting deathly ill or hunting for food. All the most extreme risks are gone from our lives.
But we were evolved for extreme risk. And that is why, hypothesized Hidaka in their 2012 paper Depression as a disease of modernity: explanation for increasing prevalence, depression rates are on the rise. There is a crippling mismatch between the life our brains were designed for and the lives we lead in modern society.
What are these reasons? There's a quorum and then some. First, our brains and our bodies are in a disconnect. Our bodies are evolved for long periods of famine and high physical activity. I don't know about you, but I haven't encountered either of those recently. But our brains thrive when our bodies are moving (5), and our bodies - once designed to pack on fat for lean times - now suffer from having too much of a good thing. Not to mention the difference in diets - carbohydrates rather than protein and fruits - which leads to disparities in basic nutrients (6, 7) and energy levels present in the foods consumed. All of this leads to obesity, another disease of civilization - which itself lends to higher rates of depression (4).
Of course, our physical forms aren't entirely to blame. As bad as our situation is, we've exacerbated the effects with our own society. Humans are communal creatures. We've evolved to live together, help each other, and rely on the feel-good bonds of a group. But modern western society is a machine fed on individualism. Our pursuit of freedom from others is a double-edged sword; social competition, isolation, stress, and inequality all contribute to high rates of depression - especially among youth (3). No man is an island - we aren't evolved to be. That's why modern societies with more focus on collectivism (like Japan) also see lower rates of depression (9). And all this to barely even mention the societal pressure to fit in, act right, but still be unique. What a conflicting message! It's no wonder that our brains, hard-wired to fit into groups, form bonds, and help each other tend to wither in such a competitive and conflicting environment.
All this to say that depression is an endemic of our own creating. But there's good news in that, too. If we made it, we can unmake it. So reach out to your friends. Go on a long walk. Eat a cucumber, for Pete's sake! Your brain and body will thank you.
1. Twenge J, Gentile B, DeWall C, Ma D, Lacefield K, Schurtz D. Birth cohort increases in psychopathology among young Americans, 1938–2007: A cross-temporal meta-analysis of the MMPI. Clinical psychology review. 2010;30:145–154.
2. Murphy JM, Laird NM, Monson RR, Sobol AM, Leighton AH. A 40-year perspective on the prevalence of depression: the Stirling County Study. Arch Gen Psychiatry. 2000;57:209–215.
3. Hidaka, B. H. (2012). Depression as a disease of modernity: explanations for increasing prevalence. Journal of affective disorders, 140(3), 205-214.
4. Nesse R. Natural selection and the elusiveness of happiness. Philosophical Transactions of the Royal Society B: Biological Sciences. 2004;359:1333.
5. Teychenne M, Ball K, Salmon J. Sedentary Behavior and Depression Among Adults: A Review. Int J Behav Med. 2010;17:246–254.
6. Briefel RR. Secular trends in dietary intake in the United States. Annual review of nutrition. 2004;24:401–431.
7. Hoogendijk WJ, Lips P, Dik MG, Deeg DJ, Beekman AT, Penninx BW. Depression is associated with decreased 25-hydroxyvitamin D and increased parathyroid hormone levels in older adults. Arch Gen Psychiatry. 2008;65:508–512.
8. Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, Lombardo C, Riemann D. Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of affective disorders. 2011;135:10–19.
9. Kessler RC, Angermeyer M, Anthony JC, RDEG, Demyttenaere K, Gasquet I, GDEG, Gluzman S, Gureje O, Haro JM, Kawakami N, Karam A, Levinson D, Medina Mora ME, Oakley Browne MA, Posada-Villa J, Stein DJ, Adley Tsang CH, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell BE, Berglund P, Gruber MJ, Petukhova M, Chatterji S, Ustun TB. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6:168–176.