Social functioning in major depressive disorder

Depression is associated with social risk factors, social impairments and poor social functioning. This paper gives an overview of these social aspects using the NIMH Research and Domain Criteria ‘Systems for Social Processes’ as a framework. In particular, it describes the bio-psycho-social interpl...

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Bibliographic Details
Published inNeuroscience and biobehavioral reviews Vol. 69; pp. 313 - 332
Main Authors Kupferberg, Aleksandra, Bicks, Lucy, Hasler, Gregor
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.10.2016
Subjects
Anhedonia
Competition
Cooperation
Depression
Depressive Disorder, Major
Economic games
Emotions
Humans
MDD
Prisoner’ dilemma
RDoC
Social functioning
Social interaction
Social media
Social Perception
Social rejection
TOM
Ultimatum game
RDoC
Competition
Economic games
Social media
Social rejection
Depression
MDD
Social functioning
TOM
Prisoner’ dilemma
Social interaction
Cooperation
Ultimatum game
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Summary:Depression is associated with social risk factors, social impairments and poor social functioning. This paper gives an overview of these social aspects using the NIMH Research and Domain Criteria ‘Systems for Social Processes’ as a framework. In particular, it describes the bio-psycho-social interplay regarding impaired affiliation and attachment (social anhedonia, hyper-sensitivity to social rejection, competition avoidance, increased altruistic punishment), impaired social communication (impaired emotion recognition, diminished cooperativeness), impaired social perception (reduced empathy, theory-of-mind deficits) and their impact on social networks and the use of social media. It describes these dysfunctional social processes at the behavioural, neuroanatomical, neurochemical and genetic levels, and with respect to animal models of social stress. We discuss the diagnostic specificity of these social deficit constructs for depression and in relation to depression severity. Since social factors are importantly involved in the pathogenesis and the consequences of depression, such research will likely contribute to better diagnostic assessments and concepts, treatments and preventative strategies both at the diagnostic and transdiagnostic level.
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ISSN:0149-7634
1873-7528
DOI:10.1016/j.neubiorev.2016.07.002