抑郁障碍的社会导航假说被推翻

IF 1.5 Q3 PSYCHIATRY
Marcin Piotr Nowak
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引用次数: 0

摘要

进化精神病学试图用进化生物学的方法来解释矛盾的高度精神障碍和症状的普遍性,但检验他们的假设往往是有问题的。社会导航假说(SNH)属于抑郁症的进化假说。它假设抑郁症状和体征增加健康的两种机制:社会反刍功能(抑郁症患者正在激烈地思考,试图解决他/她的社会问题;与此相反的是,研究表明抑郁症患者通常比健康人更难以应对社会挑战和社会激励功能。后者假设抑郁行为,通过减少周围人的健康,迫使他们帮助抑郁症患者结束健康下降的插曲。根据约翰·梅纳德·史密斯的进化稳定策略思想,探讨了社会激励功能。在此基础上,建立了两个简单的数学模型。SNH在理论上可以描述一种进化稳定的策略(前提是发作持续时间与缓解的关系由某一公式给出),但SNH的预测(发作持续时间随患者年龄而缩短)与流行病学数据相反。目前的模型基于简单的数学假设,没有考虑亲缘选择和包容性适应度。SNH不能解释抑郁症状和抑郁障碍的高患病率。证伪是可能的,只是由于先前的描述公式化假设的数学公式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social navigation hypothesis of depressive disorder disproven
Evolutionary psychiatry tries to explain paradoxical high psychiatric disorders and symptoms prevalence by means of evolutionary biology, but testing their hypotheses is often problematic. Social Navigation Hypothesis (SNH) belongs to the evolutionary hypotheses of depressive disorder. It assumes two mechanisms of increasing fitness by depressive signs and symptoms: social rumination function (depressed person is thinking intensely, trying to solve his/her social problems; in contrast to research demonstrating that depressed person usually manages with social challenges worse than healthy people) and social motivation function. The latter postulates that depressive behavior, by diminishing the fitness of surrounding people, forces them to help for depressed person to terminate the fitness-reducing episode. Social motivation function is discussed according to John Maynard Smith’s idea of evolutionarily stable strategy. On that base two simple mathematical models are constructed. SNH can theoretically describe an evolutionarily stable strategy (the precondition is the relation between the duration time of the episode and remission given by a certain formula), but the prediction of SNH (episode duration shortened with the patient’s age) is contrary to epidemiological data. Presented models, based on simplistic mathematical assumptions, don’t take into account kin selection and inclusive fitness. SNH cannot explain the high prevalence of depressive symptoms and depressive disorder. Falsification was possible only due to the mathematical formulation of the previously descriptively formulated hypothesis.
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来源期刊
Middle East Current Psychiatry
Middle East Current Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
3.00
自引率
0.00%
发文量
89
审稿时长
9 weeks
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