Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review

Major depressive disorder (MDD) affects millions of individuals and causes significant suffering worldwide. It has been speculated that MDD is associated with accelerated aging-related biological and functional decline. To examine the accelerated aging hypothesis, one of the biomarkers under study i...

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Main Authors: Patricia Anne Kinser, Debra E. Lyon
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/469070
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author Patricia Anne Kinser
Debra E. Lyon
author_facet Patricia Anne Kinser
Debra E. Lyon
author_sort Patricia Anne Kinser
collection DOAJ
description Major depressive disorder (MDD) affects millions of individuals and causes significant suffering worldwide. It has been speculated that MDD is associated with accelerated aging-related biological and functional decline. To examine the accelerated aging hypothesis, one of the biomarkers under study is leukocyte telomeres, and specifically the measure of telomere length and telomerase activity. This review integrates findings from eleven human studies which evaluated telomere length and telomerase activity, in order to synthesize the state of the current science and to inform the development of new knowledge and enhance nursing research of depression using appropriate biobehavioral measures. Although preliminary, the findings from this integrated review suggest that there is evidence to support a conceptualization of depression as a stress-related condition in which telomeres shorten over time in relation to cumulative exposure to the chronic stress of depression. For the purposes of testing in future nursing research, visual representations of the theoretical connection between stress vulnerabilities, depression, and health outcomes and key moderators and mediators involved in this conceptualization are provided. The findings from this review and the conceptual framework provided may be a useful step towards advancing therapeutic nursing interventions for this debilitating chronic condition.
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spelling doaj-art-efa2348236704cc89ab61d0c7fd480632025-02-03T05:52:41ZengWileyNursing Research and Practice2090-14292090-14372013-01-01201310.1155/2013/469070469070Major Depressive Disorder and Measures of Cellular Aging: An Integrative ReviewPatricia Anne Kinser0Debra E. Lyon1Department of Family and Community Health Nursing, School of Nursing, Virginia Commonwealth University, P.O. Box 980567, Richmond, VA 23298-0567, USADepartment of Family and Community Health Nursing, School of Nursing, Virginia Commonwealth University, P.O. Box 980567, Richmond, VA 23298-0567, USAMajor depressive disorder (MDD) affects millions of individuals and causes significant suffering worldwide. It has been speculated that MDD is associated with accelerated aging-related biological and functional decline. To examine the accelerated aging hypothesis, one of the biomarkers under study is leukocyte telomeres, and specifically the measure of telomere length and telomerase activity. This review integrates findings from eleven human studies which evaluated telomere length and telomerase activity, in order to synthesize the state of the current science and to inform the development of new knowledge and enhance nursing research of depression using appropriate biobehavioral measures. Although preliminary, the findings from this integrated review suggest that there is evidence to support a conceptualization of depression as a stress-related condition in which telomeres shorten over time in relation to cumulative exposure to the chronic stress of depression. For the purposes of testing in future nursing research, visual representations of the theoretical connection between stress vulnerabilities, depression, and health outcomes and key moderators and mediators involved in this conceptualization are provided. The findings from this review and the conceptual framework provided may be a useful step towards advancing therapeutic nursing interventions for this debilitating chronic condition.http://dx.doi.org/10.1155/2013/469070
spellingShingle Patricia Anne Kinser
Debra E. Lyon
Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
Nursing Research and Practice
title Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
title_full Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
title_fullStr Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
title_full_unstemmed Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
title_short Major Depressive Disorder and Measures of Cellular Aging: An Integrative Review
title_sort major depressive disorder and measures of cellular aging an integrative review
url http://dx.doi.org/10.1155/2013/469070
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