(Select All That Apply): A nurse is discussing the psychosocial factors that can affect or be affected by depression with a client. Which of the following factors are considered psychosocial factors related to depression? Select all that apply.

Choice A rationale:

Electroconvulsive therapy (ECT) and other somatic therapies are considered main treatment options for Major Depressive Disorder (MDD). ECT involves passing electric currents through the brain to induce controlled seizures, and it's often used in severe cases of depression that haven't responded to other treatments. Somatic therapies encompass a range of interventions that directly target the body, such as transcranial magnetic stimulation (TMS) and vagus nerve stimulation (VNS). These treatments are supported by extensive research and clinical evidence, particularly for cases where pharmacological interventions haven't been effective or suitable.

Choice B rationale:

Pharmacological interventions are indeed a mainstay in MDD treatment. However, while they are effective for many individuals, they might not work for everyone and can have side effects. Hence, the treatment approach should be tailored to the individual's needs and preferences.

Choice C rationale:

Herbal supplements are not considered main treatment options for MDD according to established clinical guidelines. While some herbal supplements might have anecdotal support for mood enhancement, their efficacy and safety are not well-established through rigorous scientific research and clinical trials.

Choice D rationale:

Physical exercise has been shown to have a positive impact on mood and can be a beneficial adjunct to MDD treatment. However, it's typically not considered a standalone main treatment option. Rather, it's often recommended as a complementary approach alongside other evidence-based treatments.

Choice E rationale:

Mindfulness-based cognitive therapy (MBCT) is a psychological approach that combines mindfulness meditation with cognitive behavioral techniques. While MBCT has shown promise in preventing relapse for individuals with recurrent depression, it's usually used as a psychotherapeutic adjunct to other main treatments like pharmacological interventions or psychotherapy.

The correct answer is choicea. MDD is more prevalent in older adults.

Choice A rationale:

Major depressive disorder (MDD) is indeed more prevalent in older adults.This demographic often faces unique stressors such as chronic illness, loss of loved ones, and social isolation, which can contribute to higher rates of depression.

Choice B rationale:

MDD is not primarily caused by a single factor.It is a complex disorder with multiple contributing factors, including genetics, brain chemistry, environmental influences, and psychological factors.

Choice C rationale:

Anhedonia refers to the loss of interest or pleasure in activities that were once enjoyable, not excessive sleeping.Excessive sleeping is known as hypersomnia.

Choice D rationale:

MDD cannot be diagnosed if only one symptom is present.The diagnosis requires the presence of multiple symptoms, including depressed mood or anhedonia, for at least two weeks.