Mood disorder pathophysiology refers to the underlying biological, chemical, and structural abnormalities within the brain and endocrine system that contribute to the development and manifestation of conditions like depression, anxiety, and bipolar disorder. This encompasses dysregulation of neurotransmitter systems, altered neuroplasticity, chronic inflammation, and disruptions in the hypothalamic-pituitary-adrenal (HPA) axis. Clinical investigation aims to identify these specific biological drivers for targeted treatment.
Origin
The term is rooted in psychiatry and neuroscience, integrating the study of disease mechanisms (“pathophysiology”) with the clinical classification of emotional disturbances (“mood disorder”). Early theories focused on simple neurotransmitter imbalances, but modern understanding has evolved to include complex interactions between genetic predisposition, environmental stress, and endocrine dysfunction.
Mechanism
The pathophysiology often involves a failure of homeostatic mechanisms, such as chronic over-activation of the HPA axis leading to elevated, non-diurnal cortisol levels that impair hippocampal neurogenesis and prefrontal cortex function. Neurotransmitter dysregulation, particularly involving serotonin, dopamine, and norepinephrine, alters synaptic communication in mood-regulating circuits. Furthermore, inflammatory cytokines can cross the blood-brain barrier, directly influencing neurochemical balance and contributing to the symptoms of mood disturbance.
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