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　　标题：5PhysicalSignsYouMayBeDepressed
　　source：psychcentral丨byThereseJ。Borchard
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　　Dothesequestionssoundfamiliar？
　　Areyoutiredorfatigued？
　　Doyouhavetroublefallingasleep？
　　Doyouhavelittleinterestindoingthingsyouonceenjoyed？
　　Doyoufeelsad，depressed，orhopeless？
　　Theyaretypicalquestionsaskedbyadoctor（psychiatrist，generalpractitioner，gynecologist）orprovidedinaquestionnairetoscreenfordepression。However，youcouldbesnoozinglikeababy，performingatworkjustfine，andtrainingforamarathononlytohavesomereallybadbackpainthatwon’tgoaway。
　　Coulditbedepression？
　　Yes。
　　InastudypublishedinDialoguesinClinicalNeuroscience，69percentofpersonswhometthecriteriafordepressionconsultedadoctorforachesandpains。Mooddisorderscanshowupinsurprisingsymptomslikemigraines，bloating，backaches，orjointpain。
　　Moreover，theseachesandpainsdon’tgoawayandcangetdownrightdangerousifthedepressionisn’ttreated。A2007Norwegianstudyfoundthatthoseparticipantswithsignificantdepressionsymptomshadahigherriskofdeathfrommostmajorcauses，includingheartdisease，stroke，respiratoryillnesses，andconditionsofthenervoussystem。
　　Herearesomeofthemostcommonphysicalsymptomsassociatedwithdepression：
　　1。Migraines
　　AccordingtoLisaK。Mannix，MD，aboardcertifiedneurologistinCincinnatiwhospecializesinthetreatmentofheadaches，asmanyas40percentofpeoplewithmigrainehavecomorbiddepression。Thereisstrongevidence，shesays，linkingmigrainewithavarietyofcomorbidpsychiatricandsomaticdisorders，fromstroketoanxietydisorder。A2009studyattheUniversityofManitoba，showedthat11percentofparticipantswhosufferedfrommigrainesalsoexperiencedoneormorekindsofmooddisorder，rangingfrommajordepressiontopanicdisorder。
　　2。JointPain
　　Accordingtoonestudy，peoplewithfibromyalgiaare3。4timesmorelikelytohavemajordepressionthanpeoplewithoutfibromyalgia。It’sunderstandablethatsomeonewithchronicjointpainwouldgetdepressedwhenclimbingthestairshurts，andsodoesbendingdowntofillthedogbowl。However，what’sinterestingisthatthestiffness，inflammation，anddamagetothejointcartilagemayactuallybesymptomsofthedepression（aswellascausingthemooddips）。
　　3。DigestiveProblems
　　IwishIhadbeenawareoftheconnectionbetweendigestiveproblemsbloating，constipation，irribowelsanddepressionwhenIwasayounggirlbecauseIwouldhavepursuedtreatmentforbothanxietyanddepressionbeforehittingbottomincollege。InsteadIusedlaxativesandotheroverthecounterremediesthatonlyworsenedmycondition。
　　Thenervoussystemofourintestinesissocomplexithasanestimated500millionneuronsthatneuroscientistsoftenrefertothegutasthesecondbrain。Infact，thenervecellsinourgutmanufacture80to90percentofourbody’sserotonin。That’smorethanourbrainmakes。IfyouareapersonwhohasstruggledwithstomachanddigestionissueslikeIhave，youmightbesurprisedtolearnthatsomedepressionandanxietysymptomscanberelievedbytendingtothegutandfeedingitorganismstherightkindofbacteriainaprobioticthatkeepithappy。
　　Also，watchoutforfoodsthatstimulateinflammationofthebrain（whichfeelslikedepression），suchasglutenandsugar。ThesefoodsmightnotshowuponanIgAbloodtestforallergies（whichmeasureresponseslikeswellingandbreathingdifficulties），butthatdoesn’tmeanyourbodylikesthem。Youmayverywellbeintolerant，whichcouldcausesymptomsofanxietyanddepression。RenownedneurologistDavidPerlmutter，MD，pointsoutinhisbestsellerGrainBrainthatpeoplewhosufferfrommooddisordersalsotendtobeglutensensitive，andviceversa。Depressionisfoundinasmanyas52percentofglutensensitiveindividuals。
　　4。ChestPain
　　Volumesofresearchhaverevealedtheintimateconnectionbetweendepressionandcardiovascularhealth。AccordingtotheNationalInstituteofMentalHealth，3in20Americanswithheartdiseaseexperiencedepressioncomparedtothe1in20averageofpeoplewithoutheartdisease。Patientswithheartdiseasewhoaredepressedtendtohavemorecardiacsymptomsthanthosewhoarenotdepressed。AstudypublishedinthejournalCirculationfoundthatpeoplewithheartfailurewhoaremoderatelyorseverelydepressedhavefourtimestheriskforearlydeath，anddoubletheriskforbeinghospitalized，comparedtothosewhoarenotdepressed。Evenpeoplewithmildsymptomsofdepressionhadalmosta60percentincreasedriskfordeath。
　　Recentstudiesshowthat，justaspersonswithcoronaryheartdiseaseareathighriskfordepression，thosewithdepressionareatriskforcoronaryheartdisease。Depressionandanxietyaffectheartrhythms，increasebloodpressure，elevateinsulinandcholesterollevels，andraiselevelsofstresshormones。Chestpainandarapidheartbeatcouldverywellbesymptomsofbothanxietyanddepression。
　　5。BackPain
　　Backpainisalsocommoninpeoplewithanxietyandmooddisorders。Ihaveabsolutelynoscientificdatatosupportthisclaim，butInoticethatIslouchalotwhenIfeelbad。Slouchingthenleadstobackpain。Thediscomfortalsomayinvolveachesorstiffnessupanddownthespine，sharppainintheneck，upperback，orlowerback。Thisiswherepeoplecarrymostoftheirtension。Allthestressthroughoutthedayisheldhostageintheareasoftheneckandshoulders。Thisiswhyifyoucanaffordit（Ican’tsoIdon’tknowwhyI’mrecommendingthis），regularmassagescanhelptopreventdepression，oratleastkeepitfromworseningintoamajordepressiveepisode。Atonepoint，Iusedmytherapymoneyforamassageonceamonth。BecauseIwasn’tinthatcriticalstagewhereyouneedtocryinfrontofsomeoneforanhour，Ibelievethemassagewasmorehelpful。Itrelievedsomeofmystress，whichissooftenmyproblem。