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These considerations correspond to earlier observations that clinical familiarity and intuition are important tools in the diagnostic process of depressive illnesses [ 2, 26, 27].
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Preliminary evidence for a process independent of depressive symptoms has been reported from the experimental induction of ruminating thoughts.
In applying the idea of cybernetics to depression, it is necessary to define and integrate the functions and processes of the depressive condition using key enzymes that can move from the environment to desired conditions or treatments.
The process of manually categorising depressive state was time consuming, but feasible using the protocol described.
Our results suggest that help-seeking for depression is a two-stage process where the balance of costs and benefits for seeking help is preceded by an identity conflict process marked by the avoidance of depressive symptoms.
Participant accounts describe the way in which individuals recognise the onset of depressive symptoms, and provide support for a two-stage process model of help-seeking.
Nevertheless, the response inhibition process and the verbal fluency impairment in our sample seemed to be independent of depressive symptomatology.
In order to change the intentions to retire early, the work related consequences of depressive symptoms should be addressed as early in the treatment process as possible.
Studies so far indicate that mental imagery and associated cognitive processes, like suppression or dysfunctional appraisals, may contribute to the aggravation and maintenance of depressive symptoms [ 8].
It is likely that these two cognitive processes prevent the employment of effective coping strategies and consequently lead to an exacerbation of depressive symptoms over time.
The symptoms of an ongoing inflammatory process, like fatigue, sleep disorders, anxiety, low mood, loss of appetite or anhedonia, correspond to the symptoms of depressive disorders [ 7, 8].
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