Open access peer-reviewed chapter

Perspective Chapter: From the Boom to Gen Z – Has Depression Changed across Generations?

Written By

Gerasimos Konstantinou and Mohamed Attia

Submitted: 10 September 2023 Reviewed: 20 September 2023 Published: 20 December 2023

DOI: 10.5772/intechopen.1003091

From the Edited Volume

Depression - What Is New and What Is Old in Human Existence

Federico Durbano, Floriana Irtelli, Barbara Marchesi

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Abstract

The chapter delineates the intricate tableau of depression, scrutinizing its generational disparities and spotlighting salient elements such as stigma, resilience, awareness, the impact of the pandemic, and the ambivalent role of technology. Historically, the pervasive stigma surrounding mental health has obfuscated transparent dialogues and deterred help-seeking behaviors. Presently, generational shifts reveal an augmentation in awareness, predominantly among younger demographics, fervently advocating for destigmatization and transparent discussions. Resilience, manifesting divergently across age brackets, demonstrates that older adults typically exhibit amplified resilience, attributed to cumulative life experiences and substantial support networks. In contrast, younger individuals navigate through unique stressors like academic duress and the high-velocity digital epoch. Enhanced awareness of depression, fostered by targeted campaigns across demographics, may underpin early identification and interventions, mitigating the severity and chronic implications of depression. The COVID-19 pandemic has universally magnified feelings of despair and isolation, with technology proffering a double-edged sword, particularly for tech-dependent younger generations, by facilitating communication while potentially intensifying depressive symptoms through its excessive use and resultant social comparison. Hence, acknowledging generational distinctions in depression is imperative for sculpting efficacious interventions, aiming to foster a societal framework that staunchly supports mental well-being and adequately equips individuals to navigate their mental health challenges.

Keywords

  • depression
  • generations
  • resilience
  • stigma
  • awareness
  • pandemic
  • technology

1. Introduction

Depression continues to be a common, complex, and detrimental mental health disorder with a significant impact on society and individual quality of life, garnering attention over the years due to its pervasive and rising impact [1]. For several decades, the understanding, management, and recognition of Depression have evolved and changed significantly [2]. Notably, there has been a reduced stigma surrounding mental health, which has helped increase awareness around the detection, management, and access to treatment for Depression [3].

The impact of Depression varies among different generations due to unique circumstances. Events, societal norms, technological advancements, and cultural shifts shape each generation. These factors contribute to the trends of Depression across generations [4]. However, it is essential to note that not everyone within a generation will follow these patterns as individuals’ circumstances play a role. Factors such as socioeconomic status, family dynamics, and personal experiences contribute to the disparities in Depression within each generation [5]. Additionally, individuals born around the cusp may share traits and experiences from adjacent generations, creating a unique blend of characteristics. Thus, it is crucial to acknowledge both the generational trends and the variations within and across each generation when developing targeted interventions that address the diverse needs of individuals. Understanding these relationships becomes essential for promoting well-being across all generations as society continues evolving.

In this chapter, we aim to shed some light and explore how Depression has variably evolved within and across generations. We will examine the interplay between societal changes, technological advancements, and cultural and psychological factors, and we will explore the changing prevalence of Depression and nuanced variations in presentation, risk factors, and coping mechanisms that have emerged among different generational cohorts.

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2. Generations and their distinct characteristics

2.1 The silent generation

Born between 1928 and 1945, the Silent Generation lived through challenging historical events, like the Great Depression and World War II. These experiences shaped their personality and outlook on life, affecting how they dealt with health issues [6]. The Silent Generation, who lived through challenges, faced societal norms discouraging open conversations about mental well-being. This complex dynamic affects how Depression is perceived within this generation [4, 5, 7, 8]. While their resilience in the face of adversity is commendable, it is essential to acknowledge that the traits that helped them survive may also hinder their willingness to seek assistance for health struggles. Growing up during the Great Depression taught them resourcefulness and frugality [7, 9]. Their involvement in World War II demanded courage and unity, which often led to them developing coping mechanisms. However, this collective resilience might have influenced their attitudes towards seeking help for health problems, potentially resulting in underreporting and undertreatment of Depression. The societal norms during the time of the Silent Generation emphasized being stoic and self-reliant. Showing vulnerability was seen as a weakness. As a result, discussing health struggles such as Depression became stigmatized [7]. This stigma may have discouraged many from seeking support or opening up to friends and family about their distress, possibly contributing to higher rates of untreated Depression. While the resilience of the Silent Generation is commendable, their exposure to traumas also made them susceptible to long-term psychological scars caused by enduring the Great Depression and participating in World War II. The limited discussion surrounding health issues may have caused some people of this generation to view suicide as relieving pain when mental health resources were scarce [10].

2.2 Baby boomers

Born between 1946 and 1964, the Baby Boomer generation emerged after World War II and experienced growth and societal changes. Their mental well-being is influenced by factors such as events, social norms, and evolving healthcare systems. They were shaped by the optimism of war recovery and economic progress but also witnessed significant events, like the Vietnam War, civil rights movements, and the counterculture revolution. These experiences contributed to an identity marked by idealism and skepticism, which could impact how they perceive health and cope with related challenges [6, 11, 12].

During the upbringing of the Baby Boomers, societal norms emphasized the importance of being strong and self-reliant. Talking openly about health issues, like Depression, was often seen as taboo, which could lead to underreporting and not getting treatment. As Baby Boomers went through stages of life, such as becoming parents or retiring, they faced changes in gender roles, careers, and family dynamics. These changes could have an impact on their well-being. Adapting to roles or trying to reconcile expectations with societal shifts might contribute to feelings of Depression. While Baby Boomers have witnessed advancements in healthcare over their lifetime, their attitude towards seeking professional help and the stigma surrounding mental health treatment can affect their willingness to utilize available services [6, 11, 12, 13]. Their resilience in dealing with changes and their contributions to movements can help them cope with mental health challenges. However, unresolved trauma from events like the Vietnam War or struggles adapting to changing roles may increase their vulnerability to Depression.

2.3 Generation X

This generation’s individuals, born between 1965 and 1980 often find themselves overlooked between the cohorts of Baby Boomers and Millennials but hold a unique position in history. Generation X experienced a period of change that impacted their lives. Influenced by events like the end of the Cold War, advancements in technology, and evolving norms, their mental health experiences are nuanced. Generation X witnessed the fall of the Berlin Wall and the onset of the HIV crisis. Despite being sandwiched between the Baby Boomers and Millennials, Generation X’s mental health perception often goes overlooked. They grew up with limited access to advanced technology and lacked the resources and education to address mental health issues effectively. These experiences shaped their identity as adaptable individuals who had to navigate transformations that challenged traditional values [4, 5, 14, 15]. As a result, their attitudes towards health may have been influenced, leading some to seek support when needed, while others may have internalized their struggles due to a sense of self-reliance. Rising divorce rates, dual-income households, and an increasing emphasis on individuality marked the cultural landscape during Generation X [8, 15]. These societal shifts could have impacted their well-being by affecting family dynamics and support networks. Additionally, their unique form of expression influenced by punk and alternative subcultures could also play a role in how they communicate and cope with the health challenges they encounter. For this generation, while the rise of computers and the advent of the internet technology played a role in shaping their communication patterns and offered opportunities for connection, it also presented challenges that could contribute to feelings of isolation or inadequacy as they navigated forms of interaction [16]. They joined the workforce during downturns, often dealing with job insecurity and financial strain. Juggling the responsibilities of work and family life led to increased stress levels and a greater likelihood of experiencing Depression [3, 15].

2.4 Millennials

Millennials grew up between 1981 and 1996 during significant advancements and societal transformations. Often referred to as natives, millennials have witnessed a world characterized by technology adoption and evolving social norms. Growing up alongside the emergence of the internet and social media platforms, Millennials are both highly connected yet potentially isolated [3, 4, 5, 6, 8, 17, 18, 19]. While technology grants them access to information and social networks, it also exposes them to cyberbullying, unrealistic comparisons, and the pressure to maintain an online persona. This dual reality can contribute to heightened Depression and diminished self-esteem [6, 20, 21]. Millennials entered the job market amidst periods of uncertainty, facing challenges such as student loan debt and underemployment. These financial pressures and expectations for achieving careers can contribute to anxiety and Depression among this generation. Additionally, a push for work-life balance and finding fulfillment in one’s career adds complexity to one’s mental health experiences [5, 14, 22, 23].

The millennial generation is renowned for its backgrounds and global perspectives [6]. However, grappling with the expectations placed on them by society and their cultural background can often create conflicts that impact their mental well-being. The struggle to reconcile their identity with the norms they are expected to adhere to can particularly lead to feelings of Depression, especially among those who face discrimination or other challenges related to their identity. Factors such as delaying marriage, parenthood, or homeownership may also contribute to a sense of inadequacy compared to generations or peers who achieved these milestones earlier. This feeling of not meeting societal expectations can be linked to an increased vulnerability towards Depression [3, 6, 22, 24, 25].

2.5 Generation Z

Born between 1997 and 2012 into a world shaped by technological advancements, Generation Z is the first generation that has never experienced life without the internet and social media. Navigating this transformed landscape comes with opportunities and distinct challenges for Generation Z [6, 26]. Growing up in an era where internet access and social media are ever-present, they are constantly exposed to amounts of information, constant connection, and comparisons with others. While social media allows for connectivity, it also amplifies feelings of inadequacy due to the fear of missing out (FOMO) and cyberbullying, contributing to depressive symptoms. Cyberbullying threatens Generation Z as their reliance on interactions makes them more susceptible to hurtful behavior facilitated by digital anonymity. Consequently, this exacerbates the mental struggles faced by this generation [6, 16, 20, 21, 24, 25].

It is worth noting that this generation shows an increasing awareness of health concerns [5, 22, 25]. However, this awareness only sometimes translates into seeking help when needed. Despite being more aware, a stigma surrounding health can discourage individuals from seeking support in online environments where vulnerability is often viewed negatively. Moreover, Generation Z faces academic competition and the pressure to prepare for an uncertain job market [22, 26, 27, 28]. These factors can contribute to increased stress levels, potentially leading to more depressive symptoms, particularly when combined with the expectations of success perpetuated on social media platforms.

Generation Z is known for its participation in activism and advocacy [3, 6]. While this fosters a sense of community and purpose, it can also result in burnout due to the constant pressure to contribute to causes consistently. Additionally, this generation embraces gender identities and expressions openly. This progress is positive; however, exploring and expressing one’s identity can be emotionally distressing.

Generation Z faces several challenges regarding their well-being due to their immersion in the digital world and abundant online digital information. Understanding their experiences, such as cyberbullying and online pressures, is crucial for developing interventions that address their mental health needs, such as promoting a sense of resilience by creating a safe and supportive online space and actively encouraging open conversations.

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3. Resilience in depression among and within generations

In literature, resilience is defined as the “process of effectively negotiating, adapting to, or managing significant sources of stress or trauma” [29]. Different generations demonstrate distinct ways of resilience when confronting Depression, depending on a complex interplay of generational characteristics, societal attitudes, and coping strategies. Generational attitudes towards mental health play a pivotal role in shaping resilience. While older generations often view mental health challenges as personal struggles to be borne privately, younger generations emphasize the importance of open discussions and seeking professional help as crucial components of resilience [9, 29, 30].

Baby Boomers and the Silent Generation often exhibit resilience grounded in life experience. They may rely on traditional support networks, face-to-face interactions, and resilience built through previous adversities. However, mental health stigma might deter them from seeking professional help, potentially impacting their resilience [10]. Generation X individuals often display resilience stemming from their adaptability and pragmatism. They may be open to seeking therapy and mental health support when facing Depression, demonstrating a balanced approach that combines traditional and modern resources [7, 13, 15, 24]. On the other hand, Millennials, known for their advocacy and openness about mental health, often exhibit resilience by actively addressing Depression. They prioritize self-care, engage in therapy, and leverage online communities for support. Their willingness to discuss mental health challenges helps reduce stigma and fosters resilience [3, 4, 6, 23, 25]. Generation Z shows resilience in their adaptability and reliance on technology. They are more likely to seek digital mental health resources and online peer support, showcasing a different facet of resilience in navigating Depression. However, their heavy reliance on digital connections might challenge building offline resilience [20, 26, 27, 28, 31].

Over the years and through various research projects, it was found that Generation Z often did come out as less resilient when compared to other generations, and the variable resilience is domain-dependent [22, 25, 31, 32]. Recent studies highlighted that Generation Z is more likely to experience increased anxiety and Depression. The study reported a specific vulnerability to COVID-19 pandemic repercussions and highlighted that Generation Z, however, had a higher openness to change, which was a positive indication of the ability of Gen Z members to maintain resilience facing forward [24, 31]. Flexibility and openness to engage in new attitudes like hybrid training or work were not dissimilar between Generations X and Z as both generations showed positive attitudes towards hybrid work challenges, and these variables about the research variables used in this study: resilience, values, and attitudes [31].

As expected, generations differ in their coping mechanisms [5, 33, 34]. Baby Boomers may turn to hobbies and close relationships, while younger generations often rely on mindfulness practices, self-care routines, and digital mental health tools to manage Depression. Younger generations can benefit from their elders’ wisdom and life experience, while older generations can learn from the proactive mental health approaches of the youth. Mental health policies should consider generational differences in resilience. Promoting mental health awareness across generations, increasing access to digital mental health resources, and fostering cross-generational support networks can strengthen resilience.

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4. Stigma and awareness among and within generations

One significant aspect that influences the perception of mental health is the stigma attached to it. Stigma refers to the prejudice and discrimination that individuals with mental illnesses face, often leading to a lack of understanding and support. Historically, it has been defined as a process by which individuals can develop stereotypical and internalized characteristics and fears about being treated differently or ostracized by others [35, 36]. Public stigma is defined as negative beliefs and stereotypes that evolve into prejudice and discriminatory behaviors towards specific groups of focus or individuals outside the accepted range of norms [35]. The public’s stigma towards mental health can be a barrier to awareness and reduce engagement and adherence to care. This behavior can also exacerbate anxiety and Depression in an already vulnerable population [35, 36, 37, 38].

The stigmatization of mental health a topic that spans international waters and afflicts millions of individuals. Although research, awareness, and resources have grown considerably over the last number of years to reduce stigma around mental health, considerable stigmatization continues to act as a barrier to seeking help and access to care [3, 7, 13, 17, 35, 36, 37, 38]. The Boomer generation, for example, grew up during a time when mental health was heavily stigmatized. War veterans suffering from PTSD were often sent to asylums, and those with postpartum Depression were viewed as weak and isolated. Access to mental health resources was limited, and societal attitudes towards mental illness were largely negative. Generation X, often called the “lost generation,” grew up with limited mental health education and support. They were raised by Baby Boomers who prioritized work and self-reliance, resulting in a lack of emotional support and understanding, the strict love approach of the previous generation clashed with the mental health challenges faced by Generation X.

Given the openness of younger generations to discuss mental health and seek resources, it is unsurprising that Generation Z and Millennials appear less likely to demonstrate individual or public stigma towards mental health [6]. However, access and awareness are sometimes inhibited by cultural limitations and intergenerational communication about mental health. Recent analysis through the APA Stress in America Report highlighted that Generation Z is more stressed than adults in other generations, given various socioeconomic stressors, the impact of climate change on their future, and various challenges due to COVID-19. However, Generation Zs were likelier to report and highlight their mental health challenges than millennials and Generation X individuals. Finally, Generation Z and millennials were more likely to access treatment than Baby Boomers and Generation X [39].

It is crucial to promote education, awareness, and understanding across all generations to combat the stigma surrounding mental health. Removing the stigma associated with seeking help for mental health issues is vital in ensuring individuals feel comfortable accessing the support they need. Efforts should be made to embrace integrated “whole person” care, expand access to behavioral health services, and incentivize doctors to provide comprehensive care that addresses mental and physical health. Efforts must continue to bridge the gap between generations and ensure that mental health is treated equally as physical health. Additionally, destigmatizing mental health conditions through open conversations, community support, and access to resources can provide a more supportive environment for those struggling with mental illness, regardless of age.

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5. The impact of the pandemic on feelings of hopelessness and loneliness within and across generations

Generations’ attitudes towards uncertainty and change are influenced by their life experiences. While older generations may approach change cautiously, younger generations might view uncertainty as an opportunity for growth. These attitudes shape their coping mechanisms and resilience.

The COVID-19 pandemic brought challenges reshaping the social, economic, and psychological landscapes for people of all ages. The disruptions caused by the pandemic, such as lockdowns, social distancing measures, and work or learning arrangements, affected everyone. As a result, a sense of isolation became a shared experience. Uncertainties about the future gave rise to hopelessness, while reduced physical interactions intensified feelings of loneliness. These emotions were not limited to any generation and highlighted the universal human response to significant changes.

Each generation faced its set of challenges during this time [8, 22, 24, 40]. Older generations encountered heightened health risks, leading them to prioritize their well-being by adopting isolation practices. Limited familiarity with technology and restricted access may have amplified their loneliness due to reduced in-person interactions. Concerns about health and financial stability added another layer to this generation’s risk of feeling lonely and hopeless. Generation X had to navigate through the juggling act of managing work responsibilities while also accommodating homeschooling demands and caring for aging parents. Their challenges were compounded by career uncertainties and the need to adapt to platforms. Such stressors could contribute to hopelessness stemming from difficulties balancing responsibilities. Millennials faced job losses, reduced income levels, and financial instability during this period. They grappled with these hardships as they tried to navigate through times. The daily challenges of working from home managing childcare and household responsibilities made many people feel lonelier and more hopeless—the delay or cancelation of life events, like weddings and homeownership, added to their burden. Generation Z had to deal with education, isolation from friends, and the challenges of transitioning to learning. Their limited experience with crises intensified their uncertainty and hopelessness about the future. While virtual interactions become more common, they might still need to satisfy Generation Z’s need for connections fully [8, 22, 24, 40].

Different generations developed unique strategies to cope with these challenges [41]. Building connections with family, friends, and community played a crucial role in combating loneliness and hopelessness. However, technological access and familiarity significantly influenced how different generations coped, as each generation adapted differently to technology. Younger generations turned to social media platforms for connection and found solace in outlets; however, physical distancing measures reduced face-to-face social support. Older generations, who often rely on established networks for support, experienced increased isolation due to health concerns and less familiarity with technology. While younger people are skilled at using platforms for interactions, older individuals may have found adapting challenging. Furthermore, the impact of exhaustion and the quality of connections influenced how different generations cope with these circumstances.

Additionally, it is essential to acknowledge that the economic consequences of the pandemic have varied among age groups [42, 43, 44]. Younger generations have had to deal with job security and financial stability uncertainties [22, 32]. On the other hand, older generations have faced disruptions in their retirement plans and savings. These economic stressors have intensified feelings of hopelessness, magnifying their effects. Older generations, like Baby Boomers and the Silent Generation, confronted increased health risks, which led to concerns about retirement savings and medical expenses. Reduced investment values and low interest rates put a strain on fixed-income sources. Additionally, challenges in re-entering the job market compounded their vulnerabilities. During the pandemic, Generation X was trying to navigate mid-career stages, making them vulnerable to job losses or reduced income due to related cutbacks. Many of them supported their children and aging parents simultaneously, resulting in heightened pressures. These economic challenges could delay retirement plans for this generation. The pandemic further exacerbated existing struggles for Millennials, who entered the workforce during the 2008 recession. This generation is further burdened with student loan debts, job instability, and high housing costs while also dealing with a downturn. The potential long-term consequences for homeownership and financial stability are an additional concern. Generation Z, who are just starting their careers, face the challenge of building professional lives amidst an ongoing recession. The availability of internships, entry-level positions, and job opportunities has been severely affected. These early experiences with uncertainties may shape their attitudes and behaviors in the future. While government stimulus packages and support programs have played a role in mitigating the impact, their accessibility and effectiveness vary across different generations. Older individuals may have benefited from pension schemes, while younger generations relied on unemployment benefits and pandemic relief measures. These outcome disparities could have enduring implications for wealth accumulation, retirement planning, and intergenerational financial transfers [32, 41, 43, 44, 45]. The pandemic’s influence on paths and career trajectories has the potential to shape prospects for many years ahead.

Generational perspectives on dealing with adversity also played a role in determining their resilience level [9, 13, 29, 30, 31, 40]. Older generations who have lived through crises such as recessions and wars often demonstrate resilience rooted in historical context. Their reliance on established support networks, traditional coping mechanisms, and an attitude of “this too shall pass” contribute to their ability to endure challenges. Generation X draws from their experience with advancements and societal changes when facing adversity. Millennials, often called the “crisis generation,” have encountered disruptions over time. Their use of technology for connectivity and activism has fostered a sense of community and advocacy. They prioritize their well-being by seeking health support and engaging in discussions about the difficulties they face. On the other hand, Generation Z, characterized by their upbringing, can effectively utilize their proficiency in virtual communication for social interaction and education purposes. Their adaptability and creativity may pave the way for methods of connecting and learning despite limitations, showcasing their resilience and resourcefulness.

Within generations, variations in circumstances led to divergent emotional responses. Socioeconomic status, living arrangements, access to technology, and pre-existing mental health conditions are just a few factors influencing individuals’ experiences of hopelessness and loneliness. These disparities underscore the importance of considering individual contexts within each generation [42].

The prolonged duration of the pandemic’s impact has the potential to leave lasting scars on mental well-being and necessitates long-term mental health interventions. These should be tailored to generational needs, considering differences in technology access, communication preferences, and coping mechanisms. Identifying vulnerable groups and promoting accessible mental health resources is crucial. Addressing hopelessness and loneliness requires intergenerational understanding and acknowledgment of individual variation within each generation. Effective interventions should cater to the unique needs of each generation while acknowledging the shared experiences that bind them.

The COVID-19 pandemic has cast a wide-reaching shadow over the emotional landscape, intensifying hopelessness, and loneliness. While these emotions cross generational boundaries, how each generation experienced and coped with them varied. By understanding these dynamics, policymakers, mental health professionals, and society at large can better address the mental health fallout of the pandemic and foster resilience across and within generations.

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6. The role of technology, smartphones, and social media in depression across and within generations

In the 21st century, technology has become an integral part of our daily lives, influencing how we communicate, work, and even perceive ourselves. It has ushered in an era of unprecedented information dissemination. Different generations exhibit varying levels of familiarity and comfort with technology. Baby Boomers and Silent Generation individuals might use technology for functional purposes but may not fully engage with social media. Generation X may adopt technology for professional purposes, while Millennials and Generation Z have deeply integrated smartphones and social media into their lifestyle [3, 16, 20, 21, 45].

One area where its impact has been particularly profound is mental health. Online resources, websites, and social media platforms have allowed individuals of all ages to educate themselves about mental health. This enhanced awareness contributes to breaking down the stigma surrounding mental health, encouraging more open conversations, and increasing the likelihood of seeking help. The advent of teletherapy and online support groups has revolutionized mental health care [46, 47]. Particularly for tech-savvy younger generations, these digital platforms offer accessible and convenient ways to connect with mental health professionals and peers, transcending geographical barriers. This has the potential to bridge the treatment gap and provide timely interventions [46]. Smartphone apps and web-based tools designed to address Depression have proliferated recently. These digital interventions often offer features like mood tracking, mindfulness exercises, and cognitive behavioral techniques. While not a substitute for professional therapy, they are supplementary tools to manage symptoms and encourage self-care [48].

However, while technology facilitates connecting with friends and interests, especially the younger generations (often called “digital natives”), it can also exacerbate depressive tendencies [49, 50, 51, 52]. While social media connects individuals across distances, it can also lead to superficial interactions. Older generations may find it harder to establish meaningful connections in the digital realm, potentially contributing to feelings of isolation. Younger generations’ extensive use of social media can paradoxically lead to digital loneliness, with superficial connections replacing real-life interactions. Notably, the constant exposure to curated lives on social media can exacerbate feelings of inadequacy, isolation, and low self-esteem [49, 51]. Moreover, the pressure to cultivate an appealing digital identity can fuel anxiety and self-doubt. Younger generations experience the pressure to measure up to idealized standards set by their peers’ online personas, potentially contributing to feelings of Depression [53, 54]. Older individuals, often digital immigrants, face a different set of challenges. Technology can facilitate connection by enabling them to stay in touch with loved ones or contribute to isolation if they struggle to adapt to new platforms. The middle generations (Gen X and Older Millennials) straddle the divide between “natives” and “immigrants.” They are adept at using technology for various tasks but also comprehend the value of face-to-face interactions. Balancing the benefits of technology’s connectivity with the need for authentic human engagement is a defining challenge for this group.

Generational attitudes towards technology also influence how they consume information [16, 20, 21]. The rapid pace of technological change can also be overwhelming, potentially heightening stress and anxiety. Older generations may be overwhelmed by the constant influx of news and information, leading to stress and anxiety. Younger generations, accustomed to information overload, might still grapple with managing the emotional toll of negative news and online conflicts. While social media can help them connect with peers, it can also contribute to feelings of inadequacy, comparison, and cyberbullying, potentially exacerbating depressive symptoms [54]. Notably, the constant exposure to peers’ curated online lives can lead to Fear of Missing Out (FOMO) and a sense of social isolation, both of which are associated with higher rates of Depression [53].

Within each generation, diverse attitudes towards technology exist. Socioeconomic factors, individual digital engagement, and personality traits influence how technology affects mental health. Those with limited access to technology or who choose to disconnect might experience reduced exposure to its adverse impacts.

In conclusion, technology’s role in Depression is multifaceted and varies across different age groups. It can enhance awareness, provide access to support care, and offer digital interventions. However, it can also contribute to social comparison, isolation, information overload, and feelings of inadequacy, particularly among younger generations heavily engaged in social media. For all generations, finding a healthy balance in the use of technology, seeking professional help when needed, and fostering real-world connections remain crucial for maintaining good mental health. Recognizing the nuanced role of technology and cultivating a balanced approach to its use is essential in promoting mental well-being across all age groups. As society continues to navigate the digital landscape, it is imperative to harness technology’s potential for positive change while safeguarding against its potential negative consequences.

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7. Conclusion

Depression is a pervasive mental health condition that transcends generational boundaries, yet its manifestations, experiences, and responses are influenced by many factors across and within generations. This essay delved into the intricate inter and intra-generational dynamics of Depression, focusing on critical aspects such as stigma, resilience, awareness, the pandemic’s influence on hopelessness and loneliness, and the role of technology in shaping these complexities.

The stigma surrounding Depression has evolved. Historically, mental health issues were shrouded in silence and shame. Across generations, strides have been made in erasing the stigma, driven by increased awareness campaigns and open conversations. However, while benefiting from more excellent dialog, younger generations face new challenges due to social media’s amplification of judgment and the pressure for constant positivity. Digital natives often grapple with disclosing their mental health struggles online, fearing the potential ramifications on their personal and professional lives. Resilience, the ability to bounce back from adversity, varies within and between generations. Older generations might have developed resilience through life experiences and social support networks. In contrast, younger generations, though equipped with information and resources, might lack the emotional resilience to navigate the rapid changes brought about by the digital age. The pressure to succeed and the constant comparison facilitated by technology can strain their ability to cope effectively. Awareness of Depression’s signs and treatment options has grown across generations due to increased mental health advocacy. However, despite this awareness, suicide rates remain a grave concern. Younger generations, particularly adolescents and young adults grapple with higher rates of suicide due to factors like cyberbullying, academic pressures, and social media’s influence on self-esteem. The transition from awareness to effective prevention strategies remains a challenge. The COVID-19 pandemic has exacerbated hopelessness and loneliness, impacting all generations. Social distancing measures have reduced in-person interactions, heightening feelings of isolation. Older generations, who might be more vulnerable to severe health risks, face increased isolation due to safety precautions. Younger generations, already accustomed to virtual connections, struggle with the absence of physical interactions and the disruption of pivotal life milestones. Technology’s role in Depression is both a blessing and a curse. Digital platforms enable awareness campaigns, mental health resources, and teletherapy, benefiting individuals of all ages. However, technology’s excessive use can foster social isolation, exacerbate feelings of inadequacy, and intensify the fear of missing out, particularly among younger generations. Balancing the positive aspects of technology with its potential adverse effects is crucial for promoting mental well-being.

Depression’s intricacies manifest differently across and within generations, shaped by several factors. As societies evolve, fostering intergenerational dialog that acknowledges these differences and promotes understanding and empathy is imperative. Combating Depression requires collaborative efforts, including sustained awareness campaigns, targeted prevention strategies, and responsible technology use. By recognizing each generation’s unique challenges, we can collectively work towards a future where Depression is met with compassion, support, and effective interventions.

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Written By

Gerasimos Konstantinou and Mohamed Attia

Submitted: 10 September 2023 Reviewed: 20 September 2023 Published: 20 December 2023