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Some people describe depression as living in a black hole or having a feeling of impending doom. Sadness or downswings in mood or normal reactions to lifes struggles, setbacks, disappointments, and failures, some people use the word depression to describe these feelings, but it is something more than just being sad

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Specific journals searched include Journal of the American Medical Association , New England Journal of Medicine , Circulation , Journal of the American College of Cardiology , American Journal of Cardiology , American Family Physician , European Heart Journal, and Archives of Internal Medicine