The existential dimension of depression, they found, included the feeling that the world “loses its ‘sense’ and ‘feeling’, and the existing experiences can be described as ‘deprived of meaning’, ‘estranged’, ‘detached’, and ‘alienating’,” which leads to a paradox that participants in past studies described as “a feeling of not feeling.” The social dimension often interacts with the psychological dimension, creating feelings of guilt for missing social interactions, and the “despair over themselves and their social inabilities becomes a negative spiral that keeps people in their depression.