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Exercise May Help Ward Off Depression

Even If You’re Genetically Prone to It
An extra 35 minutes of exercise per day was tied to a reduced likelihood of experiencing depression.

Getting a few hours of exercise a week may reduce the risk of depression, even in people who are genetically prone to the condition, a new study suggests.

The authors found that, although certain genes boost a person’s risk of depression, increased levels of exercise essentially canceled out this genetic risk.

Overall, for every 4 hours of exercise per week (about 35 minutes per day), participants saw a 17% reduction in their chances of experiencing bouts of depression over the next two years. This protective effect of exercise held even for those at high genetic risk for depression.

“Our findings strongly suggest that, when it comes to depression, genes are not destiny and that being physically active has the potential to neutralize the added risk of future episodes in individuals who are genetically vulnerable,” study lead author Karmel Choi, postdoctoral fellow in psychiatry at Massachusetts General Hospital, said in a statement.

The study is published today (Nov. 5) in the journal Depression and Anxiety.

Genetic risk

Depression can run in families, which suggests that genetic factors contribute to the risk of developing the disease, according to the National Institutes of Health (NIH). Although research on the genetics of depression is in its infancy, studies suggest that multiple genes, each with a small effect, combine to increase a person’s risk of the disease, according to the NIH.

In addition, previous studies have found that exercise can reduce people’s risk of depression. But it wasn’t clear if this benefit applied to those with certain risk factors, such as a genetic risk for depression, the authors said.

In the new study, the researchers analyzed information from nearly 8,000 participants in the Partners HealthCare Biobank, a database intended to help researchers better understand how people’s genes, environment and lifestyle affect their health. Participants provided a blood sample, had their genomes analyzed and filled out a survey about their lifestyle behaviors, such as how much exercise they typically get in a week. This information was then linked with people’s electronic health records (EHRs) within Partners HealthCare, a Boston-based health care system.

To be included in the new study, participants could not be currently depressed, and so the researchers excluded people who had visited a medical professional for depression within the past year. The authors then looked to see which of those remaining participants experienced a new episode of depression — based on billing codes from their EHRs — within the next two years.

The researchers also used genomic data to calculate a person’s genetic risk for depression, and gave people a “score” based on their risk. This allowed the researchers to divide participants into three groups: those with low, intermediate and high genetic risk for depression.

Protective effect

The researchers found that, not surprisingly, those with a high genetic risk for depression were 50% more likely to experience a new episode of depression within the next two years, compared with those at low genetic risk.

However, across all risk groups, people who were more physically active were less likely to experience a new episode of depression. For example, among those in the high-risk group, the incidence of depression was nearly 13% for those who didn’t exercise, compared with just 8% for those who exercised for about 3 hours a week.

What’s more, both high-intensity exercises, such as running, and low-intensity exercises, such as yoga, were linked with a decreased risk of depression.

However, the study only found an association and cannot prove that a lack of exercise causes depression (although previous research has suggested that exercise likely helps ward off depression). In addition, the EHRs used in the study do not capture the severity of a depressive episode and do not reflect care outside of the Partners HealthCare system.

Still, the study provides “promising evidence” that doctors can use to counsel patients and “make recommendations to patients that here is something meaningful they can do to lower their risk even if they have a family history of depression,” Choi said.

Of course, in addition to reducing depression risk, regular exercise has a slew of other health benefits, such as reducing people’s risk of heart disease, type 2 diabetes and some cancers, according to the Centers for Disease Control and Prevention (CDC). However, less than a quarter Americans meet national exercise guidelines, according to the CDC’s National Center for Health Statistics.

By Rachael Rettner – Senior Writer
 
Originally published on Live Science
 
omega 3 sources

 

Omega-3 fatty Acids in Depression: A Review of Three Studies.


Abstract

We review three studies of omega-3 fatty acids in the treatment of depression that were carried out by our research group at the Beer Sheva Mental Health Center. The first study examined eicosapentaenoic acid (EPA) versus placebo as an adjunct to antidepressant treatment in 20 unipolar patients with recurrent major depression. The second study used omega-3 fatty acids in childhood major depression; 28 children aged 6-12 were randomized to omega-3 fatty acids or placebo as pharmacologic monotherapy. The third study was an open-label add-on trial of EPA in bipolar depression. Twelve bipolar outpatients with depressive symptoms were treated with 1.5-2.0 g/day of EPA for up to 6 months. In the adult unipolar depression study, highly significant benefits were found by week 3 of EPA treatment compared with placebo. In the child study, an analysis of variance (ANOVA) showed highly significant effects of omega-3 on each of the three rating scales. In the bipolar depression study, 8 of the 10 patients who completed at least 1 month of follow-up achieved a 50% or greater reduction in Hamilton depression (Ham-D) scores within 1 month. No significant side effects were reported in any of the studies. Omega-3 fatty acids were shown to be more effective than placebo for depression in both adults and children in small controlled studies and in an open study of bipolar depression. (This review discusses three studies, all from our group, completed before the clinical trial registry was initiated.).

PMID: 19499625 PMCID: PMC6494070 DOI: 10.1111/j.1755-5949.2008.00061.x
[Indexed for MEDLINE] Free PMC Article

 
Osher Y1, Belmaker RH.
Ministry of Health Beer Sheva Mental Health Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel. yamy@bgu.ac.il


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The Vitamin That Quadruples Weight Loss

Taking vitamin D supplements can significantly increase weight loss, according to a recent study.

People who took vitamin D supplements had over four times the weight loss as those that did not, researchers found.

obese

Vitamin D also doubled the number of inches taken off their waistlines.

Low levels of vitamin D is repeatedly linked to being overweight and obese.

Almost 40 percent of obese people are deficient in vitamin D.

The study included 400 obese and overweight people with vitamin D deficiency.

They were put on a low-calorie diet and split into three groups.

One group took 25,000 IU of vitamin D per month, the second took 100,000 IU of vitamin D per month and the control group took none.

Six months later the results showed that both vitamin D groups had lost more weight than those who were not taking the vitamin.

Those taking 100,000, or around 3,000 IU per day, had 12 pounds of weight loss.

People taking 25,000 IU, or around 800 IU per day, lost 8 pounds.

In comparison, those only following the calorie restricted diet had just 2.6 pounds of weight loss over the six months.

The study’s authors write:

“The present data indicate that in obese and overweight people with vitamin D deficiency, vitamin D supplementation aids weight loss and enhances the beneficial effects of a reduced-calorie diet.”

Measurements of dieters’ waistlines also revealed vitamin D had had an effect.

Those taking 100,000 IU lost an average of two inches from their waistline compared to just over 1 inch in the control group.

The researchers conclude:

“All people affected by obesity should have their levels of vitamin D tested to see if they are deficient, and if so, begin taking supplements.”

vitamin d

About the author
Psychologist, Jeremy Dean, PhD is the founder and author of PsyBlog. He holds a doctorate in psychology from University College London and two other advanced degrees in psychology.
He has been writing about scientific research on PsyBlog since 2004. He is also the author of the book “Making Habits, Breaking Habits” (Da Capo, 2003) and several ebooks:

  • Accept Yourself: How to feel a profound sense of warmth and self-compassion
  • The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic
  • Spark: 17 Steps That Will Boost Your Motivation For Anything
  • Activate: How To Find Joy Again By Changing What You Do

The study was presented at the European Congress on Obesity, 2015 (Vigna et al., 2015).

source: PsyBlog

 

obesity

Gut Bacteria is Key Factor in Childhood Obesity



Summary:
Scientists suggest that gut bacteria and its interactions with immune cells and metabolic organs, including fat tissue, play a key role in childhood obesity.


New information published by scientists at Wake Forest Baptist Health suggests that gut bacteria and its interactions with immune cells and metabolic organs, including fat tissue, play a key role in childhood obesity.

“The medical community used to think that obesity was a result of consuming too many calories. However, a series of studies over the past decade has confirmed that the microbes living in our gut are not only associated with obesity but also are one of the causes,” said Hariom Yadav, Ph.D., lead author of the review and assistant professor of molecular medicine at Wake Forest School of Medicine, part of Wake Forest Baptist.

In the United States, the percentage of children and adolescents affected by obesity has more than tripled since the 1970s, according to the Centers for Disease Control and Prevention. Obesity is increasing at 2.3% rate each year among school-aged children, which is unacceptably high and indicates worrisome prospects for the next generation’s health, the article states.


Yadav’s manuscript, published in the current issue of the journal Obesity Reviews, reviewed existing studies (animal and human) on how the interaction between gut microbiome and immune cells can be passed from mother to baby as early as gestation and can contribute to childhood obesity.


The review also described how a mother’s health, diet, exercise level, antibiotic use, birth method (natural or cesarean), and feeding method (formula or breast milk) can affect the risk of obesity in her children.

“This compilation of current research should be very useful for doctors, nutritionists and dietitians to discuss with their patients because so many of these factors can be changed if people have enough good information,” Yadav said. “We also wanted to identify gaps in the science for future research.”

In addition, having a better understanding of the role of the gut microbiome and obesity in both mothers and their children hopefully will help scientists design more successful preventive and therapeutic strategies to check the rise of obesity in children, he said.

Journal Reference:
Halle J. Kincaid, Ravinder Nagpal, Hariom Yadav. Microbiome‐immune‐metabolic axis in the epidemic of childhood obesity: Evidence and opportunities. Obesity Reviews, 2019; DOI: 10.1111/obr.12963
Cite This Page:
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Wake Forest Baptist Medical Center.
Source:
Materials provided by Wake Forest Baptist Medical Center. Note: Content may be edited for style and length.

 
ScienceDaily               30 October 2019
 www.sciencedaily.com/releases/2019/10/191030132704.htm


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The Everyday Foods Linked To Good Mental Health

The foods can offset the impact of major life events, like divorce and unemployment.

Eating more fruits and vegetables is linked to a lower risk of depression new research concludes.

An extra four portions of fruit and vegetables per day can offset the impact of major life events, like divorce and unemployment.

The boost from more fruit and vegetables could counteract half the pain of getting divorced or one-quarter that of being unemployed.

The effect on mental well-being of eating 8 portions per day compared with none is even more dramatic.

These benefits come on top of the well-known protective effect against cancer and heart disease.

The conclusions come from an Australian survey of 7,108 people carried out every year since 2001.

All were asked about their diet and lifestyle.

The results showed that the more fruit and vegetables people ate, the less likely they were to be diagnosed with mental health problems later on.

fruits-veggies

Dr Redzo Mujcic, the study’s first author, said:

“If people eat around seven or eight portions of fruit and vegetables a day the boost in mental well-being is as strong as divorce pushing people the other way, to a depressed state.
We found being made unemployed had a very bad and significant effect on people’s mental health, greatly increasing the risk of depression and anxiety.
But eating seven or eight portions of fruit and vegetables a day can reduce that by half.
And the effect is a lot quicker than the physical improvements you see from a healthy diet.
The mental gains occur within 24 months, whereas physical gains don’t occur until you are in your 60s.”

One possible mechanism by which fruit and vegetables affect happiness is through antioxidants.

There is a suggested connection between antioxidants and optimism.

Dr Mujcic said:

“If people increase their daily intake of fruit and vegetables from zero to eight they are 3.2 percentage points less likely to suffer depression or anxiety in the next two years.
That might not sound much in absolute terms, but the effect is comparable to parts of major life events, like being made unemployed or divorced.
We tested for reverse-causality—ie whether it might be that depression or anxiety leads to people eating less fruit and vegetables—but we found no strong statistical evidence of this.”

About the author
Psychologist, Jeremy Dean, PhD is the founder and author of PsyBlog. 
He holds a doctorate in psychology from University College London and two other advanced degrees in psychology.
The study was published in the journal Social Science & Medicine (Mujcic & Oswald, 2019).

 


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10 Ideas to Help With Loneliness

Have you ever been lonely in a crowd? Have you ever been perfectly content all alone? Me too. And I have also suffered from loneliness.

Loneliness is a complex mental and emotional phenomenon that has at its base a powerful emotion that has survival value for children. All of us have experienced some degree of abandonment, if only for a short time, and remember the painful and scary feeling that goes along with it.

Whenever we are reminded of this feeling or anticipate it in the future, we get a twinge of abandonment distress that we experience as loneliness. This can happen among a crowd of friends or even after making love. It can be pretty confusing and can put you off your game if you don’t know what’s going on.

Here are some tips for recognizing loneliness for what it is and dealing with it in the healthiest ways.

1. Realize that loneliness is a feeling, not a fact. When you are feeling lonely, it is because something has triggered a memory of that feeling, not because you are in fact, isolated and alone. The brain is designed to pay attention to pain and danger, and that includes painful scary feelings; therefore loneliness gets our attention.

But then the brain tries to make sense of the feeling. Why am I feeling this way? Is it because nobody loves me? Because I am a loser? Because they are all mean? Theories about why you are feeling lonely can become confused with facts. Then it becomes a bigger problem so just realize that you are having this feeling and accept it without over reacting.

2. Reach out because loneliness is painful and can confuse you into thinking that you are a loser, an outcast. You might react by withdrawing into yourself, your thoughts, and your lonely feelings and this is not helpful. At its best, anticipation of loneliness might motivate us to reach out and cultivate friendships, which is the healthiest thing to do if you are sad and alone. When you are a child, and your sadness causes you to cry, you may evoke a comforting response from others. If you’re an adult, not so much.

3. Notice your self deflating thoughts.  We often create self centered stories to explain our feelings when we are young, it is not unusual for children to assume that there is something wrong with them if they are not happy. If they are lonely and sad, children may assume other people don’t like them when this is rarely the case.

Victims of bullying may well have fans and friends, but they often aren’t aware of it because the shame and loneliness get more attention. Habitual assumptions about social status continue into adulthood and if you are looking for evidence that the world sucks, you can always find it.

4. Make a plan to fight the mental and emotional habits of loneliness. If you realize you are dealing with an emotional habit, you can make a plan to deal with loneliness. Since healthy interaction with friends is good, make some effort to reach out to others, to initiate conversation and face time even when your loneliness and depression are telling you not to. Yes, it is work, but it is worthwhile, just like exercising is worthwhile even when you are feeling tired or lazy.

5. Focus on the needs and feelings of others, the less attention on your lonely thoughts and feelings. I can walk down the street thinking about myself, my loneliness and the hopelessness of it all, staring at the sidewalk and sighing to myself. Or I can walk down the street grateful for the diversity of people I get to share the sidewalk with, silently wishing them good health and good fortune, and smiling at each person I meet. The latter is more fun, even though I sometimes have to remind myself to do it on purpose.

6. Find others like you. Now days there are more tools than ever before to find out where the knitters, hikers or kiteboarders are congregating so that you can get together with those who share your interests. This makes it much easier to identify groups with which you will have something in common, a natural basis for beginning a friendship.

7. Always show up when meeting up with others. You don’t have to run for president of the knitters society at your first meeting. But you do have to show up. I have been telling others to practice yoga for 20 years and promising I would do it myself for just as long, but except for the occasional coincidental yoga offering at a retreat, I didn’t take the trouble of finding a class I could attend regularly until a month ago. Now I am enjoying it and it wasn’t that hard. I have put a reminder in my phone to resign from the procrastinator’s society.

8. Be curious, but don’t expect perfection or applause. Each time you show up is an experiment, a micro adventure in social bonding. If you are curious about and interested in others, they will be attracted to you because you are giving them attention. So you will get attention in return. Curiosity about others also takes your focus away from those painful feelings that tend to make you hide and sulk.

9. Kindness goes a long way. “There’s nobody here but us chickens.” This is one of my favorite lines from The Lazy Man’s Guide to Enlightenment by Thaddeus Golas. Underneath the impressive facades of the high fliers are the same set of emotions we all are born with. Celebrities suffer from stage fright and depression too.

You have the power to offer loving kindness and generosity of spirit to all you come into contact with. It isn’t instinctual to be kind to strangers or people who scare you. But it is a choice. It is a choice that Jesus and Ghandi used intentionally. And in the long run it is a winning choice. The alternative, being mean or stingy with those you don’t know well, can get you a reputation as a Scrooge.

10. Be persistent even if a particular group does seem to be a dead end for you, try another. AA and AlAnon recommend that everyone try six different groups to find one that suits you best. If you are persistent, challenging the assumptions and feelings that tell you to give up and resign yourself to a life of loneliness, and showing up and being curious and kind to others and more and more groups, the odds are in your favor.

And once you have a friend or two, nourish those friendships with time and attention. Don’t be too cautious about whether you are giving more than you are getting at first. If you make more friends and some of them are takers, you can choose to spend more time with the friends who reward your friendship.

Brock Hansen     YourTango     8 Jul 2018

 

loneliness

 

Mindfulness and its proven impact on loneliness: What you should know

(BPT) – Maybe you know someone who stands by taking five minutes each morning to meditate or finds time after lunch to quiet his or her mind and focus on breathing. Whatever the method may be, incorporating “mindfulness” practices into your life can have a wide range of positive health benefits like improving your memory, sleep and immune system; reducing stress and feelings of loneliness and increasing compassion toward others and yourself.

Mindfulness means taking time to pay attention to yourself and your thoughts and feelings. Read on to learn how you can put mindfulness into practice in your life to help improve your overall health.

How to make mindfulness a routine part of your day.

  1. Find five to ten minutes each day to sit quietly and focus on your breath. (Helpful hint: Put your phone on silent or in another room so you can concentrate!) Take the time to notice where your mind goes and how your body is feeling. You just might find that this helps you focus and prioritize your day.
  2. Before you go to bed take time to focus on the good things that happened that day. Write your thoughts down in a journal. Writing them down can help you deliberately recognize the positive, even on a tough day.
  3. Search for “mindfulness apps” on your smartphone or tablet that lead you in a mindfulness exercise. For many people, using an app is an easy way to remain consistent with the practice. And many of these apps are free!

Feeling lonely? Mindfulness can help.

Mindfulness has been shown to help older adults overcome a silent but urgent health issue: loneliness. It is estimated that more than half of adults age 65 and over regularly experience moderate to severe loneliness. Loneliness is characterized by a marked difference between someone’s desired companionship and actual relationships. Through unique studies conducted by UnitedHealthcare and AARP, researchers are applying the techniques of mindfulness to help combat loneliness in older adults.

Loneliness poses a serious threat to the quality of life for older adults. It is linked to negative health outcomes such as higher risk of dementia, mortality and disability.

“The health risk of chronic loneliness, in older adults, is equivalent to smoking 15 cigarettes a day, and has a greater impact on mortality than obesity,” said Dr. Charlotte Yeh, M.D., chief medical officer, AARP Services Inc. “That is why UnitedHealthcare and AARP Services Inc. are collaborating to identify actionable solutions, geared for any individual across the spectrum of loneliness.”

Researchers looked at whether mindfulness interventions, like breath awareness, self-compassion and kindness exercises, could positively impact a person’s optimism and quality of life — all factors that help reduce loneliness.

Conclusions were encouraging: Mindfulness activities were shown to decrease loneliness among older adults. The research demonstrated that mindfulness reduced stress, and improved memory, sleep, the immune system, resiliency and compassion for self and others.

Although loneliness is complex and challenging to address, a mindfulness practice may help you live your best life.

Friday, June 28, 2019                Brandpoint 


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How Expressing Gratitude Might Change Your Brain

A lot of so-called “positive psychology” can seem a bit flaky, especially if you’re the sort of person disinclined to respond well to an admonition to “look on the bright side.” But positive psychologists have published some interesting findings, and one of the more robust ones is that feeling grateful is very good for you. Time and again, studies have shown that performing simple gratitude exercises, like keeping a gratitude diary or writing letters of thanks, can bring a range of benefits, such as feelings of increased well-being and reduced depression, that often linger well after the exercises are finished.

Now a brain-scanning study in NeuroImage brings us a little closer to understanding why these exercises have these effects. The results suggest that even months after a simple, short gratitude writing task, people’s brains are still wired to feel extra thankful. The implication is that gratitude tasks work, at least in part, because they have a self-perpetuating nature: The more you practice gratitude, the more attuned you are to it and the more you can enjoy its psychological benefits.

The Indiana University researchers, led by Prathik Kini, recruited 43 people who were undertaking counseling sessions as a treatment for their anxiety or depression. Twenty-two of them were assigned to a gratitude intervention; for the first three sessions of their weekly counseling, this group spent 20 minutes writing a letter in which they expressed their gratitude to the recipient, an hour in total (whether they chose to send these letters was up to them). The other participants acted as a control group, so they simply attended their counseling as usual without performing the gratitude task.

Three months after their counseling was over, all of the participants completed a “Pay It Forward” gratitude task in a brain scanner. Each was “given” various amounts of money by imaginary benefactors whose names and photos appeared onscreen to add to the realism of the task. The researchers told the participants that each benefactor said that if the participant wanted to express their gratitude for the monetary gift, they’d appreciate it if the participant gave some or all of the donation to a named third party (again, identified by photo and name), or a named charity. The participants knew this was all an exercise, but were all told that one of the transactions, chosen later at random, would actually occur — that is, they’d actually receive the cash amount offered to them by one of the benefactors minus the amount they chose to pass on (and the money they opted to pass on really would go to charity).

The researchers found that, on average, the more money a participant gave away, and the stronger the feelings of gratitude they reported feeling, the more activity they exhibited in a range of brain areas in the frontal, parietal, and occipital regions. Interestingly, these neural-activity patterns appeared somewhat distinct from those that usually appear when brain-scan subjects complete tasks associated with emotions like empathy or thinking about other people’s points of view, which is consistent with the idea that gratitude is a unique emotion.

gratitude

Most exciting, though, is the finding that the participants who’d completed the gratitude task months earlier not only reported feeling more gratefulness two weeks after the task than members of the control group, but also, months later, showed more gratitude-related brain activity in the scanner. The researchers described these “profound” and “long-lasting” neural effects as “particularly noteworthy,” and they highlighted that one of the main regions that showed this increased sensitivity — the “pregenual anterior cingulate,” which is known to be involved in predicting the effects of one’s own actions on other people — overlaps with a key brain region identified in the only previous study on the neurological footprint of gratitude.

This result suggests that the more practice you give your brain at feeling and expressing gratitude, the more it adapts to this mind-set — you could even think of your brain as having a sort of gratitude “muscle” that can be exercised and strengthened (not so different from various other qualities that can be cultivated through practice, of course). If this is right, the more of an effort you make to feel gratitude one day, the more the feeling will come to you spontaneously in the future. It also potentially helps explain another established finding, that gratitude can spiral: The more thankful we feel, the more likely we are to act pro-socially toward others, causing them to feel grateful and setting up a beautiful virtuous cascade.

However, let’s not allow the warm glow of all this gratitude to melt our critical faculties. It’s important to realize this result is incredibly preliminary. For one thing, as the researchers openly acknowledge, they didn’t conduct a baseline brain scan of the participants before they started the Pay It Forward game, so it’s possible, though unlikely given that participants were randomly assigned to the gratitude and control groups, that the participants who performed the gratitude task simply had more neural sensitivity to gratitude already, not because they performed the gratitude task. Another thing: Members of the control group didn’t perform a comparison writing task, so we can’t know for sure that it was the act of writing a letter of thanks, as opposed to any kind of writing exercise, that led to increased neural sensitivity to gratitude.

Still, neurological investigations into gratitude are in their early days, and this research certainly gives us some intriguing clues as to how and why gratitude exercises are beneficial. For that we can be, well, grateful.

Dr. Christian Jarrett (@Psych_Writer), a Science of Us contributing writer, is editor of the British Psychological Society’s Research Digest blog. His latest book is Great Myths of the Brain.

By Christian Jarrett   JAN. 7, 2016
 


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How to Avoid the Post-Holiday Blues

Simple, healthy choices can decrease the risk of Seasonal Affective Disorder.

The shortest day of the year, the Winter Solstice, is a marker that the darkest days are behind us and the sun is going to be shining longer each of the coming days as we end one year to begin another. Unfortunately, by the time that we reach this milestone and a promise of a less distant Spring, your body may still be suffering ill effects from the recent weeks of decreasing periods of sunlight as well as exhaustion from all of the pre-holiday preparations that so many of us allow to suck up too much of our time.

Staying “Merry and Bright” Takes a Lot of Energy

It makes sense that the human response to the naturally increasing darkness is to fill it with light and activities to combat the gloominess of the late autumn and early winter days. In November, when we really notice that daylight is shifting its balance with the night sky, we are beginning the preparations for family gatherings and keeping the oven humming and the sideboard groaning with rich and decadent foods. We’re eating more simple carbohydrates, often increasing alcohol intake, and spending less time engaged in outdoor activities. Workout regimens also may be more frequently disrupted by lack of motivation or schedule conflicts. Many find it easier to expend calories baking or reaching for another treat than to show up at the gym. And once motivation starts falling, it can take a lot more energy to build it back up than if it had been maintained all along.

The Winter Doldrums Are a Real Thing

The onset of seasonal affective disorder (SAD) is ushered in as the level of natural sunlight available each day decreases. Many species in the animal world adapt to this change with hibernation periods. In the US, many humans adapt to this change by spending winters as far south as they can to avoid the bitter cold and the darker days.

Essential Cycle: Sunlight to Serotonin to Melatonin to Sleep to Peace and Contentment

The shortening of our daylight hours can wreak havoc on our Circadian rhythms. Exposure to sunlight positively influences our brain’s production of neurochemicals that keep our moods balanced. Sunlight cues our bodies to produce Vitamin D, which is often found to be deficient in individuals who suffer from depression (Cuomo, Giordano, Goracci, & Fagiolini, 2017). Serotonin production is helped along by natural light exposure and serotonin leads to melatonin production, which helps ensure our sleep-wake cycle stays organized. When there’s less light, there’s less serotonin, which leads to less melatonin, which leads to less sleep, which can lead to feeling tired, cranky, and depressed. Our brains are amazing machines that do their best to keep up with the rapidly changing world, but when we try to force our brain chemistry to respond to unnatural, controlled environments such as work schedules that don’t shift with the seasons, exposure to non-stop electronic entertainment/bombardment, and other treats/risks of modern life, we can end up having to “treat” problems that might not occur if we were able to follow the natural order of things.

Finding the Right Balance/Light Balance

While sunlight encourages the production of serotonin, it’s also tangentially increasing the production of melatonin, the chemical that regulates healthy sleep. One way to handle SAD is to integrate light therapy (bright natural light; lightboxes; high quality, non-flickering fluorescent light bulbs; sunlight-mimicking bulbs) at the start of your morning. This jumpstarts the brain into producing the feel-good, do-good neurochemical serotonin.

While serotonin production is ramping up through light exposure, the production of natural melatonin is kick-started, too. At the end of the day, when you are preparing for sleep, you can take a melatonin supplement to help re-regulate your Circadian rhythm. As the brain’s chemistry is getting back on schedule, your mood will also reflect the balance and symptoms of depression should ease up.

Eat Healthy to Decrease Depression

Avoid simple carbohydrates, processed foods, and sugar. All of these can upset your brain’s delicate neurochemical symphony. Stick to complex carbohydrates that provide better “fuel economy” to your body than junk food can. In fact, a healthy diet has been linked to stronger feelings of optimism (Kargakou, Sachlas, Lyrakos, et al., 2017). Avoiding preservatives and choosing fresh foods will be better for your body and your attitude. Depression is marked by feelings of hopelessness; this suggests that the optimism borne of a healthy diet is worth the effort.

Keep Hydrated with Water, Not Lubricated with Alcohol, or Hopped Up on Caffeine

Dehydration can mimic symptoms of depression, so make sure that you’re taking in an adequate supply of water (Pross, Demazieres, Girard, et al., 2014). Avoid or limit caffeine, alcohol, and other high-sugar or artificially sweetened beverages. These beverages affect sleep, too, which affects mood. No component of our amazing body works independently of any other system – simply being alive is the production of a symphony made up of many players and many well-calibrated movements of every cell.

Out-Run, Out-Stretch, and Outsmart the Winter Doldrums

Physical activity, rather than couch-potato sitting, will help you get through the darkest winter day with as bright a mood possible. Aerobic exercise is especially helpful in getting your brain on track with the production of serotonin and endorphins (Munuswamy, Preetha, & Priya, 2018). Walk the dog, park far away from the grocery store or after-holiday sales, or get on the treadmill. All of these can help stimulate the body’s natural mood-balancing techniques.

Meditation and Yoga balance Moods

Aside from the heavy-duty physical work-outs, you can also exercise your mind and body through more gentle means that can lead to a balanced mood state (Travis, Valosek, Konrad, et al., 2018). Mediation has been proven to enhance well-being and bring calm even in times of catastrophic illness and stress (Lemanne & Maizes, 2018). When your brain is in a meditative state, you’re actually quieting the regions of the brain associated with stress and worry while providing greater opportunities for the work of the regions associated with healthy psychological and physical functioning. Tai Chi is another gentle method for combatting feelings of depression (Zou et al., 2018). Activities that bring a balance between mind and body are highly effective in bringing balance to all aspects of your life.

Hopefulness about the Future

The frenzy of the winter holidays can lead to an overall post-holiday, gloomy January funk for many. Comparing the “blah” of January with the “bling” of December is not a pleasing thought. Add in a couple of quickly failed New Year’s resolutions and the days seem even more depressing. Recognize that what you’re feeling is a normal reaction to what’s going on around you. Also, recognize that you have the tools needed to ensure that you don’t fall too far into a bout of SAD. For protection against SAD, eat right, drink plenty of healthy fluids, and get active. If you are suffering from seasonal depression, research shows that light therapy is as effective as psychotherapy such as CBT might be (Meyerhoff, Young, & Rohan, 2018). Not only that, light therapy provides more rapid relief to symptoms such as insomnia, anxiety, hypersomnia, and social withdrawal. Make healthy choices, keep your body moving, and find the light and you’ll be well prepared to tackle the winter blues.
Feeling hopeful about the future is key to feeling better about the now.

References
Cuomo, A., Giordano, N., Goracci, A., & Fagiolini, A. (2017). Depression and Vitamin D deficiency: Causality, assessment, and clinical practice implications. Neuropsychiatry, 7(5), 606-614.
Kargakou A., Sachlas A., Lyrakos G., Zyga S., Tsironi M., Rojas Gil A.P. (2017) Does Health Perception, Dietary Habits and Lifestyle Effect Optimism? A Quantitative and Qualitative Study. In: Vlamos P. (eds) GeNeDis 2016. Advances in Experimental Medicine and Biology, 988. Springer, Cham.
Lemanne, D., & Maizes, V. (2018). Advising Women Undergoing Treatment for Breast Cancer: A Narrative Review. Journal of Alternative & Complementary Medicine, 24(9/10), 902–909. https://doi.org/10.1089/acm.2018.0150
Meyerhoff, J., Young M. A., & Rohan K. J. Patterns of depressive symptom remission during the treatment of seasonal affective disorder with cognitive‐behavioral therapy or light therapy. Depress Anxiety. 2018;35:457–467. https://doi.org/10.1002/da.22739
Munuswamy, S., Preetha, S., & Priya, J. (2018). A study on the effects of aerobics on depression. Drug Invention Today, 10(11), 2169–2171. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=132173465&site=ehost-live&scope=site
Pross, N., Demazières, A., Girard, N., Barnouin, R., Metzger, D., Klein, A., Perrier, E., … Guelinckx, I. (2014). Effects of changes in water intake on mood of high and low drinkers. PloS one, 9(4), e94754. doi:10.1371/journal.pone.0094754
Travis, F., Valosek, L., Konrad, A., Link, J., Salerno, J., Scheller, R., … Konrad, A. 4th. (2018). Effect of meditation on psychological distress and brain functioning: A randomized controlled study. Brain & Cognition, 125, 100–105. https://doi.org/10.1016/j.bandc.2018.03.011
Zou, L., Yeung, A., Li, C., Wei, G.-X., Chen, K. W., Kinser, P. A., … Ren, Z. (2018). Effects of Meditative Movements on Major Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Medicine, 7(8), N.PAG. https://doi.org/10.3390/jcm7080195

Suzanne Degges-White Ph.D.         Dec 18, 2018
 

 

winter

How Can You Cope With Seasonal Affective Disorder?

Does winter bring you down every year? We give you some tips on how to manage seasonal affective disorder.

Seasonal affective disorder (SAD) is a type of depression that comes and goes with the four seasons, typically manifesting during the cold autumn and winter months, when the days are shorter, darker, and chillier.

According to the National Institute of Mental Health, the main risk factors for SAD are age, sex, distance from the equator (since regions farther to the north and south tend to have shorter days and less sunlight in winter), and a history of depression or other mood disorders.

Studies have shown that “young adults and women are most likely to experience SAD with the reported gender difference ranging from 2:1 to 9:1.”

People with SAD can experience a range of symptoms, but some of the most commonly reported ones include a sense of fatigue paired with oversleeping, chronically low moods, and strong cravings for carbohydrates, which can lead to excessive weight gain.

SAD can seriously impact productivity and day-to-day lifestyle, as the symptoms — if severe — can prevent individuals from going out, seeing other people, and engaging in some of the normal activities that they would otherwise pursue.

So what can you do if the winter months are getting you down? How can you cope with the lack of motivation, feelings of hopelessness, and debilitating fatigue? Here, we give you some tips on how to tackle SAD head-on.

Hunt down that light

Lack of exposure to natural light is one of the apparent reasons behind winter SAD, so it doesn’t come as a surprise that light therapy — also known as “phototherapy” — would be beneficial in keeping the symptoms at bay.
light box for phototherapy

Many studies have indicated that light therapy is usually helpful in treating this seasonal disorder, and for this purpose, you can use one of the many dedicated light boxes that are now available on the market.

But to be effective, you should make sure that the light box generates at least 10,000 lux — 100 times stronger than a normal lightbulb, meaning that a regular desk lamp won’t do — and that it has white or blue (not yellow) light.

Also, check that the light box was especially made to treat SAD, depression, and other mood disorders, and that it’s not made for a different purpose (such as treating psoriasis or other skin conditions).

Light boxes for skin treatments are another kettle of fish altogether, as they emit ultraviolet (UV) B, which is not safe for the retina. Instead, dedicated SAD treatment light boxes filter out UVs, so they’re safe to use.

Dr. Norman Ronsenthal — who first described SAD’s symptoms and pushed for it to be recognized as a valid disorder — offers some advice on how to use light therapy in his book, Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder. He writes:

  1.     Obtain a suitable light box.
  2.     Set the light box up in a convenient place at home or at work, or both.
  3.     Sit in front of the light box […] between 20 and 90 minutes each day.
  4.     Try to get as much of your light therapy as early in the morning as possible.
  5.     Be sure to sit in such a way that the correct amount of light falls on your eyes. [Dr. Marlynn Wei says it should be placed at eye level or higher, 2 feet away from you.]
  6.     Repeat this procedure each day throughout the season of risk.

At the same time, you can add to the beneficial effects of light therapy by making a little extra effort to “hunt down” natural daylight, if possible, and take advantage of it as much as you can.

You could do this by waking up earlier in the morning and going outside where the sunshine is, for as long as it lasts, to allow yourself to feel as though you’re soaking in the light and taking advantage of the whole day.

Eat well, and watch out for the carbs

Research has shown that individuals with SAD tend to eat more carbohydrate-rich foods, especially sweets and starchy foods. They also have a tendency to overeat during these periods of “seasonal lows,” so it’s important that they look after their diets in order to feel more energized.
vegan suitable food

Over the winter months, as we get less and less sunlight, vitamin D is insufficiently produced in our bodies. Research has also suggested that ensuring we get enough vitamin D may help to prevent and manage depression.

To make sure that you’re getting enough vitamin D during autumn and winter, you could take dietary supplements. Vitamin D is also found in a range of foods that you can easily incorporate into your daily meals.

Salmon, for instance, is naturally rich in D-3, though some studies suggest that wild-caught salmon contains much larger amounts of the vitamin than farmed salmon.

Eggs are a good source of the vitamins D-2 and D-3, and mushrooms also have a high D-2 content, though research suggests that we should stick to wild mushrooms rather than cultivated ones.

Some studies also suggest that people with mood disorders may have an omega-3 fatty acid deficit, and so supplementation of this nutrient may help to keep symptoms in check.

According to the National Institutes of Health (NIH), some good food sources of omega-3 include various types of fish (salmon, herring trout, and mackerel), chia seeds, flaxseed, and soybean.

Also, research published last year in the American Journal of Public Health points to fruit and vegetables as the foods of choice when it comes to increasing happiness and well-being.

“Eating fruit and vegetables apparently boosts our happiness far more quickly than it improves human [physical] health,” notes study co-author Prof. Andrew Oswald.

The psychological benefits of fruit and vegetable consumption were confirmed by a recent study, from February this year, which focused on the positive effect of a “green” diet on young adults — one of the groups most at risk of SAD.

Make an effort to stay active

Precisely because some of the main symptoms of SAD are fatigue and lethargy, specialists advise that making an effort to stay physically active can offer a boost of energy and improve mood.

A review of existing studies surrounding SAD and the effects of exercise on this disorder suggests that the low moods and other symptoms involved in it may be caused by disruptions to the body’s circadian rhythm. The circadian rhythm regulates our sleep, eating, and activity patterns according to day-night cycles.

Review author Benny Peiser — from the Research Institute for Sport and Exercise Sciences at Liverpool John Moore University in the United Kingdom — explains that taking part in regular physical exercise during the autumn and winter months can help to maintain an appropriate circadian rhythm, thereby keeping SAD symptoms at bay.

A study recently covered by Medical News Today also demonstrates that even low-intensity exercise done for as little as 1 hour per week can effectively counteract depression.

Don’t give in to reclusiveness

On those dark, cold days, you may be sorely tempted to just stay inside and hide from the weather and world alike. If you have more severe SAD symptoms, going out may seem unachievable, but if you want to keep the low moods and lethargy at bay, then you should do your best to resist these solitary tendencies.

Try not to give up on seeing people and doing things.

Much the same as light exercise, studies show that a leisurely walk in the great outdoors can improve your mood and well-being.

Just taking one moment every day to notice a detail in your natural surroundings, and asking yourself what feelings it elicits, can make you feel happier and more sociable, according to research from the University of British Columbia in Canada.

The American Psychological Association advise that you keep in touch with friends and family, go out with them, and speak to trusted people about what you’re experiencing. Enlisting someone else’s help in keeping you active, and helping you get out of your shell during the cold months, may make it easier to cope with the effects of SAD.

Advice regarding how best to cope with SAD from Johns Hopkins Medicine also includes finding a winter-appropriate hobby that will both keep you busy and give you pleasure, such as a DIY project or a winter sport.

Moreover, don’t forget that there is help available for people who experience SAD. Cognitive behavioral therapy has been proven to be effective in the treatment of this disorder, and a specialist will be able to recommend antidepressants if you find yourself struggling.

Friday 24 November 2017    By Maria Cohut   
Fact checked by Jasmin Collier


2 Comments

Why Suicide Is More Than A Mental Health Issue

Suicide prevention efforts shift towards improving mental health of everyone

Renowned chef Anthony Bourdain has been found dead in France while working on CNN program. He’s part of an age cohort with rising suicide rates in the U.S. (Frank Gunn/Canadian Press)
The deaths this week of celebrity chef Anthony Bourdain and designer Kate Spade come at at a time when new numbers from the U.S. Centers for Disease Control and Prevention show suicide is on the rise.

The CDC said suicide rates in the U.S. increased more than 30 per cent between 1999 and 2016. The reasons for the rise are complicated and multidimensional.

“Suicide is more than a mental health issue,” Dr. Anne Schuchat, principal deputy director of the CDC, told reporters on Thursday.

“We don’t think we can just leave this to the mental health system to manage.”

Multiple circumstances

Bourdain took his own life, CNN said Friday. New York City’s chief medical examiner ruled that Spade’s death earlier this week was also a suicide.

Spade’s husband and business partner, Andy Spade, said she suffered from depression and anxiety for many years, but was seeing a doctor regularly and taking medication.

In its Vital Signs report, the CDC said that nearly 45,000 Americans died by their own hand in 2016. The latest U.S. data suggests in 54 per cent of completed suicides, there were no known mental health conditions.

In a sampling of 27 states, relationship problems were considered a contributing factor in 42 per cent of all suicides in 2015. “Problematic substance use” was listed in 28 per cent of cases.

Even so, the CDC acknowledges that poor mental health isn’t always easy to detect. The agency said there could be a number of reasons why the reported level of mental illness could underestimate its actual effect, including:

  • Not all illnesses are formally diagnosed.
  • Stigma still surrounds a diagnosis.
  • Loved ones might not have been aware of a mental health condition.

 

‘Disturbing’ age findings

Bourdain and Spade died at 61 and 55, respectively — an age cohort with strikingly high suicide rates in the U.S., according to the CDC.

“Middle-aged adults had the largest number of suicides and a particularly high increase in suicide rates. These findings are disturbing,” said Schuchat.

Patrick Smith, CEO of the Canadian Mental Health Association in Toronto, said he isn’t aware of a similar increase among that age group in Canada. But he said Bourdain and Spade’s deaths show that high-profile status is no bulwark against depression and other mental illnesses.

“Someone doesn’t say, ‘Wow, they had everything. I can’t believe they got cancer.’ But we still say that about suicide or depression,” said Smith.

“That’s really the societal challenge — to try to understand that depression and other mental illnesses can be found in every postal code and every income bracket.”

In the U.S., middle-aged adults also have higher rates of drug overdoses, Schuchat said. She pointed to emerging social science research suggesting increases in suicide correlate with “deaths of despair” among middle-age populations who may be harder hit by economic downturns.

suicide

 

The need for intervention

Suicide ranked as the ninth-leading cause of death in Canada in 2009, the last year for which numbers are available, and is the 10th-leading cause of death overall in the U.S.

In both countries, suicide prevention efforts are shifting toward meeting people’s needs before they reach crisis. Just as doctors don’t wait until cancer reaches stage 4 to intervene, Smith said experience in the U.K. shows that after community-based programs to provide support to people in workplaces and schools were introduced, prison populations were reduced and there was a dramatic drop in emergency room visits.

In countries with more community support, rates of feeling suicidal will be similar, Smith said, but there’s a better chance of having lower suicide rates.

Everyone has to take care of their mental health and the goal is to normalize conversations to improve and enhance it, Smith said.

Bourdain spoke to CBC last year about some of the psychological challenges he faced separating from his second wife and missing his daughter while travelling the globe for his show Parts Unknown. He’d also talked about his struggles with mental health and a history of drug use.

The CDC recommends teaching children, teens and adults coping and problem-solving skills, building social connections and maintaining dialogue. The agency also encourages safe storage of pills and guns.

Where to get help:

Canada Suicide Prevention Service

Toll-free 1-833-456-4566

Text: 45645

Chat: crisisservicescanada.ca

In French: Association québécoise de prévention du suicide: 1-866-APPELLE (1-866-277-3553)

Kids Help Phone:  1-800-668-6868 (Phone), Live Chat counselling at www.kidshelpphone.ca

Canadian Association for Suicide Prevention: Find a 24-hour crisis centre

If you’re worried someone you know may be at risk of suicide, you should talk to them about it, says the Canadian Association for Suicide Prevention.

Here are some warning signs:

    • Suicidal thoughts.
    • Substance abuse.
    • Purposelessness.
    • Anxiety.
    • Feeling trapped.
    • Hopelessness and helplessness.
    • Withdrawal.
    • Anger.
    • Recklessness.
    • Mood changes.
CBC News      Jun 08, 2018
With files from CBC’s Amina Zafar and Associated Press
source: www.cbc.ca
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