Tag Archives: health

Critical thinking skills for kids are crucial: The lure of Superbowl alcohol ads

Here’s today’s COMMENT FROM AN OLD FART: Aside from the action on the field at the Superbowl, many folks tune into the game because of the half-time show and the over-the-top commercials. Critical thinking skills are lacking in many adults. Chldren not only may lack critical thinking skills, but may make poor choices because of their lack of maturity. Yolanda Evans, MD, MPH writes in the Seattle Children’s Hospital article, Alcohol Ads and Teen Drinking:

A recent article in the journal Pediatrics looked at 4,000 students in 7th grade and asked about alcohol use and alcohol ads on TV. They surveyed the teens through 10th grade. Though the number of teens participating decreased over time, they found some scary results. For both boys and girls, increasing exposure to alcohol ads over time and liking what they saw was associated with more alcohol use from 7th to 10th grade. They also assessed alcohol related problems, like trouble with school, and found a significant association among boys and ads.

These results show that ads can affect behavior. So what can a parent do?

limit screen time and exposure to mature subject matter. The American Academy of Pediatrics recommends limiting screen time to 2 hours a day. This helps decrease exposure, but also encourages teens to do something active with their time.
Use the ads as an opportunity to talk about drug use. Let teens know that what they see in these ads is not reality. Talk about the dangers of alcohol. Short term effects include difficulty in school, possible alcohol poisoning, increased risk taking and long term include health problems like liver and heart disease.
Set limits and talk about consequences before you need them. See our posts on the ‘free phone call‘ and ‘ground rules.’ Talk with your teen about expectations of their behavior and let them help decide on consequences if they break the rules.
Check out our previous post on how to talk to your teen about drugs and alcohol for tips.
If you’re worried your teen has a problem with alcohol or other drugs, talk with your teen’s health care provider. http://teenology101.seattlechildrens.org/alcohol-ads-and-teen-drinking/

Citation:

Exposure to Alcohol Advertisements and Teenage Alcohol-Related Problems

Jerry L. Grenard, PhD^a,

Clyde W. Dent, PhD^b, and

Alan W. Stacy, PhD^a

+ Author Affiliations

^aSchool of Community and Global Health, Claremont Graduate University, Claremont, California; and

^bOffice of Disease Prevention and Epidemiology, Oregon Department of Human Services, Portland, Oregon

Abstract

OBJECTIVE: This study used prospective data to test the hypothesis that exposure to alcohol advertising contributes to an increase in underage drinking and that an increase in underage drinking then leads to problems associated with drinking alcohol.

METHODS: A total of 3890 students were surveyed once per year across 4 years from the 7th through the 10th grades. Assessments included several measures of exposure to alcohol advertising, alcohol use, problems related to alcohol use, and a range of covariates, such as age, drinking by peers, drinking by close adults, playing sports, general TV watching, acculturation, parents’ jobs, and parents’ education.

RESULTS: Structural equation modeling of alcohol consumption showed that exposure to alcohol ads and/or liking of those ads in seventh grade were predictive of the latent growth factors for alcohol use (past 30 days and past 6 months) after controlling for covariates. In addition, there was a significant total effect for boys and a significant mediated effect for girls of exposure to alcohol ads and liking of those ads in 7th grade through latent growth factors for alcohol use on alcohol-related problems in 10th grade.

CONCLUSIONS: Younger adolescents appear to be susceptible to the persuasive messages contained in alcohol commercials broadcast on TV, which sometimes results in a positive affective reaction to the ads. Alcohol ad exposure and the affective reaction to those ads influence some youth to drink more and experience drinking-related problems later in adolescence.

Published online January 28, 2013 Pediatrics Vol. 131 No. 2 February 1, 2013
pp. e369 -e379
(doi: 10.1542/peds.2012-1480)

Moi wrote in Johns Hopkins University study: Advertising affects alcohol use by children:

Moi discussed alcohol use among teens in Seattle Children’s Institute study: Supportive middle school teachers affect a kid’s alcohol use:

Substance abuse is a serious problem for many young people. The Centers for Disease Control provide statistics about underage drinking in the Fact Sheet: Underage Drinking:

Underage Drinking

Alcohol use by persons under age 21 years is a major public health problem.¹ Alcohol is the most commonly used and abused drug among youth in the United States, more than tobacco and illicit drugs. Although drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11% of all alcohol consumed in the United States.² More than 90% of this alcohol is consumed in the form of binge drinks.² On average, underage drinkers consume more drinks per drinking occasion than adult drinkers.³ In 2008, there were approximately 190,000 emergency rooms visits by persons under age 21 for injuries and other conditions linked to alcohol.⁴

Drinking Levels among Youth

The 2009 Youth Risk Behavior Survey⁵ found that among high school students, during the past 30 days

42% drank some amount of alcohol.

24% binge drank.

10% drove after drinking alcohol.

28% rode with a driver who had been drinking alcohol.

Other national surveys indicate

In 2008 the National Survey on Drug Use and Health reported that 28% of youth aged 12 to 20 years drink alcohol and 19% reported binge drinking.⁶

In 2009, the Monitoring the Future Survey reported that 37% of 8th graders and 72% of 12th graders had tried alcohol, and 15% of 8th graders and 44% of 12th graders drank during the past month.⁷

Consequences of Underage Drinking

Youth who drink alcohol^{1, 3, 8} are more likely to experience

School problems, such as higher absence and poor or failing grades.

Social problems, such as fighting and lack of participation in youth activities.

Legal problems, such as arrest for driving or physically hurting someone while drunk.

Physical problems, such as hangovers or illnesses.

Unwanted, unplanned, and unprotected sexual activity.

Disruption of normal growth and sexual development.

Physical and sexual assault.

Higher risk for suicide and homicide.

Alcohol-related car crashes and other unintentional injuries, such as burns, falls, and drowning.

Memory problems.

Abuse of other drugs.

Changes in brain development that may have life-long effects.

Death from alcohol poisoning.

In general, the risk of youth experiencing these problems is greater for those who binge drink than for those who do not binge drink.⁸

Youth who start drinking before age 15 years are five times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or after age 21 years.^{9, 10}http://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm

See, Alcohol Use Among Adolescents and Young Adults http://pubs.niaaa.nih.gov/publications/arh27-1/79-86.htm

https://drwilda.com/2012/08/11/johns-hopkins-university-study-advertising-affects-alcohol-use-by-children/

The issue is whether children in a “captive” environment have the maturity and critical thinking skills to evaluate the information contained in the ads. Advertising is about creating a desire for the product, pushing a lifestyle which might make an individual more prone to purchase products to create that lifestyle, and promoting an image which might make an individual more prone to purchase products in pursuit of that image. Many girls and women have unrealistic body image expectations which can lead to eating disorders in the pursuit of a “super model” image. What the glossy magazines don’t tell young women is the dysfunctional lives of many “super models” which may involve both eating disorders and substance abuse. The magazines don’t point out that many “glamor girls” are air-brushed or photo-shopped and that they spend hours on professional make-up and professional hairstyling in addition to having a personal trainer and stylist. Many boys look at the buff bodies of the men in the ads and don’t realize that some use body enhancing drugs. In other words, when presented with any advertising, people must make a determination what to believe. It is easy for children to get derailed because of peer pressure in an all too permissive society. Parents and schools must teach children critical thinking skills and point out often that the picture presented in advertising is often as close to reality as the bedtime fairy tail. Reality does not often involve perfection, there are warts.

See, Admongo http://ftc.gov/bcp/edu/microsites/admongo/html-version.shtml

and How to Help a Child With Critical Thinking Skills http://www.livestrong.com/article/178182-how-to-help-a-child-with-critical-thinking-skills/#ixzz2Jlv5L6HR

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Tags: Admongo, Alcohol Ads and Teen Drinking, Alcohol Use Among Adolescents and Young Adults, Critical Thinking, Critical Thinking skills, Exposure to Alcohol Advertisements and Teenage Alcohol-Related Problems, Fact Sheet: Underage Drinking:, FTC, health, How to Help a Child With Critical Thinking Skills, research, science, Seattle Children's Hospital, Superbowl, Superbowl Ads

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The 02/01/13 Joy Jar

31 Jan

Moi is a ‘bus chick’ and rides the bus all over Seattle or she walks. She is registered with the two pay-by-use car programs, but rarely uses them. The bus takes moi everywhere she needs to go. The bus tunnel runs under downtown Seattle and is deep underground. To reach the surface, one takes an escalator, at the deepest points of tunnel, to the street. Today moi was leaving the tunnel and riding the escalator to the street. There were several people who went past moi walking up the escalator. They shaved maybe 30 seconds off the escalator ride. Than got moi thinking about the speed of contemporary life. Today’s deposit into the ‘Joy Jar’ is a liveable pace of life.

Life is made up of special moments which make it worth living. There are many cherished moments that are missed due to the stress and fast pace of daily living. We must slow down and remember how precious it is to be alive and to love!!!!

Unknown

“Smile, breathe, and go slowly” Thich Nhat Hanh

“Take rest; a field that has rested gives a bountiful crop.” Ovid

“Tension is who you think you should be. Relaxation is who you are.” Chinese proverb
“There is more to life than increasing its speed.” Mahatma Gandhi

Tags: Dr Wilda, health, Joy Jar, Mental Health, Positive Affirmation, quotes, Relaxation, Slowing Down

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Categories Dr Wilda

GAO report: Children’s mental health services are lacking

12 Jan

Moi wrote about troubled children in Schools have to deal with depressed and troubled children:

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.

As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids….

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical, cognitive, emotional/affective, and motivational well-being, no matter their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.

Prevalence and Risk Factors

While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:

* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression.

How to Recognize Depression In Your Child?

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.

Signs and symptoms of depression in children include:

* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests

* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide

Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol,
especially if they are over the age of 12.

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Joy Resmovits reported in the article, Mental Health Care For Kids Severely Lacking, Says GAO which was posted at Huffington Post:

“Most children whose emotions or behavior, as reported by their parent or guardian, indicated a potential need for a mental health service did not receive any services within the same year,” the GAO wrote.

The report comes after Sen. Tom Harkin (D-Iowa), Rep. Rosa DeLauro (Conn.), and Rep. Lucille Roybal-Allard (Calif.) requested that the GAO look into how psychotropic drugs affect the long-term development of kids who grow up in foster care. While the report is very specific in its scope, it’s sure to be a relevant piece of evidence as the Obama administration formulates policy to deal with the ramifications of the Newtown, Conn. elementary school shooting. The shooting has sparked a nationwide debate on gun control, but it has also directed America’s attention to the state of its mental health care system.

Here are some findings:

On average, 6.2 percent of noninstitutionalized children in Medicaid and 4.8 percent of privately insured kids received psychotropic medications.
30 percent of foster children who might have required mental health care didn’t receive them over the last year.
Most kids outside the foster care system whose behavior displayed red flags didn’t receive mental care services.
Many kids who got psychotropic medication didn’t get counseling or therapy to complete the care.
While the National Institutes of Health spent1.2 billion on children’s mental health care research between 2008 and 2011, most of the funding focused on research studying therapy, rather than the effects of such medication. http://www.huffingtonpost.com/joy-resmovits/mental-health-care-for-ki_b_2449205.html?utm_hp_ref=education

Here is the GAO press release:

What GAO Found

An annual average of 6.2 percent of noninstitutionalized children in Medicaid nationwide and 4.8 percent of privately insured children took one or more psychotropic medications, according to GAO’s analysis of 2007-2009 data from the Department of Health and Human Services’ (HHS) Medical Expenditure Panel Survey (MEPS). MEPS data also showed that children in Medicaid took antipsychotic medications (a type of psychotropic medication that can help some children but has a risk of serious side effects) at a relatively low rate–1.3 percent of children–but that the rate for children in Medicaid was over twice the rate for privately insured children, which was 0.5 percent. In addition, MEPS data showed that most children whose emotions or behavior, as reported by their parent or guardian, indicated a potential need for a mental health service did not receive any services within the same year. The Centers for Medicare & Medicaid Services (CMS) and many states have initiatives under way to help ensure that children receive appropriate mental health treatments. However, CMS’s ability to monitor children’s receipt of mental health services is limited because CMS does not collect information from states on whether children in Medicaid have received services for which they were referred. GAO recommended in 2011 that CMS identify options for collecting such data from state Medicaid programs. Findings in this report underscore the continued importance of CMS’s monitoring of children’s receipt of mental health services.

HHS’s Administration for Children and Families (ACF) reported that 18 percent of foster children were taking psychotropic medications at the time they were surveyed, although utilization varied widely by the child’s living arrangement. ACF also reported that 30 percent of foster children who may have needed mental health services did not receive them in the previous 12 months. HHS agencies are taking steps to promote appropriate mental health treatments for foster children, such as by sending information to states on psychotropic medication oversight practices.

HHS’s National Institutes of Health spent an estimated $1.2 billion on over 1,200 children’s mental health research projects during fiscal years 2008 through 2011. Most of the funding–$956 million–was awarded by the National Institute of Mental Health, with more research projects studying psychosocial therapies than psychotropic medications. Other HHS agencies spent about $16 million combined on children’s mental health research during this period.

HHS reviewed a draft of this report and provided technical comments, which GAO incorporated as appropriate.

Why GAO Did This Study

Experts have concerns that children with mental health conditions do not always receive appropriate treatment, including concerns about appropriate use of psychotropic medications (which affect mood, thought, or behavior) and about access to psychosocial therapies (sessions with a mental health provider). These concerns may be compounded for low-income children in Medicaid and children in foster care (most of whom are covered by Medicaid)–populations who may be at higher risk of mental health conditions. Within HHS, CMS oversees Medicaid, and ACF supports state child welfare agencies that coordinate health care for foster children.

GAO was asked to provide information on children’s mental health. This report examines (1) the use of psychotropic medications and other mental health services for children in Medicaid nationwide, and related CMS initiatives; (2) HHS information on the use of psychotropic medications and other mental health services for children in foster care nationwide, and related HHS initiatives; and (3) the amount HHS has invested in research on children’s mental health.

GAO analyzed data from HHS’s MEPS –a national household survey on use of medical services–from 2007 through 2009 for children covered by Medicaid and private insurance. GAO reviewed two recent ACF foster care reports with data from a national survey conducted during 2008 through 2011. GAO analyzed data from HHS agencies that conduct or fund research and interviewed HHS officials and children’s mental health providers, researchers, and advocates.

For more information, contact Katherine Iritani at (202) 512-7114 or iritanik@gao.gov.

Concerns Remain about Appropriate Services for Children in Medicaid and Foster Care GAO-13-15, Dec 10, 2012

Highlights

View Report (PDF, 60 pages)

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Resources:

16staffing.h32.html?tkn=VPLFw6EYbOz23lTzoeSKlVNGV4SNwasebCry&cmp=clp-edweek&intc=EW-QC13-EWH

About.Com’s Depression In Young Children

Psych Central’s Depression In Young Children
Psychiatric News’ Study Helps Pinpoint Children With Depression
Family Doctor’s What Is Depression?
WebMD’s Depression In Children
Healthline’s Is Your Child Depressed?
Medicine.Net’s Depression In Children

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Tags: Children's Mental Health, current-events, Depression, Depression in Children, Depression In School Age Children and Adolescents, GAO, General Accounting Office, health, Kids Health, medicine, MedNet, Mental Health, Mental Health Care For Kids Severely Lacking Says GAO, research, science, Understanding Depression

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Study: Current therapies may not be effective in preventing teen suicide, but targeted treatment helps

8 Jan

People of all ages may have feelings of profound sadness, loss, and depression. There is no one on earth, despite what the ads attempt to portray, who lives a perfect life. Every life has flaws and blemishes, it is just that some cope better than others. For every person who lives to a ripe old age, during the course of that life they may encounter all types of loss from loss of a loved one through death, divorce or desertion, loss of job, financial reverses, illness, dealing with A-holes and twits, plagues, pestilence, and whatever curse can be thrown at a person. The key is that they lived THROUGH whatever challenges they faced AT THAT MOMENT IN TIME. Woody Allen said something like “90% of life is simply showing up.” Let moi add a corollary, one of the prime elements of a happy life is to realize that whatever moment you are now in, it will not last forever and that includes moments of great challenge. A person does not have to be religious to appreciate the story of Job. The end of the story is that Job is restored. He had to endure much before the final victory, though.

Why Do Teens Attempt Suicide?

The American Academy of Adolescent Psychiatry has some excellent suicide resources

Suicides among young people continue to be a serious problem. Each year in the U.S., thousands of teenagers commit suicide. Suicide is the third leading cause of death for 15-to-24-year-olds, and the sixth leading cause of death for 5-to-14-year-olds.

Teenagers experience strong feelings of stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. For some teenagers, divorce, the formation of a new family with step-parents and step-siblings, or moving to a new community can be very unsettling and can intensify self-doubts. For some teens, suicide may appear to be a solution to their problems and stress.

Sometimes, people see suicide as an answer to their problems. All of us must stress that suicide is always the WRONG answer to what in all likelihood is a transitory situation.

What are the Warning Signs of Suicide?

According to Teen’s Health there are some suicide warning signs

Warning Signs

There are often signs that someone may be thinking about or planning a suicide attempt. Here are some of them:

talking about suicide or death in general

talking about “going away”

referring to things they “won’t be needing,” and giving away possessions

talking about feeling hopeless or feeling guilty

pulling away from friends or family and losing the desire to go out

having no desire to take part in favorite things or activities

having trouble concentrating or thinking clearly

experiencing changes in eating or sleeping habits

engaging in self-destructive behavior (drinking alcohol, taking drugs, or cutting, for example)

These are signs that indicate a person may be depressed.

According to JaredStory.com the primary cause of suicide is depression.

# 1 CAUSE OF SUICIDE: UNTREATED DEPRESSION

It can be very hard to diagnose depression. There are many different kinds of depression and not all people will have the same symptoms, or have them to the same degree. Here are some symptoms to watch for and if they last more than a few weeks, a doctor or psychiatrist should be consulted.

Persistent sad or “empty” mood

Feeling hopeless, helpless, worthless

pessimistic and or guilty

Substance abuse

Fatigued or loss of interest in ordinary activities

Disturbances in eating and sleeping patterns

Irritability, increased crying, anxiety and panic attacks, (Post Traumatic Stress Disorder)

Difficulty concentrating, remembering or making decisions

Thoughts of suicide; suicide plans or attempts

Persistent physical symptoms or pains that do not respond to treatment

The site also lists events that might trigger depression in a person.

A death of a family member or close friend – which could include a fellow student from school

An assault, car accident or painful physical event – which could include physical bullying

Mental, or emotional event – which could include non-physical bullying

Marriage breakup, or love lost suddenly – which could include “breaking up” with a girlfriend or boyfriend

Constant physical, mental, or emotional pain that goes on for a length of time – which includes constant bullying that is not intervened, resolved or stopped entirely

Major Financial setback – which includes a teenager who may have lost a job

Something “embarrassing” happens – as an example; getting kicked off a football team or a public insult by a teacher or popular student; bullying

Failing an important exam a school – not a normal trigger unless the exam was life changing and the individual is under a lot of stress

A best friend moves out of town – especially true for teenagers who are being bullied and have very few friends as it is

If you notice these signs, the key is to get help for yourself or a friend. The type of treatment will depend upon the underlying symptoms.

Benedict Carey reports in the New York Times article, Study Questions Effectiveness of Therapy for Suicidal Teenagers:

Most adolescents who plan or attempt suicide have already received at least some mental health treatment, raising questions about the effectiveness of current approaches to helping troubled youths, according to the largest in-depth analysis to date of suicidal behaviors in American teenagers.

The study, in the journal JAMA Psychiatry, found that 55 percent of suicidal teenagers had received some therapy before they thought about suicide, planned it or tried to kill themselves, contradicting the widely held belief that suicide is due in part to a lack of access to treatment.

The findings, based on interviews with a nationwide sample of more than 6,000 teenagers and at least one parent of each, linked suicidal behavior to complex combinations of mood disorders like depression and behavior problems like attention-deficit and eating disorders, as well as alcohol and drug abuse.

The study found that about one in eight teenagers had persistent suicidal thoughts at some point, and that about a third of those who had suicidal thoughts had made an attempt, usually within a year of having the idea.

Previous studies have had similar findings, based on smaller, regional samples. But the new study is the first to suggest, in a large nationwide sample, that access to treatment does not make a big difference. ..

Over all, about one-third of teenagers with persistent suicidal thoughts went on to make an attempt to take their own lives.

Almost all of the suicidal adolescents in the study qualified for some psychiatric diagnosis, whether depression, phobias or generalized anxiety disorder. Those with an added behavior problem — attention-deficit disorder, substance abuse, explosive anger — were more likely to act on thoughts of self-harm, the study found.

Doctors have tested a range of therapies to prevent or reduce recurrent suicidal behaviors, with mixed success. Medications can ease depression, but in some cases they can increase suicidal thinking. Talk therapy can contain some behavior problems, but not all.

One approach, called dialectical behavior therapy, has proved effective in reducing hospitalizations and suicide attempts in, among others, people with borderline personality disorder, who are highly prone to self-harm.

But suicidal teenagers who have a mixture of mood and behavior issues are difficult to reach. In one 2011 study, researchers at George Mason University reduced suicide attempts, hospitalizations, drinking and drug use among suicidal adolescent substance abusers. The study found that a combination of intensive treatments — talk therapy for mood problems, family-based therapy for behavior issues and patient-led reduction in drug use — was more effective than regular therapies. http://www.nytimes.com/2013/01/09/health/gaps-seen-in-therapy-for-suicidal-teenagers.html?hp&_r=0

See, A Tragedy and a Mystery http://harvardmagazine.com/2011/01/tragedy-and-mystery

What Should You Do if You Know Someone Who Thinking About Suicide?

If you are thinking of suicide or you know someone who is thinking about suicide, GET HELP, NOW!!!! The Suicide Prevention Resource Center has some excellent advice about suicide prevention

Resources

Teen’s Health’s Suicide

American Academy of Adolescent Psychiatry

Suicide Prevention Resource Center

Teen Depression

Jared Story.Com

CNN Report about suicide

American Foundation for Suicide Prevention
http://www.afsp.org This group is dedicated to advancing the knowledge of suicide and the ability to prevent it.

SA\VE – Suicide Awareness\Voices of Education
http://www.save.org SA\VE offers information on suicide prevention. Call (800) SUICIDE

Youth Suicide Prevention

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

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COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

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Dr. Wilda © https://drwilda.com/

Tags: adolescent psychiatry, American Academy of Adolescent Psychiatry, Depression, health, JAMA Psychiatry, JaredStory.com, Job, Mathew K. Nock, medicine, Mental Health, profound sadness, Study Questions Effectiveness of Therapy for Suicidal Teenagers, Suicide, Suicide Prevention, Teen’s Health, Teens and suicide, The Suicide Prevention Resource Center

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The 01/02/13 ‘Joy Jar’

1 Jan

The ‘Joy Jar’ is a year-long exercise based upon the proposition that one can choose to have a good attitude no matter one’s circumstance or whatever events life throws at a person. As many athletes play through pain, a successful attitude means that one plays through feelings and circumstances. Today’s deposit in the ‘Joy Jar’ is wisdom.

Proverbs 16:16 “How much better is it to get wisdom than gold! and to get understanding rather to be chosen than silver!”

I’ve learned that no matter what happens, or how bad it seems today, life does go on, and it will be better tomorrow. I’ve learned that you can tell a lot about a person by the way he/she handles these three things: a rainy day, lost luggage, and tangled Christmas tree lights. I’ve learned that regardless of your relationship with your parents, you’ll miss them when they’re gone from your life. I’ve learned that making a “living” is not the same thing as making a “life.” I’ve learned that life sometimes gives you a second chance. I’ve learned that you shouldn’t go through life with a catcher’s mitt on both hands; you need to be able to throw something back. I’ve learned that whenever I decide something with an open heart, I usually make the right decision. I’ve learned that even when I have pains, I don’t have to be one. I’ve learned that every day you should reach out and touch someone. People love a warm hug, or just a friendly pat on the back. I’ve learned that I still have a lot to learn. I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.

Maya Angelou

By three methods we may learn wisdom: First, by reflection, which is noblest; Second, by imitation, which is easiest; and third by experience, which is the bitterest.
Confucius

Do not go where the path may lead, go instead where there is no path and leave a trail.
Ralph Waldo Emerson

A good head and a good heart are always a formidable combination.
Nelson Mandela

The art of being wise is the art of knowing what to overlook.
William James

Be happy. It’s one way of being wise.
Sidonie Gabrielle Colette

Knowing others is wisdom, knowing yourself is Enlightenment.
Lao Tzu

Tags: creativity, Culture, Dr Wilda, health, Joy Jar, Mental Health, pat on the back, politics, Positive Affirmation, quotes, warm hug

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Energy drinks may pose a danger

18 Dec

The American Academy of Pediatrics is reporting at its site, Healthy Children.Org in the study, Energy Drinks Can Harm Children

Energy drinks may pose a risk for serious adverse health effects in some children, especially those with diabetes, seizures, cardiac abnormalities or mood and behavior disorders.

A new study, “Health Effects of Energy Drinks on Children, Adolescents, and Young Adults,” in the March issue of Pediatrics (published online Feb. 14), determined that energy drinks have no therapeutic benefit to children, and both the known and unknown properties of the ingredients, combined with reports of toxicity, may put some children at risk for adverse health events.

Youth account for half of the energy drink market, and according to surveys, 30 percent to 50 percent of adolescents report consuming energy drinks. Typically, energy drinks contain high levels of stimulants such as caffeine, taurine, and guarana, and safe consumption levels have not been established for most adolescents. Because energy drinks are frequently marketed to athletes and at-risk young adults, it is important for pediatric health care providers to screen for heavy use both alone and with alcohol, and to educate families and children at-risk for energy drink overdose, which can result in seizures, stroke and even sudden death.

Several deaths have been attributed to energy drinks.

The Washington Post reports in the articleEnergy drink popularity booms at college, despite health concerns:

A 2008 study of undergraduates at a large public university found that 39 percent of students had consumed at least one energy drink in the past month, with considerably higher rates for males and white students. The study, funded with a National Institute on Drug Abuse grant, noted that energy drink marketing tactics are “similar to those used to sell tobacco and alcohol to youths….”

Red Bull, which hit the country in the late 1990s, is credited with creating this industry using a Thai recipe. Today there are hundreds of energy drinks on the market, ranging from 1.93-ounce 5-Hour Energy shots to 32-ounce cans of Monster. Even Starbucks has gotten into the game, producing sparkling energy drinks and canned espresso beverages.

That proliferation has intensified debate about a long-standing question: Are energy drinks safe?

The focus of that question is often one of the main ingredients: caffeine. Energy drinks contain from 2.5 to 35.7 milligrams of caffeine per ounce; energy shots may have as much as 170 milligrams of caffeine per ounce, according to researchers. http://www.washingtonpost.com/local/education/energy-drink-popularity-booms-at-college-despite-health-concerns/2012/12/18/740e994e-45f8-11e2-8e70-e1993528222d_story.html

As more young people consume energy drinks, more problems are occurring.

Daniel J. DeNoon of WebMD Health News reports in the article, More Deaths, Illness Linked to Energy Drinks which was reviewed by Louise Chang, MD reports:

Nov. 16, 2012 — The FDA has posted adverse-event reports for two more energy drinks: 40 illnesses and five deaths linked to Monster Energy, and 13 illnesses and two lasting disabilities linked to Rockstar Energy.

The new reports follow this week’s revelation of FDA reports linking 92 illnesses and 13 deaths to 5-Hour Energy shots. The FDA previously said it was investigating the deaths linked to Monster Energy.

These adverse-event reports (AERs) are filed by patients, families, or doctors. They simply warn that the products might have harmed someone — but they do not prove that the product caused harm. The FDA can remove a product from the market only when investigation shows that the product causes harm when used according to the product label.

“If we find a relationship between consumption of the product and harm, FDA will take appropriate action to reduce or eliminate the risk,” FDA public information officer Shelly Burgess says.

Moreover, the reports do not offer details on any underlying medical conditions that may have led to product-related illnesses.

The reports, some dating back to 2004, are not a complete inventory of all events that product users may have suffered. Most people, and many doctors, do not know how to file these reports or do not get around to filing them. And even when a product actually causes an illness, a user or doctor may not associate the product with the illness.

The new reports detail the events suffered by users of 5-Hour, Monster, and Rockstar energy drinks. These include:

Deaths due to heart attack or suicide linked to 5-Hour Energy

A miscarriage linked to 5-Hour Energy

Convulsions, life-threatening fear, deafness, and hemorrhage linked to 5-Hour Energy

Deaths due to heart attack or loss of consciousness linked to Monster Energy drink

Hospitalization due to irregular heartbeat, severe diarrhea, migraine, psychotic disorder, heart attack, and/or vomiting linked to Monster Energy drink

Disability from irregular heartbeat or stroke linked to Rockstar Energy drink

Hospitalization due to psychotic disorder, increased heart rate, or loss of consciousness linked to Rockstar Energy drink

All of these reports are collected by the product manufacturers. Because they market their products as nutritional supplements, they are required to submit them to the FDA. http://www.webmd.com/diet/news/20121116/more-deaths-illness-energy-drinks

There are many reasons why people use energy drinks.

Barbara Aufiero reports in the Livestrong article, Why Do People Buy Energy Drinks?

Daytime Sleepiness

Many people depend on coffee to start their day. Caffeine boosts your energy and causes you to feel more alert and awake. Since these effects wear off after a few hours, you may experience a mid-afternoon lull shortly after lunch. Energy drinks can provide the extra oomph that you seek in order to get through your day. These energy drinks are often marketed towards young adults who have responsibilities in addition to work, such as family obligations, or aspirations to further their education.

Lack of Sleep

The regular use of energy drinks may be indicative of an underlying condition such as fatigue or insomnia, according to registered dietitian Kara Mitchell from Duke University. Fatigue is a symptom of a multitude of mental and physical health conditions. Fatigue caused by insomnia or lack of sleep is treatable. However, frequent use of energy drinks may mask the underlying condition. Energy drinks may also cause adverse health conditions such as irritability and high blood pressure, according to Mitchell.

Alcohol

The majority of energy drinks do not contain alcohol. Mixing alcohol with energy drinks is not uncommon among college students and young adults. The idea is that caffeine will reduce the sedative effects of alcohol and make you more alert. Researchers assessed the attention and reaction times of young adult drinkers between the ages of 21 and 30, after drinking energy drinks with alcohol. This study was published in the February 2011 issue of “Addiction,” and found an association between alcohol and impairments in attention and reaction. However, the addition of caffeine did not mitigate these impairments.

Increase Performance

Energy drinks and sports drinks, like Gatorade and Powerade, are not interchangeable. As such, they may be kept in separate aisles at supermarkets. Dr. Edward Laskowski of the Mayo Clinic suggests drinking water or sports drinks when you exercise, not energy drinks. One reason is that sports drinks replenish fluids and electrolytes, whereas energy drinks do not. Another reason is that the caffeine in energy drinks may cause restlessness, headaches, nausea and tremors. Excessive use is associated with chest pains, seizures, heart attack and even sudden cardiac death.
http://www.livestrong.com/article/423042-why-do-people-buy-energy-drinks/#ixzz2FTi9iueO

Whatever benefit there is to the use of energy drinks must be weighed against the risks which can be substantial for some individuals.

Resources:

Energy Drinks (Audio Description)

Nutrition and Sports

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Tags: american academy of pediatrics, Energy drink popularity booms at college despite health concerns:, Energy Drinks, Energy Drinks Can Harm Children, health, Healthy Children.Org, Livestrong, More Deaths Illness Linked to Energy Drinks, pediatric health care, WebMD, Why Do People Buy Energy Drinks?

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The wretched excess file: Why is Starbucks selling $7 coffee?

2 Dec

Here’s today’s COMMENT FROM AN OLD FART: The Flash Card Machine provides this thought about “wretched excess.”

Term

Wretched Excess

Definition

The Protagonist pushes the limits of acceptable behavior, destroying themselves in the process

Josh Sanburn reports in the Time article, The $7 Cup of Starbucks: A Logical Extension of the Coffee Chain’s Long-Term Strategy:

This week Starbucks began selling a cup of coffee for $7. This may seem ridiculous, but it’s the logical next step of the chain’s long-term marketing strategy: To convince consumers that a product that used to sell for less than a buck is in fact worth much more.

In almost 50 locations throughout the Northwest, coffee drinkers can find a curious item next to peppermint mochas and gingerbread lattes: Costa Rica Finca Palmilera, a hard-to-grow bean also called “Geisha” that sells for $7 for a “grande” and $40 for a half-pound bag.
http://business.time.com/2012/11/30/the-7-cup-of-starbucks-the-culmination-of-the-coffee-chains-long-term-strategy/#ixzz2DscZu2Bp

What does it take to produce happiness in the average person?

Marilyn Elias reported in a 2002 USA Today article, Psychologists now know what makes people happy:

The happiest people surround themselves with family and friends, don’t care about keeping up with the Joneses next door, lose themselves in daily activities and, most important, forgive easily….

The happiest people spend the least time alone. They pursue personal growth and intimacy; they judge themselves by their own yardsticks, never against what others do or have.

“Materialism is toxic for happiness,” says University of Illinois psychologist Ed Diener. Even rich materialists aren’t as happy as those who care less about getting and spending. http://usatoday30.usatoday.com/news/health/2002-12-08-happy-main_x.htm

Moi wrote about altruism in Should Christmas gifts be banned? What is the meaning of a gift? Altruistic people are often happier.

According to PBS’ This Emotional Life and the discussion of altruism:

Acts of kindness

Altruism—including kindness, generosity, and compassion—are keys to the social connections that are so important to our happiness. Research finds that acts of kindness—especially spontaneous, out-of-the ordinary ones—can boost happiness in the person doing the good deed.

Reasons why acts of kindness make people happier:

Being generous leads us to perceive others more compassionately; we typically find good qualities in people to whom we are kind

Being kind promotes a sense of connection and community with others, which is one of the strongest factors in increasing happiness

Being generous helps us appreciate and feel grateful for our own good fortune

Being generous boosts our self-image; it helps us feel useful and gives us a way to use our strengths and talents in a meaningful way

Being kind can start a chain reaction of positivity; being kind to others may lead them to be grateful and generous to others, who in turn are grateful and kind to others

Volunteers see greater benefits than those they are serving

One study followed women with multiple sclerosis (MS) who volunteered as peer supporters to other patients. They received training in compassionate listening techniques and called the patients to talk and listen for 15 minutes at a time. The study followed the volunteers for three years and found that they had increased self-esteem, self-acceptance, satisfaction, self-efficacy, social activity, and feelings of mastery. The positive outcomes for the volunteers were even greater than for the patients they were helping.

Compassion fosters happiness, but being sacrificial reduces well-being

Being kind and compassionate is linked to greater happiness, greater levels of physical activity well into old age, and longevity. One important caveat: if people get overextended and overwhelmed by helping tasks, as can happen with people who are caregivers to family members, their health and quality of life can rapidly decline. It seems being generous from an abundance of time, money, and energy can promote well-being; but being sacrificial quickly lowers well-being. This seems to be a good argument for communities sharing the burden for everyone’s benefit. http://www.pbs.org/thisemotionallife/topic/altruism/altruism-happiness

A gift should be an act of altruism, otherwise it is a form of extortion. People who pay $7 for a cup of coffee are within their rights and have their free will to do so. They probably would be happier being more modest.

The answer to why Starbucks is selling a $7 cup of coffee other than it can, is because the think they have found a bumper crop of morons.

Where information leads to Hope. © Dr. Wilda.com

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COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

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Tags: Coffee, health, Materialism, Mental Health, PBS’ This Emotional Life, Psychologists now know what makes people happy, society, Starbucks, The $7 Cup of Starbucks A Logical Extension of the Coffee Chain’s Long-Term Strategy, Wretched Excess

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Study: too many kids are pumping up with steroids

20 Nov

Moi wrote in In Children, body image, bullying, and eating disorders, moi said:

The media presents an unrealistic image of perfection for women and girls. What they don’t disclose is for many of the “super” models their only job and requirement is the maintenance of their appearance. Their income depends on looks and what they are not able to enhance with plastic surgery and personal trainers, then that cellulite can be photoshopped or airbrushed away. That is the reality. Kid’s Health has some good information about Body Image https://drwilda.wordpress.com/2012/01/09/children-body-image-bullying-and-eating-disorders/

In an attempt to have a buff body many teens are using steroids.

Brian Toporek writes in the Education Week article, Study: Muscle-Enhancing Behaviors Increasingly Common Among Teens:

Both teenage boys and girls are engaging in muscle-enhancing behaviors far more than previously known, according to a study published online today in the journal Pediatrics.

As large, lean, muscular male body images have risen in popularity in Western culture, so too has teenage boys’ dissatisfaction with their own bodies, the study suggests. Some boys thus decide to engage in muscle-enhancing behaviors to shape their bodies like the ones being presented to them in the media.

For this study, three researchers from the University of Minnesota and Columbia University examined data from 2,793 youths (with a mean age of 14.4) at 20 urban middle and high schools taken during the 2009-10 school year. The researchers set out to determine the prevalence of five specific muscle-enhancing behaviors: changing eating habits to increase muscle size, increasing exercise, the use of protein powder, the use of steroids, and the use of other muscle-enhancing substances.

Nearly 70 percent of the boys in the study (897 of 1,307 total) reported having changed their eating habits in order to increase their muscle size or tone within the past 12 months, and more than 90 percent of boys increased their amount of exercise to achieve the same goal.

More than 40 percent of boys reported that they often exercised more to boost their muscle mass or tone, while 39.1 percent sometimes did, and 11.3 rarely did. Only 8.8 percent of boys never did, according to the study.

While changing eating habits and exercising more could each be considered healthy habits, many boys engaged in unhealthy behaviors, too. More than one-third of the boys in the study reported using protein powders or shakes, 5.9 percent reported using steroids, and 10.5 percent reported using some other muscle-enhancing substance.

On the female side, more than 60 percent of girls reported changing their eating habits to increase muscle size or tone, and more than 80 percent of girls exercised more for the same reason. More than 20 percent of girls reported using protein powders or shakes, 4.6 percent reported using steroids, and 5.5 percent reported using other muscle-enhancing substances…

The researchers suggest that pediatricians should ask their adolescent patients about muscle-enhancing behaviors, and say sports physicals could present a perfect opportunity to do so. http://blogs.edweek.org/edweek/schooled_in_sports/2012/11/muscle-enhancing_behaviors_increasingly_common_among_teens_study_finds.html?intc=es

Generva Pittman of Reuters writes about steroids in the article, One in 20 youth has used steroids to bulk up: study:

Anabolic steroids are synthetic versions of testosterone, the male sex hormone. Steroids are prescribed legally to treat conditions involving hormone deficiency or muscle loss, but when they’re used for non-medical purposes, it’s typically at much higher doses, according to the National Institute on Drug Abuse.

In those cases, steroids can cause mood swings – sometimes known as roid rage – and for adolescents, stunted growth and accelerated puberty.

Anabolic steroids have become pervasive in professional sports, including baseball, football and boxing. (Another example of performance-enhancing drug use is “blood doping” with erythropoietin or EPO, which is behind the Lance Armstrong cycling controversy that caused him to be stripped of his Tour de France titles last month.)

Experts have worried that the drive to get ahead of competitors at any cost could trickle down to college and high school athletes, as well.

Goldberg, co-developer of the ATLAS and ATHENA programs to prevent steroid and other substance use on high school teams, said it’s important to give teens healthier alternatives to build muscle. http://news.yahoo.com/one-20-youth-used-steroids-bulk-study-052014145.html

Citation:

Muscle-enhancing Behaviors Among Adolescent Girls and Boys

Marla E. Eisenberg, ScD, MPH^a,^b,

Melanie Wall, PhD^c, and

Dianne Neumark-Sztainer, PhD, MPH, RD^b

+ Author Affiliations

^aDivision of Adolescent Health and Medicine, Department of Pediatrics, and

^bDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota; and

^cDepartments of Biostatistics and Psychiatry, Columbia University, New York, New York

Abstract

OBJECTIVE: Media images of men and women have become increasingly muscular, and muscle-enhancing techniques are available to youth. Identifying populations at risk for unhealthy muscle-enhancingbehaviors is of considerable public health importance. The current study uses a large and diverse population-based sample of adolescents to examine the prevalence of muscle-enhancing behaviors and differences across demographic characteristics, weight status, and sports team involvement.

METHODS: Survey data from 2793 diverse adolescents (mean age = 14.4) were collected at 20 urban middle and high schools. Use of 5 muscle-enhancing behaviors was assessed (changing eating, exercising, protein powders, steroids and other muscle-enhancing substances), and a summary score reflecting use of 3 or more behaviors was created. Logistic regression was used to test for differences in each behavior across age group, race/ethnicity, socioeconomic status, BMI category, and sports team participation.

RESULTS: Muscle-enhancing behaviors were common in this sample for both boys and girls. For example, 34.7% used protein powders or shakes and 5.9% reported steroid use. Most behaviors were significantly more common among boys. In models mutually adjusted for all covariates, grade level, Asian race, BMI category, and sports team participation were significantly associated with the use of muscle-enhancing behaviors. For example, overweight (odds ratio = 1.45) and obese (odds ratio = 1.90) girls had significantly greater odds of using protein powders or shakes than girls of average BMI.

CONCLUSIONS: The use of muscle-enhancing behaviors is substantially higher than has been previously reported and is cause for concern. Pediatricians and other health care providers should ask their adolescent patients about muscle-enhancing behaviors. http://pediatrics.aappublications.org/content/early/2012/11/14/peds.2012-0095.abstract

Parents have more influence on their children’s values and beliefs than most are willing to exercise. You need to support your children’s dreams, not yours.

Because people have free will, even the best parents will have children who make mistakes. Some so identified “progressives” will attribute this lapse not to individual free will, but the fact that the message of morality is a failure. It is not. People learn lessons at different speeds, some sooner, some later. Remember the lesson of the Prodigal Son

Resources:

8 Reasons to Make Time for Family Dinner http://www.health.com/health/gallery/0,,20339151,00.html

The Family Dinner Deconstructed http://www.npr.org/templates/story/story.php?storyId=18753715

The Magic of the Family Meal http://www.time.com/time/magazine/article/0,9171,1200760,00.html

Making time for family dinner https://drwilda.com/2012/09/10/making-time-for-family-dinner/

Study: Girls as young as six think of themselves as sex objects https://drwilda.com/2012/07/18/study-girls-as-young-as-six-think-of-themselves-as-sex-objects/

Social media spreads eating disorder ‘Thinspiration’ https://drwilda.com/2012/06/19/social-media-spreads-eating-disorder-thinspiration/

Blogs by Dr. Wilda:

Tags: Anabolic steroids, Body Image, health, medicine, Muscle-enhancing Behaviors Among Adolescent Girls and Boys, One in 20 youth has used steroids to bulk up study, science, Steroids, Study Muscle-Enhancing Behaviors Increasingly Common Among Teens, women

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Study: Early stress in girls may be the source of later anxiety

13 Nov

Prolonged stress can have adverse effects on humans. Moi wrote about the Adverse Childhood Experiences Study in Study: Some of the effects of adverse stress do not go away:

Sarah D. Sparks writes in the Education Week article, Research Traces Impacts of Childhood Adversity:

Research from Dr. Shonkoff’s center and from other experts finds that positive stress—the kind that comes from telling a toddler he can’t have a cookie or a teenager that she’s about to take a pop quiz—causes a brief rise in heart rate and stress hormones. A jolt can focus a student’s attention and is generally considered healthy.

Similarly, a child can tolerate stress that is severe but may be relatively short-term—from the death of a loved one, for example—as long as he or she has support….

‘Toxic’ Recipe

By contrast, so-called “toxic stress” is severe, sustained, and not buffered by supportive relationships.

The same brain flexibility, called plasticity, that makes children open to learning in their early years also makes them particularly vulnerable to damage from the toxic stressors that often accompany poverty: high mobility and homelessness; hunger and food instability; parents who are in jail or absent; domestic violence; drug abuse; and other problems, according to Pat Levitt, a developmental neuroscientist at the University of Southern California and the director of the Keck School of Medicine Center on the Developing Child in Los Angeles…. http://www.edweek.org/ew/articles/2012/11/07/11poverty_ep.h32.html?tkn=QLYF5qldyT3U0BI0xqtD5885mihZIxwbX4qZ&cmp=clp-edweek

Here is information about the Adverse Child Experiences Study. The Centers for Disease Control and Prevention provides access to the peer-reviewed publications resulting from The ACE Study. http://acestudy.org/

https://drwilda.com/2012/11/09/study-some-of-the-effects-of-adverse-stress-do-not-go-away/

Waisman Laboratory for Brain Imaging and Behavior published a study which looks at the effects of stress on girls.

Science Daily is reporting in the article, Early Stress May Sensitize Girls’ Brains for Later Anxiety:

High levels of family stress in infancy are linked to differences in everyday brain function and anxiety in teenage girls, according to new results of a long-running population study by University of Wisconsin-Madison scientists.

The study highlights evidence for a developmental pathway through which early life stress may drive these changes. Here, babies who lived in homes with stressed mothers were more likely to grow into preschoolers with higher levels of cortisol, a stress hormone. In addition, these girls with higher cortisol also showed less communication between brain areas associated with emotion regulation 14 years later. Last, both high cortisol and differences in brain activity predicted higher levels of adolescent anxiety at age 18.

The young men in the study did not show any of these patterns.

“We wanted to understand how stress early in life impacts patterns of brain development which might lead to anxiety and depression,” says first author Dr. Cory Burghy of the Waisman Laboratory for Brain Imaging and Behavior. “Young girls who, as preschoolers, had heightened cortisol levels, go on to show lower brain connectivity in important neural pathways for emotion regulation — and that predicts symptoms of anxiety during adolescence….”

The current paper has its roots back in 1990 and 1991, when 570 children and their families enrolled in the Wisconsin Study of Families and Work (WSFW). All of the children were born in either Madison or Milwaukee. Dr. Marilyn Essex, a UW professor of psychiatry and co-director of the WSFW, said the initial goal was to study the effects of maternity leave, day care and other factors on family stress. Over the years, the study has resulted in important findings on the social, psychological, and biological risk factors for child and adolescent mental health problems. Subjects are now 21 and 22 years old, and many continue to participate.

For the current study, Burghy and Birn used fcMRI to scan the brains of 57 subjects — 28 female and 29 male — to map the strength of connections between the amygdala, an area of the brain known for its sensitivity to negative emotion and threat, and the prefrontal cortex, often associated with helping to process and regulate negative emotion. Then, they looked back at earlier results and found that girls with weaker connections had, as infants, lived in homes where their mothers had reported higher general levels of stress — which could include symptoms of depression, parenting frustration, marital conflict, feeling overwhelmed in their role as a parent, and/or financial stress. As four-year-olds, these girls also showed higher levels of cortisol late in the day, measured in saliva, which is thought to demonstrate the stress the children experienced over the course of that day. http://www.sciencedaily.com/releases/2012/11/121111152930.htm#.UKEogDfvMTo.email

Citation:

Nature Neuroscience | Article

Developmental pathways to amygdala-prefrontal function and internalizing symptoms in adolescence

Cory A Burghy,

Diane E Stodola,

Paula L Ruttle,

Erin K Molloy,

Jeffrey M Armstrong,

Jonathan A Oler,

Michelle E Fox,

Andrea S Hayes,

Ned H Kalin,

Marilyn J Essex,

Richard J Davidson

& Rasmus M Birn

Affiliations

Contributions

Corresponding author

Nature Neuroscience

(2012)

doi:10.1038/nn.3257

Received

23 July 2012

Accepted

11 October 2012

Published online

11 November 2012

Abstract

Abstract

Author information

Supplementary information

Early life stress (ELS) and function of the hypothalamic-pituitary-adrenal axis predict later psychopathology. Animal studies and cross-sectional human studies suggest that this process might operate through amygdala–ventromedial prefrontal cortex (vmPFC) circuitry implicated in the regulation of emotion. Here we prospectively investigated the roles of ELS and childhood basal cortisol amounts in the development of adolescent resting-state functional connectivity (rs-FC), assessed by functional connectivity magnetic resonance imaging (fcMRI), in the amygdala-PFC circuit. In females only, greater ELS predicted increased childhood cortisol levels, which predicted decreased amygdala-vmPFC rs-FC 14 years later. For females, adolescent amygdala-vmPFC functional connectivity was inversely correlated with concurrent anxiety symptoms but positively associated with depressive symptoms, suggesting differing pathways from childhood cortisol levels function through adolescent amygdala-vmPFC functional connectivity to anxiety and depression. These data highlight that, for females, the effects of ELS and early HPA-axis function may be detected much later in the intrinsic processing of emotion-related brain circuits.

Stress has negative effects on the body.

According to the Mayo Clinic article, Stress symptoms: Effects on your body, feelings and behavior:

Common effects of stress …
… On your body	… On your mood	… On your behavior
Headache Muscle tension or pain Chest pain Fatigue Change in sex drive Stomach upset Sleep problems	Anxiety Restlessness Lack of motivation or focus Irritability or anger Sadness or depression	Overeating or undereating Angry outbursts Drug or alcohol abuse Tobacco use Social withdrawal

Source: American Psychological Association’s “Stress in America” report, 2010

http://www.mayoclinic.com/health/stress-symptoms/SR00008_D

This study points to the need for quality prenatal care.

The March of Dimes discusses stress during pregnancy in the article, Emotional and life changes:

What types of stress can cause pregnancy problems?

Stress is not all bad. When you handle it right, a little stress can help you take on new challenges. Regular stress during pregnancy, such as work deadlines and sitting in traffic, probably don’t add to pregnancy problems.

However, serious types of stress during pregnancy may increase your chances of certain problems, like premature birth. Most women who have serious stress during pregnancy can have healthy babies. But be careful if you experience serious kinds of stress, like:

Negative life events. These are things like divorce, serious illness or death in the family, or losing a job or home.

Catastrophic events. These are things like earthquakes, hurricanes or terrorist attacks.

Long-lasting stress. This type of stress can be caused by having financial problems, being abused, having serious health problems or being depressed. Depression is medical condition where strong feelings of sadness last for long periods of time and prevent a person from leading a normal life.

Racism. Some women may face stress from racism during their lives. This may help explain why African-American women in the United States are more likely to have premature and low-birthweight babies than women from other racial or ethnic groups.

Pregnancy-related stress. Some women may feel serious stress about pregnancy. They may be worried about miscarriage, the health of their baby or about how they’ll cope with labor and birth or becoming a parent. If you feel this way, talk to your health care provider.

Does post-traumatic stress disorder affect pregnancy?
Post-traumatic stress disorder (PTSD) is when you have problems after seeing or experiencing a terrible event, such as rape, abuse, a natural disaster, a terrorist attack or the death of a loved one. People with PTSD may have:

Serious anxiety

Flashbacks of the event

Nightmares

Physical responses (like a racing heartbeat or sweating) when reminded of the event

As many as 8 in 100 women (8 percent) may have PTSD during pregnancy. Women who have PTSD may be more likely than women without it to have a premature or low-birthweight baby. They also are more likely than other women to have risky health behaviors, such as smoking cigarettes, drinking alcohol or taking street drugs. Doing these things can increase the chances of having pregnancy problems. If you think you may have PTSD, talk to your provider or a mental health professional.

How does stress cause pregnancy problems?
We don’t completely understand the effects of stress on pregnancy. But certain stress-related hormones may play a role in causing certain pregnancy complications. Serious or long-lasting stress may affect your immune system, which protects you from infection. This can increase the chances of getting an infection of the uterus. This type of infection can cause premature birth.

Stress also may affect how you respond to certain situations. Some women deal with stress by smoking cigarettes, drinking alcohol or taking street drugs, which can lead to pregnancy problems.

Can high levels of stress in pregnancy hurt your baby later in life?
Some studies show that high levels of stress in pregnancy may cause certain problems during childhood, like having trouble paying attention or being afraid. It’s possible that stress may also affect your baby’s brain development or immune system.

How can you reduce stress during pregnancy?
Here are some ways to reduce stress:

Figure out what’s making you stressed and talk to your partner, a friend or your health care provider about it.

Know that the discomforts of pregnancy are only temporary. Ask your provider how to handle these discomforts.

Stay healthy and fit. Eat healthy foods, get plenty of sleep and exercise (with your provider’s OK).

Exercise can help reduce stress and also helps prevent common pregnancy discomforts.

Cut back on activities you don’t need to do.

Have a good support network, including your partner, family and friends. Ask your provider about resources in the community that may be able to help.

Ask for help from people you trust. Accept help when they offer. For example, you may need help cleaning the house, or you may want someone to go with you to your prenatal visits.

Try relaxation activities, like prenatal yoga or meditation.

Take a childbirth education class so you know what to expect during pregnancy and when your baby arrives. Practice the breathing and relaxation techniques you learn in your class.

If you’re working, plan ahead to help you and your employer get ready for your time away from work.

If you think you may be depressed, talk to your provider right away. There are many ways to deal with depression. Getting treatment and counseling early may help.

Last reviewed January 2012 http://www.marchofdimes.com/pregnancy/lifechanges_indepth.html

See, The Importance of Quality Prenatal Care http://www.mdnews.com/news/2010_07/national_jul10_the-importance-of-quality-prenatal-care

Our goal as a society should be:

Resources:

The Effects of Stress on Your Body http://www.webmd.com/mental-health/effects-of-stress-on-your-body

The Physical Effects of Long-Term Stress http://psychcentral.com/lib/2007/the-physical-effects-of-long-term-stress/all/1/

Chronic Stress: The Body Connection http://www.medicinenet.com/script/main/art.asp?articlekey=53737

Understanding Stress Symptoms, Signs, Causes, and Effects http://www.helpguide.org/mental/stress_signs.htm

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Study: Some of the effects of adverse stress do not go away

9 Nov

Moi said in Schools have to deal with depressed and troubled children:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.

As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.

http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids.

Anna M. Phillips has written the New York Times article, Calming Schools by Focusing on Well-Being of Troubled Students which describes how one New York school is dealing with its troubled children.

Mark Ossenheimer, principal of the Urban Assembly School for Wildlife Conservation in the Bronx, threw out a name to add to the list of teenagers in trouble.

Several teachers and a social worker seated around a table in the school’s cramped administrative offices nodded in agreement. They had watched the student, who had a housebound parent who was seriously ill, sink into heavy depression. Another child seemed to be moving from apartment to apartment, showing up at school only sporadically. And then there was the one grappling with gender-identity issues. Soon the list had a dozen names of students who could shatter a classroom’s composure or a school windowpane in a second.

Convening the meeting was Turnaround for Children, a nonprofit organization that the young-but-faltering school in an impoverished neighborhood near the Bronx Zoo had brought in this year to try to change things.

“This is the condition our organization was created to solve,” said Dr. Pamela Cantor, Turnaround’s founder and president. “A teacher who works in a community like this and thinks that these children can leave their issues at the door and come in and perform is dreaming.”

In focusing on students’ psychological and emotional well-being, in addition to academics, Turnaround occupies a middle ground between the educators and politicians who believe schools should be more like community centers, and the education-reform movement, with its no-excuses mantra. Over the past decade, the movement has argued that schools should concentrate on what high-quality, well-trained teachers can achieve in classrooms, rather than on the sociological challenges beyond their doors.

http://www.nytimes.com/2011/11/15/nyregion/calming-schools-through-a-sociological-approach-to-troubled-students.html?hpw

One strategy in helping children to succeed is to recognize and treat depression. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Sarah D. Sparks writes in the Education Week article, Research Traces Impacts of Childhood Adversity:

The stress of a spelling bee or a challenging science project can enhance a student’s focus and promote learning. But the stress of a dysfunctional or unstable home life can poison a child’s cognitive ability for a lifetime, according to new research.

While educators and psychologists have said for decades that the effects of poverty interfere with students’ academic achievement, new evidence from cognitive and neuroscience is showing exactly how adversity in childhood damages students’ long-term learning and health.

Those studies show that stress forms the link between childhood adversity and poor academic achievement, but that not all adversity—or all stress—is bad for students….

Compounding Risks

As part of the Adverse Childhood Experiences Study, more than 17,400 adults in San Diego County were assigned scores based on the number of risk factors each experienced as a child, including abuse or neglect, or growing up in homes with domestic violence, drug abuse or mental illness, or absent parents. Researchers found that people with higher ACE scores were more likely to experience underage sex or pregnancy, among other health risks.

Research from Dr. Shonkoff’s center and from other experts finds that positive stress—the kind that comes from telling a toddler he can’t have a cookie or a teenager that she’s about to take a pop quiz—causes a brief rise in heart rate and stress hormones. A jolt can focus a student’s attention and is generally considered healthy.

Similarly, a child can tolerate stress that is severe but may be relatively short-term—from the death of a loved one, for example—as long as he or she has support….

‘Toxic’ Recipe

By contrast, so-called “toxic stress” is severe, sustained, and not buffered by supportive relationships.

The same brain flexibility, called plasticity, that makes children open to learning in their early years also makes them particularly vulnerable to damage from the toxic stressors that often accompany poverty: high mobility and homelessness; hunger and food instability; parents who are in jail or absent; domestic violence; drug abuse; and other problems, according to Pat Levitt, a developmental neuroscientist at the University of Southern California and the director of the Keck School of Medicine Center on the Developing Child in Los Angeles.

The exponential brain growth of infancy and early childhood also makes children more vulnerable to chronic stress during those years than at other developmental periods, according to the National Scientific Council on the Developing Child, an interdisciplinary group of neuroscientists, psychologists, economists, and education researchers. In a series of easy-to-understand, peer-reviewed videos, the group explains how early cognitive connections form—and break down.

Good experiences, like nurturing parents and rich early-child-care environments, help build and reinforce neural connections in areas such as language development and self-control, while adversity weakens those connections.

Over time, the connections, good or bad, stabilize, “and you can’t go back and rewire; you have to adapt,” Dr. Shonkoff said. “If you’ve built on strong foundations, that’s good, and if you have weak foundations, the brain has to work harder, and it costs more to the brain and society.”

Compounding Risks

As part of the Adverse Childhood Experiences Study, more than 17,400 adults in San Diego County were assigned scores based on the number of risk factors each experienced as a child, including abuse or neglect, or growing up in homes with domestic violence, drug abuse or mental illness, or absent parents. Researchers found that people with higher ACE scores were more likely to experience underage sex or pregnancy, among other health risks.

http://www.edweek.org/ew/articles/2012/11/07/11poverty_ep.h32.html?tkn=QLYF5qldyT3U0BI0xqtD5885mihZIxwbX4qZ&cmp=clp-edweek

Here is information about the Adverse Child Experiences Study:

What is The ACE Study?

The ACE Study is ongoing collaborative research between the Centers for Disease Control and Prevention in Atlanta, GA, and Kaiser Permanente in San Diego, CA.

The Co-principal Investigators of The Study are Robert F. Anda, MD, MS, with the CDC; and Vincent J. Felitti, MD, with Kaiser Permanente.

Over 17,000 Kaiser patients participating in routine health screening volunteered to participate in The Study. Data resulting from their participation continues to be analyzed; it reveals staggering proof of the health, social, and economic risks that result from childhood trauma.

The Centers for Disease Control and Prevention provides access to the peer-reviewed publications resulting from The ACE Study. http://acestudy.org/

See, School psychologists are needed to treat troubled children https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Our goal as a society should be:

Schools have to deal with depressed and troubled children https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’ https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

Resources:

About.Com’s Depression In Young Children
Psych Central’s Depression In Young Children
Psychiatric News’ Study Helps Pinpoint Children With Depression
Family Doctor’s What Is Depression?
WebMD’s Depression In Children
Healthline’s Is Your Child Depressed?
Medicine.Net’s Depression In Children

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Blogs by Dr. Wilda:

Tags: Adverse Child Experiences Study, Calming Schools by Focusing on Well-Being of Troubled Students, Depression, environment, health, Research Traces Impacts of Childhood Adversity, science, Troubled Children

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Study: Some of the effects of adverse stress do not go away

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