Tag Archives: Mayo Clinic

University of Texas Health Sciences study: Children born with cleft lip or palate and spina bifida are at an increased risk for abuse

11 Dec

The American Psychological Association lists the reasons children are abused in Why Do Adults Hurt Children?

It takes a lot to care for a child. A child needs food, clothing and shelter as well as love and attention. Parents and caregivers want to provide all those things, but they have other pressures, too. Sometimes adults just can’t provide everything their children need.

Adults may not intend to hurt the children they care for. But sometimes adults lose control, and sometimes they hurt children.

Adults may hurt children because they:

  • Lose their tempers when they think about their own problems.

  • Don’t know how to discipline a child.

  • Expect behavior that is unrealistic for a child’s age or ability.

  • Have been abused by a parent or a partner.

  • Have financial problems.

  • Lose control when they use alcohol or other drugs….                                                                       http://www.apa.org/pi/families/resources/abuse.aspx

A University of Texas Health Sciences study concludes that children born with cleft lip or palate and spina bifida are at an increased risk for abuse.

The Centers for Disease Control and Prevention describes what a cleft lip or palate are:

What is Cleft Lip?

The lip forms between the fourth and seventh weeks of pregnancy. As a baby develops during pregnancy, body tissue and special cells from each side of the head grow toward the center of the face and join together to make the face. This joining of tissue forms the facial features, like the lips and mouth. A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This results in an opening in the upper lip. The opening in the lip can be a small slit or it can be a large opening that goes through the lip into the nose. A cleft lip can be on one or both sides of the lip or in the middle of the lip, which occurs very rarely. Children with a cleft lip also can have a cleft palate.

What is Cleft Palate?

The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open.

Other Problems

Children with a cleft lip with or without a cleft palate or a cleft palate alone often have problems with feeding and speaking clearly and can have ear infections. They also might have hearing problems and problems with their teeth….                                                                                                   http://www.cdc.gov/ncbddd/birthdefects/CleftLip.html

Another group of children at high risk of abuse are those with spina bifida. The Mayo Clinic describes spina bifida:

Spina bifida is part of a group of birth defects called neural tube defects. The neural tube is the embryonic structure that eventually develops into the baby’s brain and spinal cord and the tissues that enclose them.

Normally, the neural tube forms early in the pregnancy and closes by the 28th day after conception. In babies with spina bifida, a portion of the neural tube fails to develop or close properly, causing defects in the spinal cord and in the bones of the spine.

Spina bifida occurs in various forms of severity. When treatment for spina bifida is necessary, it’s done surgically, although such treatment doesn’t always completely resolve the problem….                   http://www.mayoclinic.org/diseases-conditions/spina-bifida/basics/definition/CON-20035356

Children with a medical condition are vulnerable to abuse.

Alyson Sulaski Wyckoff , Associate Editor of AAP wrote in Maltreatment of child under 2 more likely if certain birth defects present:

Children younger than 2 years were more likely to be maltreated if they had spina bifida or cleft lip/palate than if they had Down syndrome, according to a population-based study of 3 million children born in Texas from 2002-’09.

Birth defects occur in one in 33 U.S. births, and children with disabilities face an increased risk for maltreatment and out-of-home placement. It is not known how the risk might vary by type of birth defect.

The study was conducted to assess whether the risks and predictors of maltreatment vary by three types of birth defects: Down syndrome (intellectual impairment), cleft lip with or without cleft palate (facial malformation and speech impairment) and spina bifida (physical disability). Children with these disabilities were compared to an unaffected group.

The risk of any type of maltreatment was significantly higher for children with spina bifida and cleft lip/palate, an increase of 58% and 40%, respectively, even after adjusting for child-, family-, and neighborhood-level factors. Children with Down syndrome, however, were not at increased risk of maltreatment before age 2.

The study also found that children with birth defects are at risk for different types of maltreatment than other children. The risk of medical neglect was three to six times higher in the three birth defects groups compared with the unaffected group, which may be related to the medical complexity of the children’s conditions.

Maltreated children tended to be males and those born prematurely. Parents were the most frequent perpetrators, especially those living in poverty.

The risk of maltreatment was elevated for children whose mothers were young, white non-Hispanic, unmarried and who did not indicated paternity information on birth certificates. They were more likely to have a high school education or less, to have given birth previously and to have had the birth covered by Medicaid.

Future studies could inform policies and services aimed at improving outcomes of at-risk families by targeting populations with the highest risk for maltreatment, the authors noted.

Children with developmental delays, including those with the birth defects examined in this study, qualify for early childhood intervention services (Part C) under the Individuals With Disabilities Education Act, but many qualifying children do not receive these services, the study points out….                                                                                                                                                   http://www.aappublications.org/news/2015/12/01/Maltreatment120115

Citation:

Children with specific birth defects at increased risk for abuse

Date:           December 10, 2015

Source:       University of Texas Health Science Center at Houston

Summary:

Children born with cleft lip or palate and spina bifida are at an increased risk for abuse before the age of two, according to researchers. The researchers found that compared to children without birth defects the risk of maltreatment in children with cleft lip and/or palate was increased by 40 percent and for children with spina bifida, the risk was increased by 58 percent.

Journal Reference:

  1. B. S. Van Horne, K. B. Moffitt, M. A. Canfield, A. P. Case, C. S. Greeley, R. Morgan, L. E. Mitchell. Maltreatment of Children Under Age 2 With Specific Birth Defects: A Population-Based Study. PEDIATRICS, 2015; 136 (6): e1504 DOI: 10.1542/peds.2015-1274                                  http://www.sciencedaily.com/releases/2015/12/151210140510.htm

Here is the press release from UT Health Sciences:

Public Release: 10-Dec-2015

UTHeath study: Children with specific birth defects at increased risk for abuse

University of Texas Health Science Center at Houston

HOUSTON – (Dec. 10, 2015) – Children born with cleft lip or palate and spina bifida are at an increased risk for abuse before the age of 2, according to researchers from The University of Texas Health Science Center at Houston (UTHealth).The results were published in the December issue of the journal Pediatrics.

In the study, researchers found that compared to children without birth defects the risk of maltreatment in children with cleft lip and/or palate was increased by 40 percent and for children with spina bifida, the risk was increased by 58 percent. These rates were especially high during the first year of life. However, children with Down syndrome were not at an increased risk compared to children with no birth defects.

“A baby with Down syndrome develops just like any other baby unless they have another congenital defect. When they start missing developmental milestones is when the intellectual impairments associated with Down syndrome become more apparent. Additionally, they typically do not have the same level of medical complexity as babies with cleft lip with or without cleft palate and spina bifida, who likely have a lot of medical needs and complications. If you’ve just given birth and have to deal with a lot more complexity and care, it’s hard,” said Bethanie Van Horne, Dr.P.H., assistant director of state initiatives at UTHealth’s Children’s Learning Institute. Van Horne conducted the study as part of her dissertation at UTHealth School of Public Health.

Cleft lip and cleft palate are birth defects that occur when a baby’s lip or mouth do not form properly during pregnancy. A baby can have a cleft lip, a cleft palate, or both a cleft lip and cleft palate. Spina bifida is a neural tube defect that affects the spine and is usually apparent at birth. Children with spina bifida have physical impairments ranging from mild to severe depending where on the spine the opening is located.

The researchers drew data from several sources from 2002 to 2011: birth and death records from the Texas Department of State Health Services Vital Statistics Unit, surveillance of children born with birth defects from the Texas Birth Defects Registry and child maltreatment information from the Texas Department of Family and Protective Services.

In Texas, maltreatment is defined as neglectful supervision, physical abuse, physical neglect, medical neglect, sexual abuse, abandonment, emotional abuse or refusal to assume parental responsibility.

Among children with substantiated abuse, the risk of medical neglect was three to six times higher among all three birth defect groups than in the unaffected group. The complexity of their medical conditions may be a contributing factor for the increased risk of medical neglect versus other forms of neglect, according to Van Horne.

Researchers also studied how family factors affected risk of abuse. Children were more likely to be abused or neglected if their mothers had less than a high school education, had more children and used Medicaid. This was true even if a child did not have a birth defect. Van Horne said that poverty was likely the main factor in this finding.

“Physicians and medical personnel have to understand that the risk for abuse varies by specific disability. In general, when children are born with medical complexities like a birth defect, we need to be really supportive of those families. If we can identify them early and start services, we can help them understand what’s to come. A lot of providers do this, but we can do more,” said Van Horne.

###

Karen B. Moffitt, M.P.H., Mark A. Canfield, Ph.D., and Amy P. Case, Ph.D., from the Birth Defects Epidemiology and Surveillance Branch of the Texas Department of State Health Services were study co-authors, as was Christopher Greeley, M.D., a former faculty member at UTHealth, who is now with Texas Children’s Hospital. Co-authors from the School of Public Health included Robert Morgan, Ph.D., and Laura E. Mitchell, Ph.D.

The study, titled ‘Maltreatment of Children under Age 2 with Specific Birth Defects: A Population-Based Study,’ was funded through a cooperative agreement (#5U01DD000494-04) between the Centers for Disease Control and Prevention and the Texas Department of State Health Services, as well as through funding from the Title V Block Grant at the Texas Department of State Health Services.

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.                   http://www.eurekalert.org/pub_releases/2015-12/uoth-usc121015.php

Stepparents and Abuse

It is difficult to find statistics on abuse by step-parents, but one study out of Sweden, Step-parents abuse children to death more often provide some food for thought.

258 children under the age of 16 were killed by their parents between 1965 and 1999. 23 of the children (9%) were abused to death. Stepchildren are more often killed by abuse than children who are killed by their biological parents, according to new research from the University of Stockholm. More than half of the 258 children were killed in connection with a conflict between the parents e.g. divorce or custody battle. Most of these children died in connection with the extended suicide where the perpetrator took or tried to take his own life. The men who murdered their children also often took the life of their partner. On the other hand, no woman tried to kill their partner when she murdered the children, writes senior lecturer Hans Temrin and PhD student Johanna Nordlund at The University of Stockholm.

The Department of Justice (DOJ) has statistics about infanticide but it is difficult to determine specific abuse by step-parents because of the reporting.

Note: Parents includes stepparents.

Of all children under age 5 murdered from 1976-2005 —

  • 31% were killed by fathers

  • 29% were killed by mothers

  • 23% were killed by male acquaintances

  • 7% were killed by other relatives

  • 3% were killed by strangers

Of those children killed by someone other than their parent, 81% were killed by males.

How to Spot Signs of Abuse

Child Information Welfare Gateway has an excellent guide for how to spot child abuse and neglect The full list of symptoms is at the site, but some key indicators are:

                         The Child:

Shows sudden changes in behavior or school performance

Has not received help for physical or medical problems brought to the parents’ attention

Has learning problems (or difficulty concentrating) that cannot be attributed to specific physical or psychological causes

Is always watchful, as though preparing for something bad to happen

Lacks adult supervision

Is overly compliant, passive, or withdrawn

Comes to school or other activities early, stays late, and does not want to go home

The Parent:

Shows little concern for the child

Denies the existence of—or blames the child for—the child’s problems in school or at home

Asks teachers or other caregivers to use harsh physical discipline if the child misbehaves

Sees the child as entirely bad, worthless, or burdensome

Demands a level of physical or academic performance the child cannot achieve

Looks primarily to the child for care, attention, and satisfaction of emotional needs

The Parent and Child:

Rarely touch or look at each other

Consider their relationship entirely negative

State that they do not like each other                                                                                                                  https://www.childwelfare.gov/pubPDFs/whatiscan.pdf#page=5&view=Recognizing%20Signs%20of%20Abuse%20and%20Neglect

If people suspect a child is being abused, they must get involved. Every Child Matters can very useful and can be found at http://www.everychildmatters.org/ and another organization, which fights child abuse is the National Coalition for Child Protection Reform http://nccpr.info/   People must push for tougher standards against child abuse.

Many Single Parents are not Going to Like these Comments

Queen Victoria had it right when she was rumored to have said something to the effect that she did not care what two consenting single adults did as long as they did not do it in the streets and scare the horses. A consenting single parent does not have the same amount of leeway as a consenting childless single adult because the primary responsibility of any parent is raising their child or children. People have children for a variety of reasons from having an unplanned pregnancy because of irresponsibility or hoping that the pregnancy is the glue, which might save a failing relationship, to those who genuinely want to be parents. Still, being a parent is like the sign in the china shop, which says you break it, it’s yours. Well folks, you had children, they are yours. Somebody has to be the adult and be responsible for not only their care and feeding, but their values. I don’t care if he looks like Brad Pitt or Denzel Washington. I don’t care if she looks like Angelina Jolie or Halle Berry or they have as much money as Bill Gates or Warren Buffet, if they don’t like children or your children, they have to be kicked to the curb. You cannot under any circumstances allow anyone to abuse your children or you. When you partner with a parent, you must be willing to fully accept their children. If you can’t and they are too gutless to tell you to hit the road, I’ll do it for them. Hit the road.

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 ©                                       https://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

 

Tags: , , , , , , , , , , , , , , , , ,

Dyslexia is difficult to correctly diagnose

2 Mar

The National Center for Learning Disabilities described dyslexia in What Is Dyslexia?

Dyslexia at a Glance
Dyslexia is the name for specific learning disabilities in reading. Dyslexia is often characterized by difficulties with accurate word recognition, decoding and spelling. Dyslexia may cause problems with reading comprehension and slow down vocabulary growth. Dyslexia may result in poor reading fluency and reading out loud. Dyslexia is neurological and often genetic. Dyslexia is not the result of poor instruction. With the proper support, almost all people with dyslexia can become good readers and writers.
As with other learning disabilities, dyslexia is a lifelong challenge that people are born with. This language processing disorder can hinder reading, writing, spelling and sometimes even speaking. Dyslexia is not a sign of poor intelligence or laziness. It is also not the result of impaired vision. Children and adults with dyslexia simply have a neurological disorder that causes their brains to process and interpret information differently.
Dyslexia occurs among people of all economic and ethnic backgrounds. Often more than one member of a family has dyslexia. According to the National Institute of Child and Human Development, as many as 15 percent of Americans have major troubles with reading.
Much of what happens in a classroom is based on reading and writing. So it’s important to identify dyslexia as early as possible. Using alternate learning methods, people with dyslexia can achieve success.
http://www.ncld.org/types-learning-disabilities/dyslexia/what-is-dyslexia

Dyslexia is a neurological and genetic disease.

Medical News Today reported in the article, What Is Dyslexia? What Causes Dyslexia?

Dyslexia is a specific reading disability due to a defect in the brain’s processing of graphic symbols. It is a learning disability that alters the way the brain processes written material. It is typically characterized by difficulties in word recognition, spelling and decoding. People with dyslexia have problems with reading comprehension.
The National Center for Learning Disabilities1 says that dyslexia is a neurological and often genetic condition, and not the result of poor teaching, instruction or upbringing.
Dyslexia is not linked to intelligence.
What is dyslexia?
The problem in dyslexia is a linguistic one, not a visual one. Dyslexia in no way stems from any lack of intelligence. People with severe dyslexia can be brilliant.
Albert Einstein (1879-1955) lived with dyslexia.
The effects of dyslexia, in fact, vary from person to person. The only shared trait among people with dyslexia is that they read at levels significantly lower than typical for people of their age. Dyslexia is different from reading retardation which may reflect mental retardation or cultural deprivation.
According to the University of Michigan Health System, dyslexia is the most common learning disability2. Eighty percent of students with learning disabilities have dyslexia.
The International Dyslexia Association3 estimates that 15% to 20% of the American population have some of the symptoms of dyslexia, including slow or inaccurate reading, poor spelling, poor writing, or mixing up similar words.
The National Health Service4, UK, estimates that 4-8% of all schoolchildren in England have some degree of dyslexia.
It is estimated that boys are one-and-a-half to three times more likely to develop dyslexia than girls. http://www.medicalnewstoday.com/articles/186787.php

Since individuals manifest the condition of dyslexia in different ways, a debate is occurring about whether the diagnosis of dyslexia has meaning.

Nick Morrison wrote in the Forbes article, ‘Dyslexia’ Is A Meaningless Label And Should Be Ditched:

For millions of parents, a dyslexia diagnosis that not only unlocks the door to extra help, but also allows them to understand why their child has problems reading. So it is no surprise that a suggestion the term is overused and should be ditched has been greeted with howls of protest.
But once the initial furore has died down, it is worth wondering whether affixing a label makes any real difference. Perhaps we should spend more time making sure children get the help they need than working out whether they fall into a neat category.
The controversy centers on a book co-authored by academics either side of the Atlantic: Julian Elliott, professor of education at Durham University in the U.K., and Elena L. Grigorenko, professor of psychology at Yale in the U.S.
In The Dyslexia Debate, they argue a diagnosis of dyslexia is often highly questionable and the term has become a meaningless catch-all that encompasses a wide variety of problems with reading. In addition, the pair argue that parents are often mistaken if they believe that a diagnosis will mean their children get the help they need…
Amid the sound and fury it is easy to overlook the fact that Elliott is not suggesting that dyslexia itself does not exist.
Studies show that some people do have real and complex problems with decoding text and relating sounds in spoken language to written symbols. These affect about 1-2% of the population and are thought to be caused by one or more of genetic, immunological or nutritional factors. They are also often linked to difficulties in sequencing, putting the numbers, months, days of the week in order, and telling left and right apart, as well as allergies.
Elliott’s argument is that dyslexia is so misused it encompasses virtually any difficulty where there is a discrepancy between reading performance and IQ. Although the numbers involved have not been quantified, an estimated 5-10% of the population are classed as dyslexic.
But far from helping children, a dyslexia diagnosis could get in the way of the targeted support they need. By taking a wide range of difficulties under its umbrella, it makes it harder to find specific solutions for specific problems….. http://www.forbes.com/sites/nickmorrison/2014/02/27/dyslexia-is-a-meaningless-label-and-should-be-ditched/

The diagnosis of dyslexia is complex.

The Mayo Clinic staff wrote in Tests and diagnosis:

There’s no one test that can diagnose dyslexia. Your child’s doctor will consider a number of things, such as:
•Answers to a number of questions. These will likely include questions about your child’s development, education and medical history. The doctor may also want to know about any conditions that run in your child’s family, and may ask if any family members have a learning disability.
•Questionnaires. Your child’s doctor may have your child, family members or teachers answer written questions. Your child may be asked to take tests to identify his or her reading and language abilities.
•Vision, hearing and brain (neurological) tests. These can help determine whether another disorder may be causing or adding to your child’s poor reading ability.
•Psychological testing. The doctor may ask you or your child questions to better understand your child’s psychological state. This can help determine whether social problems, anxiety or depression may be limiting your child’s abilities.
•Testing reading and other academic skills. Your child may take a set of educational tests and have the process and quality of his or her reading skills analyzed by a reading expert. http://www.mayoclinic.org/diseases-conditions/dyslexia/basics/tests-diagnosis/con-20021904

There are certain cues that will lead parents to find a competent physician to examine their child for signs of a learning disability.

Sally Shaywitz, M.D. wrote in the Great Schools article, Should My Child Be Evaluated for Dyslexia?

Clues to Dyslexia in Early Childhood
The earliest clues involve mostly spoken language. The very first clue to a language (and reading) problem may be delayed language. Once the child begins to speak, look for the following problems:
The Preschool Years
• Trouble learning common nursery rhymes such as “Jack and Jill” and “Humpty Dumpty”
• A lack of appreciation of rhymes
• Mispronounced words; persistent baby talk
• Difficulty in learning (and remembering) names of letters
• Failure to know the letters in his own name
Kindergarten and First Grade
• Failure to understand that words come apart; for example, that batboy can be pulled apart into bat and boy, and, later on, that the word bat can be broken down still further and sounded out as: “b” “aaaa” “t”
• Inability to learn to associate letters with sounds, such as being unable to connect the letter b with the “b” sound
• Reading errors that show no connection to the sounds of the letters; for example, the word big is read as goat
• The inability to read common one-syllable words or to sound out even the simplest of words, such as mat, cat, hop, nap
• Complaints about how hard reading is, or running and hiding when it is time to read
• A history of reading problems in parents or siblings.
In addition to the problems of speaking and reading, you should be looking for these indications of strengths in higher-level thinking processes:
• Curiosity
• A great imagination
• The ability to figure things out
• Eager embrace of new ideas
• Getting the gist of things
• A good understanding of new concepts
• Surprising maturity
• A large vocabulary for the age group
• Enjoyment in solving puzzles
• Talent at building models
• Excellent comprehension of stories read or told to him http://www.greatschools.org/special-education/LD-ADHD/845-should-my-child-be-evaluated-for-dyslexia.gs?page=all

Shaywitz’s article is quite extensive and is a good resource for parents. It includes information about possible symptoms from second grade on and symptoms for young adults and adults. The earlier the diagnosis, the better the treatment and more options which are available.

Angela Stevens of the Reading Corner wrote How to Get a Professional Dyslexia Diagnosis:

Another problem that you may encounter even if you do find the proper professional to assist you is that most professionals require that your child is school aged before they will conduct a diagnosis.
Licensed Psychologists:
Licensed psychologists are most commonly suggested for obtaining a dyslexia diagnosis, specifically neuropsychologists. Because neuropsychologists specialize in brain functioning, and dyslexics have a unique wiring in their brain, neuropsychologists can usually offer a proper diagnosis as well as the best additional information for helping your child or loved one with their dyslexia. Another option you may want to pursue is child psychologists.
Medical Doctor:
Contacting your family physician about getting a diagnosis, or where to get a diagnosis could also prove to be effective. Some people offer this as a good approach while others haven’t had success.
Universities:
Another venue you can receive a professional diagnosis from is the speech pathology or special education department of various universities. This option is not widely known, but there are universities that offer this service.
Schools:
There is a surprising amount of controversy surrounding the option of obtaining a dyslexia diagnosis through your child’s school. There are parents that have successfully got their child diagnosed through their school, but there are many more that say schools will not specifically diagnose dyslexia. We have received many calls from parents that are frustrated by their child’s school because it refuses to diagnose dyslexia.
Schools are required by law to test to see if a child is eligible for special education services, but in the case of dyslexia they are often only able to show a “language learning deficit.” This is mostly due to a lack of professional ability, because neuropsychologists are not typically staffed in school. It has become a barrier for parents to receive help, but schools can and often do provide direction on where and how you can get a child diagnosed.
If a school does offer a dyslexia diagnosis, it will most likely not be a professional diagnosis. If the school has a licensed neuropsychologist then the diagnosis will likely be official, however, if they simply perform assessments it may simply be an evaluation and will not be a formal diagnosis.
Eye Doctors:
Eye Doctors sometimes offer a dyslexia diagnosis; however, technically an eye doctor can only test for a visual perception disorder. This disorder is called Irlen Syndrome and often occurs with dyslexia, however, does not dictate that a child or adult truly does have dyslexia.
Dyslexia Centers:
There are many dyslexia centers that assess dyslexia, but unless the assessor is a licensed professional, their diagnosis will not be official.
Because many parents want their child to get a diagnosis before they are school aged, a general assessment may be helpful to help you understand if this may be a problem for your child so you can begin to remediate it as quickly as possible.
Reading Horizons offers a free assessment that although it will not provide you with a professional diagnosis, it is of a professional grade and similar to the assessments used by licensed professionals. It can be found at: http://athome.readinghorizons.com/assessments/dyslexic-assessment-part1.aspx
Also there is a list of dyslexia centers and professionals by state at this website: http://www.iser.com/dyslexia.html http://athome.readinghorizons.com/community/blog/how-to-get-a-professional-dyslexia-diagnosis/

Lifescript Doctor has reviews for doctors all over the country http://www.lifescript.com/doctor-directory/condition/d-dyslexia.aspx?gclid=CPbzja799LwCFZRqfgodGhAAUw&ef_id=UxO40gAABQoDQqAf:20140302231438:s
Getting a correct early diagnosis of dyslexia, which is a learning disability is crucial to a child’s academic success.

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: , , , , , , , , , , , , , , , ,

Mayo Clinic study: Teachers more likely to develop speech disorders

1 Nov

Leigh Ann Morgan listed the hazards of the teaching profession in The Hazards of Being a Teacher:

Disease Transmission
Teachers spend their days with students, colleagues and parents, making them susceptible to bacterial and viral infections. In fact, a study led by investigators from the MGEN Foundation for Public Health revealed that teachers are more susceptible to certain types of infections than other workers. During the study, researchers surveyed 1,817 non-teachers and 3,679 teachers ranging in age from 20 to 60. After adjusting for variables, they found that male and female teachers had a higher lifetime prevalence of laryngitis and rhinopharyngitis, two infections of the upper respiratory tract. They also found that female teachers had a higher lifetime prevalence of bronchitis. The results of this study appeared in the April 21, 2006, online edition of “BMC Public Health.”
Workplace Violence
The American Psychological Association reports that approximately 7 percent of teachers in the United States are threatened with injury each year. These threats are more prevalent in urban high schools, and female teachers receive more than twice as many threats as male teachers. In 2007, the Centers for Disease Control and Prevention surveyed students as part of the Youth Risk Behavior Surveillance. Nearly 6 percent of the students surveyed admitted carrying a gun, knife or club on school property during the 30 days preceding the survey. This increases the risk for physical violence.
Ergonomic Issues
Ergonomics involves fitting the work environment to the employee instead of forcing the employee to fit the work environment. Employers use the principles of ergonomics to reduce the risk of repetitive stress injuries and other occupational health problems. Teachers spend much of their time standing, and may have to bend, stretch and lift to use educational aids and equipment such as blackboards and projectors. This puts them at risk for varicose veins and for injuries, including sprains, strains, pulled muscles, and back injuries. For teachers who spend a lot of time using a computer, the risk of developing carpal tunnel syndrome is also a concern.
Work-Related Stress
Teachers have several sources of stress in the workplace. They include increased class sizes, student performance objectives, lack of control over work hours and methods, lack of student motivation, difficulty working with parents, lack of professional recognition, and inadequate salary. Although everyone reacts to stress differently, too much stress can affect mood, behavior and physical health. The Mayo Clinic says that stress can lead to headaches, sleep problems, fatigue, muscle tension, upset stomach, chest pain and muscle pain. It can also cause anxiety, irritability, depression, anger, drug or alcohol abuse, social withdrawal, and changes in appetite.
Legal Considerations
Educators must comply with laws designed to ensure that all students have equal access to educational opportunities. The Individuals with Disabilities Education Act, enacted in 1990, gives students with disabilities access to special education services. The act also protects the right of students with disabilities to receive a free public education regardless of their ability. The No Child Left Behind Act of 2001 implemented education reforms designed to improve student achievement and hold educators responsible for student progress.
Teachers and administrators must also adhere to the provisions of the Family Educational Rights and Privacy Act. The act gives parents the right to review the education records of their minor children and request the correction of any inaccuracies. It also prohibits educators from releasing information from a student’s education record without written permission from the parent. There are some exceptions to this rule, such as releasing information requested by authorities or complying with a judicial order, but educators need to be aware of these exceptions and release information only when required. Failing to comply with these laws and any state-specific education laws puts teachers at risk of being sued or losing their professional credentials. http://work.chron.com/hazards-being-teacher-9309.html

In addition to the hazards listed by Morgan, a Mayo Clinic study found teachers are more likely to have speech disorders.

Science Daily reported in the article, Teachers More Likely to Have Progressive Speech, Language Disorders:

Mayo Clinic researchers have found a surprising occupational hazard for teachers: progressive speech and language disorders. The research, recently published in the American Journal of Alzheimer’s Disease & Other Dementias, found that people with speech and language disorders are about 3.5 times more likely to be teachers than patients with Alzheimer’s dementia.1
Speech and language disorders are typically characterized by people losing their ability to communicate — they can’t find words to use in sentences, or they’ll speak around a word. They may also have trouble producing the correct sounds and articulating properly. Speech and language disorders are not the same as Alzheimer’s dementia, which is characterized by the loss of memory. Progressive speech and language disorders are degenerative and ultimately lead to death anywhere from 8-10 years after diagnosis.
In the study, researchers looked at a group of about 100 patients with speech and language disorders and noticed many of them were teachers. For a control, they compared them to a group of more than 400 Alzheimer’s patients from the Mayo Clinic Study on Aging. Teachers were about 3.5 times more likely to develop a speech and language disorder than Alzheimer’s disease. For other occupations, there was no difference between the speech and language disorders group and the Alzheimer’s group.
When compared to the 2008 U.S. census, the speech and language cohort had a higher proportion of teachers, but it was consistent with the differences observed with the Alzheimer’s dementia group.
This study has important implications for early detection of progressive speech and language disorders, says Mayo Clinic neurologist, Keith Josephs, M.D., who is the senior author of the study. A large cohort study focusing on teachers may improve power to identify the risk factors for these disorders….
http://www.sciencedaily.com/releases/2013/10/131015094508.htm

Citation:

Journal Reference:
1. C. F. Lippa. Loss of Language Skills in Teachers: Is There a Link to Frontotemporal Degeneration? American Journal of Alzheimer’s Disease and Other Dementias, 2013; 28 (6): 549 DOI: 10.1177/1533317513502251
Mayo Clinic (2013, October 15). Teachers more likely to have progressive speech, language disorders. ScienceDaily. Retrieved November 1,

Here is the press release from the Mayo Clinic:

Mayo Clinic Study: Teachers More Likely to Have Progressive Speech and Language Disorders
Tuesday, October 15, 2013
ROCHESTER, Minn. — Mayo Clinic researchers have found a surprising occupational hazard for teachers: progressive speech and language disorders. The research, recently published in theAmerican Journal of Alzheimer’s Disease & Other Dementias, found that people with speech and language disorders are about 3.5 times more likely to be teachers than patients with Alzheimer’sdementia.
MULTIMEDIA ALERT: For audio and video of Dr. Josephs talking about the study, visit the Mayo Clinic News Network.
Speech and language disorders are typically characterized by people losing their ability to communicate — they can’t find words to use in sentences, or they’ll speak around a word. They may also have trouble producing the correct sounds and articulating properly. Speech and language disorders are not the same as Alzheimer’s dementia, which is characterized by the loss of memory. Progressive speech and language disorders are degenerative and ultimately lead to death anywhere from 8-10 years after diagnosis.
In the study, researchers looked at a group of about 100 patients with speech and language disorders and noticed many of them were teachers. For a control, they compared them to a group of more than 400 Alzheimer’s patients from the Mayo Clinic Study on Aging. Teachers were about 3.5 times more likely to develop a speech and language disorder than Alzheimer’s disease. For other occupations, there was no difference between the speech and language disorders group and the Alzheimer’s group.
When compared to the 2008 U.S. census, the speech and language cohort had a higher proportion of teachers, but it was consistent with the differences observed with the Alzheimer’s dementia group.
This study has important implications for early detection of progressive speech and language disorders, says Mayo Clinic neurologist, Keith Josephs, M.D., who is the senior author of the study. A large cohort study focusing on teachers may improve power to identify the risk factors for these disorders.
“Teachers are in daily communication,” says Dr. Josephs. “It’s a demanding occupation, and teachers may be more sensitive to the development of speech and language impairments.”
The study was funded by National Institute of Health grants R01 DC010367 and P50 AG16574.
###
About Mayo Clinic
Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. For more information, visit MayoClinic.com or MayoClinic.org/news.
Journalists can become a member of the Mayo Clinic News Network for the latest health, science and research news and access to video, audio, text and graphic elements that can be downloaded or embedded.

Of course, more information will be needed about whether further studies confirm the Mayo Clinic study and what links, if any, the skill set necessary to be a teacher has to later speech problems. Still, the study has an interesting result.

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: , , , , , ,

Mayo Clinic study: You can’t shield children from all risks

17 Mar

Moi wrote in No one is perfect: People sometimes fail:

There are no perfect people, no one has a perfect life and everyone makes mistakes. Unfortunately, children do not come with instruction manuals, which give specific instructions about how to relate to that particular child. Further, for many situations there is no one and only way to resolve a problem. What people can do is learn from their mistakes and the mistakes of others. Craig Playstead has assembled a top ten list of mistakes made by parents and they should be used as a starting point in thinking about your parenting style and your family’s dynamic.

1)            Spoiling kids 

2)            Inadequate discipline

3)            Failing to get involved at school

4)            Praising mediocrity

5)            Not giving kids enough responsibility

6)            Not being a good spouse

7)            Setting unreal expectations

8)            Not teaching kids to fend for themselves

9)            Pushing trends on kids

10)           Not following through

Playstead also has some comments about stage parents.

Let kids be kids. Parents shouldn’t push their trends or adult outlook on life on their kids. Just because it was your life’s dream to marry a rich guy doesn’t mean we need to see your 4-year-old daughter in a “Future Trophy Wife” t-shirt. The same goes for the double ear piercing—that’s what you want, not them. Teaching kids about your passions is great, but let them grow up to be who they are. And yes, this goes for you pathetic stage parents as well. It’s hard enough for kids to figure out who they are in the world without you trying to turn them into what you couldn’t be.

Paul Tough has written a very thoughtful New York Times piece about the importance of failure in developing character, not characters.

In What If the Secret to Success Is Failure? Tough writes:

Dominic Randolph can seem a little out of place at Riverdale Country School — which is odd, because he’s the headmaster. Riverdale is one of New York City’s most prestigious private schools, with a 104-year-old campus that looks down grandly on Van Cortlandt Park from the top of a steep hill in the richest part of the Bronx. On the discussion boards of UrbanBaby.com, worked-up moms from the Upper East Side argue over whether Riverdale sends enough seniors to Harvard, Yale and Princeton to be considered truly “TT” (top-tier, in UrbanBabyese), or whether it is more accurately labeled “2T” (second-tier), but it is, certainly, part of the city’s private-school elite, a place members of the establishment send their kids to learn to be members of the establishment. Tuition starts at $38,500 a year, and that’s for prekindergarten.

Randolph, by contrast, comes across as an iconoclast, a disrupter, even a bit of an eccentric. He dresses for work every day in a black suit with a narrow tie, and the outfit, plus his cool demeanor and sweep of graying hair, makes you wonder, when you first meet him, if he might have played sax in a ska band in the ’80s. (The English accent helps.) He is a big thinker, always chasing new ideas, and a conversation with him can feel like a one-man TED conference, dotted with references to the latest work by behavioral psychologists and management gurus and design theorists. When he became headmaster in 2007, he swapped offices with his secretary, giving her the reclusive inner sanctum where previous headmasters sat and remodeling the small outer reception area into his own open-concept work space, its walls covered with whiteboard paint on which he sketches ideas and slogans. One day when I visited, one wall was bare except for a white sheet of paper. On it was printed a single black question mark.

For the headmaster of an intensely competitive school, Randolph, who is 49, is surprisingly skeptical about many of the basic elements of a contemporary high-stakes American education. He did away with Advanced Placement classes in the high school soon after he arrived at Riverdale; he encourages his teachers to limit the homework they assign; and he says that the standardized tests that Riverdale and other private schools require for admission to kindergarten and to middle school are “a patently unfair system” because they evaluate students almost entirely by I.Q. “This push on tests,” he told me, “is missing out on some serious parts of what it means to be a successful human.”

The most critical missing piece, Randolph explained as we sat in his office last fall, is character — those essential traits of mind and habit that were drilled into him at boarding school in England and that also have deep roots in American history. “Whether it’s the pioneer in the Conestoga wagon or someone coming here in the 1920s from southern Italy, there was this idea in America that if you worked hard and you showed real grit, that you could be successful,” he said. “Strangely, we’ve now forgotten that. People who have an easy time of things, who get 800s on their SAT’s, I worry that those people get feedback that everything they’re doing is great. And I think as a result, we are actually setting them up for long-term failure. When that person suddenly has to face up to a difficult moment, then I think they’re screwed, to be honest. I don’t think they’ve grown the capacities to be able to handle that….”

Whatever the dream you feel you didn’t realize, remember that was your dream, it may not be your child’s dream. https://drwilda.com/2011/12/06/no-one-is-perfect-people-sometimes-fail/

U.S. News reports on a recent Mayo Clinic study in Avoiding Scary Situations May Leave Kids More Anxious: Study:

– Children who avoid scary situations are more likely to have anxiety, according to researchers who developed a new way to assess avoidance behavior in youngsters.

The Mayo Clinic study included more than 800 children, aged 7 to 18, and used two eight-question surveys, one for parents and one for children.

The parents’ survey asks about their children’s tendencies to avoid scary situations. For example: “When your child is scared or worried about something, does he or she ask to do it later?”

The children’s survey asks them to describe their avoidance habits. For example: “When I feel scared or worried about something, I try not to go near it.”

Children who tried to avoid scary situations at the start of the study were more likely than other children to have anxiety a year later, according to the study published online March 4 in the journal Behavior Therapy. http://health.usnews.com/health-news/news/articles/2013/03/15/avoiding-scary-situations-may-leave-kids-more-anxious-study

Here is the Mayo Clinic press release:

Children Who Avoid Scary Situations Likelier to Have Anxiety, Mayo Clinic Research Finds

Monday, March 11, 2013

ROCHESTER, Minn. — Children who avoid situations they find scary are likely to have anxiety a Mayo Clinic study of more than 800 children ages 7 to 18 found. The study published this month in Behavior Therapy presents a new method of measuring avoidance behavior in young children.

The researchers developed two eight-question surveys: the Children’s Avoidance Measure Parent Report and the Children’s Avoidance Measure Self Report. The questionnaires ask details about children’s avoidance tendencies, for instance, in addressing parents, “When your child is scared or worried about something, does he or she ask to do it later?” It also asks children to describe their passive avoidance habits. For example: “When I feel scared or worried about something, I try not to go near it.”

One of the most surprising findings was that measuring avoidance could also predict children’s development of anxiety. Children who participated in the study showed stable anxiety scores after a year had passed, but those who described avoidance behaviors at the onset tended to be more anxious a year later.

“This new approach may enable us to identify kids who are at risk for an anxiety disorder,” says lead author Stephen Whiteside, Ph.D., a pediatric psychologist with the Mayo Clinic Children’s Center. “And further, because cognitive behavior therapy focuses on decreasing avoidance behaviors, our approach may also provide a means to evaluate whether current treatment strategies work they we think they do.”

In 25 anxious children surveyed following cognitive behavior therapy that slowly exposed children to the situations that caused fear, the avoidance scores from surveys of their parents declined by half. This likely indicates that part of the reason they’re getting better is that they’re no longer avoiding things, Dr. Whiteside says.

“Even after controlling for their baseline anxiety, those who avoided had more anxiety than kids who didn’t avoid,” Dr. Whiteside says. “That was consistent with the model of how anxiety disorders develop. Kids who avoid fearful situations don’t have the opportunity to face their fears and don’t learn that their fears are manageable.”

Most children experience fears of one kind or another, but for some children those fears become heightened as part of an anxiety disorder. When children begin to avoid scary situations, anxiety disorders can become particularly disabling, preventing participation in everyday activities. Even though several methods exist to gauge children’s fearful thinking and symptoms like feeling nervous, clinicians have had few tools until now to measure avoidance behaviors.

Dr. Whiteside is the developer of the Mayo Clinic Anxiety Coach, an iPhone app that helps individuals learn about anxiety, gauge and manage their symptoms, and make lists of activities to help them face their fears. The study was funded by Mayo Clinic Department of Psychiatry and Psychology.

###

About Mayo Clinic

Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. For more information, visit MayoClinic.com or MayoClinic.org/news.

Journalists can become a member of the Mayo Clinic News Network for the latest health, science and research news and access to video, audio, text and graphic elements that can be downloaded or embedded.

Citation:

Behavior Therapy

Available online 4 March 2013

In Press, Accepted Manuscript — Note to users

Development of child- and parent-report measures of behavioral avoidance related to childhood anxiety disorders

  • a Mayo Clinic
  • b University of Missouri, Kansas City
  • c University of Missouri

Purchase $31.50

Abstract

The current report describes three studies conducted to develop 8-item child- and parent-report measures to further the understanding of the role of behavioral avoidance in the development, maintenance and treatment of childhood anxiety disorders. Participants included both clinical (N=463; ages 8 to 12) and community (N=421; ages 7 to 18) samples of children and their parents from primarily Caucasian intact families. Follow-up data were collected from 104 families in the community sample. Overall, the measures were internally consistent and related to anxiety, distress, and alternative measures of avoidance in both samples. Parent report of children’s behavioral avoidance evidenced the strongest psychometric properties, differentiated among clinical and community populations, and most importantly, predicted children’s anxiety at least eight months later over and above initial anxiety ratings. Moreover, decreases in avoidance were associated with successful exposure therapy. These results are consistent with the role of behavioral avoidance in the development of anxiety and provide a efficient tool for assessing the role avoidance in clinical and research settings.

Highlights

► Avoidance is theorized to contribute to childhood anxiety disorders. ► We developed child- and parent-report measures of behavioral avoidance. ► Both measures demonstrated good psychometric properties. ► Parent-report predicted changes in child anxiety over a one-year period. ► Avoidance decreased with successful treatment.

Moi wrote in You call your kid prince or princess, society calls them ‘brat’:

Here is today’s COMMENT FROM AN OLD FART: Urban Dictionary defines brat:

1.A really annoying person.
2.A person that is spoiled rotten.
3.An annoying child that wants something that no one will get for him/her. http://www.urbandictionary.com/define.php?term=brat

Most folks have had the experience of shopping in a store like Target and observing a child acting out or screaming at the top of his or her lungs. Another chance for observation of family interaction is dining out at a restaurant when children may act out. Without knowing the history, it is difficult to assess the root cause. Still, an observation of how the parent(s) deal with the tantrum is instructive about who is in control and where the power resides in a family. It appears that in many families the parents are reluctant to be parents and to teach their children appropriate behavior, boundaries, and manners.

http://drwildaoldfart.wordpress.com/2012/10/19/you-call-your-kid-prince-or-princess-society-calls-them-brat/

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: , , , , , , , , , ,

The 01/12/13 Joy Jar

11 Jan

Moi is a ‘bus chick’ and rides the bus all over Seattle. Walking around the urban environment is a cacophony of sights and smells. Sometimes, riding certain bus routes, one can get a whiff and it is not the smell or roses. The Mayo Clinic defines Loss of smell (anosmia):

Loss of smell — anosmia (an-OHZ-me-uh) — can be partial or complete, although a complete loss of smell is fairly rare. Loss of smell can also be temporary or permanent, depending on the cause.

Although loss of smell can sometimes be a symptom of a serious condition, it isn’t necessarily serious itself. Still, an intact sense of smell is necessary to fully taste foods. Loss of smell could cause you to lose interest in eating, which could lead to weight loss, malnutrition or even depression. http://www.mayoclinic.com/health/loss-of-smell/MY00408

Still, one would be lost without the sense of smell. Does one really want to give up the smell of warm bread and baking cookies? Today’s deposit in the ‘Joy Jar’ is the sense of smell.

 

“Each day has a color, a smell.”
Chitra Banerjee Divakaruni, The Mistress of Spices

 

“I hope that while so many people are out smelling the flowers, someone is taking the time to plant some.”
Herbert Rappaport

 

Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert.
William Osler

Smell is a potent wizard that transports you across thousands of miles and all the years you have lived.
Helen Keller

Keep it simple. Tell the truth. People can smell the truth.
Steve Wynn

 

Tags: , , , , , ,

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

Nature Neuroscience
(2012)
doi:10.1038/nn.3257
Received
23 July 2012
Accepted
11 October 2012
Published online
11 November 2012
Abstract

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:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

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

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: , , , , , , , , , , , , , , , , , ,

Newer Entries →