Tag Archives: Troubled Children

University of North Carolina Chapel Hill study: Stress felt by children shows up in their art

9 Dec

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

Jyoti Madhusoodanan and Nature magazine reported in the Scientific American article, Stress Alters Children’s Genomes:

Growing up in a stressful social environment leaves lasting marks on young chromosomes, a study of African American boys has revealed. Telomeres, repetitive DNA sequences that protect the ends of chromosomes from fraying over time, are shorter in children from poor and unstable homes than in children from more nurturing families…
http://www.scientificamerican.com/article/stress-alters-childrens-genomes/?WT.mc_id=SA_Facebook

Not only are the child’s gene’s altered, but there are behavioral indications of the stress being felt by the child.

Will Huntsberry of NPR wrote in the article, Kids’ Drawings Speak Volumes About Home:

When children reach 6 years old, their drawings matter.

Not because of those purple unicorns or pinstripe dragons but because of how kids sketch themselves and the very real people in their lives.

In a new study, researchers found that children who experienced chaos at home — including high levels of noise, excessive crowding, clutter and lack of structure — were more likely to draw themselves at a distance from their parents or much smaller in size relative to other figures.

In some cases, these kids drew themselves with drooping arms and indifferent or sad faces.

Their drawings were a reflection of this simple fact: Chaos at home meant parents were interacting with them less and, in many cases, the interactions that were happening were shorter and interrupted.

As a result, kids ended up with a depreciated sense of self, says Roger Mills-Koonce, who led the study with Bharathi Zvara at UNC-Chapel Hill. To be clear, Mills-Koonce did not blame parents or caretakers but called this kind of stress in the home a “function of poverty….”                                                                                                                                http://www.npr.org/blogs/ed/2014/12/08/368693069/kids-drawings-speak-volumes-about-home

Citation:

The Mediating Role of Parenting in the Associations Between Household Chaos and Children’s Representations of Family Dysfunction

Zvara, B. J., Mills-Koonce, W. R., Garrett-Peters, P., Wagner, N. J., Vernon-Feagans, L., Cox, M., & the Family Life Project Key Contributors

2014

From the abstract: “Children’s drawings are thought to reflect their mental representations of self and their interpersonal relations within families. Household chaos is believed to disrupt key proximal processes related to optimal development. The present study examines the mediating role of parenting behaviors in the relations between two measures of household chaos, instability and disorganization, and how they may be evidenced in children’s representations of family dysfunction as derived from their drawings. The sample (N = 962) is from a longitudinal study of rural poverty exploring the ways in which child, family, and contextual factors shape development over time. Findings reveal that, after controlling for numerous factors including child and primary caregiver covariates, there were significant indirect effects from cumulative family disorganization, but not cumulative family instability, on children’s representation of family dysfunction through parenting behaviors. Results suggest that the proximal effects of daily disorganization outweigh the effects of periodic instability overtime.”

Related Project(s):

Children Living in Rural Poverty: The Continuation of the Family Life Project
Family Life Project

Available here: Attachment & Human Development

Or, you may utilize your local academic library to locate this copyrighted material.

Citation: Zvara, B. J., Mills-Koonce, W. R., Garrett-Peters, P., Wagner, N. J., Vernon-Feagans, L., Cox, M., & the Family Life Project Key Contributors. (2014). The mediating role of parenting in the associations between household chaos and children’s representations of family dysfunction. Attachment & Human Development. Advance online publication. doi:10.1080/14616734.2014.966124

DOI: 10.1080/14616734.2014.966124

http://fpg.unc.edu/resources/mediating-role-parenting-associations-between-household-chaos-and-childrens-representation

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.

Related:

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/

Resources:

  1. About.Com’s Depression In Young Children                                                          http://depression.about.com/od/child/Young_Children.htm
  2. Psych Central’s Depression In Young Children                                                      http://depression.about.com/od/child/Young_Children.htm
  3. Psychiatric News’ Study Helps Pinpoint Children With Depression http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034
  4. Family Doctor’s What Is Depression?                                                                               http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html
  5. WebMD’s Depression In Children                                                                                     http://www.webmd.com/depression/guide/depression-children
  6. Healthline’s Is Your Child Depressed?                                                                                   http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449
  7. Medicine.Net’s Depression In Children http://www.onhealth.com/depression_in_children/article.htm

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

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COMMENTS FROM AN OLD FART©

http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©

http://drwildareviews.wordpress.com/

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Tulane University Medical School study: Family violence affects the DNA of children

17 Jun

Moi reported about the effect stress has on genes in Penn State study: Stress alters children’s genomes https://drwilda.com/2014/04/08/penn-state-study-stress-alters-childrens-genomes/ A Tulane Medical School study finds that family violence or trauma alters a child’s genomes.

Science Daily reported in the article, Family violence leaves genetic imprint on children:

A new Tulane University School of Medicine study finds that the more fractured families are by domestic violence or trauma, the more likely that children will bear the scars down to their DNA.
Researchers discovered that children in homes affected by domestic violence, suicide or the incarceration of a family member have significantly shorter telomeres, which is a cellular marker of aging, than those in stable households. The findings are published online in the latest issue of the journal Pediatrics.
Telomeres are the caps at the end of chromosomes that keep them from shrinking when cells replicate. Shorter telomeres are linked to higher risks for heart disease, obesity, cognitive decline, diabetes, mental illness and poor health outcomes in adulthood. Researchers took genetic samples from 80 children ages 5 to 15 in New Orleans and interviewed parents about their home environments and exposures to adverse life events….
The study found that gender moderated the impact of family instability. Traumatic family events were more detrimental to young girls as they were more likely to have shortened telomeres. There was also a surprising protective effect for boys: mothers who had achieved a higher level of education had a positive association with telomere length, but only in boys under 10.
Ultimately, the study suggests that the home environment is an important intervention target to reduce the biological impacts of adversity in the lives of young children, Drury said. http://www.sciencedaily.com/releases/2014/06/140617102505.htm?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+sciencedaily%2Ftop_news%2Ftop_science+%28ScienceDaily%3A+Top+Science+News%29&utm_content=FaceBook

Citation:

Family violence leaves genetic imprint on children
Date: June 17, 2014
Source: Tulane University
Summary:
Children in homes affected by violence, suicide, or the incarceration of a family member have significantly shorter telomeres -— a cellular marker of aging — than those in stable households. The study suggests that the home environment is an important intervention target to reduce the biological impacts of adversity in the lives of young children.
Journal Reference:
1. S. S. Drury, E. Mabile, Z. H. Brett, K. Esteves, E. Jones, E. A. Shirtcliff, K. P. Theall. The Association of Telomere Length With Family Violence and Disruption. PEDIATRICS, 2014; 134 (1): e128 DOI: 10.1542/peds.2013-3415

Here is the press release from Tulane University:

Study: Family violence leaves genetic imprint on children
June 16, 2014
Keith Brannon
Phone: 504-862-8789

kbrannon@tulane.edu
A new Tulane University School of Medicine study finds that the more fractured families are by domestic violence or trauma, the more likely that children will bear the scars down to their DNA.
Researchers discovered that children in homes affected by domestic violence, suicide or the incarceration of a family member have significantly shorter telomeres, which is a cellular marker of aging, than those in stable households. The findings are published online in the latest issue of the journal Pediatrics.
Telomeres are the caps at the end of chromosomes that keep them from shrinking when cells replicate. Shorter telomeres are linked to higher risks for heart disease, obesity, cognitive decline, diabetes, mental illness and poor health outcomes in adulthood. Researchers took genetic samples from 80 children ages 5 to 15 in New Orleans and interviewed parents about their home environments and exposures to adverse life events.
“Family-level stressors, such as witnessing a family member get hurt, created an environment that affected the DNA within the cells of the children,” said lead author Dr. Stacy Drury, director of the Behavioral and Neurodevelopmental Genetics Laboratory at Tulane. “The greater the number of exposures these kids had in life, the shorter their telomeres were – and this was after controlling for many other factors, including socioeconomic status, maternal education, parental age and the child’s age.”
The study found that gender moderated the impact of family instability. Traumatic family events were more detrimental to young girls as they were more likely to have shortened telomeres. There was also a surprising protective effect for boys: mothers who had achieved a higher level of education had a positive association with telomere length, but only in boys under 10.
Ultimately, the study suggests that the home environment is an important intervention target to reduce the biological impacts of adversity in the lives of young children, Drury said.

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

Related:

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 http://depression.about.com/od/child/Young_Children.htm

Psych Central’s Depression In Young Children http://depression.about.com/od/child/Young_Children.htm

Psychiatric News’ Study Helps Pinpoint Children With Depression
http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

Family Doctor’s What Is Depression? http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

WebMD’s Depression In Children http://www.webmd.com/depression/guide/depression-children

Healthline’s Is Your Child Depressed? http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

Medicine.Net’s Depression In Children http://www.onhealth.com/depression_in_children/article.htm

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.

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/

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‘Peer Counseling’ in schools

28 Apr

Moi wrote about a high school support program in Helping troubled children: The ‘Reconnecting Youth Program’:
Many children arrive at school with mental health and social issues. In School psychologists are needed to treat troubled children:

Mark Phillips, professor emeritus of secondary education at San Francisco State University wrote the article, School psychologists: Shortage amid increased need which discusses the need for psychological support in schools.
The adolescent suicide rate continues to rise, with each suicide a dramatic reminder that the lives of a significant number of adolescents are filled with anxiety and stress. Most schools have more than a handful of kids wrestling with significant emotional problems, and schools at all levels face an ongoing challenge related to school violence and bullying, both physical and emotional.
Yet in many schools there is inadequate professional psychological support for students.
Although statistics indicate that there is a significant variation from state to state (between 2005- and 2011 the ratio of students per school psychologist in New Mexico increased by 180%, while in the same period the ratio decreased in Utah by 34%), the overall ratio is 457:1. That is almost twice that recommended by the National Association of School Psychologists (NASP).
THE NASP noted a shortage of almost 9,000 school psychologists in 2010 and projected a cumulative shortage of close to 15,000 by 2020. Mental Health America estimates that only 1 in 5 children in need of mental health services actually receive the needed services. These gross statistics also omit the special need of under funded schools and the increased roles school psychologists are being asked to play….
Even with the psychological services that should be provided and often aren’t, schools can’t fully prevent suicides, acts of violence, bullying, or the daily stresses that weigh on kids shoulders. The malaise runs deeper and broader.
Still schools need more resources than they receive in order to provide more programs that actively identify and counsel those kids that need help. At the very least, they need to alleviate some of the stress these kids are experiencing and to help improve the quality of their daily lives. http://www.washingtonpost.com/blogs/answer-sheet/post/school-psychologists-shortage-amid-increased-need/2012/02/26/gIQAU7psdR_blog.html

It is important to deal with the psychological needs of children because untreated depression can lead to suicide. https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/ In addition to psychological programs, schools can offer other resources to help students succeed in school and in life.

Rebecca Jones of Ed News Colorado wrote about the Reconnecting Youth Program in the article, Reconnecting Youth program boosts teens.
http://www.ednewscolorado.org/2012/10/30/51106-reconnecting-youth-program-boosts-teens https://drwilda.com/2012/10/30/helping-troubled-children-the-reconnecting-youth-program/
Another model many schools are trying is peer counseling.

Evie Blad reported in the Education Week article, Schools Explore Benefits of Peer Counseling about peer counseling:

Schools in Baltimore, New York City, New Jersey, and North Carolina have used the program—created by the Princeton, N.J.-based Center for Supportive Schools—to boost attendance, academic persistence, and graduation rates.
At a time when schools are increasingly recognizing the important role social and emotional factors can play in academic success, leaders are wasting a valuable resource if they don’t enlist energetic students to help their peers, said Daniel F. Oscar, the president and chief executive officer of the Center for Supportive Schools.
“It becomes a very positive feedback loop where, by the act of helping the school out, that older student is in fact deepening his or her own education,” Mr. Oscar said. “Leadership is increasingly something that we don’t only expect from the person who has the top title in an organization. It’s something we expect from everyone.”
A study by researchers at Rutgers University in New Brunswick, N.J. published in the Journal of Educational Research found that Peer Group Connection had notable success raising graduation rates for Latino males.
Promising Signs
In a randomized control study, researchers tracked four-year graduation rates for 268 participating students at a high-poverty, mid-Atlantic, urban high school that is not named in the study. Of the program’s participants, 77 percent graduated high school in four years, compared with 68 percent of their nonparticipating peers. Latino males in the experimental group had an 81 percent graduation rate, compared to 63 percent in the control group.
Peer Group Connection is more successful than some other peer-mentoring efforts because it is integrated into the school day, incorporates several meetings with students’ families to reinforce lessons and supports, and requires buy-in from principals and teachers before a school implements the program, the researchers wrote.
The program employs a “train the trainer” model under which juniors and seniors complete a yearlong, credit-bearing leadership course where they practice group exercises and discussions. Older students also meet once a week with younger students to complete the exercises they practiced in class.
The class is led by teachers who received extensive training on the program, primarily through an 11-day course and a retreat with Center for Supportive Schools staff.
That training helps prepare teachers for a level of honesty they might not typically experience with students, said Sherry Barr, the vice president of the organization.
“When they go through it themselves and experience what it means to them to break down some of those barriers, that’s a very powerful experience,” Ms. Barr said. “They sort of leave transformed in the sense that they really want to have that experience with their students.”
As those teachers work with peer mentors in training, those discussions—often centered on experiences that can form hurdles for school completion and persistence—can be emotional.
On an April afternoon in Baltimore, peer leaders at the Academy for College and Career Exploration practiced how they would react to various text messages from peers, including nude photos and an angry message from a friend. Would they forward the photos to others? Would they respond to anger with anger?
“Keep it real,” teacher Candice Boone told senior Jada Davis, urging her to avoid simply telling adults in the room what she thought they’d want to hear about how she would respond to the hypothetical angry text message.
“You know I am,” Ms. Davis said, admitting that she “most likely would be going back and forth” with her friend if she got such a message.
Students also discussed the way girls are bullied and teased if they send a nude photo to a boyfriend, only to have it circulating on social media the next day. It’s a side of students teachers don’t always see, Ms. Boone said…. http://www.edweek.org/ew/articles/2014/04/23/29peerconnection.h33.html

The Center for Supportive Schools is one of the primary providers of training for peer counselors.

Here is what the Center for Supportive Schools says about Peer Counseling.

Peer Group Connection (PGC)
Through Peer Group Connection (PGC), CSS trains school faculty to teach leadership courses to select groups of older students, who in turn educate and support younger students. Our goal is to help schools enable and inspire young people to become engaged leaders who positively influence their peers. The CSS peer-to-peer student leadership model taps into schools’ most underutilized resources – students – and enlists them in strengthening the educational offerings of a school while simultaneously advancing their own learning, growth, and development.
Transition to High School
High School Juniors and Seniors Supporting Freshmen in Their Transition to High School
Peer Group Connection (PGC) for High Schools is an evidence-based program that supports and eases students’ successful transition from middle to high school. The program taps into the power of high school juniors and seniors to create a nurturing environment for incoming freshmen. Once per week, pairs of junior and senior peer leaders meet with groups of 10-14 freshmen in outreach sessions designed to strengthen relationships among students across grades. These peer leaders are simultaneously enrolled in a daily, for-credit, year-long leadership course taught by school faculty during regular school hours. PGC is CSS’s seminal peer leadership program, and has been implemented with a 70% sustainability rate in more than 175 high schools since 1979. A recently released, four-year longitudinal, randomized-control study conducted by Rutgers University and funded by the United States Department of Health and Human Services found that, among other major results, PGC improves the graduation rates of student participants in an inner city public school by ten percentage points and cuts by half the number of male students who would otherwise drop out.
http://supportiveschools.org/solutions/peer-group-connection/

Not all are supportive of peer counseling.

Andrew S. Latham wrote in the 1997 Education Leadership article, Research Link / Peer Counseling Proceed with Caution:

One of Lewis and Lewis’s concerns is that students serving as peer counselors are increasingly being asked to shoulder a burden that should be overseen only by trained, seasoned professionals. In a sobering study, the two researchers compared suicide rates among schools with no peer-led suicide-prevention program; schools with peer-led prevention programs overseen by a noncounselor (for example, a teacher or building administrator); and schools with peer-led prevention programs overseen by a certified counselor, psychologist, or social worker. Shockingly, the 38 schools with the noncounselor-led peer programs had the highest ratio of student suicides: Between 1991 and 1993, 11 of those 38 schools (29 percent) reported at least one suicide, as opposed to 7 of 55 schools (13 percent) with no prevention program at all, and just 5 of 65 schools (8 percent) with a counselor-led peer program….
Although Lewis and Lewis focus on suicide-prevention programs, we can extend this argument to other health and safety issues teens face, such as AIDS and drug and alcohol abuse. As teens confront the problems of the 1990s, they want concrete advice, not just an empathetic listener. Morey and colleagues (1993) confirmed this fact when they used a stepwise regression to identify factors that contribute to students’ satisfaction with peer counseling. Two such factors were “empathy and problem identification” and “empathy and problem solving,” indicating that students want help from peers who are willing to listen and understand their problems, and who can suggest ways to address those problems.
Professional Support Is Critical
These studies point to the need for students to receive extensive training and professional support both before and throughout their work with their peers. If such support is given, peer programs have tremendous potential.
A case in point: O’Hara and colleagues (1996) studied the effects of a student-led AIDS prevention program in an alternative school for at-risk youth. Following an initial interview, the peer counselors were trained over the course of eight weeks, including five classroom sessions, two retreats, and a trip to a local clinic for sexually transmitted diseases. Peer counselors with attendance problems were dropped from the program. Those who successfully completed the program then conducted two carefully structured large-group sessions with their peers, followed by two small-group sessions and various schoolwide activities. The results were impressive: pre- and post-intervention student surveys revealed that the number of students who intended to use condoms each time they had sex rose from 55 to 65 percent, while those reporting they had never used a condom dropped from 15 to 4 percent.
The lesson from these examples is that peer-led programs must be adopted carefully, particularly when dealing with the high-stakes problems that many teenagers face today. In fact, professional intervention may be preferable to peer support for potentially lethal issues, such as teen suicide…. http://www.ascd.org/publications/educational-leadership/oct97/vol55/num02/Peer-Counseling@-Proceed-with-Caution.aspx

For research on peer counseling programs, see http://www.cde.ca.gov/ls/cg/rh/counseffective.asp

Our goal as a society should be:

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

Related:

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/

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

Penn State study: Stress alters children’s genomes

8 Apr

Moi said 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.

Jyoti Madhusoodanan and Nature magazine reported in the Scientific American article, Stress Alters Children’s Genomes:

Growing up in a stressful social environment leaves lasting marks on young chromosomes, a study of African American boys has revealed. Telomeres, repetitive DNA sequences that protect the ends of chromosomes from fraying over time, are shorter in children from poor and unstable homes than in children from more nurturing families.
When researchers examined the DNA of 40 boys from major US cities at age 9, they found that the telomeres of children from harsh home environments were 19% shorter than those of children from advantaged backgrounds. The length of telomeres is often considered to be a biomarker of chronic stress.
The study, published today in the Proceedings of the National Academy of Sciences, brings researchers closer to understanding how social conditions in childhood can influence long-term health, says Elissa Epel, a health psychologist at the University of California, San Francisco, who was not involved in the research.
Participants’ DNA samples and socio-economic data were collected as part of the Fragile Families and Child Wellbeing Study, an effort funded by the National Institutes of Health to track nearly 5,000 children, the majority of whom were born to unmarried parents in large US cities in 1998–2000. Children’s environments were rated on the basis of their mother’s level of education; the ratio of a family’s income to needs; harsh parenting; and whether family structure was stable, says lead author Daniel Notterman, a molecular biologist at Pennsylvania State University in Hershey.
The telomeres of boys whose mothers had a high-school diploma were 32% longer compared with those of boys whose mothers had not finished high school. Children who came from stable families had telomeres that were 40% longer than those of children who had experienced many changes in family structure, such as a parent with multiple partners.
Genetic links
The link between stressful home environments and telomere length is moderated by genetic variants in pathways that process two chemical transmitters in the brain, serotonin and dopamine, the study found. Previous studies have correlated variants in some of the genes studied, such as TPH2, with depression, bipolar disorder and other mental-health issues. Variants of another gene, 5-HTT, reduce the amount of the protein that recycles serotonin in nerve synapses. Some alleles of these genes are thought to increase the sensitivity of carriers to external risks…. http://www.scientificamerican.com/article/stress-alters-childrens-genomes/?WT.mc_id=SA_Facebook

Citation:

Social disadvantage, genetic sensitivity, and children’s telomere length
1. Colter Mitchella,
2. John Hobcraftb,
3. Sara S. McLanahanc,1,
4. Susan Rutherford Siegeld,
5. Arthur Bergd,
6. Jeanne Brooks-Gunne,
7. Irwin Garfinkelf, and
8. Daniel Nottermand,g,1
Author Affiliations
Significance
This paper makes two contributions to research on the link between the social environment and health. Using data from a birth cohort study, we show that, among African American boys, those who grow up in highly disadvantaged environments have shorter telomeres (at age 9) than boys who grow up in highly advantaged environments. We also find that the association between the social environment and telomere length (TL) is moderated by genetic variation within the serotonin and dopamine pathways. Boys with the highest genetic sensitivity scores had the shortest TL when exposed to disadvantaged environments and the longest TL when exposed to advantaged environments. To our knowledge, this report is the first to document a gene–social environment interaction for TL, a biomarker of stress exposure.
Abstract
Disadvantaged social environments are associated with adverse health outcomes. This has been attributed, in part, to chronic stress. Telomere length (TL) has been used as a biomarker of chronic stress: TL is shorter in adults in a variety of contexts, including disadvantaged social standing and depression. We use data from 40, 9-y-old boys participating in the Fragile Families and Child Wellbeing Study to extend this observation to African American children. We report that exposure to disadvantaged environments is associated with reduced TL by age 9 y. We document significant associations between low income, low maternal education, unstable family structure, and harsh parenting and TL. These effects were moderated by genetic variants in serotonergic and dopaminergic pathways. Consistent with the differential susceptibility hypothesis, subjects with the highest genetic sensitivity scores had the shortest TL when exposed to disadvantaged social environments and the longest TL when exposed to advantaged environments.
gene–environment
adversity
senescence
Footnotes
↵1To whom correspondence may be addressed. E-mail: dan1@princeton.edu or mclanaha@princeton.edu.
Author contributions: C.M., J.H., S.S.M., J.B.-G., I.G., and D.N. designed research; C.M., J.H., S.S.M., J.B.-G., I.G., and D.N. performed research; S.R.S. and D.N. contributed new reagents/analytic tools; C.M., J.H., S.S.M., A.B., J.B.-G., I.G., and D.N. analyzed data; and C.M. and D.N. wrote the paper.
Reviewers: T.E.S., Geffen School of Medicine, University of California, Los Angeles; S.J.S., Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health.
The authors declare no conflict of interest.
This article contains supporting information online at http://www.pnas.org/lookup/suppl/doi:10.1073/pnas.1404293111/-/DCSupplemental.
Freely available online through the PNAS open access option.

Here is the press release from Penn State:

Disadvantaged environments affect genetic material, study finds
By Scott Gilbert
April 8, 2014
HERSHEY, Pa. — Children experiencing chronic stress from a disadvantaged life have shorter telomeres than their advantaged peers, according to a study led by Dr. Daniel Notterman, vice dean for research and graduate studies, and professor of pediatrics, and biochemistry and molecular biology at Penn State College of Medicine.
Telomeres are DNA sequences at the end of each chromosome that protect the ends of the chromosomes from damage. They vary in length per person and shrink as a person ages, a process that may be linked to health and disease.
The negative health effects of long-term chronic stress may be connected to the shortening of telomeres. Telomeres shorten faster in individuals experiencing chronic stress, such as that from living in a disadvantaged environment.
Notterman and colleagues studied genetic information from 40 9-year-old African-American boys.
Boys from disadvantaged environments had shorter telomeres than peers in the study who were not. In addition, the effect of environment on telomere length was mediated by genes involved with the function of two neurotransmitters, dopamine and serotonin. Neurotransmitters help transmit signals between brain cells and send information throughout the body.
For boys with genetic variants of dopamine or serotonin pathways that conferred greater sensitivity to environmental signals associated with stress, those from disadvantaged environments had the shortest telomeres, and those from advantaged environments had the longest.
The results suggest a link between genetic factors and social environment associated with changing telomere length and provides a biomarker for chronic stress exposure in children as young as 9, according to the authors.
Researchers also from Penn State College of Medicine are Arthur Berg, associate professor of biostatistics and bioinformatics, and Sue Siegel, assistant professor of biochemistry and molecular biology.
The study is published in Proceedings of the National Academy of Sciences (PNAS) and was supported by the National Institutes of Health-National Institute of Child Health and Human Development, and the Penn State Clinical and Translational Science Institute. For more information, visit PNAS’s Early Edition.
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….
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…”
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:

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

Related:

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:
1. About.Com’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

2. Psych Central’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

3. Psychiatric News’ Study Helps Pinpoint Children With Depression http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

4. Family Doctor’s What Is Depression?
http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

5. WebMD’s Depression In Children
http://www.webmd.com/depression/guide/depression-children

6. Healthline’s Is Your Child Depressed?
http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

7. Medicine.Net’s Depression In Children
http://www.onhealth.com/depression_in_children/article.htm

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.

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

University of Cambridge study: Saliva test may detect depression in kids

23 Feb

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.

Anna M. Phillips wrote 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?h
pw

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

Catherine de Lange reported in the New Scientist Health article, Spit test could allow depression screening at school:

A few globs of spit and a questionnaire could be all that’s needed to identify some teenagers who have a high risk of developing depression. That is the upshot of a study finding that teenage boys with elevated levels of the stress hormone cortisol, as well as depressive symptoms, can be 14 times more likely to become depressed later on.
It’s the first biological flag to accurately predict the risk of an individual going on to develop depression, says Barbara Sahakian at the University of Cambridge, one of the study’s authors.
The finding could lead to new pharmacological treatments for depression and could change the way schools deal with the condition. Teenagers could be screened for the biomarker and those at risk provided with targeted treatments.
Early predictor
Around the world, depression is one of the leading causes of disability. It takes hold early in life: half of all cases begin by age 14, three-quarters by 24.
“Given that we know more teenagers are getting depressed, we should be looking actively for people who are developing problems and treating them early and effectively,” Sahakian says.
Her team measured morning levels of cortisol over three days in 660 teenagers aged between 13 and 18. Elevated levels of this hormone have previously been implicated in depression. The team also recorded any pre-clinical depressive symptoms the teens reported over a year, such as tearfulness or lack of motivation. The study was later repeated in a group of about 1200 teens.
Teenage boys who reported high levels of depressive symptoms, and had high levels of cortisol, were more likely to have become clinically depressed over the next three years than any other combination. Those in this high risk group were 14 times more likely to go on to develop depression than the lowest-risk group, those who had neither high levels of cortisol nor depressive symptoms. Seventeen per cent of teens fell into this group but cortisol levels were not more useful than depression symptoms alone in pinpointing at-risk girls.
School intervention
Sahakian says screening pupils would be easy to do and beneficial, even if there were social stigma associated with identifying people who had a high risk of developing depression. “It’s better than leaving them alone in their bedrooms to get worse and worse,” she says. Screening could be carried out using saliva samples collected over a few days and students could fill out the questionnaire by themselves.
A study in the BMJ in 2012 found that having a professional therapist teach cognitive behavioural therapy (CBT) techniques to an entire class was no more effective than having the teacher give their usual personal social and health education classes, in terms of the effect on pupils’ well-being. But the hope is that screening would allow for targeted treatment.
Talking therapies such as CBT may also not be the best thing for boys, says Sahakian, because boys tend to respond better to visual techniques.
Screening could be a better way to allocate limited resources, says Carmine Pariante of the Institute of Psychiatry at King’s College London. Teenage years are a time of emotional turmoil, when pre-clinical symptoms of depression are likely to be common. “If you help all of the [people you see like this] you end up giving treatment and emotional support to those who might be alright,” he says. http://www.newscientist.com/article/dn25071-spit-test-could-allow-depression-screening-at-school.html#.UwcEwRzvqgk.email

Citation:

Elevated morning cortisol is a stratified population-level biomarker for major depression in boys only with high depressive symptoms
1. Matthew Owensa,b,
2. Joe Herbertc,
3. Peter B. Jonesa,b,
4. Barbara J. Sahakiand,
5. Paul O. Wilkinsona,
6. Valerie J. Dunna,b,
7. Timothy J. Croudacee, and
8. Ian M. Goodyera,b,1
Author Affiliations
1. Edited by Bruce S. McEwen, The Rockefeller University, New York, NY, and approved January 10, 2014 (received for review October 4, 2013)
1. Abstract
2. Authors & Info
3. SI
4. Metrics
5. PDF
6. PDF + SI
Significance
Clinical depression is a severe and common illness, characterized primarily by persistent low mood and lack of pleasure in usually enjoyable activities, that results in significant impairment in everyday living. It also involves alterations in cognitive and hormonal functions. There is substantial variation between depressed individuals in terms of the causes and therapeutic response, making it difficult to identify those most likely to benefit from intervention and treatment. We derived subtypes of adolescents in the population based on different levels of the hormone cortisol and subclinical depressive symptoms. A group (17%) with both high levels of cortisol and depressive symptoms of both sexes had more depressed thinking. Boys in this group were at high risk for clinical depression.
Abstract
Major depressive disorder (MD) is a debilitating public mental health problem with severe societal and personal costs attached. Around one in six people will suffer from this complex disorder at some point in their lives, which has shown considerable etiological and clinical heterogeneity. Overall there remain no validated biomarkers in the youth population at large that can aid the detection of at-risk groups for depression in general and for boys and young men in particular. Using repeated measurements of two well-known correlates of MD (self-reported current depressive symptoms and early-morning cortisol), we undertook a population-based investigation to ascertain subtypes of adolescents that represent separate longitudinal phenotypes. Subsequently, we tested for differential risks for MD and other mental illnesses and cognitive differences between subtypes. Through the use of latent class analysis, we revealed a high-risk subtype (17% of the sample) demarcated by both high depressive symptoms and elevated cortisol levels. Membership of this class of individuals was associated with increased levels of impaired autobiographical memory recall in both sexes and the greatest likelihood of experiencing MD in boys only. These previously unidentified findings demonstrate at the population level a class of adolescents with a common physiological biomarker specifically for MD in boys and for a mnemonic vulnerability in both sexes. We suggest that the biobehavioral combination of high depressive symptoms and elevated morning cortisol is particularly hazardous for adolescent boys.
• adolescence
gender differences
Footnotes
• 1To whom correspondence should be addressed. E-mail: ig104@cam.ac.uk.
• Author contributions: J.H., P.B.J., B.J.S., V.J.D., T.J.C., and I.M.G. designed research; V.J.D., J.H., P.B.J., T.J.C., M.O., and I.M.G. performed research; M.O., T.J.C., and I.M.G. analyzed data; and M.O., J.H., P.B.J., B.J.S., P.O.W., V.J.D., T.J.C., and I.M.G. wrote the paper.
• Conflict of interest statement: B.J.S. consults for Cambridge Cognition Ltd.
• This article is a PNAS Direct Submission.
• This article contains supporting information online at http://www.pnas.org/lookup/suppl/doi:10.1073/pnas.1318786111/-/DCSupplemental.

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.

Related:

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:

1. About.Com’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

2. Psych Central’s Depression In Young Children
http://depression.about.com/od/child/Young_Children.htm

3. Psychiatric News’ Study Helps Pinpoint Children With Depression
http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=106034

4. Family Doctor’s What Is Depression?
http://familydoctor.org/familydoctor/en/diseases-conditions/depression.html

5. WebMD’s Depression In Children
http://www.webmd.com/depression/guide/depression-children

6. Healthline’s Is Your Child Depressed?
http://www.healthline.com/hlvideo-5min/how-to-help-your-child-through-depression-517095449

7. Medicine.Net’s Depression In Children
http://www.onhealth.com/depression_in_children/article.htm

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: , , , , , , ,

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:

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.

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:

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

Related:

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:

  1. About.Com’s Depression In Young Children
  2. Psych Central’s Depression In Young Children
  3. Psychiatric News’ Study Helps Pinpoint Children With Depression
  4. Family Doctor’s What Is Depression?
  5. WebMD’s Depression In Children
  6. Healthline’s Is Your Child Depressed?
  7. 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.

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: , , , , , , ,

Schools have to deal with depressed and troubled children

15 Nov

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.

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.

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.

Resources:

  1. About.Com’s Depression In Young Children
  2. Psych Central’s Depression In Young Children
  3. Psychiatric News’ Study Helps Pinpoint Children With Depression
  4. Family Doctor’s What Is Depression?
  5. WebMD’s Depression In Children
  6. Healthline’s Is Your Child Depressed?
  7. 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.

Dr. Wilda says this about that ©

 

Tags: , , , ,