Research Links Television Viewing and Attention Problems in Children
Abstract:
Heather Lauria
Americans live in an over-stimulated environment. Television, video games and other electronic devices are the culprits. According to an A.C. Nielsen Co. study conducted in 2007, the average American will watch over four hours of television per day. That statistic translates to nine years of television watching for a person who lives to 65 years old or 250 billion hours a year watched in America alone. A.C. Nielsen Co. also reports that children average 1,680 minutes of television per week versus the three and a half minutes they spend per week in meaningful conversation with their parents.
Over the course of a year, a child will spend over 1,000 hours in school and approximately 1,500 hours sitting in front of the television. With 99 percent of households owning one television set and 66 percent with three or more sets, its no wonder that a parents natural instinct has become putting their child in front of the television from a very early age. But have parents seriously thought or understood what effect this television watching will have on their children?
Researchers agree that the unsuspectingly harmless television set sitting in the living room may lead to increased aggression in children, but research has also found that television watching is connected to Attention-Deficit Hyperactivity Disorder (ADHD) cases in children. ADHD is a neurobehavioral developmental disorder. It is usually diagnosed during childhood, but may also reveal its symptoms in adolescence and adulthood. Symptoms can include, but are not limited to, inattention and concentration problems, hyperactivity, forgetfulness and short-term memory loss, procrastination, and poor impulse control. People with ADHD do not necessarily exhibit all symptoms.
A study, done at Childrens Hospital and Regional Medical Center in Seattle, on more than 2,000 children revealed that for every hour watched at ages one and three, the children had an almost 10 percent higher chance of developing attention problems that could become ADHD by the time the child reached seven years old. Toddlers who watched three hours daily tripled their risk to 30 percent more likely to be diagnosed with ADHD.
Children between the ages of one and three are developing neural pathways in their brains in a completely unique way. When babies and toddlers are exposed to the over stimulation of television, the forming of these pathways is interfered with. These babies minds are wired differently than a normal babys mind. TV can cause the developing mind to experience unnatural levels of stimulation, says Dr. Dimitri Christakis, lead researcher and director of the Child Health Institute at Childrens Hospital and Regional Medical Center and associate professor at the University of Washington School of Medicine. The quick scene shifts of video images seem normal to TV tots. Such a fast-paced world is not reality. As these children grow they expect the same rapidity from school as they found earlier in life from the television.
In a world where parents are constantly over-stressed and overworked, sitting a child in front of a television for a couple hours a day can almost seem like a vacation for mommy and daddy, but at what cost? Baby Einstein and Teletubbies do their jobs at keeping children occupied but thats about it. Not even these shows and videos, produced solely for entertaining and educating young children, are safe. Each hour has an additional risk. You might say theres no safe level since theres a small but increased risk with each hour, says Frederick Zimmerman of the University of Washington, Seattle.
Researchers agree television for babies and toddlers may be detrimental to their development but for now, the decision as to whether or not these young children will sit in front of a TV screen remains with their parents. Things are a trade-off. Some parents might want to take that risk. We didnt find a safe level in that sense, says Zimmerman.
When Does Hoarding Cross Line into an Anxiety Disorder?
Abstract:
Aaron Levin
Hoarding may be a psychiatric symptom, but is it just one partof obsessive-compulsive disorder or does it stand alone?
Since the dawn of hunting and gathering, some people have alwaysgathered more than others and just couldn't bear to part with it.
When such behavior crosses the line from the eccentric intothe DSM-IV realm, it becomes a symptomhoardingthe compulsionto acquire objects coupled with an unwillingness to discard them.
Hoarding may occur in connection with a number of psychiatricdisorders, but it is most commonly associated with obsessive-compulsivedisorder (OCD). Perhaps 30 percent to 40 percent of people withOCD have hoarding symptoms. Specialists argue over the relationshipbetween OCD and hoarding. Is the latter merely a symptom ofthe former, or should the two be considered separate syndromes?
"There's a real discussion in the field about where hoarding goes,"said Jack Samuels, Ph.D., a psychiatric epidemiologist and an assistantprofessor of psychiatry at Johns Hopkins, in an interview with PsychiatricNews. "People with OCD and hoarding have more severe symptoms,show more symmetry or ordering obsessions, and respond less wellto treatment than those who hoard but do not have OCD."
Recent studies have sought answers from several directions.In the March 2007 American Journal of Psychiatry, Samuels and colleaguesfrom five other sites published a genetic study of 219 families withOCD-affected sibling pairs and their first- and second-degreerelatives. They found a significant linkage on chromosome 14to compulsive hoarding behavior when they compared familieswith at least two hoarding relatives with families with onlyone or no hoarders. Other researchers have found linkages onchromosome 9 and chromosome 3.
Neuroimaging shows varying results too. "Obsessive-compulsive hoardingmay be a neurobiologically distinct subgroup or variant of OCDwhose symptoms and poor response to antiobsessional treatmentare mediated by lower activity in the cingulate cortex," wroteSanjaya Saxena, M.D., and colleagues in the June 2004 AmericanJournal of Psychiatry.
A more recent study, in the January 8 Molecular Psychiatry,by David Mataix-Cols, M.D., and colleagues found that when challenged,OCD patients with prominent hoarding symptoms showed greateractivation in the bilateral anterior ventromedial prefrontalcortex than did patients without hoarding symptoms and healthycontrols.
Now a group of researchers from Spain and the United Kingdomreports on a study of 163 individuals who exhibited hoardingbehavior with and without OCD, OCD without hoarding, plus controlsubjects with anxiety but without either hoarding or OCD andhealthy controls. An initial group of severe hoarders was dividedinto two groups, those with and those without OCD.
Patients who had "OCD plus hoarding," "hoarding minus OCD,"or "OCD minus hoarding" were more likely to have relatives withOCD than were the anxiety and healthy control groups, wrote AlbertoPertusa, M.D., of the Division of Psychological Medicine atKing's College London, Institute of Psychiatry, and colleagues(including Mataix-Cols) in the May 15 AJP in Advance. It isscheduled to appear in the print edition of the American Journalof Psychiatry in September.
Hoarding seemed to run in families, wrote Pertusa. "More thanhalf of the participants in each of the two hoarding groupsreported having at least one relative with significant hoardingbehavior."
Hoarders with OCD were more likely to collect "bizarre" items, likefeces, urine, hair, or rotten food than were hoarders withoutOCD.Between 70 percent and 74 percent of both groups reported thatclutter filled most living spaces in their homes. The two groupssaid they started hoarding at about age 20, often after sometraumatic event.
Hoarders without OCD said they collected items because theywere valuable, might come in handy later, or had sentimentalvalue. However, 28 percent of hoarders with OCD said they fearedthat something catastrophic would happen to them if they discardedan item.
Social phobia was more common in the two hoarding groups thanin the "OCD minus hoarding" group, and the two OCD groups hadmore generalized anxiety disorder than did hoarders withoutOCD.
"In most cases, compulsive hoarding appears to be a separatesyndrome from OCD, which is associated with substantial levelsof disability and social isolation," concluded Pertusa. "[Ourfindings] support the idea of compulsive hoarding being a distinctclinical syndrome, which is highly comorbid with OCD as wellas with other forms of psychopathology, like social phobia."
As preparations get under way for DSM-V, due to be publishedby APA in 2012, researchers in the field hope to define theboundaries between OCD and hoarding to better diagnose patientswith either or both sets of symptoms.
"Now is the time to revisit diagnoses that are uncertain," said Samuels."These studies all have implications not only for clarifying diagnosisbut eventually for treatment as well."
Chronic Depression (Dysthymia): The Signs, Symptoms and Treatment
Abstract:
What Causes Dysthymia?
Experts are not sure what causes dysthymia. This form of chronic depression is thought to be related to brain changes that involve serotonin, a chemical or neurotransmitter that aids your brain in coping with emotions. Major life stressors, chronic illness, medications, and relationship or work problems may also increase the chances of dysthymia.
What Are the Signs and Symptoms of Dysthymia?
The symptoms of dysthymia are the same as those of major depression but not as intense and include the following:
Persistent sad or empty feeling
Difficulty sleeping (sleeping too much or too little)
Insomnia (early morning awakening)
Feelings of helplessness, hopelessness, and worthlessness
Feelings of guilt
Loss of interest or the ability to enjoy oneself
Loss of energy or fatigue
Difficulty concentrating, thinking or making decisions
Changes in appetite (overeating or loss of appetite)
Observable mental and physical sluggishness
Persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
Thoughts of death or suicide
Is Dysthymia Common in the U.S.?
According to the National Institute of Mental Health, approximately 10.9 million Americans aged 18 and older are affected by dysthymia. While not disabling like major depression, dysthymia can keep you from feeling your best and functioning optimally. Dysthymia can begin in childhood or in adulthood and seems to be more common in women.
How Is Dysthymia Diagnosed?
A mental health specialist generally makes the diagnosis based on the person's symptoms. In the case of dysthymia, these symptoms will have lasted for a longer period of time and be less severe than in patients with major depression.
With dysthymia, your doctor will want to make sure that the symptoms are not a result of substance abuse or a medical condition, such as hypothyroidism. Also, the depression and other symptoms should cause clinically significant distress or impairment in social, occupational, or other important areas of your life.
If you are depressed and have had depressive symptoms for more than two weeks, see your doctor or a psychiatrist. Your provider will perform a thorough medical evaluation, paying particular attention to your personal and family psychiatric history.
There is no blood, X-ray or other laboratory test that can be used to diagnose dysthymia.
How Is Dysthymia Treated?
While dysthymia is a serious illness, its also very treatable. As with any chronic illness, early diagnosis and medical treatment may reduce the intensity and duration of depression symptoms and also reduce the likelihood of a relapse.
To treat dysthymia, doctors may use psychotherapy (counseling), medications such as antidepressants, or a combination of these therapies. Often, dysthymia can be treated by a primary care physician.
What Is Psychotherapy?
Psychotherapy (or talk therapy) is used in dysthymia and other mood disorders to help the person develop appropriate coping skills to deal with everyday life. Psychotherapy can also help increase compliance to medication and healthy lifestyle habits, as well as help the patient and family understand the mood disorder. You may benefit from one-on-one therapy, family therapy, group therapy, or a support group with others who suffer with chronic depression.
How Do Antidepressants Help Ease Dysthymia?
There are different classes of antidepressants available to treat dysthymia. Your doctor will assess your physical and mental health, including any other medical condition, and then find the antidepressant that is most effective with the least side effects.
Antidepressants may take several weeks to work optimally. They should be taken for at least six to nine months after an episode of chronic depression. In addition, it takes several weeks to go off an antidepressant, so let your doctor guide you if you choose to stop the drug.
Sometimes antidepressants have uncomfortable side effects. As an example, the SSRIs may cause mild insomnia and reduced sex drive. Thats why you have to work closely with your doctor to find the antidepressant that gives you the most benefit with the least side effects.
Are There Other Treatments Available for Dysthymia?
Your doctor can explain other treatments for dysthymia and major depression. Some people with seasonal depression find good relief with light therapy. Electroconvulsant therapy (ECT) is another treatment that may be used if major depression isn't responding to antidepressant medications. If you are experiencing manic (highly elated) episodes along with the chronic depression, your doctor may want to try a mood-stabilizing drug, such as lithium, or an anticonvulsant.
What Else Can I Do to Feel Better?
Getting an accurate diagnosis and effective treatment is a major step in feeling better with chronic depression. In addition, ask your doctor about the benefits of healthy lifestyle habits such as eating a well-balanced diet, getting regular exercise, avoiding alcohol and smoking, and being with close friends and family members for strong social support. These positive habits are also important in improving mood and well-being.
Can Dysthymia Worsen?
Its not uncommon for a person with dysthymia to also experience major depression at the same time -- swinging into a major depressive episode and then back to a more mild state of dysthymia. This is called double depression. Thats why its so important to seek an early and accurate medical diagnosis. Your doctor can then recommend the most effective treatment to help you feel yourself again.
Freedom From Fear''s film, "The Pain of Depression: A Journey through the Darkness" Receives 2008 Voice Awards Honorable Mention
Abstract:
The Voice Awards honor writers and producers who have given a voice to people with mental health problems by incorporating dignified, respectful, and accurate portrayals of these people into film and television productions.
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Sponsored by the Substance Abuse and Mental Health Services Administration, the Voice Awards also acknowledge the tireless efforts of advocates who are working to reduce the stigma and discrimination associated with mental illnesses.
The Pain of Depression: A Journey through the Darkness explores the physical and psychological challenges of depression, whose symptoms range from insomnia to debilitating fatigue. Compelling stories from depression sufferers capture the illness devastating impact on their families, friends and communities.
This informative documentary was produced and written by Mary Guardino, Founder and Executive Director of Freedom From Fear and sponsored by the organization. It has aired on over 250 television stations nationwide and takes viewers on a journey to understand depression through the first-hand experiences of three people. Their family members and friends express their early misconceptions about the illness and recall how their loved ones fought depression with counseling, medication and lifestyle changes.
Throughout the film, nationally recognized experts from the University of Pennsylvania, Columbia University, New York States Psychiatric Institute and the Hispanic Treatment Program at New YorkStates Psychiatric Institute discuss the cutting-edge research and theories about depression: its neurophysiology, symptoms, treatments and the role of family and friends in an individual's recovery. The documentary also touches upon the stigma of mental illness within various ethnic communities, including Latinos, and details the need for a customized treatment plans for these populations.
Your Body May Know You Are Depressed Before You Do
Abstract:
Often people dont understand the physical symptoms of depression. Knowing all the signs and symptoms can greatly improve your health.
Do you suffer from any of the following physical symptoms?
Headaches
Back Pain
Trouble Concentrating
Restlessness, Irritability
Sleeplessness, Fatigue
Joint or Muscle Pains
Digestive Problems
Feeling Sad or Blue
Did you know?
Anxiety disorders and depression manifest themselves in individuals with symptoms of pain. The most common symptoms are joint and back pain, fatigue, insomnia, headaches and dizziness.
80% of people suffering from anxiety or depression complain of physical symptoms.
The mind and body work together, when they are not in sync difficulties can develop.
When seeking help it is important to inform your healthcare provider about your emotional state.
Often x-rays, blood work or diagnostic procedures cannot diagnose some types of pain. But the pain is real, impairing and distressing to both body and mind.
Cut Stress by Anticipating Laughter? A Quick Feel Good Article
Abstract:
Researchers Say Merely Anticipating a Laugh Can Jump-Start Healthy Changes in Body
By Kelley Colihan WebMD Medical News
OK, take a deep breath. Now put your hand on your belly. Imagine your stomach jiggling, as if you were starting to laugh. You may have just taken a step toward reducing stress hormone levels.
The findings come from a small study, made up of 16 healthy men. The men were divided into two groups. The experimental group was told to anticipate something funny. The other group was used as a comparison.
Researchers then tested the levels of three stress hormones participants had in their blood and compared that to the control group, which did not expect a laugh was on the way.
Researchers found that the group anticipating the laughs had reduced levels of three stress hormones compared to the other group.
Here's the breakdown from the experimental group.
Cortisol levels dipped 39%. Cortisol is known as a major stress hormone.
Adrenaline levels dropped 70%. Adrenaline is also known as epinephrine.
Dopac levels dropped 38%. Dopac is a chemical related to the "feel-good" chemical known as dopamine.
Persistently elevated stress hormone levels in the blood, as happens under chronic stressful situations, has been linked to a weakened immune system.
"Our findings lead us to believe that by seeking out positive experiences that make us laugh we can do a lot with our physiology to stay well," says researcher Lee Berk in a news release.
The researchers were following up on a similar study they did two years ago in which they found that anticipating laughter led to an increase in healthful chemicals such as beta-endorphins.
Visit our bookstore to order a copy of Healing Through Humor: a book containing fabulous jokes, anecdotes, and mind twisters to speed healing to your heart and soul.
Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive. Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to gain reassurance from others or try to convince them of their imperfections. They often have difficulty controlling the negative thoughts about their appearance and often have poor insight or awareness of their problem. Individuals with BDD frequently try to hide their defect with make-up, sunglasses, clothing, etc. Some engage in excessive grooming behaviors (e.g., combing hair or picking at their skin) to remove imperfections. These rituals may take several hours per day and usually only provide temporary relief. Some BDD patients will seek cosmetic surgery or dermatological treatment for their perceived defects but will usually find only temporary relief, as BDD patients are typically dissatisfied with the outcome of their procedures. BDD can result in significant distress (e.g., anxiety or depression) and impairment in ones social life, relationships, employment, schoolwork, and overall functioning. People with BDD often avoid dating, miss school or work, and feel overly self-conscious in social situations. Though the severity of BDD varies, in general, patients have a very poor quality of life. While some BDD sufferers experience manageable distress, others find the disorder to be tormenting. Left untreated, such torment can lead to hospitalizations and suicide. -HOW TO DETERMINE IF YOU HAVE BDD?
If you answer yes to several of the following questions you may have BDD. Please note that the questions cannot provide you with a final diagnosis of BDD.
Do you worry a lot about your appearance? Do you consider any part or parts of your body especially unattractive? Do you spend a lot of time thinking about your defect(s)? At least one hour per day? Do your appearance concerns interfere with your work or social life? Do you repetitively check your appearance in mirrors or go to great lengths to avoid mirrors? Do you often ask people for reassurance about how you look? Do you spend a lot of money on make-up, cosmetics, etc., to camouflage your flaws? Do you often compare your appearance to that of others? Do you pick at your skin? Have you had repeated cosmetic surgeries?
BDD usually begins during adolescence and tends to be chronic. Though the disorder is currently diagnosed equally among men and women, it is frequently misdiagnosed or undiagnosed for a number of reasons. Many BDD sufferers are embarrassed by and ashamed of their symptoms and, therefore, have difficulty revealing them to others. There is also a lack of familiarity with BDD among healthcare professionals. The majority of physicians are unaware of the disorder. Misdiagnosis can also occur because BDD produces symptoms similar to those of a number of other psychiatric problems, including anorexia, obsessive-compulsive disorder, trichotillomania (compulsive hair pulling), social phobia, and others. In addition, several BDD patients see dermatologists, plastic surgeons, and other physicians rather than mental health professionals and, therefore, do not receive proper treatment.
-HOPE There is hope for BDD sufferers. Studies have shown that when treated with cognitive-behavioral therapy and/or medication patients have shown a significant improvement in symptoms and overall functioning.
Source: Massachusetts General Hospital, Link: http://www.massgeneral.org/bdd/pages/bddInfo.htm
Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive. Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to gain reassurance from others or try to convince them of their imperfections. They often have difficulty controlling the negative thoughts about their appearance and often have poor insight or awareness of their problem. Individuals with BDD frequently try to hide their defect with make-up, sunglasses, clothing, etc. Some engage in excessive grooming behaviors (e.g., combing hair or picking at their skin) to remove imperfections. These rituals may take several hours per day and usually only provide temporary relief. Some BDD patients will seek cosmetic surgery or dermatological treatment for their perceived defects but will usually find only temporary relief, as BDD patients are typically dissatisfied with the outcome of their procedures. BDD can result in significant distress (e.g., anxiety or depression) and impairment in ones social life, relationships, employment, schoolwork, and overall functioning. People with BDD often avoid dating, miss school or work, and feel overly self-conscious in social situations. Though the severity of BDD varies, in general, patients have a very poor quality of life. While some BDD sufferers experience manageable distress, others find the disorder to be tormenting. Left untreated, such torment can lead to hospitalizations and suicide.
-HOW TO DETERMINE IF YOU HAVE BDD?
If you answer yes to several of the following questions you may have BDD. Please note that the questions cannot provide you with a final diagnosis of BDD.
Do you worry a lot about your appearance? Do you consider any part or parts of your body especially unattractive? Do you spend a lot of time thinking about your defect(s)? At least one hour per day? Do your appearance concerns interfere with your work or social life? Do you repetitively check your appearance in mirrors or go to great lengths to avoid mirrors? Do you often ask people for reassurance about how you look? Do you spend a lot of money on make-up, cosmetics, etc., to camouflage your flaws? Do you often compare your appearance to that of others? Do you pick at your skin? Have you had repeated cosmetic surgeries?
BDD usually begins during adolescence and tends to be chronic. Though the disorder is currently diagnosed equally among men and women, it is frequently misdiagnosed or undiagnosed for a number of reasons. Many BDD sufferers are embarrassed by and ashamed of their symptoms and, therefore, have difficulty revealing them to others. There is also a lack of familiarity with BDD among healthcare professionals. The majority of physicians are unaware of the disorder. Misdiagnosis can also occur because BDD produces symptoms similar to those of a number of other psychiatric problems, including anorexia, obsessive-compulsive disorder, trichotillomania (compulsive hair pulling), social phobia, and others. In addition, several BDD patients see dermatologists, plastic surgeons, and other physicians rather than mental health professionals and, therefore, do not receive proper treatment.
-HOPE
There is hope for BDD sufferers. Studies have shown that when treated with cognitive-behavioral therapy and/or medication patients have shown a significant improvement in symptoms and overall functioning.
Body Dysmorphic Disorder (BDD) is a mental disorder characterized by a severe preoccupation with a perceived defect in ones appearance. Any body part can be the focus of ones concern. Individuals with BDD frequently have face-related preoccupations (e.g., their nose is too big or their eyes are too small). Some patients may worry about their hair or skin (e.g., that their hair is thinning or that their skin is scarred). Often, people with facial or skin concerns pick at their skin. Some BDD sufferers have concerns involving body symmetry. Others have muscle dysmorphia, where they worry that they are not muscular enough or that they are small and weak. Most of these concerns are imaginary, but if a slight defect is in fact present the concern is regarded as overly excessive. Individuals with BDD spend a great deal of time at least one hour a day - thinking about their perceived appearance flaws. Commonly, BDD patients will repetitively check their minor or imagined flaw in mirrors. In other cases, patients will often go to great lengths to avoid mirrors. Individuals with BDD may attempt to