Some children are more likely to suffer depression long after being bullied

July 1, 2019

Science Daily/University of Bristol

Some young adults who were bullied as a child could have a greater risk of ongoing depression due to a mix of genetic and environmental factors according to a new study from the University of Bristol.

Researchers wanted to find out what factors influenced depression in young adults between the ages of 10 and 24 and why some people responded differently to risk factors such as bullying, maternal postnatal depression, early childhood anxiety and domestic violence.

Using detailed mood and feelings questionnaires and genetic information from 3,325 teenagers who are part of Bristol's Children of the 90s study, alongside evidence of these risk factors at nine points in time they found that childhood bullying was strongly associated with trajectories of depression that rise at an early age. Children who continued to show high depression into adulthood were also more likely to have genetic liability for depression and a mother with postnatal depression. However, Children who were bullied but did not have any genetic liability for depression showed much lower depressive symptoms as they become young adults.

University of Bristol PhD student Alex Kwong commented: "Although we know that depression can strike first during the teenage years we didn't know how risk factors influenced change over time. Thanks to the Children of the 90s study, we were able to examine at multiple time points the relationships between the strongest risk factors such as bullying and maternal depression, as well as factors such as genetic liability.

"It's important that we know if some children are more at risk of depression long after any childhood bullying has occurred. Our study found that young adults who were bullied as children were eight times more likely to experience depression that was limited to childhood. However, some children who were bullied showed greater patterns of depression that continued into adulthood and this group of children also showed genetic liability and family risk.

"However, just because an individual has genetic liability to depression does not mean they are destined to go on and have depression. There are a number of complex pathways that we still don't fully understand and need to investigate further.

"The next steps should continue to look at both genetic and environmental risk factors to help untangle this complex relationship that would eventually help influence prevention and coping strategies for our health and education services."

Lecturer in Psychiatric Epidemiology at the University of Bristol Dr Rebecca Pearson added: "The results can help us to identify which groups of children are most likely to suffer ongoing symptoms of depression into adulthood and which children will recover across adolescence. For example, the results suggest that children with multiple risk factors (including family history and bullying) should be targeted for early intervention but that when risk factors such as bullying occur insolation, symptoms of depression may be less likely to persist"

Karen Black, Chief Executive Officer for Bristol's Off the Record added: "At Off The Record we see a diverse mix of young people presenting with a range of needs, often depression and anxiety. Understanding some of the factors that influence this will further help us to shape services and our offer for young people. I would also hope that studies such as these will help change policy direction and spending so that we start to get upstream of the issues that we know affect mental health including education and family, prevention rather than cure ideally."

https://www.sciencedaily.com/releases/2019/07/190701144454.htm

Weak upper and lower body physical performance associated with depression and anxiety

New study confirms elevated depressive and/or anxiety symptoms in midlife women with limited physical strength and activity

June 5, 2019

Science Daily/The North American Menopause Society (NAMS)

Physical fitness is associated with a number of key health outcomes, including heart disease, cognition, mortality, and an overall feeling of well-being. A new study from Singapore now links physical performance with mental health and emotions, suggesting that weak upper and lower body fitness can cause more serious depression and anxiety in midlife women. Results are published online today in Menopause, the journal of The North American Menopause Society (NAMS).

Although several studies have previously linked depression in midlife women with self-reported low physical activity, this new study is the first known (even in Western populations) to evaluate objective measures of physical performance in relation to depression and anxiety in premenopausal, perimenopausal, and postmenopausal women.

Depression and anxiety are prevalent symptoms experienced by midlife women. This latest study of more than 1,100 women aged 45 to 69 years found, in fact, that 15% of participants, especially those of younger age, reported depression and/or anxiety. Because depression can cause disability, reduced quality of life, mortality, and heart disease, the researchers felt it was important to identify potentially modifiable risk factors that could reduce morbidity and mortality.

The researchers observed significant associations of objective physical performance measures with depression and anxiety. Specifically, they found that weak upper body strength (handgrip strength) and poor lower body strength (longer duration to complete the repeated chair stand test) were associated with elevated depression and/or anxiety symptoms. Future trials will be needed to determine whether strengthening exercises that improve physical performance might similarly help reduce depression and anxiety in midlife women.

Findings were published in the article "Objective measures of physical performance associated with depression and/or anxiety in midlife Singaporean women."

"Strength training has been shown to lead to a significant reduction in depressive symptoms," says Dr. JoAnn Pinkerton, NAMS executive director. "Both strength training and aerobic exercise appear to improve depression, possibly as a result of increased blood flow to the brain or improved coping with stress from the release of endorphins such as norepinephrine and dopamine."

https://www.sciencedaily.com/releases/2019/06/190605105947.htm

Link between hunger and mood explained

The sudden drop in glucose we experience when we are hungry can impact our mood

September 25, 2018

Science Daily/University of Guelph

The study used rats to examine the impact on emotional behavior of a sudden drop in blood sugar. When the rats were given a glucose blocker, researchers found they had higher levels of cortisol. They also showed signs of stress and sluggish behavior similar to a poor mood. To prove the behavior wasn't just a lack of glucose to the muscles, researchers then gave them a common antidepressant and the behavior disappeared.

It seems "hangry" isn't just a made-up term.

University of Guelph researchers have revealed that the sudden drop in glucose we experience when we are hungry can impact our mood.

"We found evidence that a change in glucose level can have a lasting effect on mood," said Prof. Francesco Leri, Department of Psychology. "I was skeptical when people would tell me that they get grouchy if they don't eat, but now I believe it. Hypoglycemia is a strong physiological and psychological stressor."

Published in the journal Psychopharmacology, the study examined the impact of a sudden glucose drop on emotional behaviour by inducing hypoglycemia in rats.

"When people think about negative mood states and stress, they think about the psychological factors, not necessarily the metabolic factors," said PhD student Thomas Horman, who led the study. "But we found poor eating behaviour can have an impact."

The rats were injected with a glucose metabolism blocker causing them to experience hypoglycemia, and were then placed in a specific chamber. On a separate occasion, they were given an injection of water and placed in a different chamber. When given the choice of which chamber to enter, they actively avoided the chamber where they experienced hypoglycemia.

"This type of avoidance behaviour is an expression of stress and anxiety," said Leri. "The animals are avoiding that chamber because they had a stressful experience there. They don't want to experience it again."

The researchers tested blood levels of the rats after experiencing hypoglycemia and found more corticosterone, an indicator of physiological stress.

The rats also appeared more sluggish when given the glucose metabolism blocker.

"You might argue that this is because they need glucose to make their muscles work," said Leri. "But when we gave them a commonly used antidepressant medication, the sluggish behaviour was not observed. The animals moved around normally. This is interesting because their muscles still weren't getting the glucose, yet their behaviour changed."

This finding supports the idea that the animals experienced stress and depressed mood when they were hypoglycemic, he said.

For people who experience anxiety or depression, the study results have implications for treatment, said Horman.

"The factors that lead someone to develop depression and anxiety can be different from one person to the next. Knowing that nutrition is a factor, we can include eating habits into possible treatment."

These findings also provide insight into the connection between depression and diseases such as obesity, diabetes, bulimia and anorexia, Horman said.

Having established that hypoglycemia contributes to negative mood states, the researchers plan to determine whether chronic, long-term hypoglycemia is a risk factor for developing depression-like behaviours.

While missing one meal may make you "hangry," Horman said, these findings suggest your mood could be impacted if meal-skipping becomes a habit.

"Poor mood and poor eating can become a vicious cycle in that if a person isn't eating properly, they can experience a drop in mood, and this drop in mood can make them not want to eat. If someone is constantly missing meals and constantly experiencing this stressor, the response could affect their emotional state on a more constant level."

https://www.sciencedaily.com/releases/2018/09/180925115218.htm

Mindfulness treatment as effective as CBT for depression, anxiety

November 27, 2014
Science Daily/Lund University

Group mindfulness treatment is as effective as individual cognitive behavioral therapy (CBT) in patients with depression and anxiety, according to a new study from Lund University in Sweden and Region Skåne. This is the first randomized study to compare group mindfulness treatment and individual cognitive behavioral therapy in patients with depression and anxiety in primary health care.

The researchers, led by Professor Jan Sundquist, ran the study at 16 primary health care centres in Skåne, a county in southern Sweden. They trained two mindfulness instructors, from different occupational groups, at each primary health care centre during a 6-day training course.

In spring 2012, patients with depression, anxiety or reactions to severe stress were randomized to either structured group mindfulness treatment with approximately 10 patients per group, or regular treatment (mainly individual CBT). Patients also received a private training programme and were asked to record their exercises in a diary. The treatment lasted 8 weeks. General practitioner and mindfulness instructor Ola Schenström designed the mindfulness training programme and model for training instructors.

A total of 215 patients were included in the study. Before and after treatment, the patients in the mindfulness and regular treatment groups answered questionnaires that estimated the severity of their depression and anxiety. Self-reported symptoms of depression and anxiety decreased in both groups during the 8-week treatment period. There was no statistical difference between the two treatments.

"The study's results indicate that group mindfulness treatment, conducted by certified instructors in primary health care, is as effective a treatment method as individual CBT for treating depression and anxiety," says Jan Sundquist. "This means that group mindfulness treatment should be considered as an alternative to individual psychotherapy, especially at primary health care centres that can't offer everyone individual therapy."

http://www.sciencedaily.com/releases/2014/11/141127112755.htm