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Gender-based violence associated with lifetime risk of mental illness and disability, research shows

ScienceDaily (Aug. 2, 2011) — Women who experience gender-based violence such as rape, sexual assault, intimate partner violence and stalking have a higher lifetime prevalence of mental health disorders, dysfunction and disability, new Australian research shows.

The survey of 4,451 women aged 16 to 85 used international instruments developed by the World Health Organisation. Around 15 percent of Australian women report sexual assault, while eight percent report being raped. About eight percent report physical intimate partner violence and 10 percent stalking.

Data from the Australian Bureau of Statistics' National Mental Health and Wellbeing Survey (2007) were analysed by researchers at the University of New South Wales (UNSW) and published August 2 in the Journal of the American Medical Association. The study is the most comprehensive ever undertaken of gender-based violence in a nationally representative sample of women.

It shows the four most common types of gender-based violence are strongly associated with a wide range of problems for women including more severe current mental disorder, higher rates of three or more lifetime mental disorders, physical disability, mental disability, impaired quality of life, and overall disability.

"It was the strength of these associations that was most shocking," said study leader, Dr Susan Rees, from UNSW's School of Psychiatry. "There is an overwhelming link between gender violence and key indicators of women's mental health, wellbeing and risk of suicide attempts."

"For women exposed to two types of gender-based violence the lifetime rate of mental disorder was 69 percent and for three or more types of gender-based violence, it was 89.4 percent. This compares with a rate of 28 percent for women who have not experienced violence. The link with gender-based violence was particularly strong for posttraumatic stress disorder."

"This research highlights the need to ensure that expert mental health care is a central component of gender-based violence programs. Similarly, psychiatric services need to be better equipped to assist women with mental health disorders who have experienced such violence," Dr Rees said.

The work was supported by a grant from the National Health and Medical Research Council.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by University of New South Wales, via EurekAlert!, a service of AAAS.

Journal Reference:

S. Rees, D. Silove, T. Chey, L. Ivancic, Z. Steel, M. Creamer, M. Teesson, R. Bryant, A. C. McFarlane, K. L. Mills, T. Slade, N. Carragher, M. O'Donnell, D. Forbes. Lifetime Prevalence of Gender-Based Violence in Women and the Relationship With Mental Disorders and Psychosocial Function. JAMA: The Journal of the American Medical Association, 2011; 306 (5): 513 DOI: 10.1001/jama.2011.1098

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here sciencedaily.com

Gender-based violence associated with lifetime risk of mental illness and disability, research shows

ScienceDaily (Aug. 2, 2011) — Women who experience gender-based violence such as rape, sexual assault, intimate partner violence and stalking have a higher lifetime prevalence of mental health disorders, dysfunction and disability, new Australian research shows.

The survey of 4,451 women aged 16 to 85 used international instruments developed by the World Health Organisation. Around 15 percent of Australian women report sexual assault, while eight percent report being raped. About eight percent report physical intimate partner violence and 10 percent stalking.

Data from the Australian Bureau of Statistics' National Mental Health and Wellbeing Survey (2007) were analysed by researchers at the University of New South Wales (UNSW) and published August 2 in the Journal of the American Medical Association. The study is the most comprehensive ever undertaken of gender-based violence in a nationally representative sample of women.

It shows the four most common types of gender-based violence are strongly associated with a wide range of problems for women including more severe current mental disorder, higher rates of three or more lifetime mental disorders, physical disability, mental disability, impaired quality of life, and overall disability.

"It was the strength of these associations that was most shocking," said study leader, Dr Susan Rees, from UNSW's School of Psychiatry. "There is an overwhelming link between gender violence and key indicators of women's mental health, wellbeing and risk of suicide attempts."

"For women exposed to two types of gender-based violence the lifetime rate of mental disorder was 69 percent and for three or more types of gender-based violence, it was 89.4 percent. This compares with a rate of 28 percent for women who have not experienced violence. The link with gender-based violence was particularly strong for posttraumatic stress disorder."

"This research highlights the need to ensure that expert mental health care is a central component of gender-based violence programs. Similarly, psychiatric services need to be better equipped to assist women with mental health disorders who have experienced such violence," Dr Rees said.

The work was supported by a grant from the National Health and Medical Research Council.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by University of New South Wales, via EurekAlert!, a service of AAAS.

Journal Reference:

S. Rees, D. Silove, T. Chey, L. Ivancic, Z. Steel, M. Creamer, M. Teesson, R. Bryant, A. C. McFarlane, K. L. Mills, T. Slade, N. Carragher, M. O'Donnell, D. Forbes. Lifetime Prevalence of Gender-Based Violence in Women and the Relationship With Mental Disorders and Psychosocial Function. JAMA: The Journal of the American Medical Association, 2011; 306 (5): 513 DOI: 10.1001/jama.2011.1098

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here sciencedaily.com

Length of parental military deployment associated with children's mental health diagnoses, study finds

ScienceDaily (July 4, 2011) — Children with a parent who was deployed in the U.S. military efforts Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) for longer periods were more likely than children whose parents did not deploy to receive a diagnosis of a mental health problem, according to a report published Online First by Archives of Pediatrics and Adolescent Medicine, one of the JAMA/Archives journals.

According to background information in the article, previous research has attributed children's depression and negative affect to parental military deployments. However, there has not been much research into this topic with regards to the United States' present conflicts, OIF and OEF. "As troops face dynamic and evolving threats (e.g., an increasingly sophisticated array of roadside explosive devices)," write the authors, "the need to anticipate the psychological consequences for their children and to offer timely intervention becomes increasingly important."

Alyssa J. Mansfield, Ph.D., M.P.H., then of the University of North Carolina at Chapel Hill, now of the National Center for Posttraumatic Stress Disorder in Honolulu, and colleagues examined electronic medical record data for outpatient care received at military facilities or through military health insurance between 2003 and 2006. The study included children ages 5 years through 17 years who had at least one parent serving on active duty in the U.S. Army. (Children of Reserve and National Guard personnel were excluded.) Researchers used the International Classification of Disease, Ninth Revision, to identify mental health diagnoses.

The study included 307,520 children, of whom 16.7 percent had a mental health diagnosis (most often for stress disorders, depression, behavioral problems, anxiety, and sleep disorders) during the study. More than 62 percent of parents were deployed at least once during the period, for an average of 11 months. The researchers found that mental health diagnoses were more common among children who had a parent who was deployed at least once for military operations in Iraq or Afghanistan. After adjusting the data for age, sex and mental health history, they showed that the likelihood of a mental health diagnosis increased with increases in parental deployment length; other factors included older age groups and male sex. The strongest associations were for acute stress reaction and adjustment disorders, depressive disorders, and behavioral disorders, among the total of 6,579 mental health diagnoses observed in children of deployed parents.

"We observed a clear dose-response pattern such that children of parents who spent more time deployed between 2003 and 2006 fared worse than children whose parents were deployed for a shorter duration," write the authors. "Similar to findings among military spouses, prolonged deployment appears to be taking a mental health toll on children." They urge further research of this issue among other branches of the military as well as the National Guard and Reserves.

Commentary: A Closer Look at the Effect Military Deployment Has on Children

In a commentary, Stephen J. Cozza, M.D., from the Uniformed Services University School of Medicine in Bethesda, Md., provides perspective on the scope of U.S. military deployment and the population it touches. As of 2009, he notes, 44 percent of active duty military members have children (for a total of 1.2 million children), as well as 43 percent of Reserve and National Guard members. Furthermore, since combat operations began in 2001, roughly 2 million U.S. military personnel have deployed at least once.

The article by Mansfield and colleagues, writes Cozza, provides "an important contribution to our understanding of a child's health and its relationship to parental combat deployment." The study, he adds, appears to confirm earlier research into this topic. But it also raises questions, such as what long-term consequences, if any, deployments have on children's health and development.

Cozza recommends that these findings be used to raise national awareness of the problem, both within the military community and without. Since affected children are likely to at some point receive care outside the military health system, he urges civilian clinicians to pay special attention to these patients. "Brief screening for anxiety, depression, behavioral problems, academic difficulties, peer relational problems, or high-risk behaviors (such as substance misuse or unsafe sexual practices) is warranted and will help identify treatment needs," Cozza concludes.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by JAMA and Archives Journals.

Journal References:

Alyssa J. Mansfield; Jay S. Kaufman; Charles C. Engel; Bradley N. Gaynes. Deployment and Mental Health Diagnoses Among Children of US Army Personnel. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.123Stephen J. Cozza. Children of Military Service Members: Raising National Awareness of the Family Health Consequences of Combat Deployment. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.117

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here sciencedaily.com

Small hippocampus associated with depression in the elderly: Risk factor or shrinkage?

ScienceDaily (July 22, 2011) — Imaging studies have repeatedly found that people with depression have smaller hippocampal volumes than healthy individuals. The hippocampus is a brain region involved in learning and memory, spatial navigation, and the evaluation of complex life situations or "contexts." However, because in prior studies hippocampal volume was only measured in people once they became depressed, it has been unclear whether a small hippocampus renders a person vulnerable to developing depression, or whether it is a consequence of depression.

A new study published in Biological Psychiatry has approached that problem by following a large population of elderly individuals over a 10 year period.

Researchers performed an initial imaging scan on subjects to obtain a baseline measurement of their hippocampal volume and then performed follow-up scans 5 and 10 years later. During this time, they also repeatedly assessed the individuals for both depressive symptoms and depressive disorders.

Corresponding author Dr. Tom den Heijer explains their findings: "We found that persons with a smaller hippocampus were not at higher risk to develop depression. In contrast, those with depression declined in volume over time. Our study therefore suggests that a small hippocampal volume in depressed patients is more likely an effect of the depression rather than a cause."

"The principal importance of this type of research is that it may provide insight into age-related impairments in the function of the hippocampus," reflected Dr. John Krystal, Editor of Biological Psychiatry. "For example, in Alzheimer's disease, memory problems and disorientation are prominent symptoms, reflecting among other things the impaired function of the hippocampus."

Future studies will be needed to better understand whether current treatments protect the hippocampus and hippocampal function.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by Elsevier, via AlphaGalileo.

Journal Reference:

Tom den Heijer, Henning Tiemeier, Hendrika J. Luijendijk, Fedde van der Lijn, Peter J. Koudstaal, Albert Hofman, Monique M.B. Breteler. A Study of the Bidirectional Association Between Hippocampal Volume on Magnetic Resonance Imaging and Depression in the Elderly. Biological Psychiatry, 2011; 70 (2): 191 DOI: 10.1016/j.biopsych.2011.04.014

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here sciencedaily.com

Social deficits associated with autism, schizophrenia induced in mice with new technology

ScienceDaily (July 27, 2011) — Researchers at Stanford University School of Medicine have been able to switch on, and then switch off, social-behavior deficits in mice that resemble those seen in people with autism and schizophrenia, thanks to a technology that allows scientists to precisely manipulate nerve activity in the brain. In synchrony with this experimentally induced socially aberrant behavior, the mice exhibited a brain-wave pattern called gamma oscillation that has been associated with autism and schizophrenia in humans, the researchers say.

The findings, to be published online in Nature on July 27, lend credence to a hypothesis that has been long floated but hard to test, until now. They mark the first demonstration, the researchers said, that elevating the brain's susceptibility to stimulation can produce social deficits resembling those of autism and schizophrenia, and that then restoring the balance eases those symptoms.

Autism spectrum disorder and schizophrenia each affect nearly 1 percent of all people. At present, there are no good drugs for mitigating the social-behavioral deficits of either disorder. While they differ in many ways, each syndrome is extremely complex, involving diverse deficits including social dysfunction. Mice are social animals, and there are many well-established tests of sociability in these animals.

Social behavior can't be ascribed to a single brain region, said Karl Deisseroth, MD, PhD, associate professor of psychiatry and behavioral sciences and of bioengineering and the study's senior author. "To form a coherent pattern of another individual, you need to quickly integrate all kinds of sensations. And that's just the tip of the iceberg," said Deisseroth, a practicing psychiatrist who routinely sees autistic-spectrum patients. "It's all changing, millisecond by millisecond, as both you and the other individual act and react. You have to constantly alter your own predictions about what's coming next. This kind of interaction is immensely more uncertain than, for example, predator/prey activity. It seems that it has to involve the whole brain, not just one or another part of it."

One intriguing hypothesis holds that social dysfunctions characteristic of autism and schizophrenia may stem from an altered balance in the propensity of excitatory versus inhibitory nerve cells in the brain to fire, resulting in an overall hyper-responsiveness to stimulation. Evidence for this hypothesis includes the higher seizure rate among patients with autism, and the fact that many autistic children's brains exhibit elevated levels of a high-frequency brain-wave pattern -- known as "gamma oscillation" -- that can be picked up by an electroencephalogram. Many schizophrenics also exhibit social deficits as well as higher levels of this anomalous brain-wave pattern, even at rest.

In addition, said Deisseroth, "autistic kids seem to be over-responding to environmental stimuli." For instance, they find eye contact overwhelming, or may cover their ears if there are too many people talking at once.

There has been no direct way to test the "excitation/inhibition-balance" hypothesis, Deisseroth said. It's been impossible to experimentally shift the balance between excitation and inhibition in the brain by selectively raising the firing propensities of one class of nerve cells but not the opposing class, because there have been no drugs or electrophysiological methods that act only on excitatory cells of the brain, or only on inhibitory cells.

But Deisseroth's team has a way of doing that, with a new technology, pioneered in his laboratory and called optogenetics: selectively bioengineering specific types of nerve cells so that they respond to light. These cells can be bioengineered to be either more or less likely -- depending on the researchers' intent -- to relay an impulse to the next nerve cell in a circuit. So with the flick of a switch, the scientists can activate a nerve circuit in the brain or inhibit it. Nerve cells can also be rendered responsive, in various ways, to different frequencies of light, allowing several circuits to be manipulated at once. (The optogenetic technique cannot be used in humans at this time as it requires still-experimental genetic modifications to brain cells.)

For the experiments in this study, the investigators targeted excitatory and inhibitory nerve cells in the medial prefrontal cortex, the most advanced part of the mouse brain, Deisseroth said. This region is very well-connected to everyplace else in the brain and is involved in processes such as planning, execution, personality and social behavior, he said.

"We didn't want to precisely direct the firing patterns of excitatory or inhibitory cells," Deisseroth said. "We wouldn't know where to start, because we don't know the neural codes of behavior. We just wanted to bias excitability."

Instead, the researchers bioengineered the nerve cells to respond to specific wavelength bands of light by becoming, for extended periods of time, either more or less likely to fire. "Nerve cells have an all-or-nothing tipping point," Deisseroth said. "Up to that point, they won't do much. But at a certain threshold, they fire."

The study's two first co-authors, postdoctoral researcher Ofer Yizhar, PhD, (now at Weizmann Institute of Science in Rehovot, Israel), and Lief Fenno, a graduate student in the medical school's MD/PhD program, devised ways of activating or inhibiting brain circuits by a light pulse for up to a half-hour, variously increasing or decreasing the firing propensity of nerve cells in those circuits. This time period was long enough to let the animals engage in various tests of social behavior.

The researchers subjected the mice they'd bioengineered to standard assays of rodent behavior, and compared the results to outcomes using normal mice.

The experimental mice exhibited no difference from the normal mice in tests of their anxiety levels, their tendency to move around or their curiosity about new objects. But, the team observed, the animals in whose medial prefrontal cortex excitability had been optogenetically stimulated lost virtually all interest in engaging with other mice to whom they were exposed. (The normal mice were much more curious about one another.)

"Boosting their excitatory nerve cells largely abolished their social behavior," Deisseroth said. In addition, these mice's brains showed the same gamma-oscillation pattern that is observed among many autistic and schizophrenic patients. "When you raise the firing likelihood of excitatory cells in the medial prefrontal cortex, you see an increased gamma oscillation right away, just as one would predict it would if this change in the excitatory/inhibitory balance were in fact relevant."

And when the scientists restored that balance by revving up inhibitory nerve-cell firing in the medial prefrontal cortex, they saw a moderate but significant recovery of social function.

"The behavioral results and the correspondence of gamma-oscillation changes to alterations in the animals' excitatory/inhibitory balance suggest that that what we're observing in animals could be relevant to people," said Deisseroth.

The study was performed in collaboration with experimental biophysics professor Peter Hegemann, PhD, and his colleagues at Humboldt University in Berlin, and John Huguenard, PhD, professor of neurology and neurological sciences at Stanford. Additional Stanford co-authors were bioengineering postdoctoral researchers Thomas Davidson, PhD, Vikaas Sohal, PhD and Inbal Goshen, PhD; neurology postdoctoral researcher Jeanne Paz, PhD; neuroscience graduate student Daniel O'Shea; bioengineering research associate Joel Finkelstein; and bioengineering laboratory manager Charu Ramakrishnan. Funding came from the Yu, Woo, Snyder and Keck foundations, and from the National Institute of Mental Health, National Institute on Drug Abuse, National Institute of Neurological Disorders and Stroke, the DARPA REPAIR program and the California Institute for Regenerative Medicine, as well as the CNC program at Stanford.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by Stanford University Medical Center. The original article was written by Bruce Goldman.

Journal Reference:

Ofer Yizhar, Lief E. Fenno, Matthias Prigge, Franziska Schneider, Thomas J. Davidson, Daniel J. O’Shea, Vikaas S. Sohal, Inbal Goshen, Joel Finkelstein, Jeanne T. Paz, Katja Stehfest, Roman Fudim, Charu Ramakrishnan, John R. Huguenard, Peter Hegemann, Karl Deisseroth. Neocortical excitation/inhibition balance in information processing and social dysfunction. Nature, 2011; DOI: 10.1038/nature10360

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here

Length of parental military deployment associated with children's mental health diagnoses, study finds

ScienceDaily (July 4, 2011) — Children with a parent who was deployed in the U.S. military efforts Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) for longer periods were more likely than children whose parents did not deploy to receive a diagnosis of a mental health problem, according to a report published Online First by Archives of Pediatrics and Adolescent Medicine, one of the JAMA/Archives journals.

According to background information in the article, previous research has attributed children's depression and negative affect to parental military deployments. However, there has not been much research into this topic with regards to the United States' present conflicts, OIF and OEF. "As troops face dynamic and evolving threats (e.g., an increasingly sophisticated array of roadside explosive devices)," write the authors, "the need to anticipate the psychological consequences for their children and to offer timely intervention becomes increasingly important."

Alyssa J. Mansfield, Ph.D., M.P.H., then of the University of North Carolina at Chapel Hill, now of the National Center for Posttraumatic Stress Disorder in Honolulu, and colleagues examined electronic medical record data for outpatient care received at military facilities or through military health insurance between 2003 and 2006. The study included children ages 5 years through 17 years who had at least one parent serving on active duty in the U.S. Army. (Children of Reserve and National Guard personnel were excluded.) Researchers used the International Classification of Disease, Ninth Revision, to identify mental health diagnoses.

The study included 307,520 children, of whom 16.7 percent had a mental health diagnosis (most often for stress disorders, depression, behavioral problems, anxiety, and sleep disorders) during the study. More than 62 percent of parents were deployed at least once during the period, for an average of 11 months. The researchers found that mental health diagnoses were more common among children who had a parent who was deployed at least once for military operations in Iraq or Afghanistan. After adjusting the data for age, sex and mental health history, they showed that the likelihood of a mental health diagnosis increased with increases in parental deployment length; other factors included older age groups and male sex. The strongest associations were for acute stress reaction and adjustment disorders, depressive disorders, and behavioral disorders, among the total of 6,579 mental health diagnoses observed in children of deployed parents.

"We observed a clear dose-response pattern such that children of parents who spent more time deployed between 2003 and 2006 fared worse than children whose parents were deployed for a shorter duration," write the authors. "Similar to findings among military spouses, prolonged deployment appears to be taking a mental health toll on children." They urge further research of this issue among other branches of the military as well as the National Guard and Reserves.

Commentary: A Closer Look at the Effect Military Deployment Has on Children

In a commentary, Stephen J. Cozza, M.D., from the Uniformed Services University School of Medicine in Bethesda, Md., provides perspective on the scope of U.S. military deployment and the population it touches. As of 2009, he notes, 44 percent of active duty military members have children (for a total of 1.2 million children), as well as 43 percent of Reserve and National Guard members. Furthermore, since combat operations began in 2001, roughly 2 million U.S. military personnel have deployed at least once.

The article by Mansfield and colleagues, writes Cozza, provides "an important contribution to our understanding of a child's health and its relationship to parental combat deployment." The study, he adds, appears to confirm earlier research into this topic. But it also raises questions, such as what long-term consequences, if any, deployments have on children's health and development.

Cozza recommends that these findings be used to raise national awareness of the problem, both within the military community and without. Since affected children are likely to at some point receive care outside the military health system, he urges civilian clinicians to pay special attention to these patients. "Brief screening for anxiety, depression, behavioral problems, academic difficulties, peer relational problems, or high-risk behaviors (such as substance misuse or unsafe sexual practices) is warranted and will help identify treatment needs," Cozza concludes.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by JAMA and Archives Journals.

Journal References:

Alyssa J. Mansfield; Jay S. Kaufman; Charles C. Engel; Bradley N. Gaynes. Deployment and Mental Health Diagnoses Among Children of US Army Personnel. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.123Stephen J. Cozza. Children of Military Service Members: Raising National Awareness of the Family Health Consequences of Combat Deployment. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.117

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here

Small hippocampus associated with depression in the elderly: Risk factor or shrinkage?

ScienceDaily (July 22, 2011) — Imaging studies have repeatedly found that people with depression have smaller hippocampal volumes than healthy individuals. The hippocampus is a brain region involved in learning and memory, spatial navigation, and the evaluation of complex life situations or "contexts." However, because in prior studies hippocampal volume was only measured in people once they became depressed, it has been unclear whether a small hippocampus renders a person vulnerable to developing depression, or whether it is a consequence of depression.

A new study published in Biological Psychiatry has approached that problem by following a large population of elderly individuals over a 10 year period.

Researchers performed an initial imaging scan on subjects to obtain a baseline measurement of their hippocampal volume and then performed follow-up scans 5 and 10 years later. During this time, they also repeatedly assessed the individuals for both depressive symptoms and depressive disorders.

Corresponding author Dr. Tom den Heijer explains their findings: "We found that persons with a smaller hippocampus were not at higher risk to develop depression. In contrast, those with depression declined in volume over time. Our study therefore suggests that a small hippocampal volume in depressed patients is more likely an effect of the depression rather than a cause."

"The principal importance of this type of research is that it may provide insight into age-related impairments in the function of the hippocampus," reflected Dr. John Krystal, Editor of Biological Psychiatry. "For example, in Alzheimer's disease, memory problems and disorientation are prominent symptoms, reflecting among other things the impaired function of the hippocampus."

Future studies will be needed to better understand whether current treatments protect the hippocampus and hippocampal function.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by Elsevier, via AlphaGalileo.

Journal Reference:

Tom den Heijer, Henning Tiemeier, Hendrika J. Luijendijk, Fedde van der Lijn, Peter J. Koudstaal, Albert Hofman, Monique M.B. Breteler. A Study of the Bidirectional Association Between Hippocampal Volume on Magnetic Resonance Imaging and Depression in the Elderly. Biological Psychiatry, 2011; 70 (2): 191 DOI: 10.1016/j.biopsych.2011.04.014

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here

Optimism associated with lower risk of having stroke

ScienceDaily (July 22, 2011) — A positive outlook on life might lower your risk of having a stroke, according to new research reported in Stroke: Journal of the American Heart Association.

In an observational study, a nationally representative group of 6,044 adults over age 50 rated their optimism levels on a 16-point scale. Each point increase in optimism corresponded to a 9 percent decrease in acute stroke risk over a two-year follow-up period.

"Our work suggests that people who expect the best things in life actively take steps to promote health," said Eric Kim, study lead author and a clinical psychology doctoral student at the University of Michigan.

Optimism is the expectation that more good things, rather than bad, will happen.

Previous research has shown that an optimistic attitude is associated with better heart health outcomes and enhanced immune-system functioning, among other positive effects.

The study is the first to discover a correlation between optimism and stroke. Previous research has shown that low pessimism and temporary positive emotions are linked to lower stroke risk. Researchers analyzed self-reported stroke and psychological data from the ongoing Health and Retirement Study, collected between 2006 and 2008. Participants were stroke-free at the beginning of the study.

Researchers measured optimism levels with the modified Life Orientation Test-Revised, a widely used assessment tool in which participants rank their responses on a numeric scale.

The team used logistic regression analysis to establish the association between optimism and stroke and adjusted for factors that might affect stroke risk, including chronic illness, self-reported health and sociodemographic, behavioral, biological and psychological conditions.

"Optimism seems to have a swift impact on stroke," said Kim, noting that researchers followed participants for only two years. The protective effect of optimism may primarily be due to behavioral choices that people make, such as taking vitamins, eating a healthy diet and exercising, researchers said. However, some evidence suggests positive thinking might have a strictly biological impact as well.

Stroke is the No. 3 killer in the United States, behind heart disease and cancer, and a leading cause of disability.

Co-authors of the study are Nansook Park, Ph.D., and Christopher Peterson, Ph.D. Author disclosures are on the manuscript.

The Robert Wood Johnson Foundation's Pioneer Portfolio funded a part of the study through the Positive Psychology Center of the University of Pennsylvania.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by American Heart Association.

Journal Reference:

Eric S. Kim, Nansook Park, Christopher Peterson. Health and Retirement Study. Stroke, 2011; DOI: 10.1161/STROKEAHA.111.613448

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



View the original article here

Length of parental military deployment associated with children's mental health diagnoses, study finds

ScienceDaily (July 4, 2011) — Children with a parent who was deployed in the U.S. military efforts Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) for longer periods were more likely than children whose parents did not deploy to receive a diagnosis of a mental health problem, according to a report published Online First by Archives of Pediatrics and Adolescent Medicine, one of the JAMA/Archives journals.

According to background information in the article, previous research has attributed children's depression and negative affect to parental military deployments. However, there has not been much research into this topic with regards to the United States' present conflicts, OIF and OEF. "As troops face dynamic and evolving threats (e.g., an increasingly sophisticated array of roadside explosive devices)," write the authors, "the need to anticipate the psychological consequences for their children and to offer timely intervention becomes increasingly important."

Alyssa J. Mansfield, Ph.D., M.P.H., then of the University of North Carolina at Chapel Hill, now of the National Center for Posttraumatic Stress Disorder in Honolulu, and colleagues examined electronic medical record data for outpatient care received at military facilities or through military health insurance between 2003 and 2006. The study included children ages 5 years through 17 years who had at least one parent serving on active duty in the U.S. Army. (Children of Reserve and National Guard personnel were excluded.) Researchers used the International Classification of Disease, Ninth Revision, to identify mental health diagnoses.

The study included 307,520 children, of whom 16.7 percent had a mental health diagnosis (most often for stress disorders, depression, behavioral problems, anxiety, and sleep disorders) during the study. More than 62 percent of parents were deployed at least once during the period, for an average of 11 months. The researchers found that mental health diagnoses were more common among children who had a parent who was deployed at least once for military operations in Iraq or Afghanistan. After adjusting the data for age, sex and mental health history, they showed that the likelihood of a mental health diagnosis increased with increases in parental deployment length; other factors included older age groups and male sex. The strongest associations were for acute stress reaction and adjustment disorders, depressive disorders, and behavioral disorders, among the total of 6,579 mental health diagnoses observed in children of deployed parents.

"We observed a clear dose-response pattern such that children of parents who spent more time deployed between 2003 and 2006 fared worse than children whose parents were deployed for a shorter duration," write the authors. "Similar to findings among military spouses, prolonged deployment appears to be taking a mental health toll on children." They urge further research of this issue among other branches of the military as well as the National Guard and Reserves.

Commentary: A Closer Look at the Effect Military Deployment Has on Children

In a commentary, Stephen J. Cozza, M.D., from the Uniformed Services University School of Medicine in Bethesda, Md., provides perspective on the scope of U.S. military deployment and the population it touches. As of 2009, he notes, 44 percent of active duty military members have children (for a total of 1.2 million children), as well as 43 percent of Reserve and National Guard members. Furthermore, since combat operations began in 2001, roughly 2 million U.S. military personnel have deployed at least once.

The article by Mansfield and colleagues, writes Cozza, provides "an important contribution to our understanding of a child's health and its relationship to parental combat deployment." The study, he adds, appears to confirm earlier research into this topic. But it also raises questions, such as what long-term consequences, if any, deployments have on children's health and development.

Cozza recommends that these findings be used to raise national awareness of the problem, both within the military community and without. Since affected children are likely to at some point receive care outside the military health system, he urges civilian clinicians to pay special attention to these patients. "Brief screening for anxiety, depression, behavioral problems, academic difficulties, peer relational problems, or high-risk behaviors (such as substance misuse or unsafe sexual practices) is warranted and will help identify treatment needs," Cozza concludes.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by JAMA and Archives Journals.

Journal References:

Alyssa J. Mansfield; Jay S. Kaufman; Charles C. Engel; Bradley N. Gaynes. Deployment and Mental Health Diagnoses Among Children of US Army Personnel. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.123Stephen J. Cozza. Children of Military Service Members: Raising National Awareness of the Family Health Consequences of Combat Deployment. Archives of Pediatrics and Adolescent Medicine, 2011; DOI: 10.1001/archpediatrics.2011.117

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.



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