Most parents are torn about letting their middle or high school students take a sick day. “In some cases, the decision to keep kids home from school is clear, such as if the child is vomiting or has a high fever,” said Sarah Clark, co-director of the Mott Poll from University of Michigan Health C.S. Mott Children’s Hospital in Ann Arbor. “But parents often have to guess at whether their child’s report of ‘not feeling well’ represents a good reason to miss school.” In the latest poll — based on 1,300 responses last month from parents of 11- to 18-year-olds — 2 in 3 said their child frets about how missing school will affect their grades. The same number worry about missing friends or school activities.  For parents, deciding whether kids need a sick day rests mainly on whether they think they can get through the entire academic day, whether they’re contagious and whether they will miss a test, presentation or after-school activity, the poll revealed. How any symptoms are causing them to behave is also key. When it’s not clear just how sick a child is, more than half of parents are likely to keep them home, according to the poll. Another 25% send them to school and keep their fingers crossed. About 1 in 5 let the child decide. The same number said…  read on >  read on >

Vitamin supplements are a big business, with Americans spending roughly $45 billion out of more than $177 billion worldwide on pills, gummies and powders meant to boost health. About 59 million Americans regularly use some type of vitamin or supplement, spending an average $510 each year. But most folks are wasting that money, experts say. A balanced daily diet provides all the nutrients a person typically needs to maintain their health, said Dr. Matthew Silvis, vice chair of clinical operations for Penn State Health Family and Community Medicine. “If you have a well-balanced diet and you’re able to eat nutritious foods ― fruits, vegetables, etc. ― you don’t need a multivitamin or a supplement,” Silvis said in a news release. “The broad answer is most people don’t need them, despite the multibillion-dollar industry that the vitamin industry is,” he continued. “But there are populations of individuals who do need to consider a multivitamin or a supplement. And that is individualized.” Examples of people who do need specific supplements include: Pregnant women who need folic acid to prevent birth defects. Seniors with osteoporosis who can benefit from calcium and Vitamin D supplements. Vegans or people with Celiac disease who need a multivitamin to supplement the nutrients they aren’t absorbing from their diet. High-intensity athletes who regularly participate in draining workouts and fierce competition also might be…  read on >  read on >

Some people diagnosed with schizophrenia might instead be suffering from a rare visual condition that can cause other people’s faces to appear “demonic,” a new study argues. The condition, called prosopometamorphopsia (PMO), can cause others’ facial features to appear horrific — drooped, larger, smaller, out of position or stretched in disturbing ways. “Not surprisingly, people with prosopometamorphopsia often find it disturbing to look at other people’s faces,” researchers said on their website on the condition. “Fortunately, most cases last only a few days or weeks, but some cases perceive distortions in faces for years.” Unfortunately, this disorder in vision has led to a diagnosis of mental illness in some patients.  “We’ve heard from multiple people with PMO that they have been diagnosed by psychiatrists as having schizophrenia and put on anti-psychotics, when their condition is a problem with the visual system,” said senior study author Brad Duchaine, a professor of psychological and brain sciences and principal investigator of the Social Perception Lab at Dartmouth University. To help people understand PMO, Duchaine and his colleagues have produced the first case report to provide accurate and photorealistic examples of the facial distortions experienced by a specific patient with PMO. The patient, a 58-year-old man, sees faces without any distortions if they’re on a screen or on paper. But when he sees someone in person, their face appears…  read on >  read on >

Many teens – especially girls – are affected by body dysmorphic disorder, a condition in which they become obsessed with perceived flaws in their personal appearance, a new study shows. BDD affects about two in every 100 teens (1.9%), according to a report published March 17 in the Journal of the American Academy of Child and Adolescent Psychiatry. The disorder is six times more common in girls than in boys, affecting 1.8% of girls compared to 0.3% of boys, the researchers said. These numbers show it’s important for doctors to keep an eye out for signs of the disorder, said lead researcher Georgina Krebs, an associate professor of psychology with University College London. “Since young people with BDD tend not to spontaneously disclose their symptoms unless directly asked, it is crucial that clinicians utilize BDD screening tools and ask young people directly about appearance concerns,” Krebs said in a university news release. For the study, researchers analyzed data from more than 7,600 kids and teens who participated in the 2017 Mental Health of Children and Young People in England survey. The survey included a question about whether the child is ever concerned with how he or she looks. Those who answered “a little” or “a lot” underwent further screening for BDD. Nearly 70% of young people with BDD also met the diagnostic criteria for at…  read on >  read on >

A common antiseizure drug used to treat epilepsy, migraines and bipolar disorder does not appear to increase the risk of autism for kids exposed to it in the womb, a new study says. Topiramate does not contribute to any risk of kids developing autism if their moms took it during pregnancy, researchers report in the New England Journal of Medicine. “Our findings provide needed clarity on the possible neurodevelopmental impacts of this commonly used drug,” lead researcher Dr. Sonia Hernández-Díaz, a professor of epidemiology at Harvard T.H. Chan School of Public Health, said in a news release. “While our primary analyses focused on mothers with epilepsy, the study has implications for moms and moms-to-be who live with other conditions treated by topiramate as well,” she added. Topiramate can treat epilepsy and migraine by calming overactive nerves in a person’s body, experts say. Another antiseizure drug, lamotrigine, also is safe for expectant mothers to take, researchers found. However, a third drug, valproate, does appear to increase risk of autism in kids, results show. The results for lamotrigine and valproate are consistent with earlier studies. Nearly 11% of kids exposed to valproate in the womb developed autism, and the risk increased as moms took larger doses of the drug, researchers report. Researchers also noted that while topiramate appears safe for a baby’s developing brains, it remains linked…  read on >  read on >

Stressed out, anxious or desperately needing to recharge? Grab some knitting needles and a pretty ball of yarn — Swedish research shows yarncraft improves mental health without medication. “Knitters have a creative leisure interest that can also help them cope with life and so improve their mental health,” said first author Joanna Nordstrand, an occupational therapist pursuing doctoral studies at the University of Gothenburg. “I’m convinced that this is part of the reason why so many people have taken up knitting these days.” Nordstrand, who is among them, explored the mental health benefits of knitting in a study recently published in the Journal of Occupational Science. For the study, she reviewed 600 posts from the online fiber arts forum Ravelry, where stitching buffs gather to discuss their hobby.  Reinforcing a picture emerging from other studies, their posts revealed three ways in which knitting boosts health. The hobby helps folks unwind, gives them an identity as a knitter in a social context with low stakes. It can also bring structure to people’s lives — which benefits mental health. In the posts, some knitters said they noticed the change in their mental health: When they were knitting, thinking was clearer and easier to manage. “The nurses were wanting to give me [an antianxiety medication] until I told them that I preferred knitting for the anxiety,” one knitter…  read on >  read on >

People with heart disease can stay healthier if they address their emotional problems as well as their physical ailments, a new study says. Treating anxiety and depression reduced ER visits and hospitalizations among patients with heart disease, researchers report in the Journal of the American Heart Association. Psychotherapy, mood-controlling medication or a combination of the two “was associated with as much as a 75% reduction in hospitalizations or emergency room visits,” said lead researcher Dr. Philip Binkley, executive vice chair of internal medicine at Ohio State University in Columbus. Anxiety and depression are common in people with heart failure, Binkley said in a news release, and mental health is known to impact a person’s risk of other health problems. “Heart disease and anxiety/depression interact such that each promotes the other,” he said. For this study, researchers looked at more than 1,500 people admitted to the hospital for blocked arteries or heart failure. About 92% of participants in the study had been diagnosed with anxiety and 56% with depression prior to their hospitalization. The patients were between 22 and 64 years old, and all were enrolled in Medicaid, researchers said. About 23% of patients received antidepressant drugs and psychotherapy, 15% received psychotherapy alone, 29% received antidepressants alone, and 33% received no mental health treatment. The study found that the combination of medication and talk therapy reduced…  read on >  read on >

For the first time, the United States has fallen out of the top 20 spots on the annual world’s happiest nations list. Americans are now No. 23, far behind the top five countries — Finland (No. 1), Denmark, Iceland, Sweden and Israel.  “The United States of America (23rd) has fallen out of the top 20 for the first time since the World Happiness Report (WHP) was first published in 2012, driven by a large drop in the wellbeing of Americans under 30,” the World Happiness Report said in a news release. The U.S. placed 15th in last year’s rankings. This decline may not come as a surprise to many Americans, with U.S. Surgeon General Vivek Murthy citing rising levels of anxiety and mental health issues among the young as a “devastating” crisis as far back as 2021. The new global happiness tally was issued to coincide with the United Nations’ International Day of Happiness. It’s based on citizens’ responses from more than 140 nations and is “powered by data from the Gallup World Poll and analysed by some of the world’s leading wellbeing scientists,” the WHP explained. Rounding out the top 10 countries on the list, beginning with No. 6, are The Netherlands, Norway, Luxembourg, Switzerland and Australia. Canada placed 15th and the United Kingdom, No. 20.  At the bottom of the 143-nation list: Afghanistan. …  read on >  read on >