Depression can be tricky to detect in some people, and Black women may exhibit different symptoms, leading to missed care, researchers say. Black women report sleep disturbances, self-criticism and irritability more often than the stereotypical low mood, according to a new study. As a result, standard screening tools may underdiagnose depression in Black women, the study authors said. “Based on our findings, it’s possible that health care providers may miss depression symptoms in Black women, resulting in underdiagnosis and undertreatment,” said lead author Nicole Perez. She’s a psychiatric-mental health nurse practitioner and postdoctoral associate at New York University Rory Meyers College of Nursing in New York City. In general, depression symptoms are low mood, loss of interest in activities, changes in appetite or sleep, and feelings of hopelessness or worthlessness. But more than 1,500 possible combinations of symptoms exist that meet criteria for a depressive disorder, according to the study. Research on depression has primarily been conducted in white people, increasing the chances that it will be missed among racial and ethnic minority populations, the authors noted. For this study, researchers analyzed data from 227 Black women who were screened for depression. In addition to a category called somatic symptoms that includes fatigue, insomnia and decreased libido, researchers found that Black women with depression were more likely to be self-critical, irritable and to have an… read on > read on >
All Lifestyle:
Can Too Much Screen Time Raise a Child’s Odds for OCD?
Preteens who spend much of their free time watching online videos or playing video games may have a heightened risk of developing obsessive compulsive disorder (OCD), a new study suggests. Researchers found that among 9,200 9- and 10-year-olds they assessed, the odds of developing OCD inched up with every daily hour kids devoted to online videos (such as on YouTube) or video gaming. That doesn’t mean kids are perfectly fine until they start browsing the video website. Experts said it’s possible that those on a trajectory toward OCD start to compulsively watch videos or become “addicted” to gaming. “It’s hard to tease apart the chicken-and-egg question,” said lead researcher Dr. Jason Nagata, an assistant professor of pediatrics at the University of California, San Francisco. In fact, he added, it’s likely there’s a “bi-directional relationship.” That is, compulsive kids may be drawn to play video games again and again, or watch online videos, where algorithms that feed them a continuous supply of additional videos can pull them down a rabbit hole. All of that, in turn, may worsen their compulsiveness. The bottom line, Nagata said, is that parents would be wise — for a number of reasons — to keep an eye on their kids’ screen time. OCD is a chronic disorder in which people have uncontrollable, recurring thoughts that spur behaviors they need to repeat… read on > read on >
In Some U.S. Urban Areas, Men Face Higher Gun Death Rate Than in Wartime
In some parts of the United States, young men face a higher risk of dying from gun violence than if they’d gone to war in Afghanistan and Iraq, a new study reports. Young men living in certain high-violence ZIP codes in Chicago and Philadelphia run a greater risk of firearm death than military personnel who served in recent U.S. wars, according to findings published online Dec. 22 in JAMA Network Open. Young men in Chicago’s most violent ZIP code were more than three times as likely to experience gun-related death compared to soldiers sent to Afghanistan, the researchers found, while those in Philadelphia’s most violent area were nearly twice as likely to be shot to death. In all ZIP codes studied, young men from minority groups overwhelmingly bear the risk of firearm-related death, the findings showed. “These results are an urgent wake-up call for understanding, appreciating and responding to the risks and attendant traumas faced by this demographic of young men,” said study leader Brandon del Pozo, an assistant professor of medicine at Brown University’s Warren Alpert Medical School in Providence, R.I. His team examined shooting data from 2020 and 2021 in four large U.S. cities — Chicago, Los Angeles, New York and Philadelphia. The investigators zeroed in on shootings involving nearly 130,000 men between 18 and 29 years of age. They grouped them by… read on > read on >
Mood Swings, Memory Troubles: Minding the Mental Toll of Menopause
Menopause and the years before it may make you feel like you’re losing your mind. Some of those feelings are changes that occur naturally in this stage of life, but other factors contribute, too, according to the North American Menopause Society (NAMS), which offered tips to achieve some peace. Changes in hormones are a big reason for the mood swings and other symptoms. While most women are accustomed to their own hormonal rhythm, it gets disrupted during perimenopause, the years before a woman’s periods stop for good, according to NAMS. Part of it is just timing — that these physical changes are happening along with other midlife stresses, such as relationship issues, divorce or widowhood. For some women, those stresses include caring for young children, struggles with teens, the return of grown children to the home or being childless. Career, education and aging parents may add to this strain. Women in midlife also may be living with changes in self-esteem or body image because society values youth, NAMS suggested in a news release. One way to feel better is to create balance. Remember to take care of your own needs, not just those of family and work. This can help you meet new challenges and maintain self-confidence. If you experienced depression when younger, you’re more vulnerable to those feelings during perimenopause. Depression is associated with… read on > read on >
Winter & Kid’s Asthma: High Time for Flare-Ups
WEDNESDAY, Dec. 21, 2022 (HealthDay News) – Cold, dry winter air and a trio of spreading viruses could cause children’s asthma to flare up this winter season. But experts at one children’s hospital offer some tips to help parents keep their kids’ worrisome respiratory symptoms in check. While asthma is a lung condition that can make it harder to breathe, some things can make symptoms worse, such as illness, cold air and smoke, according to Children’s Minnesota in St. Paul and Minneapolis. To avoid cold-weather flare-ups, make sure your child has the right clothing to wear outside, including a scarf or neck warmer they can wear over their mouth and nose. This can help warm and humidify the air they breathe. Help prevent a case of influenza by washing hands frequently and making sure your child gets a flu shot. The flu can lead to hospitalization in children with asthma. People with asthma have swollen, sensitive airways already, so they’re more likely to have serious health complications such as pneumonia if they get the flu. The influenza virus can trigger asthma symptoms even in mild asthma or cases that are well-controlled by medication. Teach your children how to wash their hands properly with soap and water, while still encouraging them to keep their hands away from their face. A flu shot doesn’t guarantee prevention of… read on > read on >
Adult Children Far More Likely to Be Estranged From Dad Than Mom
Many young U.S. adults are estranged from their parents, at least temporarily — with the father/child bond being especially fragile. Those are among the findings of a new national study that tracked thousands of parent-child relationships from the 1990s to recent years. Researchers found that one-quarter of young adults were estranged from their fathers at some point — four times the number who reported broken ties with their mother. Often, those relationships got back on track to some degree, but reconciliation was less likely with fathers: Of adults who were estranged from their mother at some point, 81% got back in contact; that compared with 69% of people who were estranged from their father. One of the messages from the findings is that family estrangement is common — and not a sign of failure, according to the researchers. “There is a lot of shame and silence around family estrangement, but in my view estrangement isn’t inherently good or bad,” said Rin Reczek, a professor of sociology at Ohio State University. Most often, Reczek said, it’s the adult child who breaks ties, rather than the parent. And there may be many reasons. “As children grow up, they start making choices regarding independence for themselves, and sometimes this includes cutting off or significantly reducing contact with parents for their own healing,” Reczek said. In other cases, someone… read on > read on >
People in Open Relationships Face Stigma, Research Shows
Even though roughly 1 in 5 Americans has been involved in an “open” relationship at some point in their lives, new research cautions that many end up bearing the brunt of stigmatizing and stressful disapproval. The finding stems from a pair of fresh investigations: The first found that roughly 40% of men and women who participate in “consensually non-monogamous” relations report being judged negatively or even threatened by others. And 70% of those who say they don’t experience stigma admit taking pains to keep the less traditional nature of their relationships under wraps. In turn, a follow-up study found that being on the receiving end of such stigma exacts a significant emotional toll, causing anxiety not only when disapproval is actually expressed but also in anticipation of future negative encounters. “Prior research has found that people tend to view consensually non-monogamous relationships more negatively than monogamous relationships,” noted study author Elizabeth Mahar. She is a postdoctoral fellow in the department of obstetrics & gynecology at the University of British Columbia in Vancouver, Canada. And in the latest study, “we found that people in consensually non-monogamous relationships do indeed report experiencing stigma in a variety of ways,” Mahar said. That stigma can take many forms, she added, ranging from disgust to social exclusion to worse service when out in public. And those experiences sting, undermining quality… read on > read on >
1 in 4 Kids With Type 2 Diabetes Isn’t Obese
It’s easy to blame the childhood obesity epidemic for growing cases of type 2 diabetes, but a new study finds nearly one-quarter of all diagnoses are not related to obesity. “The finding was somewhat surprising,” said Dr. Constantine Samaan, an associate professor in the department of pediatrics at McMaster University in Ontario, Canada. “The findings highlighted to us that there is significant heterogeneity [diversity] in type 2 diabetes risk in children. We clearly do not understand all the factors that drive its occurrence.” The researchers set out to study the issue because it wasn’t clear if obesity was universal in these patients, Samaan said. Screening has been driven by body-mass measures, so the investigators also wanted to know whether there was a subgroup of kids whose type 2 diabetes did not involve obesity. “We had considered several possible explanations and tested for them in the study. We had thought maybe children had lost weight due to the late diagnosis of diabetes or that they may have other forms of diabetes such as genetic forms,” Samaan said. “These two possibilities did not pan out in the analysis, so we do not yet know why some children develop type 2 diabetes when they are not overweight.” Researchers have hypothesized that there are likely children who do not produce enough insulin or are resistant to insulin, even at… read on > read on >
Another Mediterranean Diet Bonus: Healthier Sperm, Better Fertility
MONDAY, Dec. 19, 2022 (HealthDay News) – Add better chances of conceiving a baby to the list of health benefits linked to the much-touted Mediterranean diet. The Mediterranean diet – which is rich in fresh fruits and veggies, healthy fats like olive oil, whole grains, legumes, nuts and fish – has been shown to boost brain health, and reduce the risk for heart disease, diabetes and certain cancers. Now, researchers in Australia report that this style of eating also can improve fertility, the chances of success with assisted reproductive technology, and sperm quality in men. The common denominator? Inflammation. “Our review demonstrates that the Mediterranean Diet may also increase fertility and provide benefits for couples who are trying to have children,” said study author Simon Alesi, a researcher at Monash University in Melbourne. “Inflammation is increasingly recognized as a factor that contributes to poor reproductive and fertility outcomes, often termed ‘inflammatory infertility’ in the evidence,” Alesi said. “And the bionutrients in the Mediterranean diet such as monounsaturated fats, flavonoids, vitamins C and E, polyphenols, and the limited intake of processed meat, are likely to reduce inflammation in the body, thus improving fertility.” By contrast, the traditional Western diet, which is low in fruits and vegetables and high in fat and sodium, has been linked to more inflammation and other health problems. For this study, researchers… read on > read on >
‘Holiday Heart’: Heart Attacks Spike in Last 2 Weeks of December
The holiday season is filled with to-do lists, but one should rise to the top: Take care of your heart. Whether from stress, cold weather or falling out of good habits in terms of eating, sleeping and drinking, heart attack rates spike as much as 40% between Christmas and New Year’s, according to cardiologist Dr. Donald Lloyd-Jones. He is chairman of preventive medicine at Northwestern University Feinberg School of Medicine, in Chicago. “When we look across the year in terms of heart attack rates, what we see is fairly constant rates week by week with two exceptions: One is that there’s a broad, shallow dip in summer months and, two, there is a very short spike of about 30% to 40% in the last couple weeks of the year between Christmas and New Year’s,” Lloyd-Jones said in a university news release. It’s important not to underestimate symptoms, he stressed. “We have two kidneys and two lungs, but only one heart and one brain, so it’s much safer to err on the side of caution,” Lloyd-Jones said. “If there’s any doubt, get checked out in person. At best, hopefully you are aborting a heart attack or stroke. Time is heart muscle, time is brain cells, and so time is of the essence. The sooner you seek help in that situation, the sooner we can save your… read on > read on >