As excited as you are that your teen’s going to college, it’s normal to have mixed emotions, such as anxiety, sadness and possibly depression. It’s even normal to feel envious that his or her life is just beginning while yours is on the wane. For most parents, this rush of emotions will pass, but both generations might have to work to ease the transition, especially if your child is also experiencing a mix of joy and apprehension, which often manifests as bickering with mom and dad. Parents will need to loosen the reins and acknowledge that their child is his or her own person and may not see eye-to-eye with them on everything anymore. Realize that this is a natural progression in their development, not a rejection of you or an end to your closeness. And take comfort in the fact that most college students still care more about what mom and dad think than they let on. Coping Strategies at a Glance Have a plan for staying in touch. Explore new challenges of your own. Start to reconnect with old friends. Get support from different sources. One way to ease anxiety is to agree upfront on how often you’ll communicate, such as once a week, and how you’ll do it. Video chats are great for bridging a physical distance. Texts can be brief and…  read on >

A global study about what men and women want in a mate seems to confirm — to a point — long-established stereotypes. Men still go for looks — in general they said their preference is for a partner who is younger and physically attractive. Women said they’d prefer an older partner who’s ambitious and has good financial prospects. The researchers, from the University of Texas at Austin, explained that these responses, which came from 10,000 participants in 33 countries, can probably be traced back to the respective mating challenges men and women faced throughout the course of human evolution. On a more positive note, both sexes do gravitate toward some of the same less superficial traits — a pleasant disposition, good social skills, and similar politics and religious beliefs. Another study with an international team of researchers found that men and women approach relationships in another similar way: They’re both influenced by deal breakers, or perceived negative traits, and deal makers, the traits that they find most appealing. Both sexes process these pros and cons simultaneously when they meet someone new and apply higher standards when considering someone for a long-term relationship. Also, deal breakers have a greater influence on choices than deal makers — it’s easier to be turned off by the negatives than to be turned on by the positives. Deal breakers range…  read on >

Insurance rules that limit access to the addiction treatment medication buprenorphine may be worsening the U.S. opioid epidemic, a new study suggests. “Buprenorphine is a safe and effective treatment that decreases deaths due to opioids and stops heroin and other opioid use. People on buprenorphine are able to get their lives back together,” said study co-author Dr. Todd Korthuis. He’s chief of the addiction medicine section at Oregon Health and Science University (OHSU) in Portland. “Medicare insurance companies are making it increasingly difficult to prescribe buprenorphine, while making it easy to prescribe opioid pain medications that contributed to the opioid epidemic,” he said in an OHSU news release. For the study, the researchers analyzed Medicare Part D prescription drug plan data and found that the growing use of pre-authorization requirements increasingly limited use of buprenorphine among Medicare beneficiaries between 2007 and 2018. Insurers commonly use pre-authorization requirements to manage or limit access to certain drugs to control costs. In 2007, nearly 90 percent of insurance plans offered buprenophine without restriction, but that number had shrunk to 35 percent by 2018. Over that same period, the proportion of plans that covered prescription opioids (such as OxyContin) with no restrictions ranged from 93 percent to 100 percent. “The reasons for restrictions on buprenorphine might reflect inaccurate perceptions of drug risk, societal norms related to the stigma of…  read on >

A typical workout doesn’t give you license to eat whatever you want. Even a full hour of vigorous skiing burns just 600 calories — less than the amount in a super-sized fast food sandwich. That’s why it’s important to think of exercise as just one part of a shape-up plan. Exercise works the cardiovascular system and builds muscle, but it takes calorie restriction to also lose weight. Small diet tweaks that you can make when you’re building a healthier body through exercise will maximize your efforts. Here’s what you need to know about nutrition when you work out regularly. You don’t need to fuel up like a marathon runner, but give your body some nourishment about two hours before every workout to make exercise more effective. Have a small meal with healthy carbs and protein, and some fat. If eating two hours in advance doesn’t work with your schedule, aim for a small snack about an hour before your workout. It’s also important to eat a small meal with carbs and protein within two hours after your workout to give your body the nutrients it needs. Keep in mind that “calories in and calories out” is a balancing act that varies from person to person. So whether you’re trying to lose weight or maintain, keep a journal that records the amount of calories you get…  read on >

By itself, post-traumatic stress disorder (PTSD) doesn’t raise the risk of heart disease for U.S. veterans, a new study finds. “Instead, a combination of physical disorders, psychiatric disorders and smoking — that are more common in patients with PTSD versus without PTSD — appear to explain the association between PTSD and developing cardiovascular disease,” said study author Jeffrey Scherrer. He’s research director in the department of family and community medicine at Saint Louis University School of Medicine in Missouri. For the study, Scherrer and his colleagues analyzed health records of more than 2,500 veterans with PTSD and more than 1,600 without PTSD. The veterans were aged 30 to 70 and had not been diagnosed with heart disease in the previous 12 months. The study participants were followed for at least three years. During that time, veterans with PTSD were 41 percent more likely to develop circulatory and heart disease than those without PTSD. Those with PTSD had significantly higher rates of smoking, depression, anxiety disorders, sleep disorders, type 2 diabetes, obesity, high blood pressure and high cholesterol than those without PTSD, the investigators found. However, no single condition explained the association between PTSD and heart disease, according to the study published online Feb. 13 in the Journal of the American Heart Association. The findings may not apply to patients older than 70 or to civilians,…  read on >

Sure, he may snore. She may steal the covers. But if a relationship is solid, your partner will help you sleep better this Valentine’s Day and far into the future, a new study suggests. Good relationships in early adulthood seemed to lead to less disruptive life events, which in turn appeared to lead to better sleep years later, researchers report. “Your partners can have a huge impact on your stress and health behaviors. They can be a source of stress or a reducer of stress,” explained study author Chloe Huelsnitz. She’s a Ph.D. candidate in the department of psychology at the University of Minnesota in Minneapolis. So, how does being in a satisfying partnership affect sleep? Are people more content, or is a good relationship just a sign that you have better people skills that help reduce your stress throughout life? “It’s probably a bit of both,” Huelsnitz said, though the study could not prove that a good relationship caused sleep quality to improve. She explained that if you can have a good relationship, you probably have good interpersonal skills. And if you get along well with your partner, you’re probably less likely to get into a fight with your boss or a friend. “Also, if you have someone to support you during stressful life events, it helps to buffer that stress,” Huelsnitz added. The…  read on >

Everyone has certain personality strengths that make them unique. For instance, you might be the type of person who loves to nurture others or who always tells it like it is and is known for your honesty. Studies on human psychology have found that developing your unique set of strengths can lead to happiness and even help overcome depression. But research has also shown that, all too often, rather than capitalizing on their strengths, people are more motivated to try to fix what they see as weaknesses. That could amount to wasted energy and might not even be desirable. Neglecting your strengths can cause them to fade. This can be true for a trait like kindness as well as one like creativity. On the other hand, developing strengths with what experts call “positive psychology interventions” leads to personal growth. The idea is to use one or more strengths in a new way every week through activities that lead to positive feelings, behaviors or thoughts. To get started, make a list of your strengths. The ones you put at the top of your list — those that make you feel the best about yourself — are your signature strengths. But some people get greater happiness from developing the ones farther down the page, so don’t feel as though you must limit your focus. Next, assign yourself…  read on >

Millions of Americans with heart disease say they face financial strain because of their medical care, with some skipping meds or cutting back on basics like groceries. That’s the finding of a new national study of heart disease and stroke patients younger than 65 — a group that’s too young for Medicare but often lack health insurance, or “good” insurance. The researchers found that 45 percent of those patients said they’d had problems paying their medical bills in the past year. That translates to nearly 4 million Americans. For many, the study found, the issues ran deep: More than one-third of people with payment problems said they’d skipped needed drugs, cut back on groceries or were in general “financial distress.” “In order to meet obligations toward out-of-pocket costs, heart disease patients are delaying or avoiding paying for medications and elementary daily needs — like putting food on the table,” said senior researcher Dr. Khurram Nasir, of the Yale School of Medicine. Others said the findings were striking and important, though not surprising. Dr. Alison Bailey, a cardiologist in Tennessee, said she routinely sees patients who are struggling financially. So she spends a lot of time helping them figure out the most affordable medication options. This sometimes means choosing which drugs are most needed at the moment, and leaving others out. “We’re lucky in cardiology that…  read on >

Teen boys who are unfit and/or obese have higher odds for chronic disease and disability as adults, according to a large Swedish study. Researchers followed more than 1 million boys for an average of 28 years, starting when they were 16 to 19 years of age. Those who were inactive, obese or both as teens were more likely to receive medical disability pensions as adults. The pensions are granted in some countries to working-aged adults who are unable to work due to chronic illness or injury. “Cardiorespiratory fitness and obesity already in adolescence is strongly related to later health,” said lead researcher Pontus Henriksson, a registered dietitian at the Karolinska Institute in Huddinge, Sweden. His team cautioned that this study does not prove that being unfit or obese as a teenager causes disabilities in adulthood, only that the two appear to be related. This association, however, is important because many teens are less fit and weigh more than previous generations, Henriksson said. The study also provides more evidence for the relevance of fitness and obesity in adolescence as markers of future health. Morbidly obese men were at greatest risk, the study found. Henriksson and his colleagues also found that compared with being unfit, being moderately or highly fit was related to a reduced risk for disability, whether one was obese or not. Common disabilities associated…  read on >

New (and pricey) hepatitis C medicines, such as Harvoni and Sovaldi, are living up to their promise and greatly reducing patients’ odds for liver cancer and death, a new French study finds. The news came as little surprise to one U.S. liver expert. The advent of this class of drugs “has led to almost universal cure of chronic hepatitis C infection,” said Dr. David Bernstein, chief of hepatology at Northwell Health in Manhasset, N.Y. Bernstein believes “this large study provides the best evidence to date to support the recommendations that all patients with chronic hepatitis C infection be treated with [these drugs].” According to background data in the study, about 71 million people worldwide have chronic hepatitis C infection, which can cause debilitating or fatal illnesses such as cirrhosis, liver disease and liver cancer. Over the last 15 years, these complications have tripled and it’s predicted that they’ll peak between 2030 and 2035, the researchers said. The new research was funded by drugmakers and included nearly 9,900 patients in France. About three-quarters of the patients were treated with the newer class of drugs, called “direct-acting antivirals,” while the other one-quarter were not. Direct-acting antivirals work quickly — over a course of about three months — to push liver-damaging hepatitis C virus to undetectable levels in patients’ blood. In the study, over a median follow-up of…  read on >