Mental Health Archive

Childhood trauma may raise the risk of cardiovascular disease, but making lifestyle changes can help you stay healthy.

Traumatic childhood experiences may have a lasting effect on your heart health.

A review published online Dec. 2, 2020, by JAMA Cardiology found that adults who had multiple adverse childhood experiences (ACEs) — like being neglected; suffering physical, sexual, or emotional abuse; or witnessing violence at home — had double the risk of cardiovascular disease and an early death compared with people who didn't face any ACEs at all.

Negative traits such as anger and insecurity have been linked to heart-related problems. Taking steps to temper these tendencies may help.

Remember the Type A personality? First coined back in the 1950s, the term refers to people who are aggressive, ambitious, competitive, and time-conscious. But the notion that Type As were more likely to have heart attacks than their more laid-back counterparts turned out to be untrue, as numerous studies in the 1980s and 1990s revealed.

But in the early 2000s, another personality type — Type D for distressed — began getting more attention. Type D people are anxious, irritable, and angry; they also tend to feel ill at ease in social situations and are uncomfortable opening up to others. According to a 2018 review in Current Cardiology Reports, having a Type D personality is a risk factor for cardiovascular disease. The lead author, psychologist Johan Denollet, first described Type D and created a test for it (see "Type D personality test").

Consider your social interaction if you've been feeling foggy.

We've all been isolated from many family members and friends during the pandemic. If you've been having a harder time remembering things or processing information since the pandemic began, it could be an isolation side effect.

"It's something I'm seeing clinically. Some people were okay before the pandemic and now they're having faster cognitive decline," says Dr. Joel Salinas, a behavioral neurologist and faculty member of the Harvard Center for Population and Development Studies.

It takes a one-two punch to lower these risks for heart disease, heart attack, and stroke.

High cholesterol has long been known as a bad actor in heart health. Too much LDL (bad) cholesterol in your blood can lead to fatty deposits in your arteries and the formation of artery-narrowing plaque (atherosclerosis), heart attacks, and strokes.

But LDL doesn't act alone. Chronic inflammation — a persistent activation of the immune system — also fuels heart attack and stroke risks. That means you must address both high LDL levels and chronic inflammation to protect your health.

Try stress reduction to improve your quality of life and potentially relieve allergy symptoms.

Spring allergies are a stressful business. Coping with watery eyes, a runny nose, sneezing, coughing, or a sore throat affects how you get through each day. "The primary consequence is a reduced quality of life. This naturally can lead to stress on patients and their families," says Dr. Ahmad Sedaghat, an ear, nose, and throat specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.

The influence goes both ways: not only can allergies cause stress, but stress can make allergies worse.

In addition to everything else associated with stress, it can have negative effects on the skin, and can also aggravate certain skin conditions. But skin and hair also produce stress-inducing signals that can travel back to the brain, adding to psychological stress and perpetuating a stress cycle.

Peer support groups in mental health allow people with similar lived experiences to listen, share, and encourage one another. A Black peer support group created around race and culture as well as mental health may offer a safe space that allows people to address aspects of shared identity and experiences around racism with others who understand their daily reality.

Research we're watching

While opioid use disorders have gotten a lot of attention in recent years, the number of people dying as a result of methamphetamine use is on the rise. A study published Jan. 14, 2021, in The New England Journal of Medicine found that a combination drug therapy may provide some hope in helping people with this difficult-to-treat disorder.

In the trial, half of the 403 adult volunteers were given a combination of two drugs: naltrexone, which is used to treat both opioid and alcohol use disorders, and bupropion, an antidepressant. The other half of the group received a placebo. The treatment period began in 2017 and ended in 2019. During that time people were given periodic urine tests to gauge whether they used methamphetamines. Those who had at least three of four drug-free tests were defined as having responded to treatment. Researchers found that by weeks five and six, 16.5% of the treatment group had responded to treatment, compared with 3.4% of the control group. By weeks 11 and 12, 11.4% of the treatment group met the urine test criteria for successful treatment, compared with less than 2% of the control group. Most people who received the drug treatment didn't have any serious side effects.