Mental Health Archive

The prefrontal cortex does not fully develop until the mid-20s, which makes teenagers’ brains excellent at learning and absorbing new information, but it also makes them vulnerable to experimentation and the potential for substance use disorders.

News briefs

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An observational study published online May 30, 2018, by JAMA Psychiatry found that engaging in intellectually stimulating activities, even later in life, may lower the odds of dementia. Researchers followed over 15,000 Chinese men and women in their 70s for seven years with annual assessments of health and lifestyle habits, including a variety of leisure activities. The odds of being diagnosed with dementia during the study period were 29% lower in people who challenged their brains daily with such activities as playing board games, reading, and even betting on horse racing. In contrast, less mentally demanding recreational activities (like watching TV or shopping) or social activities (like going to tea with friends) did not appear to be associated with a lower risk of dementia. Other studies have found similar evidence, but this one made a special effort to adjust for factors like better overall health that might otherwise account for the association between brain exercise and dementia.

Staying connected to friends, neighbors, and your community may protect your heart.

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The lonely hearts club may be larger than you realize. About a third of older adults say they frequently feel lonely, according to findings from the National Social Life, Health, and Aging Project. And only about half of Americans have meaningful in-person social interactions on a daily basis, such as having an extended conversation with a friend or spending time with family members, suggests a recent survey by the global health service company Cigna.

People whose main social contacts were at their place of work often feel that loss acutely after they retire. Many older adults are also at risk for isolation and loneliness because they're divorced or have lost a partner. But a lack of caring companionship (including from family, friends, or a romantic partner) may make you more vulnerable to a number of health woes. In fact, several studies suggest that isolated and lonely people face a slightly higher risk of heart attack or stroke than people with stronger social networks.

In the journals

Anticholinergic medications used to treat bladder conditions, Parkinson's disease, and depression are associated with an increased risk of dementia, according to a large study published online April 25, 2018, by The BMJ. Anticholinergic drugs help to contract and relax muscles. They work by blocking acetylcholine, a substance that also transmits messages in the nervous system. In the study, researchers compared the medical records of 40,770 people older than 65 who were diagnosed with dementia and 283,933 seniors without.

They found that people diagnosed with dementia were up to 30% more likely to have been prescribed anticholinergic medications for Parkinson's, bladder problems, or depression. Frequently prescribed anticholinergic drugs include procyclidine (Kemadrin) for Parkinson's; tolterodine, oxybutynin, and solifenacin (Vesicare) for urological conditions like overactive bladder or incontinence; and amitriptyline, dosulepin, and paroxetine for depression. However, there was no association between dementia and anticholinergic drugs used to treat other common conditions like hay fever, travel sickness, and stomach cramps.

In the journals

Aerobic exercise has been linked with reducing symptoms of depression, but resistance training, such as weight lifting and bodyweight exercises like push-ups, can have the same effect.

A meta-analysis published in the June 2018 JAMA Psychiatry examined the effects of resistance training on depression symptoms in 33 clinical trials involving 1,877 people. The researchers found that people who did this type of exercise reported a significant reduction in such symptoms as low mood, loss of interest in activities, and feelings of worthlessness, compared with those who did not exercise.