Other mental health disorders 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.

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.

News briefs

We already know that mindfulness meditation and a mentally active life are boons to healthy aging. But do these practices also help older people struggling with mild cognitive impairment (MCI)? To find out, Harvard researchers reviewed more than a dozen recent studies that looked at the effects of either mindfulness or cognitive training (including computerized programs) on older adults with MCI. In findings published online Dec. 29, 2020, by The American Journal of Medicine, researchers concluded that both strategies have potential benefits for cognition and mood. For people with MCI, practicing mindfulness over several weeks to months seemed to sharpen attention, memory, and other mental skills, and ease anxiety and depression. Similarly, cognitive training was associated with better memory, executive function, and mood. Most of the studies included in the review were relatively small and short-term, so they don't provide strong evidence of benefit, nor could they determine how long any benefit might last. But researchers say both strategies are feasible and low-risk, with the potential to benefit thinking skills and mood in people with MCI. Now we need more research to find out how the benefits might translate into everyday life and endure over time.

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Mindfulness can help soothe short-term and chronic pain.

Your mind is a powerful pain remedy when given the chance. Science continues to show how mindfulness can manage pain — and it doesn't take years to master.

"Using mindfulness is a way for older adults to treat ongoing chronic pain and the occasional flare-up without having to always rely on medication," says Ellen Slawsby, director of pain services at Harvard-affiliated Benson-Henry Institute for Mind Body Medicine.

Rapidly becoming a racquet sport favorite, pickleball serves up various physical, mental, and social benefits.

You keep hearing that older adults need to stay active physically, mentally, and socially. But what if you could do all three at once? You can if you play the racquet sport pickleball, one of the country's fastest-growing forms of recreation.

"In many ways, pickleball is the ideal activity for older adults," says Timothy Rivotto, a physical therapist and tennis coach with Harvard-affiliated Spaulding Rehabilitation Network. "It can accommodate people with different fitness levels and still offer a good aerobic workout. Pickleball also requires using key brain skills and is an exciting way to interact with others."