Positive experience tied to ‘better’ mental health

ACE has negative effects

WASHINGTON, Sept 17, (RTRS): Kids who have more supportive experiences with family, friends, and people in their school and community may be less likely to have psychological or relationship troubles in adulthood, a new study suggests.

Adverse childhood experiences (ACEs) like abuse, neglect, violence, and parental absence have long been linked to lasting negative effects on physical and mental health, researchers note in JAMA Pediatrics. But less is known about whether positive experiences make it easier for kids to cope, or what happens with children whose lives have mix of negative and positive experiences.

For the current study, researchers surveyed 6,118 adults about how often in childhood they felt able to talk to family and friends about feelings; felt their family stood by them during difficult times; enjoyed participating in community traditions; felt a sense of belonging in high school; felt supported by friends; had at least two nonparent adults who took an interest in them; and felt safe and protected by an adult in their home.

Overall, adults who reported six to seven of these positive childhood experiences were 72% less likely to have depression or at least 14 poor mental health days each month than adults who reported no more than two positive childhood experiences. Even three to five positive experiences were tied to a 50% lower likelihood of depression or poor mental health than two or fewer.

These associations held true even when respondents reported multiple adverse childhood experiences.

“The absence of the types of positive childhood experiences we assessed in our study is very stressful for a child,” said lead study author Christina Bethell of the Bloomberg School of Public Health at Johns Hopkins University in Baltimore.

Develops

“Without positive nurturance, children’s stress hormones can get stuck on high and this impacts how their brain develops in ways that can make it hard for them to experience safety, relaxation and to become open, curious and learn to have positive relationships with others,” Bethell said by email.

The association between positive life experiences and better adult mental health and relationships persisted even among people who experienced ACEs during childhood.

Compared to participants who reported no more than two positive childhood experiences, people who experienced six to seven positive childhood experiences were also more than three times more likely to report that as adults, they “always” got the social and emotional support they needed.

When people had no more than two positive childhood experiences, only about one-third reported always getting the social and emotional support they needed – even when they didn’t have a history of ACEs.

The study doesn’t prove that positive childhood experiences impact adult mental health or relationships.

“In fact, people with poor mental health might be less likely to view their childhood experiences as positive,” said Dr Rebecca Dudovitz, a researcher at the David Geffen School of Medicine at the University of California Los Angeles.

“It might actually be that adults with depression remember their childhood differently than adults without depression,” Dudovitz, who wasn’t involved in the study, said by email.

Parents may not be able to prevent adverse childhood experiences, but they can help kids become resilient, said Dr Angelica Robles, a developmental-behavioral pediatrician at Novant Health in Charlotte, North Carolina, who wasn’t involved in the study.

“Parents can accomplish this by simply talking about feelings with their children, standing by their children during difficult times, and showing interest in their daily lives,” Robles said by email. “The child will then feel safe, and it is in this sense of security in the face of stress that the child learns to flourish.”

LONDON:

Also:

More and more Britons are being prescribed potentially addictive medicines including sleeping pills, opioids and other painkillers, raising the risk of a drug crisis like the one in the United States, health officials said on Tuesday.

In a government-commissioned report, researchers at Public Health England (PHE) said evidence showed that “since at least 10 years ago more people are being prescribed more of these medicines and often for longer”.

In 2017 to 2018 alone, 11.5 million adults in England – more than a quarter of the adult population – was prescribed one or more of the medicines under review, the PHE analysis found.

The medicines included antianxiety drugs called benzodiazepines and sleeping pills known as z-drugs, as well as the epilepsy and anxiety medicines gabapentin and pregabalin, antidepressants and opioid pain medicines.

Many of these can be addictive and could cause problems for people taking them or coming off them, PHE said. The report also found higher rates of prescribing to women and older people.

While the prescription of some drugs, including benzodiazepines and opioids, has dipped a little recently amid fears about the deadly opioid epidemic in the United States, others, such as the gabapentin, pregabalin and some antidepressants, are being prescribed more often and for longer.

“This means more people are at risk of becoming addicted to them or having problems when they stop using them,” PHE said.

“It also costs the National Health Service a lot of money, some of which is wasted because the medicines do not work for everyone all the time, especially if they are used for too long.”