Male or Female Bosses? The Sex Which Gets More Depressed From Work

How more authority at work affects depressive symptoms in men and women.

How more authority at work affects depressive symptoms in men and women.

Depression is much higher amongst female bosses than male bosses, finds a new US survey of how the sexes respond to having authority at work.

Dr. Tetyana Pudrovska, the study’s first author, explained:

“Women with job authority — the ability to hire, fire, and influence pay — have significantly more symptoms of depression than women without this power.

In contrast, men with job authority have fewer symptoms of depression than men without such power.”

The study, which is published in the Journal of Health and Social Behavior, followed 1,500 middle-aged women and 1,300 middle-aged men who all graduated from high schools in Wisconsin (Pudrosvska & Karraker, 2014).

The men and women were surveyed in 1993 and 2004 to look at the link between how much authority they had at work and any symptoms of depression.

The results showed that amongst men and women with lower levels of authority at work, women had slightly higher levels of depression.

This is normal since overall women suffer from depression slightly more than men.

Amongst men and women with higher levels of authority at work, however, it was women who had many more symptoms of depression than men.

Men in authority actually had a 10% lower risk of depression, while authority increased the risk of women having depressive symptoms by 9%.

Dr. Pudrovska continued:

“What’s striking is that women with job authority in our study are advantaged in terms of most characteristics that are strong predictors of positive mental health.

These women have more education, higher incomes, more prestigious occupations, and higher levels of job satisfaction and autonomy than women without job authority.

Yet, they have worse mental health than lower-status women.”

The cause of this discrepancy is not known but Dr. Pudrovska thinks it is partly down to women having to fight sexist perceptions on top of the usual stressors.

“Years of social science research suggests that women in authority positions deal with interpersonal tension, negative social interactions, negative stereotypes, prejudice, social isolation, as well as resistance from subordinates, colleagues, and superiors.

Women in authority positions are viewed as lacking the assertiveness and confidence of strong leaders.

But when these women display such characteristics, they are judged negatively for being unfeminine.

This contributes to chronic stress.”

Men, on the other hand, do not have to face these kind of negative stereotypes about their abilities:

“Men in positions of authority are consistent with the expected status beliefs, and male leadership is accepted as normative and legitimate.

This increases men’s power and effectiveness as leaders and diminishes interpersonal conflict.”

Image credit: Nathan O’Nions

The Creative Therapy Which Reduces Depression in Young and Old Alike

Boosts to self-esteem and depression from this creative therapy, new study finds.

Boosts to self-esteem and depression from this creative therapy, new study finds.

Music therapy can reduce depression in children and adolescents with emotional and behavioural problems, a large new study finds.

It comes soon after a positive review of the evidence for music therapy in older people.

The new three-year study followed 251 children who were split into two groups: around half were given care as normal, while the other half were given normal care plus musical therapy.

The music therapy itself included things like the therapist asking children to describe how they felt by playing a tune.

All the children in the study were being treated for behavioural, emotional or developmental problems.

The results showed that those who received the music therapy had higher self-esteem and reduced depression in comparison to those that had care as usual.

The early results suggest the effects are long-lasting.

Professor Sam Porter, who led the study, said:

“This study is hugely significant in terms of determining effective treatments for children and young people with behavioral problems and mental health needs.”

This study is particularly notable as much research into music therapy is poorly designed and of relatively limited scope.

Ciara Reilly, Chief Executive of the Northern Ireland Music Therapy Trust, said:

“Music therapy has often been used with children and young people with particular mental health needs, but this is the first time its effectiveness has been shown by a definitive randomized controlled trial in a clinical setting.

The findings are dramatic and underscore the need for music therapy to be made available as a mainstream treatment option.

For a long time we have relied on anecdotal evidence and small-scale research findings about how well music therapy works.

Now we have robust clinical evidence to show its beneficial effects.”

The study comes soon after a review of research on music therapy, which found it can also have beneficial effects for older people (Eells, 2014).

Simply listening to music, as well as singing along, were found to be beneficial for older adults experiencing long-term depression, anxiety and pain.

While medication can provide some relief, many people, quite naturally, prefer music.

Not only does music improve feelings, but it can help memory, provide a better connection to others and increases overall quality of life.

Image credit: Sam Nasim

Brain Scans Reveal Why Up To One in Six People Get SAD in Winter

New research reveals why so many people are affected by the ‘winter blues’.

New research reveals why so many people are affected by the ‘winter blues’.

Scientists have found that people who have Seasonally Affected Disorder (SAD) show important differences in the way the neurotransmitter serotonin is regulated in the brain.

Serotonin is thought to play a part in how our moods change.

The researchers at the University of Copenhagen scanned the brains of 34 people using positron emission tomography (PET) in both the summer and winter months (Mc Mahon et al., 2014).

Eleven had SAD and 23 were healthy participants.

The results — to be presented at a neuropsychopharmacology conference this week — showed significant differences in the levels of a protein that transports serotonin.

The levels of the protein were around 5% higher in SAD patients, which leads to lower levels of serotonin in the winter.

People without SAD showed similar levels of the serotonin transporter in both winter and summer.

The study’s lead author, Brenda Mc Mahon, explained:

“We believe that we have found the dial the brain turns when it has to adjust serotonin to the changing seasons.

The serotonin transporter (SERT) carries serotonin back into the nerve cells where it is not active, so the higher the SERT activity the lower the activity of serotonin.

Sunlight keeps this setting naturally low, but when the nights grow longer during the autumn, the SERT levels increase, resulting in diminishing active serotonin levels.

Many individuals are not really affected by SAD, and we have found that these people don’t have this increase in SERT activity, so their active serotonin levels remain high throughout the winter”.

Seasonally affected disorder is experienced by one in six people in more northerly climates, where the winter is worse.

In the United States, the prevalence in sunny Florida is only around 1.4%, while in less sunny New Hampshire it is 9.7%.

Typical symptoms include having little energy, sleeping too much, overeating, nausea and sometimes feeling depressed.

Image credit: martinak15

This is How Exercise Protects You From Stress-Induced Depression

New study reveals how exercise helps the body remove toxic substances linked to depression.

New study reveals how exercise helps the body remove toxic substances linked to depression.

On top of its physical benefits, exercise has a huge range of psychological benefits — but until now it was not known how or why exercise is so beneficial.

Now, a new study has uncovered how exercise protects the brain from stress-related depression.

Researchers at Sweden’s Karolinska Institutet have found that exercise causes important changes in skeletal muscles.

These changes help to purge the blood of substances harmful to the brain which build up during stress.

Their conclusions, published in the journal Cell, come from a study of mice which were bred with high levels of a particular protein which is elevated by exercise, called PGC-1a1 (Agudelo et al., 2014).

This super-race of well-muscled ‘gym mice’ were then exposed to stress, as were a batch of normal mice.

Both were given the mouse equivalent of five really bad weeks at the office: they had their sleep disrupted, lights flashed at them and loud noises piped into their cages.

After the five weeks were over, both groups of mice were tested for depressive behaviour.

While the normal mice showed signs of depression, the gym mice behaved absolutely normally, as though nothing had happened.

Dr. Jorge Ruas, who led the study, said:

“Our initial research hypothesis was that trained muscle would produce a substance with beneficial effects on the brain.

We actually found the opposite: well-trained muscle produces an enzyme that purges the body of harmful substances.

So in this context the muscle’s function is reminiscent of that of the kidney or the liver.”

The mice with higher levels of the protein PGC-1a1 also had higher levels of enzymes called KAT.

It is these enzymes that convert the substance formed during stress (kynurenine) into an acid, which cannot pass the blood-brain barrier.

Even injecting the gym mice with kynurenine couldn’t make them depressed, as their KAT enzymes produced by their muscles quickly converted it to a more harmless substance.

Dr. Ruas continued:

“It’s possible that this work opens up a new pharmacological principle in the treatment of depression, where attempts could be made to influence skeletal muscle function instead of targeting the brain directly.

Skeletal muscle appears to have a detoxification effect that, when activated, can protect the brain from insults and related mental illness.”

• Read on: 20 Wonderful Effects Exercise Has on the Mind

Image credit: The Q Speaks

Mental Health Problems Can Shorten Life More Than Heavy Smoking

A serious mental health problem can reduce life expectancy by 10 to 20 years, according to a new analysis by psychiatrists.

A serious mental health problem can reduce life expectancy by 10 to 20 years, according to a new analysis by psychiatrists.

In comparison, the loss of years due to heavy smoking is around 8 – 10.

Researchers from Oxford University analysed studies which included 1.7 million people, reporting 250,000 deaths to compare the effects of smoking and serious mental health problems (Chesney et al., 2014).

One of the study’s authors, Dr Seena Fazel, explained:

“We found that many mental health diagnoses are associated with a drop in life expectancy as great as that associated with smoking 20 or more cigarettes a day.

There are likely to be many reasons for this.

High-risk behaviors are common in psychiatric patients, especially drug and alcohol abuse, and they are more likely to die by suicide.

The stigma surrounding mental health may mean people aren’t treated as well for physical health problems when they do see a doctor.”

Here are the average life expectancy losses for some of the major mental health problems:

  • Recurrent depression: 7 – 11 years.
  • Schizophrenia: 10 – 20 years.
  • Bipolar disorder: 9 – 20 years.
  • Drug and alcohol abuse: 9 – 24 years.

Figures from the UK show that about 21% of British men smoke and 19% of women.

In comparison, over the course of a year, 25% of people will experience a mental health problem, although most will not be as life threatening as those listed above.

Fazel continued:

“All of this can be changed. There are effective drug and psychological treatments for mental health problems.

We can improve mental health and social care provision.

That means making sure people have straightforward access to health care and appropriate jobs and meaningful daytime activities.

It’ll be challenging, but it can be done.”

Image credit: kygp

A Blood Test for Depression

Connection found between a brain network implicated in depression and levels of serotonin in the bloodstream.

Connection found between a brain network implicated in depression and levels of serotonin in the bloodstream.

Scientists have claimed that it is possible to detect the signs of depression using a blood test, despite many believing it is impossible.

The claim comes from researchers at the Medical University of Vienna, who have found a close relationship between a brain network implicated in depression and levels of serotonin in the bloodstream (Scharinger et al., 2014).

The study’s lead author, Lukas Pezawas said:

“This is the first study that has been able to predict the activity of a major depression network in the brain using a blood test.

While blood tests for mental illnesses have until recently been regarded as impossible, this study clearly shows that a blood test is possible in principle for diagnosing depression and could become reality in the not too distant future.”

A wandering mind

The network Pezawas is referring to is sometimes called the ‘default mode network’: essentially it means the areas of the brain which kick into action when our minds are wandering.

One of the components of depression is excessive mind-wandering to negative thoughts and an inability to concentrate.

Interestingly, people with depression also tend to have problems suppressing activity in the brain’s default mode network.

The blood test that the team envisages would measure the level of serotonin in the blood.

Serotonin in the brain — sometimes known as the ‘happiness hormone’ — plays an important role in regulating the default mode network.

What the researchers have discovered is that serotonin function in the blood (not the brain) nevertheless predicts activity in the default mode network.

In other words: you can do a blood test on someone and it will tell you something about the function of a brain network which has been associated with depression.

Depression is about more than just serotonin

This study is fascinating and may eventually lead to a useful diagnostic tool, but it’s worth pointing out a few reservations:

  • Depression is about way more than just serotonin levels. If it were, the current batch of SSRI anti-depressant drugs, which target serotonin, would work much better than they do (which is: not that well).
  • Depression can’t be explained just by activity of the default mode network.
  • Depression is not like a switch, either ‘on’ or ‘off’, it’s a sliding scale. Thinking of it like a biological disease which you either have or don’t have is not helpful. Mainly because it’s not true.
  • If you want to find out if someone is depressed, just ask them. The answer may not be as clear and feel as scientific as a blood test, but it may be more useful.

Image credit: kygp

Get Your Elders Online For Their Mental Health

Despite the psychological benefits, 70% of US retirees are not online, study finds.

Despite the psychological benefits, 70% of US retirees are not online, study finds.

Retired people who use the internet are about one-third less likely to suffer from depression, compared to those who do not go online.

The new study also finds that the positive effects of the internet were particularly strong for those who live alone (Cotten et al., 2014).

The authors of the study explain:

“Number of people in the household partially mediates this relationship, with the reduction in depression largest for people living alone.

This provides some evidence that the mechanism linking Internet use to depression is the remediation of social isolation and loneliness.

Encouraging older adults to use the Internet may help decrease isolation, loneliness, and depression.” (Cotten et al., 2014)

The research included data from 3,075 retired Americans who were living in the community.

The data was collected at four time-points between 2002 and 2008.

The authors of the study explain that:

“Retired persons are a population of interest, particularly because one mechanism by which Internet use may affect depression is to counter the effects of isolation and loneliness, which are more common among older adults.

Also, working individuals may be required to use the Internet rather than choosing to, and may use the technology for different reasons than those not working.”

We know from previous studies that older people are mostly interested in using the internet to communicate with their friends and family.

This is especially useful for them as many have mobility issues.

Despite its beneficial effects, 70% of the retirees in this study were NOT online.

If you are thinking about getting your parents or grandparents online, this study should provide an extra incentive.

Image credit: Louisa Billeter

Later School Start Times Improve Sleep and Daytime Functioning in Adolescents

How much extra sleep can make a difference to adolescent depression?

How much extra sleep can make a difference to adolescent depression?

A new study finds a link between later start times at school and improved mood and sleep in teenagers.

The study, published in the Journal of Developmental & Behavioral Pediatrics, delayed the waking up time of adolescents at a boarding school by just 25 minutes (Boergers et al., 2013).

They found that afterwards the number of students getting more than 8 hours sleep a night jumped from 18% to 44%.

On top of this, the students experienced less daytime sleepiness, were less depressed, and found themselves using less caffeine.

Unsurprisingly, students who benefited the greatest were those who were most sleep deprived at the start of the study.

The lead author, Julie Boergers, a sleep expert, said:

“Sleep deprivation is epidemic among adolescents, with potentially serious impacts on mental and physical health, safety and learning. Early high school start times contribute to this problem. Most teenagers undergo a biological shift to a later sleep-wake cycle, which can make early school start times particularly challenging. In this study, we looked at whether a relatively modest, temporary delay in school start time would change students’ sleep patterns, sleepiness, mood and caffeine use.”

The reason that most adolescents are sleep deprived is that they need more sleep than adults, but often don’t get it.

Unlike adults, adolescents need 8.5 to 9.5 hours of sleep per night.

American high schools usually start at 8am and since most teens find it difficult to fall asleep before 11pm, there simply aren’t enough hours in the night.

Julie Boergers continues:

“The results of this study add to a growing body of research demonstrating important health benefits of later school start times for adolescents. If we more closely align school schedules with adolescents’ circadian rhythms and sleep needs, we will have students who are more alert, happier, better prepared to learn, and aren’t dependent on caffeine and energy drinks just to stay awake in class.”

This is far from the first study to suggest that early school start times have adverse consequences.

Others have found links between early start times and reduced academic performance, lower mood (as in this study) and even more car crashes.

The evidence seems overwhelming, but later start times remain controversial.

A common complaint is that later starts leave less time for extra-curricular activities.

However, there was no evidence of this in the current study, with students engaged in athletics and other activities for the same amount of time as before.

In addition, instead of being exhausted in the evening, they had more energy to complete their homework.

→ Related: 10 Sleep Deprivation Effects.

Image credit: Dan Woods

Mindfulness at School Decreases Chance of Developing Depression

Positive results from best study yet carried out on teaching mindfulness in schools.

Positive results from best study yet carried out on teaching mindfulness in schools.

Mindfulness training in schools has been found to reduce and even prevent depression in adolescents.

The finding comes from research carried out in 408 students between the ages of 13 and 20 who were studying at five schools in Flanders, Belgium (Raes et al., 2013).

Matched classes were assigned either to mindfulness training or to a control condition who simply continued with their other classes as normal.

Their depression, anxiety and stress levels were measured before and after the intervention, as well as six months later.

Happier students

The results showed similar levels of depression when they started the study: 21% of those in the mindfulness group were depressed, and 24% in the control group.

After the mindfulness intervention, the percentage of pupils who were clinically depressed had dropped to 15%, and after six months it remained lower than baseline at 16%.

Meanwhile, in the control group, levels of depression had actually increased, up to 27% and after six months up to 31%.

The study’s results, therefore, suggest that mindfulness training can lead to reductions in depression. These gains are also likely to be maintained for at least six months after the intervention.

Stay in the moment

The mindfulness training used in the study had been specially adapted for adolescents, although the principles of mindfulness are the same for everyone.

Mindfulness is about learning to pay attention to what’s going on right now, in this present moment:

“Mindfulness refers to a compassionate and nonjudgmental moment-to-moment awareness of one’s experiences.” (Raes et al., 2013).

To that end students across the sessions were encouraged to focus on:

“attention to the breath and the moment” (session 1), “attention to the body and pleasant moments” (session 2), “attention to your inner boundaries and to unpleasant moments” (session 3), “attention to stress and space” (session 4), “attention to thoughts and emotion” (session 5), “attention to interpretations and communication” (session 6), “attention to your attitudes and your moods” (session 7), and “attention to yourself and your heartfulness (session 8)” (Raes et al., 2013).

Once taught, students could continue to benefit from these early lessons for a lifetime, perhaps immeasurably improving their lives.

Image credit: James Blann

Meditation is an Effective Treatment for Depression, Anxiety and Pain

Data from 47 different clinical trials finds meditation is as effective as antidepressants.

Data from 47 different clinical trials finds meditation is as effective as antidepressants.

A medical journal review has found that just 30 minutes daily meditation can improve the symptoms of depression, anxiety and pain.

The research, published in the Journal of the American Medical Association, included studies with a total of 3,515 participants (Goyal et al., 2014).

All of the research involved active control groups so it was possible to discount the placebo effect.

The placebo effect occurs when people expect to get better–sometimes simply as a result of being in a study–and so they do.

Studies with active control groups, though, can help discount the placebo effect as the treatment can be compared with a group who have similar expectations.

Meditation is more than relaxation

Participants in this review had had at least 4 hours of instruction in a form of meditation, such as mindfulness or mantra-based programs.

Typically, though, participants were given 2.5 hours instruction per week over 8 weeks.

Many of the participants also had physical problems, like lower back pain, heart disease and insomnia, which were likely heavily involved in their depression and/or anxiety.

The control groups contained matched participants who did things that were similar to meditation, but without actually being meditation.

For example, people in the control group in some of the studies performed progressive muscle relaxation. This has some of the physical requirements of meditation–i.e. you’re relaxed–but doesn’t involve the cognitive aspect.

Madhav Goyal M.D. explained:

“A lot of people have this idea that meditation means sitting down and doing nothing. But that’s not true. Meditation is an active training of the mind to increase awareness, and different meditation programs approach this in different ways.”

The meditation conditions, though, consistently outperformed the control conditions, suggesting meditation is effective.

And, when the researchers compared the magnitude of the gains with those taking medications, the effectiveness was similar.

No side-effects

On top of these findings for depression and anxiety, the review also found that meditation was an effective treatment for those experiencing pain.

When you consider that meditation has no side-effects in comparison to many medications, it starts to look even better.

→ Read on: Meditation Benefits: 10 Ways It Helps Your Mind

→ 10 Signs of Anxiety Everyone Should Know.

Image credit: c_liecht

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