Can You Experience Seasonal Depression in the Summer?

There’s a short and funny YouTube video, Finnish Seasonal Depression, that compares a Finnish man in the despairing depths of winter to what he’s like on a summer day with some rare sunshine. (Clearly there are enormous differences, like the flower tucked behind his ear. As for the beer – it’s good for any season.)

Anyway, a question came to mind when I watched it: Can people get seasonal affective disorder (SAD), or seasonal depression, during the summer?

Apparently yes, though it’s not as common (or at least not as well-documented) as winter SAD. As discussed in Psychiatry Advisor, overbearing heat and humidity may trigger the summer variation of seasonal depression, and high pollen levels may be another environmental trigger. Also, it seems as though summer SAD is more common in tropical climates.

I wasn’t aware of this at all. Aside from sensing that intense heat and protracted exposure to sunshine can make someone feel sluggish (or put them at risk of dehydration or heatstroke), I never thought of SAD as an issue in the summer. It probably almost never is in Finland.

A link between depression and inflammation?

A recent Science Alert article announced the results of a large study involving close to 86,000 people in the UK: There’s an association between a higher risk of depression and a higher level of bodily inflammation.

What does this mean?

We don’t know. I love how, like most of science journalism, a bold and promising headline gives way to paragraphs of doubt and descriptions of methodological limitations.

An association between depression and inflammation in the body may mean that one increases the risk of the other, or that there’s another factor (or factors) contributing to both.

You can think of some plausible scenarios that tie the two together. For example, someone with depression may eat more poorly, and maybe their poor diet elevates their levels of bodily inflammation. But we don’t yet understand the mechanisms at play, and jumping to conclusions may put people in harm’s way (for instance, if they try to treat their depression with anti-inflammatory meds).

That said, eating a more nutritious diet is a good decision to make regardless of the relationship between depression and inflammation. And it’s interesting to follow research that explores the interaction of mental and physical health. Many people impose a barrier between brain/mind and body, but our brain is a part of our body, and our systems are complex.

Synaptic Sunday #10 – Mental Health and Life Expectancy

A mental health issue isn’t “all in your mind.” The mind arises from the brain, and the brain is a part of your body that closely interacts with the rest of your body.

1) Even Mild Mental Health Problems Linked to Reduced Life Expectancy

This was from a study of 68,000 adults ages 35 and over in the U.K.:

Their results reveal that people who experienced symptoms of anxiety or depression had a lower life expectancy than those without any such symptoms.

Even people with minor symptoms of mental health problems seemed to have a higher risk of death from several major causes, including cardiovascular disease, according to the researchers.

And it’s not just a matter of poorer health behaviors. The researchers did try to control for factors like weight, eating habits, exercise, drinking, etc. and still found associations between these mental health symptoms and disease. (Granted they didn’t control for all possible factors, but they did try to account for some basic lifestyle choices that strongly impact health.)

Having poorer mental health doesn’t automatically doom you to a shorter life. No one can say what your individual outcome will be. What the study is showing is that on average people with poorer mental health have a shorter life expectancy compared to people with good mental health. As a preventative measure, to increase the odds in your favor that you’ll live longer and with a higher quality of life, don’t ignore your psychological distress or any other symptoms indicative of poor mental health. The effects ripple out to all areas of your life.

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2) Psychological distress linked to life expectancy- experts respond

Here’s a post with some comments from a few researchers and doctors on the study in the first link; the post includes some comments on potential weaknesses in the study and what can be researched next (for instance, what are the best interventions?). There are multiple ways that psychological distress can be linked to poorer health and shorter lifespan. Chronic stress damages the body and increases the chances of physical illnesses. People with poorer mental health might be more isolated and have less of a social support network. Maybe when they’re physically healthy they can get by, but when they come down with a physical illness they may neglect to get it treated. This is a fruitful area of research.

Synaptic Sunday #2

This Sunday, a few links on excessive anxiety.

1) Anxiety May Hinder Your Sense of Danger

The result implies that worriers are less aware of potential danger—challeng­ing the common theory that anxious individuals are hypervigilant. Frenkel be­lieves that worrywarts’ low sensitivity to external warning signs causes them to be startled frequently by the seemingly sudden appearance of threats, which leaves them in a state of chronic stress.

Further study is needed, but it’s an interesting example of how the brain might work against itself. High anxiety and stress are not meant to be chronic states of being, but reactions to specific situations.

2) Anxious Girls’ Brains Work Harder

A young woman could be intelligent, competent and knowledgeable, but if she has problems with anxiety her brain might not be functioning as efficiently as possible.

“Anxious girls’ brains have to work harder to perform tasks because they have distracting thoughts and worries,” Moser said. “As a result their brains are being kind of burned out by thinking so much, which might set them up for difficulties in school. We already know that anxious kids — and especially anxious girls — have a harder time in some academic subjects such as math.”

Initially the article points out that high brain activity was observed in the more anxious women when they detected an error in their performance on a task (had they not been able to tell when they were making a mistake, would the results have been different?) At least part of the problem could involve fixating on errors: worrying that you’ll repeat them, that you’re no good at this… and any other self-defeating thoughts. But I haven’t seen the original paper, just the write-up at the Sciencedaily link.

3) New Study Suggests Depression May Increase Vulnerability to Anxiety

Depressive disorders and anxiety disorders often go hand-in-hand. Why that is, is not 100% clear at this point. They might have similar neurological underpinnings and can both arise (and interact with each other) as a reaction to adverse circumstances in life. One kind of disorder might also make you more vulnerable to the other (as this study suggests, speculating about depression paving the way for anxiety). Anxiety could possibly make you more vulnerable to depression as well. If someone for example suffers from severe social anxiety, and in consequence experiences poor academic performance, difficulty securing a job, and personal relationships that are strained or nonexistent, depression could set in.

Don’t neglect any problems you have with anxiety. Even if you don’t have a formal diagnosis of an anxiety disorder, you might still be worrying too much and experiencing more stress than is good for you; excessive worrying can hinder cognitive performance and have other adverse effects on your mental activity and physical health. Finding healthy ways to manage anxiety is one of the best things you can do for yourself (here’s one set of suggestions, also making the important point that people with anxiety disorders often have more difficulty coping with life’s uncertainties; here’s another interesting discussion about worrying, with tips to cut down on it and further links to relaxation techniques).