Mostrando postagens com marcador Anxiety disorder. Mostrar todas as postagens
Mostrando postagens com marcador Anxiety disorder. Mostrar todas as postagens

terça-feira, 22 de setembro de 2015

Feeling anxious? Check your orbitofrontal cortex, cultivate your optimism

 

 

Glass half full or half empty? What you see may depend in part on the size of your orbitofrontal cortex. Optimistic people also tend to be less anxious, research finds.

Credit: Graphic by Julie McMahon

A new study links anxiety, a brain structure called the orbitofrontal cortex, and optimism, finding that healthy adults who have larger OFCs tend to be more optimistic and less anxious.

The new analysis, reported in the journal Social, Cognitive and Affective Neuroscience, offers the first evidence that optimism plays a mediating role in the relationship between the size of the OFC and anxiety.

Anxiety disorders afflict roughly 44 million people in the U.S. These disorders disrupt lives and cost an estimated $42 billion to $47 billion annually, scientists report.

The orbitofrontal cortex, a brain region located just behind the eyes, is known to play a role in anxiety. The OFC integrates intellectual and emotional information and is essential to behavioral regulation. Previous studies have found links between the size of a person's OFC and his or her susceptibility to anxiety. For example, in a well-known study of young adults whose brains were imaged before and after the colossal 2011 earthquake and tsunami in Japan, researchers discovered that the OFC actually shrank in some study subjects within four months of the disaster. Those with more OFC shrinkage were likely to also be diagnosed with post-traumatic stress disorder, the researchers found.

Other studies have shown that more optimistic people tend to be less anxious, and that optimistic thoughts increase OFC activity.

The team on the new study hypothesized that a larger OFC might act as a buffer against anxiety in part by boosting optimism.

Most studies of anxiety focus on those who have been diagnosed with anxiety disorders, said University of Illinois researcher Sanda Dolcos, who led the research with graduate student Yifan Hu and psychology professor Florin Dolcos. "We wanted to go in the opposite direction," she said. "If there can be shrinkage of the orbitofrontal cortex and that shrinkage is associated with anxiety disorders, what does it mean in healthy populations that have larger OFCs? Could that have a protective role?"

The researchers also wanted to know whether optimism was part of the mechanism linking larger OFC brain volumes to lesser anxiety.

The team collected MRIs of 61 healthy young adults and analyzed the structure of a number of regions in their brains, including the OFC. The researchers calculated the volume of gray matter in each brain region relative to the overall volume of the brain. The study subjects also completed tests that assessed their optimism and anxiety, depression symptoms, and positive (enthusiastic, interested) and negative (irritable, upset) affect.

A statistical analysis and modeling revealed that a thicker orbitofrontal cortex on the left side of the brain corresponded to higher optimism and less anxiety. The model also suggested that optimism played a mediating role in reducing anxiety in those with larger OFCs. Further analyses ruled out the role of other positive traits in reducing anxiety, and no other brain structures appeared to be involved in reducing anxiety by boosting optimism.

"You can say, 'OK, there is a relationship between the orbitofrontal cortex and anxiety. What do I do to reduce anxiety?'" Sanda Dolcos said. "And our model is saying, this is working partially through optimism. So optimism is one of the factors that can be targeted."

"Optimism has been investigated in social psychology for years. But somehow only recently did we start to look at functional and structural associations of this trait in the brain," Hu said. "We wanted to know: If we are consistently optimistic about life, would that leave a mark in the brain?"

Florin Dolcos said future studies should test whether optimism can be increased and anxiety reduced by training people in tasks that engage the orbitofrontal cortex, or by finding ways to boost optimism directly.

"If you can train people's responses, the theory is that over longer periods, their ability to control their responses on a moment-by-moment basis will eventually be embedded in their brain structure," he said.


Story Source:

The above post is reprinted from materials provided by University of Illinois at Urbana-Champaign. The original item was written by Diana Yates. Note: Materials may be edited for content and length.


Journal References:

  1. Sanda Dolcos et al. Optimism and the Brain: Trait Optimism Mediates the Protective Role of the Orbitofrontal Cortex Gray Matter Volume against Anxiety. Social, Cognitive and Affective Neuroscience, September 2015 DOI: 10.1093/scan/nsv106
  2. A Sekiguchi, M Sugiura, Y Taki, Y Kotozaki, R Nouchi, H Takeuchi, T Araki, S Hanawa, S Nakagawa, C M Miyauchi, A Sakuma, R Kawashima. Brain structural changes as vulnerability factors and acquired signs of post-earthquake stress. Molecular Psychiatry, 2012; 18 (5): 618 DOI:10.1038/mp.2012.51

 

http://www.sciencedaily.com/releases/2015/09/150922115819.htm

quinta-feira, 17 de setembro de 2015

Depression and anxiety: Exercise eases symptoms

 

 

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Depression symptoms often improve with exercise. Here are some realistic tips to help you get started and stay motivated

By Mayo Clinic Staff

When you have anxiety or depression, exercise often seems like the last thing you want to do. But once you get motivated, exercise can make a big difference.

Exercise helps prevent and improve a number of health problems, including high blood pressure, diabetes and arthritis. Research on anxiety, depression and exercise shows that the psychological and physical benefits of exercise can also help reduce anxiety and improve mood.

The links between anxiety, depression and exercise aren't entirely clear — but working out and other forms of physical activity can definitely ease symptoms of anxiety or depression and make you feel better. Exercise may also help keep anxiety and depression from coming back once you're feeling better.

How does exercise help depression and anxiety?

Regular exercise probably helps ease depression in a number of ways, which may include:

  • Releasing feel-good brain chemicals that may ease depression (neurotransmitters, endorphins and endocannabinoids)
  • Reducing immune system chemicals that can worsen depression
  • Increasing body temperature, which may have calming effects

Regular exercise has many psychological and emotional benefits, too. It can help you:

  • Gain confidence. Meeting exercise goals or challenges, even small ones, can boost your self-confidence. Getting in shape can also make you feel better about your appearance.
  • Take your mind off worries. Exercise is a distraction that can get you away from the cycle of negative thoughts that feed anxiety and depression.
  • Get more social interaction. Exercise and physical activity may give you the chance to meet or socialize with others. Just exchanging a friendly smile or greeting as you walk around your neighborhood can help your mood.
  • Cope in a healthy way. Doing something positive to manage anxiety or depression is a healthy coping strategy. Trying to feel better by drinking alcohol, dwelling on how badly you feel, or hoping anxiety or depression will go away on its own can lead to worsening symptoms.
Is a structured exercise program the only option?

Some research shows that physical activity such as regular walking — not just formal exercise programs — may help improve mood. Physical activity and exercise are not the same thing, but both are beneficial to your health.

  • Physical activity is any activity that contracts muscles and expends energy and can include work or household or leisure activities.
  • Exercise is a planned, structured and repetitive body movement done to improve or maintain physical fitness.

The word "exercise" may make you think of running laps around the gym. But exercise includes a wide range of activities that boost your activity level to help you feel better.

Certainly running, lifting weights, playing basketball and other fitness activities that get your heart pumping can help. But so can physical activity such as gardening, washing your car, walking around the block or engaging in other less intense activities. Any physical activity that gets you off the couch and moving can help improve your mood.

You don't have to do all your exercise or other physical activity at once. Broaden how you think of exercise and find ways to add small amounts of physical activity throughout your day. For example, take the stairs instead of the elevator. Park a little farther away from work to fit in a short walk. Or, if you live close to your job, consider biking to work.

 

http://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/art-20046495

quinta-feira, 13 de novembro de 2014

Hope for those with social anxiety disorder: You may already be someone's best friend

 


 

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Making friends is often extremely difficult for people with social anxiety disorder and to make matters worse, people with this disorder tend to assume that the friendships they do have are not of the highest quality.

The problem with this perception, suggests new research from Washington University in St. Louis, is that it's not necessarily true from the point of view of their friends.

"People who are impaired by high social anxiety typically think they are coming across much worse than they really are," said study co-author Thomas Rodebaugh, PhD, associate professor of psychology in Arts & Sciences. "This new study suggests that the same is true in their friendships."

The study, published this month in the Journal of Abnormal Psychology, finds that people with social anxiety disorder often overestimate how bad their relationships are with friends, when compared to what the friends say.

Much more than simple shyness, social anxiety disorder is a recognized psychiatric condition in which those struggling with the affliction often live in fear of meeting new people, passing up social invitations or work opportunities for fear of being rejected, embarrassed or otherwise singled out as a failure.

By some estimates, 13 percent of people in Europe and the United States experience social anxiety disorder. The disorder ranges in severity, from less severe, yet impairing fears of a single situation (most often public speaking), to fears about interacting with people in general.

Based on a battery of psychological tests designed to assess friendship quality, Rodebaugh's study involved a group of 112 participants, each diagnosed as having or not having social anxiety disorder. Each participant brought along a friend from a non-romantic relationship who agreed to take part in the testing.

"People with social anxiety disorder report that their friendships are worse, but their friends didn't see it the same way," Rodebaugh said. "Their friends seem to say something more like: 'It's different, but not worse.' "

People with social anxiety disorder reported that their friendships were significantly worse (as compared to people without the disorder). These misperceptions were stronger and more prevalent among younger study participants and in situations where the friendship was relatively new, researchers found.

"The friends of people with social anxiety disorder did seem to be aware that their friends were having trouble, and additionally saw the person with social anxiety disorder as less dominant in the friendship," Rodebaugh said.

The findings could play an important role in helping people with social anxiety disorder understand that their friendships may not be as terrible as they might imagine. Helping people form friendships is in itself important, because many studies confirm that the lack of strong social networks can leave people vulnerable to a host of problems, including disease, depression and even earlier mortality, Rodebaugh said.

The good news is that social anxiety disorder is treatable. Decades of research suggests that talk therapy, such as cognitive behavioral treatment, is as, or even more, effective than medications for long term treatment of the disorder.

"Current treatments focus, in part, on helping people with social anxiety disorder see that they come across better than they expect they will," Rodebaugh said. "Our study suggests that's true for specific friendships as well."


Story Source:

The above story is based on materials provided by Washington University in St. Louis. The original article was written by Gerry Everding. Note: Materials may be edited for content and length.


Journal Reference:

  1. Thomas L. Rodebaugh, Michelle H. Lim, Katya C. Fernandez, Julia K. Langer, Jaclyn S. Weisman, Natasha Tonge, Cheri A. Levinson, Erik A. Shumaker. Self and friend’s differing views of social anxiety disorder’s effects on friendships.. Journal of Abnormal Psychology, 2014; 123 (4): 715 DOI: 10.1037/abn0000015