Quitting alcohol may improve mental well-being, health-related quality of life

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Quitting alcohol may improve health-related quality of life for women, especially their mental well-being, according to a study from Hong Kong published in CMAJ (Canadian Medical Association Journal).

“More evidence suggests caution in recommending moderate drinking as part of a healthy diet,” says Dr. Michael Ni, School of Public Health and The State Key Laboratory of Brain and Cognitive Science, University of Hong Kong (HKU).

The study carried out by Dr. Xiaoxin Yao, Dr. Michael Ni, Dr. Herbert Pang and colleagues at HKU included 10 386 people from the FAMILY Cohort in Hong Kong who were nondrinkers or moderate drinkers (14 drinks or less per week for men and 7 drinks or less per week for women) between 2009 and 2013. The researchers compared their findings with data from the National Epidemiologic Survey on Alcohol and Related Conditions, a representative survey of 31 079 people conducted by the National Institute on Alcohol Abuse and Alcoholism in the United States.

The mean age of participants in the FAMILY Cohort was 49 years and 56% were women. About 64% of men were nondrinkers (abstainers and former drinkers) and almost 88% of women were nondrinkers. Men and women who were lifetime abstainers had the highest level of mental well-being at the start of the study (baseline). For women who were moderate drinkers and quit drinking, quitting was linked to a favourable change in mental well-being in both Chinese and American study populations. These results were apparent after adjusting for sociodemographic characteristics, body mass index, smoking status, and other factors.

“Global alcohol consumption is expected to continue to increase unless effective strategies are employed,” says Dr. Ni. “Our findings suggest caution in recommendations that moderate drinking could improve health-related quality of life. Instead, quitting drinking may be associated with a more favourable change in mental well-being, approaching the level of lifetime abstainers.”

“Change in moderate alcohol consumption and quality of life: evidence from 2 population-based cohorts” is published July 8, 2019.

Stressed? Take a 20-minute nature pill

Just 20 minutes of contact with nature will lower stress hormone levels, reveals new study

Taking at least twenty minutes out of your day to stroll or sit in a place that makes you feel in contact with nature will significantly lower your stress hormone levels. That’s the finding of a study that has established for the first time the most effective dose of an urban nature experience. Healthcare practitioners can use this discovery, published in Frontiers in Psychology, to prescribe ‘nature-pills’ in the knowledge that they have a real measurable effect.

“We know that spending time in nature reduces stress, but until now it was unclear how much is enough, how often to do it, or even what kind of nature experience will benefit us,” says Dr. MaryCarol Hunter, an Associate Professor at the University of Michigan and lead author of this research. “Our study shows that for the greatest payoff, in terms of efficiently lowering levels of the stress hormone cortisol, you should spend 20 to 30 minutes sitting or walking in a place that provides you with a sense of nature.”

A free and natural stress-relieving remedy

Nature pills could be a low-cost solution to reduce the negative health impacts stemming from growing urbanization and indoor lifestyles dominated by screen viewing. To assist healthcare practitioners looking for evidence-based guidelines on what exactly to dispense, Hunter and her colleagues designed an experiment that would give a realistic estimate of an effective dose.

Over an 8-week period, participants were asked to take a nature pill with a duration of 10 minutes or more, at least 3 times a week. Levels of cortisol, a stress hormone, were measured from saliva samples taken before and after a nature pill, once every two weeks.

“Participants were free to choose the time of day, duration, and the place of their nature experience, which was defined as anywhere outside that in the opinion of the participant, made them feel like they’ve interacted with nature. There were a few constraints to minimize factors known to influence stress: take the nature pill in daylight, no aerobic exercise, and avoid the use of social media, internet, phone calls, conversations and reading,” Hunter explains.

She continues, “Building personal flexibility into the experiment, allowed us to identify the optimal duration of a nature pill, no matter when or where it is taken, and under the normal circumstances of modern life, with its unpredictability and hectic scheduling.”

To make allowances for busy lifestyles, while also providing meaningful results, the experimental design was novel in other aspects too.

“We accommodated day to day differences in a participant’s stress status by collecting four snapshots of cortisol change due to a nature pill,” says Hunter. “It also allowed us to identify and account for the impact of the ongoing, natural drop in cortisol level as the day goes on, making the estimate of effective duration more reliable.”

Nature will nurture

The data revealed that just a twenty-minute nature experience was enough to significantly reduce cortisol levels. But if you spent a little more time immersed in a nature experience, 20 to 30 minutes sitting or walking, cortisol levels dropped at their greatest rate. After that, additional de-stressing benefits continue to add up but at a slower rate.

“Healthcare practitioners can use our results as an evidence-based rule of thumb on what to put in a nature-pill prescription,” says Hunter. “It provides the first estimates of how nature experiences impact stress levels in the context of normal daily life. It breaks new ground by addressing some of the complexities of measuring an effective nature dose.”

Hunter hopes this study will form the basis of further research in this area.

“Our experimental approach can be used as a tool to assess how age, gender, seasonality, physical ability and culture influences the effectiveness of nature experiences on well-being. This will allow customized nature pill prescriptions, as well as a deeper insight on how to design cities and wellbeing programs for the public.”

What is Trichotillomania? Why is this common for people on the autism spectrum?




Trichotillomania




 

TrichotillomaniaTrichotillomania, also known as trich, is when someone can’t resist the urge to pull out their hair.They may pull out the hair on their head or in other places, such as their eyebrows or eyelashes.

Trich is more common in teenagers and young adults, and tends to affect girls more often than boys.

Symptoms of trichotillomania

People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief.

A person may sometimes pull their hair out in response to a stressful situation, or it may be done without really thinking about it.

Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their:

eyebrows

eyelashes

genital area

beard or moustache

Bald patches left on the head tend to have an unusual shape and may affect one side more than the other.




Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves.

Causes of trichotillomania

It’s not entirely clear what causes trich. It could be:

your way of dealing with stress or anxiety

a chemical imbalance in the brain, similar to obsessive compulsive disorder (OCD)

changes in hormone levels during puberty

a type of self-harm to seek relief from emotional distress

For some people, hair pulling can be a type of addiction. The more they pull their hair out, the more they want to keep doing it.

When to see a GP

See your GP if you’re pulling your hair out or if you notice that your child is.

You should also see your GP if you or your child has a habit of eating hair. This can cause hairballs to form in the stomach, leading to serious illness.

Your GP may examine areas where the hair is missing to check that nothing else is causing the hair to come out, such as a skin infection.

If your GP thinks you have trich, you may be referred for a type of treatment called cognitive behavioural therapy (CBT).

Treating trichotillomania

Trich is commonly treated using a type of CBT called habit reversal training.

This aims to help you replace a bad habit with something that’s not harmful. Treatment usually involves:

keeping a diary of your hair pulling

working out the triggers for your hair pulling and learning how to avoid them

replacing hair pulling with another action, like squeezing a stress ball

involving loved ones to provide emotional support and encouragement

Antidepressants are no longer considered to be an effective treatment for trich.

Things you can try yourself

Here are some tips from people with trich that may help when you feel the urge to pull your hair:

squeeze a stress ball or something similar

form a ball with your fist and tighten the muscles in that arm

use a fidget toy

wear a bandana or a tight-fitting hat, such as a beanie

come up with a saying that you repeat out loud until the urge to pull passes

take a soothing bath to ease any stress or anxiety

practise deep breathing until the urge to pull goes away

exercise

put plasters on your fingertips

cut your hair short

Getting support

It may also help to open up about your trich to people you trust, as hiding it can sometimes make your anxiety worse.

Many people who have learned to manage their trich say that speaking to others about the condition led to a reduction in hair pulling.

The charity Trichotillomania Support has a busy online forum where you can get advice and support from other people affected by the condition. It also has lots of information on treatments and self-help advice.