Mental Health

Rung AL, Gaston S, Robinson WT, Trapido EJ, Peters ES. Untangling the disaster-depression knot: The role of social ties after Deepwater Horizon. Social Science & Medicine [Internet]. 2017;177 :19-26. Publisher's VersionAbstract

The mental health consequences of disasters, including oil spills, are well known. The goal of this study is to examine whether social capital and social support mediate the effects of exposure to the Deepwater Horizon oil spill on depression among women. Data for the analysis come from the first wave of data collection for the Women and Their Children's Health Study, a longitudinal study of the health effects of women exposed to the oil spill in southern Louisiana, USA. Women were interviewed about their exposure to the oil spill, depression symptoms, structural social capital (neighborhood organization participation), cognitive social capital (sense of community and informal social control), and social support. Structural equation models indicated that structural social capital was associated with increased levels of cognitive social capital, which were associated with higher levels of social support, which in turn were associated with lower levels of depression. Physical exposure to the oil spill was associated with greater economic exposure, which in turn was associated with higher levels of depression. When all variables were taken into account, economic exposure was no longer associated with depression, and social support and cognitive social capital mediated the effect of economic exposure on depression, explaining 67% of the effect. Findings support an extension of the deterioration model of social support to include the additional coping resource of social capital. Social capital and social support were found to be beneficial for depression post-oil spill; however, they were themselves negatively impacted by the oil spill, explaining the overall negative effect of the oil spill on depression. A better understanding of the pathways between the social context and depression could lead to interventions for improved mental health in the aftermath of a disaster.

Attademo L, Bernardini F. Air pollution and urbanicity: common risk factors for dementia and schizophrenia?. The Lancet Planetary Health [Internet]. 2017;1 (3) :e90–e91. Publisher's VersionAbstract

Environmental pollution is a global problem and the subject of increasing worldwide public health concern.1 In particular, air pollution is regarded as the largest single environmental risk to health. More than 80% of people living in urban areas that monitor air pollution are exposed to air quality levels that exceed the WHO limits, and all regions of the world are affected. Declines in urban air quality increase the risk of cerebrovascular accidents, coronary artery disease, lung carcinoma, and chronic and acute respiratory diseases (eg, asthma, obstructive lung disease, and acute lower respiratory infections).

van Praag CDG, Garfinkel SN, Sparasci O, Mees A, Philippides AO, Ware M, Ottaviani C, Critchley HD. Mind-wandering and alterations to default mode network connectivity when listening to naturalistic versus artificial sounds. Scientific Reports [Internet]. 2017. Publisher's VersionAbstract
Naturalistic environments have been demonstrated to promote relaxation and wellbeing. We assess opposing theoretical accounts for these effects through investigation of autonomic arousal and alterations of activation and functional connectivity within the default mode network (DMN) of the brain while participants listened to sounds from artificial and natural environments. We found no evidence for increased DMN activity in the naturalistic compared to artificial or control condition, however, seed based functional connectivity showed a shift from anterior to posterior midline functional coupling in the naturalistic condition. These changes were accompanied by an increase in peak high frequency heart rate variability, indicating an increase in parasympathetic activity in the naturalistic condition in line with the Stress Recovery Theory of nature exposure. Changes in heart rate and the peak high frequency were correlated with baseline functional connectivity within the DMN and baseline parasympathetic tone respectively, highlighting the importance of individual neural and autonomic differences in the response to nature exposure. Our findings may help explain reported health benefits of exposure to natural environments, through identification of alterations to autonomic activity and functional coupling within the DMN when listening to naturalistic sounds.
Ingegnoli V, Giglio E. Complex environmental alterations damages human body defence system: a new bio-systemic way of investigation. WSEAS Transactions on Environment and Development [Internet]. 2017;13 :170-180. Publisher's VersionAbstract
Few studies focus on environment in its biological dimension, relating territorial/landscape alteration and human health, beyond pollution impact. The growing importance of risk factors in medicine and the new ecological advancements in Landscape Bionomics impose to deepen these studies. The landscape is a living entity, in which man and territory form a complex biological level of life organization. So, a landscape must be investigated in its physiology and behaviour by the discipline of Landscape Bionomics. This to check “if”, “how” and “how much” landscape alterations could reflect on human health, independently form pollution. First evidences of a clear correlation subsist, concerning an increase of mortality rate within Milan hinterland (Italy). The Landscape dysfunctions are correlated with the increase of mortality rate MR. All the environmental alterations are registered as ‘stressors’ by a basilar ethological alarm process. So, bionomic landscape dysfunctions may attempt our health bringing to an excess of cortisol, which reduces our hormonal, immune and nervous system defences. This enlarges the W.H.O. estimation of the environmental MR and the importance of applications impose a true effort in landscape rehabilitation.
Majeed H, Lee J. The impact of climate change on youth depression and mental health. The Lancet Planetary Health [Internet]. 2017;1 (3) :e94-e95. Publisher's VersionAbstract

Youth depression is a major risk factor for suicide, and a leading cause of disability worldwide,1–3hence its impact is both devastating and substantial. Although researchers have suggested several potential causal factors that contribute to the development of youth depression including genetic loading, low socioeconomic status, and adverse life events,2 the impact of climate change remains relatively unexplored. In the past three decades, global annual surface temperatures have increased by approximately 0·2°C per decade, giving rise to concerns for planetary and environmental human health.

 
Hunter DJ, Frumkin H, Jha A. Preventive Medicine for the Planet and Its Peoples. The New England Journal of Medicine [Internet]. 2017. Publisher's VersionAbstract

“Health is the human face of climate change” was the motivating idea behind the Climate and Health conference held at the Carter Center in Atlanta on Thursday, February 16, 2017. Originally scheduled by the Centers for Disease Control and Prevention (CDC), which then postponed it indefinitely, the meeting was resurrected by a coalition of nongovernmental organizations and universities and convened by former Vice President Al Gore. More than 300 attendees and a worldwide audience watching the live stream listened to more than 25 speakers addressing the health effects of climate change, the role of health professionals in adapting to these effects and communicating with the public and policymakers, and the health benefits of climate-change mitigation.

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