April 6, 2010
Dietary intervention and mental illness
Recent results of an epidemiologic study demonstrated an association between habitual diet quality and the high-prevalence mental disorders, particularly anxiety and depressive disorders in women.
Researchers in Australia studied 1,046 women ages 20–93 years randomly selected from the population. After adjustments for age, socioeconomic status, education, and health behaviors, it was shown that a “traditional” dietary pattern characterized by vegetables, fruit, meat, fish, and whole grains was associated with lower odds for major depression or dysthymia as well as for anxiety disorders. In contrast, a dietary pattern comprising processed and “unhealthy” foods (western) was associated with a higher likelihood of psychological symptoms and disorders.
Depression is influenced by genetic, hormonal, immunological, biochemical, and neurodegenerative factors. Diet modulates each of these factors and, as a result, has a plausible impact on the development and course of psychiatric illness.
Adherence to a Mediterranean diet, high in vegetables, fruits, legumes, whole grains, fish, olive oil, and low-fat dairy products, correlates with lower levels of inflammatory markers that have been implicated as a contributing factor in depression as well as other chronic medical illness (specifically some types of cancers and cardiovascular disease).
Robin Stone, M.D.
Insight Psychiatry
13123 Rosedale Hill Ave.
Huntersville, NC 28078
704-948-3810
For Further Reading:
Kotowitz, and Berk. Association of traditional and western diets with anxiety and depressive disorders in women. American Journal of Psychiatry, March 2010
Molteni R, Barnard RJ, Ying Z, Roberts CK, Gomez-Pinilla F: A high-fat, refined sugar diet reduces hippocampal brain-de¬rived neurotrophic growth factor, neuroplasticity and learning. Neuroscience 2002; 112
May 22, 2009
Synthetic Oxytocin, Cocaine of the Future?
When reading an article in nature magazine about the potential uses of oxytocin as an anti-anxiety hormone, I suddenly thought of a world like that in Aldous Huxley’s “The Wanting Seed.” Everyone has days when a soma holiday looks appealing I’m sure.
Oxytocin is a hormone naturally produced by the brain that is presumed to aide attachment and social recognition. Researchers have shown that release peaks during orgasm, and higher levels are found in the bloodstream of those who are in the throes of romance. Perhaps more commonly understood as the hormone responsible for milk letdown in breastfeeding, and enhanced uterine contractions during labor, researchers think it may be helpful in attenuating fear responses in social situations. If true, it may have implications as a novel treatment for social anxiety disorder or social deficits seen in other psychiatric conditions.
Researchers including Thomas Insel, MD Director of National Institute of Mental Health, and European counterparts at Cambridge report that data is due out in July of this year regarding the likelihood of an analog of oxytocin becoming a drug trial candidate. They admit that synthetic hormones have limited bioavailability due to difficulties in crossing the blood-brain barrier (and that intranasal preparations have shown only short-term effects). A biotechnology firm based out of Washington—MDRNA, Inc. is considering a project to develop a longer acting intranasal formulation.
References:
December 2005, Journal of Neuroscience, author Thomas Baumgartner PhD
August 2008, Biological Psychiatry, author Gregor Domes PhD
Article in Psychiatric News, November 21, 2008
Robin Stone, M.D.
Insight Psychiatry
13123 Rosedale Hill Ave.
Huntersville, NC 28078
704-948-3810
March 26, 2008
The “Word” on Brain-Derived Neurotrophic Growth Factor: Does size really matter?
People with first episode depression have been found to exhibit anatomical changes in the brain with neuroimaging studies before receiving treatment. Smaller volumes in particular regions, most notably the hippocampus (involved in learning and memory) have been shown to increase in size after treatment with various antidepressants. It’s believed that in addition to increasing levels of chemicals such as serotonin, medication when taken on a chronic basis, also increases the level of nerve growth factors. Brain-derived neurotrophic factor (a chemical that is neuroprotective; and a growth factor inducing neurogenesis) is increased not only with antidepressants, but with certain mood stabilizers as well.
Patients with depression who have been studied pre and post-treatment have been found to increase the volume of their hippocampal region (specifically gray matter volume). Studies seeking to correlate this new growth with remitted depression are underway, but have not yet been definitive.
Citation:
Tamminga, Carol, M.D. ed. Elucidating the role of brain-derived neurotrophic factor in the brain. American Journal of Psychiatry 164:12, December 2007
Robin Stone, M.D.
Insight Psychiatry
13123 Rosedale Hill Ave.
Huntersville, NC 28078
704-948-3810
