Depression can arise from a multitude of factors, such as genetic, environmental, psychological, and biochemical ones. According to samhsa.gov, a person is more likely to experience depression if they have trauma, significant life changes, stress, a family history of depression, physical illnesses (like diabetes, cancer, or Parkinson’s disease), or as a side effect of certain medications. A minimum of two weeks must pass with some of these symptoms and signs being present almost daily to be diagnosed with Major Depressive Disorder: Persistent sadness, hopelessness, pessimism, emptiness, lack of energy, feeling guilty or unworthy. The lack of interest or pleasure in pastimes, alterations in appetite that result in either weight gain or loss, Slower speech, movement, or thought, increased fidgeting, having difficulty focusing, thinking coherently, or making decisions, Suicidal thoughts, suicidal attempts, thoughts of death, or self-harming behavior are some of the signs and symptoms of depression.
Strategies to feel better are;
- Self-care. Practice stress-reduction techniques like tai chi or meditation. Get enough sleep, exercise, and eat a balanced diet. For the most part, adults require 7 to 9 hours of sleep. Refrain from using recreational drugs and alcohol, as these can exacerbate symptoms and complicate the treatment of depression.
- Educating family and friends about depression: They can assist you in identifying early indicators that your depression might be relapsing.
- Maintain your treatment regimen. Continue taking your medication and attending therapy sessions even after you feel better. Sudden medication discontinuation may result in withdrawal symptoms and a relapse of depression. Work with your physician to modify your medication or dosage to adhere to your treatment plan if necessary.
- Make modest, achievable goals: realistic goals to increase motivation and self-assurance. During the first stages of care, you might want to walk, have lunch with a friend, or make a bed. Gradually increase your goals as you get better.
- Identify the warning signs: Determine what triggers your depression, and if you notice any unusual changes in your feelings, thoughts, or behavior, speak with your doctor or a mental health professional. Keep a journal of your daily emotions, feelings, and reactions to identify trends and identify the things that lead to depression.
- Seek support. Maintaining relationships with people is crucial, especially during difficult times or periods, regardless of whether you receive support from family or a support group https://www.samhsa.gov/mental-health/depression
According to Justice.gov, Domestic violence refers to a pattern of abusive behavior in which one partner uses the other as a means of gaining or retaining control over another intimate partner. Intimate partner relationships can involve physical, sexual, emotional, financial, psychological, or technological abuse of another person, as well as threats of abuse or other coercive behaviors. And it encompasses any actions that cause fear, terror, intimidation, isolation, coercion, threats, harm, injure, or wound someone.
Ways domestic violence impacts health and wellbeing
- Effects on Reproductive Health: Domestic violence can harm reproductive health, increasing the risk of gynecological issues, STIs, and unplanned pregnancies. An abusive partner’s control may also impair access to reproductive healthcare.
- Mental Health Concerns: Mental health conditions like anxiety, depression, post-traumatic stress disorder (PTSD), and suicidal thoughts are closely linked to domestic violence. Emotional abuse and ongoing fear can have a lasting impact on mental health.
- Physical Injuries: Domestic abuse victims frequently sustain physical wounds, such as cuts and bruises, as well as more severe trauma, like broken bones or head injuries. These wounds might need medical attention and have immediate health effects.
- Seclusion and Social Disengagement: Isolation strategies are frequently used in domestic violence, which reduces a victim’s social network. Social disengagement can worsen mental health conditions and cause feelings of loneliness.
- Substance Abuse: Substance abuse is a coping strategy used by victims of domestic violence to dull their pain or cope with stress. Substance use disorders may result from this, further jeopardizing general health.
- Sleep disturbances: Living in an abusive environment can cause stress and fear, which can lead to sleep disturbances such as nightmares and insomnia. A further factor in both physical and mental health issues is inadequate sleep.
- Identity and Self-Esteem Problems: One’s sense of self-worth and self-esteem can be undermined by verbal and emotional abuse. Negative messages may be internalized by victims, which can cause long-term identity problems and make it difficult for them to build healthy relationships.
Seeking resources and support is essential for victims of domestic abuse to address the psychological and physical effects. To lessen the negative impact of domestic abuse on one’s health and to encourage recovery, professional assistance such as legal support and medical attention counseling—can be extremely helpful. It’s critical to get in touch with a local domestic violence hotline or support group if you or someone you know is a victim of domestic abuse.
For information to the domestic violence hotline, follow the link .https://www.justice.gov/ovw/domestic-violence
Stages of Marital Burnout
According to Jafari et al. (2021), Marital Burnout is the term used to describe the excruciating state of emotional, physical, and psychological tiredness that couples experience when they realize that, despite their best efforts, a relationship cannot and will not provide their life’s purpose. It causes many issues for the couple’s children and other family members and ultimately results in both emotional and formal divorce among couples. They will eventually weaken a couple’s love and bond, result in mental health issues, and pave the way for both emotional and formal divorce. The degree of marital Burnout is determined by how well the couple’s beliefs and reality align. It arises from a disparity between the expectations held by the couple and the actual reality they encounter. The incidence of marital Burnout appears to be higher among women than men, as indicated by studies. This phenomenon has been linked to severe consequences, potentially contributing to similar issues in the offspring of these women. The elevated risk in women can be attributed to the heightened stress they experience due to the multitude of responsibilities they bear, encompassing child-rearing, domestic tasks, and employment both within and outside the home. Consequently, women find themselves more susceptible to the challenges of marital Burnout.
Three stages of marital burnout.
Physical Burnout: Symptoms of physical Burnout include exhaustion, fatigue, persistent headaches, stomach
discomfort, irregular sleep patterns, appetite loss, and overindulging.
Emotional Burnout: Refers to a variety of emotions, including anger, dissatisfaction, melancholy, frustration,
emptiness, lack of motivation, feeling stuck, ridiculousness, emotional upheaval, and even suicidal thoughts.
Psychological Burnout: This describes low self-esteem, a negative mindset toward your partner, feelings of
hopelessness and annoyance with them, and your shortcomings.
Reference
Jafari, A., Alami, A., Charoghchian, E., Delshad Noghabi, A., & Nejatian, M. (2021). The impact of effective communication skills training on the status of marital burnout among married women. BMC Women’s Health, 21(1). https://doi.org/10.1186/s12905-021-01372-8
Overview of Stress: Stress significantly affects health, contributing to disease development and burdening healthcare systems considerably. It is a significant factor in various ongoing health issues, particularly cardiovascular diseases, which are often impaired by everyday psychosocial pressures, such as work-related stress. The following are the roles of stress in disease development.
Gender Differences in Stress Responses: Gender plays a vital role in how individuals experience and manage stress. Research reports that women are more likely to develop mood disorders and autoimmune. At the same time, men tend to have higher rates of early substance abuse, infectious disease, mortality, and antisocial behavior (Shchaslyvyi et al., 2024). Unsuccessful stress management can lead to severe physical and mental health consequences for both individuals and communities.
Physiological Responses to Stress: The study reports that stressful events can trigger emotional responses such as anxiety and worry, impacting the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic-adrenal-medullary (SAM) system, which may lead to unhealthy lifestyle choices, comprising poor sleep, alcohol consumption, decreased physical activity and increased smoking thereby increase the risk of diseases. (Shchaslyvyi et al., 2024).
Chronic Stress in Specific Environments: According to Shchaslyvyi et al. (2024), chronic stress in educational settings and workplaces impacts mental and physical health noticeably. Also, it indicates that occupational stress significantly affects mental well-being.
Traumatic Events as a Stress Source: Traumatic events are a prevalent source of stress that affects a large portion of the population. The study reports that In North America, about 60% to 75% of individuals will experience a traumatic event in their lifetime, including serious accidents, exposure to war, sexual assault, chronic childhood abuse, or neglect (Shchaslyvyi et al., 2024). https://doi.org/10.3390/ijerph21081077
According to the Centers for Disease Control and Prevention (2021), Cigarette smoking damages almost every organ in the body, leading to numerous diseases and overall health decline. In the United States, smoking is responsible for over 480,000 deaths each year, nearly one in five deaths. For women, smoking can make it more difficult to conceive and can adversely affect a baby’s health before and after birth. In men, smoking can reduce sperm quality, decreasing fertility and increasing the risk of congenital disabilities and miscarriage. Smoking also harms oral health, potentially leading to tooth loss. Moreover, it increases the risk of cataracts, which cloud the eye’s lens and impair vision. It can cause age-related macular degeneration (AMD), damaging a small spot near the retina’s center needed for central vision. Additionally, smoking is a risk factor for type 2 diabetes mellitus and can complicate its management, with active smokers having a 30-40% higher risk of developing diabetes compared to nonsmokers (Centers for Disease Control and Prevention, 2021).
The four major diseases linked to smoking are
- Cardiovascular Diseases
- Increased mortality rates due to smoking.
- Elevated risk of ischemic heart diseases.
- Respiratory Conditions
- Smoking is a primary cause of chronic respiratory deaths.
- Increased risk of respiratory diseases and tuberculosis.
- Stroke
- A Study reports a Positive correlation between smoking prevalence and stroke-related deaths.
- Lung Cancer
- Study reports there is a higher likelihood of lung cancer with increased daily cigarette consumption . https://doi.org/10.1080/15332640.2018.1511493 https://doi.org/10.1186/s12889-024-19336-6 https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm
Coronary Heart Disease (CHD) is a chronic and intricate ailment associated with substantial morbidity and mortality, primarily attributed to atherosclerotic lesions in coronary vessels, ultimately leading to myocardial infarction (MI) and stroke. Unhealthy eating habits, often influenced by chronic inflammation, are closely linked to CHD (Wu et al., 2022). Also, According to CDC (2019), various health conditions, lifestyle choices, as well as your age and family history can elevate the risk of developing heart disease; approximately 47% of Americans have at least one of the three primary risk factors for heart disease: high blood pressure, elevated cholesterol levels, and smoking. Certain risk factors for heart disease, such as age or family history, are beyond your control. However, you can proactively reduce your risk by changing the factors you can control.
Behaviors that heighten the risk for heart disease are
- Smoking: The Food & Drug Administration (FDA) estimates that cardiovascular disease causes 800,000 deaths and 400,000 premature deaths per year (Brown et al., 2023). About one-fifth and one-third of these result from smoking, respectively. Additionally, research reported that smoking resulted in a 51% increased risk of coronary heart disease in patients with diabetes (Brown et al., 2023). According to the CDC (2019), Cigarette smoking has the potential to harm the heart and blood vessels, amplifying the risk for heart conditions like atherosclerosis and heart attacks. Even nonsmokers face an increased risk of heart disease when exposed to secondhand smoke.
- Excessive alcohol consumption can elevate blood pressure and elevate the risk of heart disease. It also leads to increased triglyceride levels, a fatty substance in the blood associated with an elevated risk of heart disease.
- Sedentary lifestyle: Insufficient physical activity is a precursor to heart disease and can strengthen the likelihood of other medical conditions that serve as risk factors, including obesity, high blood pressure, high cholesterol, and diabetes. Engaging in regular physical activity can effectively decrease the risk of heart disease.
- Unhealthy Eating Habits: A diet rich in saturated fats, trans fats, and cholesterol has been associated with heart disease and related conditions like atherosclerosis (CDC,2019). Recent research has provided more explicit evidence that trans-fat significantly raises the risk of cardiovascular disease by adversely affecting lipids, endothelial function, insulin resistance, and inflammation. For each 2% increase in calories consumed from trans-fat, there is a 23% higher risk of coronary artery disease (Brown et al., 2023). Recent studies and systematic reviews have focused on red and processed meat consumption. The research consistently demonstrates an increased risk of coronary heart disease and cardiovascular events. The risk ranges from 15% to 29% higher with red meat consumption and 23% to 42% higher with processed meat consumption (Brown et al., 2023).
Measures for Reducing the Risk of Coronary Heart Disease
- Educating children and adolescents about the dangers of smoking to deter the initiation of tobacco use. The Food & Drug Administration (FDA) reported that the risk of coronary artery disease decreases to the level of lifetime nonsmokers within four years of quitting and within ten years.
- The DASH, Mediterranean, and vegetarian diets have the most evidence for cardiovascular disease prevention. The DASH diet has been shown to lower systolic blood pressure by up to 11.5 mmHg in adults with hypertension. Additionally, reported findings indicate a 21% reduction in coronary artery disease risk with adopting the DASH diet (Brown et al., 2023).
- The American Heart Association suggests substituting saturated fat with polyunsaturated and monounsaturated fats. A 5% shift from saturated fat to polyunsaturated fat consumption is linked to a 10% lower risk of coronary artery disease (Brown et al., 2023).
- Engaging in about 150 minutes per week of moderate-intensity aerobic activity significantly lowers the risk of cardiovascular disease. Moderate-intensity aerobic exercise is characterized by activity that maintains a heart rate between 50 to 70 percent of the individual’s maximum heart rate, calculated as 220 beats per minute minus the person’s age (Brown et al., 2023).
Citations
Wu, L., Shi, Y., Kong, C., Zhang, J., & Chen, S. (2022). Dietary Inflammatory Index and Its Association with the Prevalence of Coronary Heart Disease among 45,306 US Adults. Nutrients, 14(21), 4553. https://doi.org/10.3390/nu14214553
CDC. (2019, December). Know Your Risk for Heart Disease | cdc.gov. Centers for Disease Control and Prevention. https://www.cdc.gov/heartdisease/risk_factors.htm#print
Brown, J. C., Gerhardt, T. E., & Kwon, E. (2023, January 23). Risk Factors For Coronary Artery Disease. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554410/
Uterine fibroids (UFs) represent the most prevalent non-cancerous tumors among women of reproductive age. Symptomatic fibroids can lead to significant health issues and are the primary reason for hysterectomies in the United States and globally, contributing to substantial socioeconomic impacts and affecting over 70% of women of reproductive age (Langton et al., 2024). African American women tend to develop fibroids approximately 10 years earlier than White women in the US and bear a disproportionate health burden from these tumors
Black women experience UFs at higher rates, with an earlier onset, more severe symptoms, and faster disease progression compared to other groups.
According to Sithembinkosi Ndebele (2024), 85% of participants were non-Hispanic Blacks. Black participants had a higher likelihood of a UF diagnosis, and the following risk factors were reported contributing to the high prevalence of UFs in Black individuals:
- Socioeconomic Status: Lower socioeconomic status is reported to increase the rates of UFs.
- Adverse Environmental Exposures: Increased exposure to environmental pollutants is associated with a higher prevalence of UFs.
- Chronic Stress: Experiences that increase chronic stress are significant contributors.
Lifestyle and socioeconomic factors, closely tied to neighborhood characteristics, further influence UF prevalence. These factors include:
- Body Mass Index (BMI): A higher BMI correlates with a higher risk of UFs.
- Alcohol Use: Regular alcohol consumption is positively correlated with UF diagnosis.
- Income and Occupation: These factors influence access to healthy food and healthcare.
References
Langton, C. R., Harmon, Q. E., & Baird, D. D. (2024). Family History and Uterine Fibroid Development in Black and African American Women. JAMA Network Open, 7(4), e244185–e244185. https://doi.org/10.1001/jamanetworkopen.2024.4185
Sithembinkosi Ndebele, Turner, T., Liao, C., Briseis Aschebrook-Kilfoy, Randorf, N., Ahsan, H., Kunle Odunsi, & Obianuju Sandra Madueke-Laveaux. (2024). Uterine Fibroid Prevalence in a Predominantly Black, Chicago-Based Cohort. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 21(2), 222–222. https://doi.org/10.3390/ijerph21020222
As a tool for emotional intervention, music can elicit strong emotions in people. The emotions that music elicits are much more in line with a person’s emotional state than are static pictures. Music positively affects college students’ emotional control because it can make people happy and forget their worries, as reported by Xu, (2021).
Evidenced-based research, according to Musgrave(2022), reported the following impacts of positive music.
- Using a variety of methodological strategies shows a link between specific uses of music and the improvement of emotional well-being and mental health.
- Singing, drumming, playing music, and listening to music have all been shown to enhance mental health outcomes by reducing anxiety and depression levels. It has been proposed that listening to music, particularly for older adults, can lessen depressive symptoms in terms of mental health.
- Listening to music might decrease perceptions of pain among hospitalized patients. However, it’s indicated that how music is listened to and used matters. When used as a problem-oriented coping strategy, it may lower depression symptoms; however, when used as a disassociation or avoidance strategy, it could worsen depressive symptoms. Studies have indicated that the combination of music therapy and standard care was more effective than routine care alone in reducing clinical depression in working-age individuals.
- Singing studies involving older adults found that group singing significantly improved the quality of life-related to mental health, and this effect persisted for three months after the program ended. https://doi.org/10.1080/09548963.2022.2058354 https://doi.org/10.3991/ijet.v16i20.26511