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Smoke Signals? How Second Hand Smoke Can Impact Your Child’s Mental Health

 

Special Editorial: Smoke Signals? How Second Hand Smoke Can Impact Your Child’s Mental Health

Posted: 10 Aug 2011 05:19 AM PDT

We have known for a long time that secondhand smoke can have a serious impact on the physical health of children.  Asthma, sudden infant death syndrome, respiratory tract infections, dental decay, and middle ear infections are just a few of the illnesses that children exposed to secondhand smoke develop at significant rates.  In case parents needed an even greater incentive to quit smoking, there is now a growing body of research that suggests that secondhand smoke negatively affects the mental health of children. 

Two recent studies published in the Archives of Pediatric and Adolescent Medicine looked at the exposure of children and adolescents to secondhand smoke and whether there was a significant link between the exposure and the development of mental health problems, such as ADHD, depression, and poor behavioral conduct. 

In Bandera and colleagues’ U.S. study, the researchers found that a large sample of 8-15 year-old non-smokers regularly exposed to secondhand smoke had significantly more symptoms related to attention-deficit/hyperactivity disorder, major depressive disorder, generalized anxiety disorder, and conduct disorder.  Boys and non-Hispanic whites tended to be most vulnerable to the development of mental health symptoms.  When examining children with ADHD diagnoses more closely, the researchers found that the most significant predictor was maternal smoking during pregnancy.

Hamer and colleagues conducted a study in Scotland, also with a large group of children (ages 4-12 years).  The researchers found that the higher the amount of secondhand smoke exposure, the higher the rate of reported mental health symptoms.  After controlling for variables such as SES, chronic illness, and physical activity, the participants with high secondhand smoke exposure reported significant symptoms of hyperactivity and conduct disorder.  

Hopefully, these findings have caught your eye.  Not only does secondhand smoke have detrimental effects on the physical health of children, it also appears to impact their mental health and this can, in turn,  affect other important areas of functioning such as school and social relationships.  Exposing children to secondhand smoke may be best thought of as a non-option.  The dilemma: smoking is one of the toughest addictions to battle.  Here’s the thing.  Your children need for you to quit smoking.

There are resources upon resources out there for people trying to kick the smoking habit.  And kicking it can take many tries.  In fact, it usually does.  In working with parents, therapists will sometimes ask them to keep a photo of their child(ren) handy so their purpose is always fresh in their minds.  So get that picture out and keep it with you.  Take it out when things feel really tough.  Know that it’s worth it.  And get lots and lots of support.  Here are a couple of sites that may be of use to you as you take on this extremely trying challenge: Webmd has some good information for quitting during pregnancy and the CDC has information for anyone trying to quit. 

A few years ago, a childhood friend of mine lost her mother to lung cancer after a long history of smoking.  She left behind a husband, two adult children, and two young grandchildren, not to mention a huge community of family and friends that were just crazy about her.  She was, to this day, one of the best mothers and spunkiest individuals I have ever encountered.  We would all rather have her here.  I write this post in her memory.  

Sources: Bandiera FC, Richardson AK, Lee DJ, He JP, & Merikangas KR (2011). Secondhand smoke exposure and mental health among children and adolescents. Archives of pediatrics & adolescent medicine, 165 (4), 332-8 PMID: 21464381

Hamer M, Ford T, Stamatakis E, Dockray S, & Batty GD (2011). Objectively measured secondhand smoke exposure and mental health in children: evidence from the Scottish Health Survey. Archives of pediatrics & adolescent medicine, 165 (4), 326-31 PMID: 21135317

This is your child’s brain on Facebook!

I just posted an article on how the use of Facebook and other online activities actually decreases performance for children academically. There was a reference in that article on “digital natives” or “homo zappiens.” Is this just a cute reference to a generation that grows up around digital devices? I did a little more investigation (the final decision is still out) and came across this pdf article on the subject. It has a quote from one of my favorite doc on the subject, Bruce Perry. There is some discussion that the digital world is actually reshaping our children’s brain structure. Take a look at tell me what you think?

Read the article here: http://www.marcprensky.com/writing/prensky%20-%20digital%20natives,%20digital%20immigrants%20-%20part2.pdf#

 

Facebook® and academic performance

There is much talk of a change in modern youth – often referred to as digital natives or Homo Zappiens – with respect to their ability to simultaneously process multiple channels of information. In other words, kids today can multitask. Unfortunately for proponents of this position, there is much empirical documentation concerning the negative effects of attempting to simultaneously process different streams of information showing that such behavior leads to both increased study time to achieve learning parity and an increase in mistakes while processing information than those who are sequentially or serially processing that same information. This article presents the preliminary results of a descriptive and exploratory survey study involving Facebook use, often carried out simultaneously with other study activities, and its relation to academic performance as measured by self-reported Grade Point Average (GPA) and hours spent studying per week. Results show that Facebook® users reported having lower GPAs and spend fewer hours per week studying than nonusers.

This research article found that online use (multitasking) decreases academic performance. I guess that is a “duh!” Back in the day when I used to teach time management courses for corporations I used to preach that time saving devices are really time shortening devices. They just allow you to pack in more information in a particular space of time. The fact is that you really can only do one thing at a time. Unfortunately, I don’t practice what I preach and still multitask, now with droid phone in hand or pocket. I did get rid of my pager however!

Take this study into consideration and you consider your child’s study time. How should you set some limits on online use at home?

Teach children to use a “Lion’s Roar” to learn meditation

How do you help a child that has been traumatized (abused and neglected)? What sort of therapeutic techniques work with these children? Will mindfulness practices help children alleviate the devestating effects on their development? Cathy Mlchiodi, from TLC Institute has a novel answer: 

“When it comes to children, some readers may ask, “Well, how do we successfully adapt what is known about meditation, mindfulness and relaxation to young people?” One popular technique I have used with children for many years is called “Lion’s Breath” and uses an imaginative metaphor (the lion’s roar) to help young people learn the same relaxation skills that teens and adults may learn through traditional methods and yoga breathing:

“I am going to teach you about a way to let go of worries or thoughts that might be bothering you. It’s called the Lion’s Breath and I want you to imagine you are a lion. Remember, a lion has a really, really big roar—can you roar? Now I want you to sit up with your legs crossed; if you feel more comfortable sitting up against a wall with your legs crossed, go ahead and do that (some children feel safer with their backs against a wall). Now, get ready to make your roar! Let’s try one all together as a group (we all roar in unison).

Before we roar again, let’s all think of a worry that we would like to let go off.  For a minute I want you to watch me and see how I roar. First, I am going to take in a really, really deep breath through my nose and then let my roar out through my mouth, sticking my tongue out at the same time and stretching out my arms out as far as I can in front of me. Let’s all try it together, okay?” (Leader and children perform the breathing and roaring together, sticking out their tongues and stretching out arms) (Malchiodi, 2000, p. 14).”

As a therapist that works with children that have been traumatized, I am always looking for unique ways to engage them and encourage healing. Because children don’t respond to traditional talk therapy in the way that adults do, nontraditional techniques such as art, yoga, and animal assisted therapy are invaluable tools in my “therapist toolbox.”

The “lion’s roar” suggested by therapist Cathy Malchiodi is an interesting way to teach children elementary meditation techniques through the use of breathing exercises. Contemporary attachment-based researchers, like Daniel Siegel and Bruce Perry, suggest that meditation and mindfulness can improve a child’s mental functioning and overcome trauma impacted brains.

What have you used with your child to manage the stress of trauma and teach mindfulness?

The Literacy of Gaming: What Kids Learn From Playing

Making the most of gaming for your kids

Although videogames have great potential to be powerful vehicles for learning, there is no guarantee this will happen. Just as there is no guarantee that someone will understand the themes and symbols of “The Lord of the Flies” by simply reading it. As a result, kids need parents, teachers and their peers to engage their gaming in thoughtful ways. While there could be a long list of recommended practice, for simplicity sake I’ve reduced the list to three preliminary suggestions.

  1. Play games. Otherwise how can you have meaningful conversations about them? Not learning how to play games would be akin to talking about “The Lord of the Flies” without having learned to read.
  2. Connect games to books, movies, TV and the world around them. By thinking about games beyond their boundaries we can cultivate pattern recognition across media platforms and parlay the problem-solving of gaming into the real world.
  3. Have your students or kids collaborate with other peers to analyze and interpret games, as well share strategies. There has been a raft of research in recent years that extols the wisdom of the crowd and the logic of the swarm. Through collaboration and networking kids can learn to enhance their own perspectives, ideas and, perhaps, contribute to a whole that is greater than the sum of its parts.

I am a very right-brained person and much of my success in life is in trying to add a “virtualness” to my world. I do this through mind mapping software and having a lot of art around me, even using art in my day to day activities on the job. What do you think about the literacy of gaming for children?

Seeking Meaningful Therapy: Thoughts from an Adoptive Mom

Adoptive parents quickly realize that traditional forms of therapy are not as effective for their children’s issues. A therapist that understand the core issues of loss is needed and must include the parent in the therapy with the child. Read this superb whitepaper on one mom’s experience with “family therapy.”

Fathers guide to knowing child custody rights…

A new handbook is out that helps dad’s know about their rights when dealing with child support and custody. As a therapist with 20 years experience, this is probably the most confusing area for parents and one of the most painful experiences for the whole family. Outcomes on fatherhood studies show that when children have engaged dad’s, their mental health is better than children without dad’s in their lives. 

Get more info here: http://fatherhoodqic.org/father_guide.pdf

 

The Black Sheep of the Family

Some people call them the “black sheep” of the family and are content to let them stay that way. Others try to change them and take them to psychologists and doctors. A few give up on them all together. This child is the “identified problem child” and many homes spend a lot of time and energy dealing with the member of the family. This rebellious, acting out child is most often seen in dysfunctional homes, where substance or physical abuse is taking place. The identified problem child serves a very important role in this type of family by balancing out the imbalance and protecting the abusive parent from outside interventions. In a lesser degree, even nonabusive families have children who cause more stress and trouble than other children in the home. This child resists parent’s efforts at discipline, is constantly mischievous, and appears to enjoy the attention that getting into trouble provides.

Are you the “black sheep” of the family? How did you get that way and what function does it serve in managing the balance in your home? Read more here: http://www.parentingtoolbox.com/2009/08/25/the-black-sheep-of-the-family/

All Eating Disorders Can Be Deadly, Anorexia the Worst

Patients with an eating disorder of any type have a significantly increased risk for death, but anorexia nervosa appears to be particularly deadly and linked to the highest mortality and suicide rates, new research shows.

In a new meta-analysis, similarly elevated mortality rates were found for those with bulimia nervosa and eating disorder not otherwise specified (EDNOS). However, the rate was even higher for those with anorexia nervosa, with a weighted annual rate of 5 deaths per 1000 person-years. Of those who died, 1 in 5 did so by committing suicide.

In addition, an older age at first presentation for those with anorexia, especially between the ages of 20 and 29 years, was found to be a significant predictor of mortality.

“It was not surprising to find out that mortality in eating disorders, particularly [anorexia], was high. It was, however, surprising to find out the high levels of deaths by suicides among this population,” lead author Jon Arcelus, PhD, from the Eating Disorders Service in Leicester and Loughborough University, United Kingdom, told Medscape Medical News.

Does someone in your family have an eating disorder? Have you been concerned that they might be but are not really sure? Read on to get more helpful info on this very serious issue.