Депрессия и мы

Депрессия и мы. Или,  к чему может привести хандра?

Каждому из нас знакомо это состояние. Это как про зубную боль — болит, но никому не покажешь.

Начал готовить этот пост и смотрю — на «Новости E-mail» за 08.06.2017  появилась статья «30% россиян оказались генетически предрасположенными к депрессии» (смотреть здесь).

Прочитали?

Теперь можно переходить к краткому разбору этого понятия силами обывателя (значит моими).

Давайте не будем смотреть на то, что сказано в статье — «генетически предрасположенными». Это как раз и есть одна из причин появления депрессии. Вы правильно меня поняли — уже само название УМЫШЛЕННО вам внушает зачатки депрессии.

Так вот. Как можно оказаться в состоянии депрессии? Основных чувств, которые к этому подводят не много:

  • постепенное формирование ощущения, что может стать очень плохо. Оно внушается нам извне или мы создаем его себе сами из каких-то мелочей, которые сами себе и выделяем из окружающей нас жизни.
  • на основании этих ощущений делаем вывод — я прав. В этот момент именно вы даете оценку своим ощущениям. Процесс начала депрессии запущен.
  • приходит понимание того, что будет только так. Депрессия начинается.

И с этим ощущением мы начинаем жить. Знакомо? Наверное, почти всем.

Какие основные причины «помогают» нашим чувствам настроиться на это?

Все причины вытекают из нашей жизни. Вот основные из них:

  • посттравматический стресс — у вас осталась боязнь после перенесенной болезни или травмы,
  • преследующая вас болезнь,
  • неудача или ряд неудач, которые вас постигли,
  • наблюдение за другим человеком в депрессивном состоянии,
  • злоупотребление алкоголем или наркотиками,
  • стрессы на работе,
  • семейное насилие,
  • наблюдение за стрессом у другого человека,
  • пессимисты предрасположены к депрессиям,
  • в старости — отсутствие эмоций и жизненных интересов,
  • благополучная и хорошо обеспеченная жизнь,
  • зависимость от смартфонов — вот чего вы наверное не ожидали увидеть?

Можно найти еще множество других причин, но эти наиболее часто встречающиеся.

Постараюсь немного открыть каждую из них, которые не совсем понятны.

Посттравматический стресс и преследующая болезнь — они в разъяснениях не нуждаются.

Неудача или ряд неудач, которые вас постигли; наблюдение за другим человеком в депрессивном состоянии; злоупотребление алкоголем или наркотиками; стрессы на работе; наблюдение за стрессом у другого человека; пессимисты предрасположены к депрессиям — тоже не требуют комментарий.

А вот оставшиеся хочется прокомментировать.

Семейное насилие.

Новое исследование, выполненное в Tulane University (Новый Орлеан, США), показало, что чем больше семья поражена домашним насилием или психологическими травмами, тем больше вероятность того, что их последствия скажутся на ДНК ребенка. Ученые обнаружили, что у детей из семей, пораженных домашним насилием, суицидом или тюремным заключением члена семьи, значительно укорочены, по сравнению со стабильными семьями, теломеры, т.е. клеточные маркеры старения. Результаты опубликованы онлайн в журнале Pediatrics. Теломеры — это концевые участки хромосом. Укорочение теломер связано с повышенными рисками болезней сердца, ожирения, когнитивного снижения, диабета, психической болезни и плохого исхода здоровья во взрослом возрасте

В старости — отсутствие эмоций и жизненных интересов.

Но не все формы социализации эквивалентны.
Телефонные звонки и цифровые средства связи с друзьями или членами семьи не имеют той же силы, как очное социальное взаимодействие в деле предотвращения депрессии. Читать тут.

Независимо от возраста, наличие цели в жизни может удлинить жизнь человека. Таковы данные исследования, опубликованного в журнале Psychological Science. Говорит ведущий автор исследования Patrick Hill (Канада): »Наши результаты показывают, что наличие направления в жизни и постановка глобальных, всеобъемлющих целей может продлить жизнь человека, независимо от того, в каком возрасте эта цель найдена. Так что чем человек определится с направлением своей жизни, тем раньше вступит в силу защитный эффект».

Благополучная и хорошо обеспеченная жизнь( или счастье за деньги).

Многие состоятельные люди, независимо от того, что они покупают – вещи или жизненные переживания – после приобретения не чувствуют себя счастливее, чем раньше. Таковы результаты исследования, выполненного в Университете Сан-Франциско (США).  »Всем говорят, что если вы потратите деньги на жизненные переживания, это сделает вас счастливее, но мы обнаружили, что это не всегда так,» – говорит соавтор работы Ryan Howell. »Любители экстремального вещевого шоппинга, а это примерно треть населения, оказываются в ловушке безысходности. Новые приобретения не делают их счастливее». Ученые обнаружили, что когда покупатели материальных ценностей приобретают жизненные переживания, то это не делает их счастливее, потому что такие приобретения часто не соответствуют их личности и не вписываются в их систему ценностей. Такие приобретения не дают им усиленного чувства »выражения собственной идентичности». Но приобретение материальных ценностей тоже не делает их счастливее, потому что это может вызывать критику со стороны других или замечания о дурном вкусе. »Результаты показывают, что нельзя говорить всем и каждому »потратьте деньги на жизненные переживания – и будет вам счастье», — говорит ведущий автор исследования Jia Wej Zhang. ( Journal of Research in Personality (авторы: Jia Wej Zhang et al.).                             Состоятельные люди желают лучшее из лучшего, будь то мобильный телефон последней модели или престижный автомобиль. Но, даже получив все это, они могут чувствовать себя несчастливыми. А новое исследование показало, что люди материалистического склада чаще страдают от депрессии и неудовлетворенности жизнью. По данным исследования, опубликованного онлайн в журнале Personality and Individual Differences, таким людям трудно быть благодарными за то, что у них есть, и потому они чувствуют себя несчастными. Ведущий автор работы Jo-Ann Tsang поясняет, что чувство благодарности – это позитивное настроение, относящееся не столько к нам самим, сколько к другим людям. »Предшествующие исследования показывают, что люди мотивированы помогать тем, кто помогает им, а также помогать другим. Мы – социальные существа, а потому позитивная концентрация на других – на пользу нашему здоровью». Но люди материалистического склада »ориентированы на себя». Их больше интересует то, чего у них нет, и они не способны испытывать чувство благодарности за то, что у них есть – будь то семья, хороший дом или интересная работа. В ходе исследования ученые оценили 246 человек отд. маркетинга университета (ср. возр. 21 год). Всех участников просили заполнить 15-минутный онлайн-опрос, который замерял уровень материализма, благодарности, удовлетворенности потребностями и удовлетворенности жизнью. Как и ожидалось, результаты показали, что у лиц с более низкими уровнями благодарности и высокими уровнями потребностей была выше вероятность материалистического склада и меньшей удовлетворенности жизнью. Соавтор James Roberts говорит, что причина неудовлетворенности в нашей адаптации к новой ситуации: »По мере увеличения у нас объема собственности, мы не становимся счастливее – мы просто перемещаем точку отсчета. Мы продолжаем приобретать больше и больше, но не становимся от этого счастливее, мы просто повышаем скорость этого бега на месте». Похожие результаты показали и предыдущие исследования. Исследование, опубликованное в 2011 в Journal of Happiness Studies, показало, что высокие уровни благодарности и низкие уровни материализма у подростков соотносились с высокой степенью удовлетворенности жизнью, социальной интеграцией, низкими уровнями зависти и депрессии. Исследователи заключают, что, возможно, прав был древнегреческий философ Эпикур, когда сказал: »Не портите того, что имеете, желанием того, чего у вас нет; помните, что то, что у вас есть, когда-то было в ряду вещей, которые вы только надеялись иметь». (Materialistic people more likely to be depressed and unsatisfied )

Зависимость от смартфонов.

В Сингапуре – »электронном рае» – психиатры настаивают на вмешательстве государства в связи с повальным увлечением смартфонами: здесь смартфоны имеет 90% населения, и сейчас психиатры требуют от властей официально признать расстройством »смартфоновую зависимость». Люди, страдающие этой зависимостью, плохо концентрируются и не могут оставить свой смартфон в покое. Признание существование проблемы позволит выработать более эффективные подходы к решению проблемы, пишет Straits Times. Ранее, начиная с 1995, со стороны Американской психиатрической ассоциации предпринимались попытки добиться признания расстройством интернет-зависимость. При этом основная сложность заключается в отсутствии ясного подхода к данной проблеме. За неимением лучшего, интернет-зависимость часто сравнивают с зависимостью к азартным играм. (Smartphone-verslaving officiel erkennen als gezondheidsprobleem ).

Чем же опасны наши депрессии?

  1. Депрессивное состояние, которое возникает в старости из-за отсутствия эмоций и интереса могут указывать на уменьшение объема мозга
  2. Депрессия и стресс, от которого она произошла, очень коварны. А сам стресс заразен.                                       Картина человека в стрессовой ситуации может заставить организм других людей производить гормон стресса кортизол. К такому выводу пришли немецкие ученые в результате исследования т.н. эмпатического стресса. Эмпатический стресс возникал главным образом в супружеских и совместно проживающих парах и когда стрессовая ситуация наблюдалась непосредственно в реальном времени через одностороннее зеркало (наблюдение друг за другом). Вместе с тем, некоторым людям (10%), чтобы запустить выброс кортизола, было достаточно увидеть видео незнакомых людей в стрессовой ситуации. Работа опубликована в журнале Psychoneuroendocrinology (авторы: V. Engert et al.).
  3. Сокращение продолжительности жизни.                                                                                                                  Анализ литературы показывает, что тяжелые психические болезни, вызванные депрессиями, сокращают ожидаемую продолжительность жизни (ОПЖ) на 10-20 лет – это примерно так же, как при интенсивном курении.
  4. Проблемы с поведением.                                                                                                                                                     У людей, страдающих депрессией, изменен не только фон настроения – у них нередко отмечаются проблемы с поведением, которые очень напоминают проблемы пациентов с болезнью Альцгеймера (хотя это не совсем одни и те же поведенческие проблемы). Например, у людей с депрессией сравнительно часто встречаются трудности с концентрацией, с поддержанием порядка в доме, с личной гигиеной и планированием своего дня. Они кладут вещи не на свое место, спят в необычное время и испытывают беспокойство. Об этом пишут канадские психологи в Canadian Journal of Behavioural Sciences (12.05.14). По их мнению, лечащим врачам следует больше внимания уделять поведению депрессивных пациентов.
  5. Сексуальные отношения.                                                                                                                                                Психические расстройства при депрессиях часто отрицательно влияют на сексуальную удовлетворенность. Таковы результаты, полученные на основе большого нидерландского исследования психического здоровья населения (т.н. NEMESIS-2). Работа опубликована в British Journal of Psychiatry (авторы: Vanwesenbeeck I. et al.).
  6. Сердечно-сосудистая недостаточность.                                                                                                                        По проведенным исследованиям — умеренная и тяжелая депрессия повышают риск сердечной недостаточности на 40%. »Мы обнаружили связь между выраженностью депрессивных симптомов и риском развития сердечной недостаточности,» – говорит первый автор исследования Lise Tuset Gustad. Ученые воспользовались данными, собранными во время второй волны эпидемиологического исследования в одном из регионов Норвегии (т.н. исследование HUNT)
  7. Ряд других заболеваний.                                                                                                                                                   При депрессии нашему организму может показаться угроза вполне реальной, и будет запущен механизм ответа, который может иметь долгосрочные последствия. Rebecca Reed (Университет шт. Аризона, США) заметил, что в случае восприятия угрозы, организм почти мгновенно запускает стрессовый ответ, выбрасывает гормоны и иммунные биомаркеры, которые поднимают »общую тревогу» для иммунных клеток, в случае, если человека атакуют, или он ранен – поясняет Reed. При этом очень важно, чтобы после стрессового инцидента иммунная активность снижалась, потому что продолжительный иммунный ответ аномально напрягает системы организма и сильно коррелирует с появлением ряда хронических болезней, напр. сердечно-сосудистых заболеваний, диабета, ожирения и даже некоторых видов онкологии. Дело в том, что иммунный ответ нашего организма не делает различий между обманщиком-партнером и готовящимся к нападению на нас львом – она реагирует одинаковым образом. »Но критическая часть процесса – это последующее восстановление и снижение иммунного ответа, когда в нем больше нет нужды».

Но ведь как-то с этим борются?

И варианты этой борьбы абсолютно доступны:

  • специальная средиземноморская диетаСредиземноморская диета, включает в себя фрукты, овощи и бобовые, может предотвратить депрессию, согласно результатам нового большого исследования.                   Человеку достаточно сделать лишь сравнительно небольшие изменения, чтобы увидеть результат.              Депрессия может быть частично вызвана отсутствием необходимых питательных веществ.         Преимущества диеты, вероятно, обусловлены высоким содержанием жирных кислот Омега 3 и других необходимых питательных веществ. Об этой диете можно прочитать.
  • общение лицом к лицу.                                                                                                                                                 Регулярное личное общение уменьшает риск возникновения депрессии у людей старшего возраста в два раза.
    При этом общение по телефону или электронной почте не дают такого же положительного эффекта.
    Доктор Алан Teo, который проводил исследование на эту тему, говорит:
    Исследования поддерживают идею того, что прочные социальные связи укрепляют психическое здоровье людей.
  • работа в группе.                                                                                                                                                                  Происходит идентификация человека в группе и установление социальных связей с её членами. Это практически отвлекает от переживаний и гасит их.
  • выполнение работы с умственным напряжением
  • выезд на природу и нахождение там без посторонних, как можно дольше.Хождение под дождем или на лыжах
  • занятие спортом с постановкой себе трудновыполнимых задач
  • полный отказ от социальных сетей
  • использование вопросника Сократа (работа с психологом) — это ответы на вопросы, которые помогут пациентам увидеть новые перспективы для самих себя и мира. (Можно посмотреть)
  • для православных неплохо уехать в монастырь трудником на 15-20 дней

Как видите- ничего невозможного нет.

Главное не отчаиваться и не уходить в себя, а стараться САМОМУ выйти из депрессионного состояния.

 

Помните! Мы сами строим мир вокруг себя.

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