How college students can end up in vicious cycle of substance abuse, poor academics, stress
April 16, 2019
Science Daily/Binghamton University
One negative behavior such as substance abuse or heavy alcohol drinking can lead college students toward a vicious cycle of poor lifestyle choices, lack of sleep, mental distress and low grades, according to new research from Binghamton University, State University of New York.
"We used a robust data-mining technique to identify associations between mental distress in college students with substance abuse, sleep, social behaviors, academic attitude and behaviors, and GPA (short-term and long-term as reflective of academic performance)," said Lina Begdache, assistant professor of Health and Wellness Studies at Binghamton University. "Positive behaviors such as abstinence from substance use, studious attitudes and responsibility toward work and family are reflective of a brain chemistry profile that supports mood and maturation of the prefrontal cortex of the brain. The latter matures last and supports impulse and emotional control as well as rationalization of thoughts.
"Interestingly, we identified potential cyclic behaviors that associate with severe mental distress that are linked to a change in brain chemistry that supports substance abuse, poor academic attitude and performance, poor sleep patterns, and neglect of family and work. The novelty of these findings is that we are proposing, based on the neuroscience of these behaviors, that one action may be leading to another until a vicious cycle sets in."
A total of 558 students from different U.S. colleges completed an anonymous survey on academic performance, daytime sleepiness, substance use and mental distress. Low mental distress in college students was associated with no substance abuse, responsible attitude toward learning as well as good academic efforts, high GPA (of above 3.0) and limited daytime sleepiness. Mild mental distress correlated with borderline work neglect and with a marginal negative association with grade-point average. Severe mental distress correlated with substance abuse (including excessive alcohol drinking), extreme daytime sleepiness, poor academic attitude and low GPA. This change in the direction of associations may reflect the neuroanatomical and neurochemical changes triggered by these factors that eventually contribute to mental distress. The results demonstrate that manageable lifestyle factors contribute to mental health in college students, which become potentially cyclic events that may impact academic performance.
"These factors that are associated with mental distress in college students are controllable factors, meaning that proper education of students may reduce risk of mental distress on college campuses, which is on the rise," said Begdache.
Begdache said that "it is important for young adults to recognize that one behavior may lead to a domino effect. For instance, using drugs recreationally, abusing alcohol or using "study" drugs not only affects brain chemistry but may affect diet and sleep, which may further alter brain function and brain maturity. Reduced brain maturity increases impulsivity, reduces emotional control and cognitive functions as well as GPA, eventually increasing mental distress with a potential long-lasting effect," said Begdache. "Brain maturity is a window of time and negative stimuli leave a permanent mark. Higher impulsivity and increased mental distress further support drug use, and a vicious cycle sets in. Luckily, we also identified a virtuous cycle; when young adults follow a healthy lifestyle (diet, sleep and exercise), they are more likely to avoid drugs and alcohol, which supports a normal brain maturity, which is then reflected in a higher GPA and responsible attitudes toward learning, work and family. These vicious or virtuous cycles have a long-lasting effect on brain function, so it is crucial that young adults are aware of the potential harm or benefits of their own actions."
Begdache and her team will next look into the effect of alcohol binging, gender differences in attitudes and mental distress.
"The rationale is that the brain morphology and connectivity between men and women is known to be different and that alcohol metabolism is also different between males and females," said Begdache.
https://www.sciencedaily.com/releases/2019/04/190416081419.htm
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Insufficient sleep associated with risky behavior in teens
Mental health issues, substance abuse, accidents more likely for high school students sleeping less than six hours per night
October 1, 2018
Science Daily/Brigham and Women's Hospital
Researchers examined a national data sample of risk-taking behaviors and sleep duration self-reported by high school students over eight years and found an association between sleep duration and personal safety risk-taking actions.
Adolescents require 8-10 hours of sleep at night for optimal health, according to sleep experts, yet more than 70 percent of high school students get less than that. Previous studies have demonstrated that insufficient sleep in youth can result in learning difficulties, impaired judgement, and risk of adverse health behaviors. In a new study, researchers at Brigham and Women's Hospital examined a national data sample of risk-taking behaviors and sleep duration self-reported by high school students over eight years and found an association between sleep duration and personal safety risk-taking actions. Results are published in a JAMA Pediatrics research letter on October 1.
"We found the odds of unsafe behavior by high school students increased significantly with fewer hours of sleep," said lead author Mathew Weaver, PhD, research fellow, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital. "Personal risk-taking behaviors are common precursors to accidents and suicides, which are the leading causes of death among teens and have important implications for the health and safety of high school students nationally."
Compared to students who reported sleeping eight hours at night, high school students who slept less than six hours were twice as likely to self-report using alcohol, tobacco, marijuana or other drugs, and driving after drinking alcohol. They were also nearly twice as likely to report carrying a weapon or being in a fight. Researchers found the strongest associations were related to mood and self- harm. Those who slept less than six hours were more than three times as likely to consider or attempt suicide, and four times as likely to attempt suicide, resulting in treatment. Only 30 percent of the students in the study reported averaging more than eight hours of sleep on school nights.
The Youth Risk Behavior Surveys are administered biannually by the U.S. Centers for Disease Control and Prevention (CDC) at public and private schools across the country. Researchers used data from 67,615 high school students collected between 2007 and 2015. Personal safety risk-taking behaviors were examined individually and as composite categories. All analyses were weighted to account for the complex survey design and controlled for age, sex, race, and year of survey in mathematical models to test the association between sleep duration and each outcome of interest.
"Insufficient sleep in youth raises multiple public health concerns, including mental health, substance abuse, and motor vehicle crashes," said senior author Elizabeth Klerman, MD, PhD, director of the Analytic Modeling Unit, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital. "More research is needed to determine the specific relationships between sleep and personal safety risk-taking behaviors. We should support efforts to promote healthy sleep habits and decrease barriers to sufficient sleep in this vulnerable population."
https://www.sciencedaily.com/releases/2018/10/181001114300.htm
Large declines seen in teen substance abuse, delinquency
Surveys over a decade indicate positive behavioral shifts
October 25, 2017
Science Daily/Washington University School of Medicine
In recent years, teens have become far less likely to abuse alcohol, nicotine and illicit drugs, according to researchers. Teens also are less likely to engage in behaviors like fighting and stealing, and the researchers believe the declines in substance use and delinquency are connected.
More than a decade of data indicates teens have become far less likely to abuse alcohol, nicotine and illicit drugs, and they also are less likely to engage in delinquent behaviors, such as fighting and stealing, according to results of a national survey analyzed by researchers at Washington University School of Medicine in St. Louis.
The data come from the National Survey on Drug Use and Health, an annual survey of 12- to 17-year-olds from all 50 states that is sponsored by the Substance Abuse and Mental Health Administration, an agency of the U.S. Department of Health and Human Services. The data include information from 2003 through 2014, the last year for which survey numbers are available. A total of 210,599 teens -- 13,000 to 18,500 each year -- were part of the study.
The findings are reported Oct. 25 in the journal Psychological Medicine.
The researchers found that the number of substance-use disorders among 12- to 17-year olds had declined by 49 percent over the 12-year span, along with a simultaneous 34 percent decline in delinquent behaviors, such as fighting, assault, stealing, selling drugs or carrying a handgun.
The drop in substance abuse among teens parallels findings in other recent surveys, but until now no one has looked at how the drop-off may be linked to other behavioral issues.
"We've known that teens overall are becoming less likely to engage in risky behaviors, and that's good news," said first author Richard A. Grucza, PhD, a professor of psychiatry. "But what we learned in this study is that the declines in substance abuse are connected to declines in delinquency. This suggests the changes have been driven more by changes in adolescents themselves more than by policies to reduce substance abuse or delinquent behavior."
Other researchers have found that teens are delaying sex and using seat belts more often than their parents and grandparents. Grucza's team focused on substance-use disorders -- involving alcohol, nicotine, marijuana, opioids and the abuse of other prescription drugs or nonprescription drugs -- and delinquent behaviors.
"It's not clear what is driving the parallel declines," Grucza said. "New policies -- including things like higher cigarette taxes and stricter anti-bullying policies -- certainly have a positive effect. But seeing these trends across multiple behaviors suggests that larger environmental factors are at work. These might include reductions in childhood lead exposure, lower rates of child abuse and neglect, and better mental health care for children."
Although heroin and opioid abuse have become epidemic in many areas of the United States, the use among teens has fallen, according to the survey data.
"Opioid problems continue to increase among adults," he said. "But among the 12- to 17-year-old population, we saw a drop of nearly 50 percent."
Based on the survey data, Grucza and his team estimated that in 2014 there were nearly 700,000 fewer adolescents with substance-use disorders than in 2003. And because it's possible for a person to be addicted to nicotine while abusing alcohol or marijuana, the researchers estimate the total number of substance-use disorders among adolescents declined by about 2 million.
https://www.sciencedaily.com/releases/2017/10/171025090515.htm