Posts Tagged ‘Pediatrics’

Pediatrics Journal Gets it Wrong About “Facebook Depression”

Tuesday, March 29th, 2011

PsychCentral
By John M Grohol PsyD
Founder & Editor-in-Chief

You know it’s not good when one of the most prestigious pediatric journals, Pediatrics, can’t differentiate between correlation and causation.

And yet this is exactly what the authors of a “clinical report” did in reporting on the impact of social media on children and teens. Especially in their discussion of “Facebook depression,” a term that the authors simply made up to describe the phenomenon observed when depressed people use social media.

Shoddy research? You bet. That’s why Pediatrics calls it a “clinical report” — because it’s at the level of a bad blog post written by people with a clear agenda. In this case, the report was written by Gwenn Schurgin O’Keeffe, Kathleen Clarke-Pearson and the American Academy of Pediatrics Council on Communications and Media (2011).

What makes this bad a report? Let’s just look at the issue of “Facebook depression,” their made-up term for a phenomenon that doesn’t exist.

The authors of the Pediatrics report use six citations to support their claim that social media sites like Facebook actually cause depression in children and teens. Four of the six citations are third-party news reports on research in this area. In other words, the authors couldn’t even bother with reading the actual research to see if the research actually said what the news outlet reported it said.

I expect to see this sort of lack of quality and laziness on blogs. Hey, a lot of time we’re busy and we just want to make a point — that I can understand.

When you go to the trouble not only of writing a report but also publishing it in a peer-reviewed journal, you’d think you’d go to the trouble of reading the research — not other people’s reporting on research.

Here’s what the researchers in Pediatrics had to say about “Facebook depression:”

Researchers have proposed a new phenomenon called “Facebook depression,” defined as depression that develops when preteens and teens spend a great deal of time on social media sites, such as Facebook, and then begin to exhibit classic symptoms of depression.

Acceptance by and contact with peers is an important element of adolescent life. The intensity of the online world is thought to be a factor that may trigger depression in some adolescents. As with offline depression, preadolescents and adolescents who suffer from Facebook depression are at risk for social isolation and sometimes turn to risky Internet sites and blogs for “help” that may promote substance abuse, unsafe sexual practices, or aggressive or self-destructive behaviors.

Time and time again researchers are finding much more nuanced relationships between social networking sites and depression. In the Selfhout et al. (2009) study they cite, for instance, the researchers only found the correlation between the two factors in people with low quality friendships. Teens with what the researchers characterized as high quality friendships showed no increase in depression with increased social networking time.

The Pediatrics authors also do what a lot of researchers do when promoting a specific bias or point of view — they simply ignore research that disagrees with their bias. Worse, they cite the supposed depression-social networking link as though it were a forgone conclusion — that researchers are all in agreement that this actually exists, and exists in a causative manner.

There are a multitude of studies that disagree with their point of view, however. One longitudinal study (Kraut et al., 1998) found that, over a period of 8–12 months, both loneliness and depression increased with time spent online among adolescent and adult first-time Internet users. In a one-year follow-up study (Kraut et al., 2002), however, the observed negative effects of Internet use had disappeared. In other words, this may not be a robust relationship (if it even exists) and may simply be something related to greater familiarity with the Internet.

Other research has shown that college students’ — who are often older teens — Internet use was directly and indirectly related to less depression (Morgan & Cotten, 2003; LaRose, Eastin, & Gregg, 2001).

Furthermore, studies have revealed that Internet use can lead to online relationship formation, and thereby to more social support ([Nie and Erbring, 2000], [Wellman et al., 2001] and [Wolak et al., 2003]) — which may subsequently lead to less internalizing problems.

In another study cited by the Pediatrics authors, simply reading the news report should’ve raised a red flag for them. Because the news report on the study quoted the study’s author who specifically noted her study could not determine causation:

According to Morrison, pornography, online gaming and social networking site users had a higher incidence of moderate to severe depression than other users. “Our research indicates that excessive Internet use is associated with depression, but what we don’t know is which comes first – are depressed people drawn to the Internet or does the Internet cause depression? What is clear is that for a small subset of people, excessive use of the Internet could be a warning signal for depressive tendencies,” she added.

The other citations in the Pediatrics report are equally problematic (and one citation has nothing to do with social networking and depression [Davila, 2009]). None mention the phrase “Facebook depression” (as far as I could determine), and none could demonstrate a causative relationship between use of Facebook making a teenager or child feel more depressed. Zero.

I’m certain depressed people use Facebook, Twitter and other social networking websites. I’m certain people who are already feeling down or depressed might go online to talk to their friends, and try and be cheered up. This in no way suggests that by using more and more of Facebook, a person is going to get more depressed. That’s just a silly conclusion to draw from the data to date, and we’ve previously discussed how use of the Internet has not been shown to cause depression, only that there’s an association between the two.

If this is the level of “research” done to come to these conclusions about “Facebook depression,” the entire report is suspect and should be questioned. This is not an objective clinical report; this is a piece of propaganda spouting a particular agenda and bias.

The problem now is that news outlets everywhere are picking up on “Facebook depression” and suggesting not only that it exists, but that researchers have found the online world somehow “triggers” depression in teens. Pediatrics and the American Academy of Pediatrics should be ashamed of this shoddy clinical report, and retract the entire section about “Facebook depression.”

Read article here:  http://psychcentral.com/blog/archives/2011/03/28/pediatrics-gets-it-wrong-about-facebook-depression/

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Huffington Post: Neurotoxins cause ADHD symptoms—why do so few (& hardly any psychiatrists) not get rid of the neurotoxins?

Friday, May 28th, 2010

The Huffington Post
By Annie B. Bond
May 28, 2010

My friend Sally used to corral her three teenage children to clean their house every Saturday morning. I was envious of her chutzpa to demand this of her kids, but the part of the story that was always tragic to me was that every Saturday afternoon without fail, Sally’s son Sam was sent to his room for hyperactive, “out of control” behavior.

Looking at the cause and effect of the son’s behavior through my lens of awareness of how neurotoxic many cleaning chemicals are, I could see it would make sense that the son’s central nervous system and brain could be reacting to these chemicals. Symptoms of neurotoxicity include lack of concentration, personality changes, depression, hyperactivity and the mimicking of psychiatric disorders.

Not being particularly “green,” the cleaning products Sally would buy for her kids to use were the standard store-bought fare readily available in supermarkets. Examples of neurotoxins found in such products include VOCs (furniture polish can contain VOCs), neurotoxic disinfectants, petroleum distillates, fragrances (scented products are notoriously neurotoxic,) and waxes (VOCs again in the solvents), to name a few.

Pesticides take front seat in the arsenal of poisons that hurt the central nervous system and brain. After all, they are designed to kill. A new study reported in the June issue of Pediatrics, published online May 17, links organophosphate pesticide metabolites found in urine to a much higher incidence of Attention Deficit Hyperactivity Disorder (ADHD).

Read entire article:  http://www.huffingtonpost.com/annie-b-bond/neurotoxins-and-adhd-conn_b_592796.html

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Huffington Post: Poor Kids far more likely to be prescribed psychiatric drugs

Thursday, May 20th, 2010

Huffington Post
By Bruce E. Levine
May 20, 2010

Children covered by Medicaid are far more likely to be prescribed antipsychotic drugs than children covered by private insurance, and Medicaid-covered kids have a higher likelihood of being prescribed antipsychotics even if they have no psychotic symptoms. This is reported in the May19, 2010 Journal of American Medical Association (JAMA) article, “Studies Shed Light on Risks and Trends in Pediatric Antipsychotic Prescribing.”

Researchers at Rutgers University and Columbia University found that children and adolescents covered by Medicaid were four times as likely as those with private insurance to receive an antipsychotic in 2004. Among those aged six to 17 years who were covered by Medicaid, 4.2 percent were prescribed at least one antipsychotic drug. In contrast, among those in this same age group who had private insurance, less than 1 percent were prescribed an antipsychotic. Nearly half of these Medicaid-covered pediatric patients receiving antipsychotic drugs had nonpsychotic diagnoses of attention deficit hyperactivity disorder (ADHD) or some other disruptive behavior disorder. In contrast, of the privately insured pediatric patients receiving antipsychotics, about one fourth were diagnosed with ADHD or some other disruptive behavior disorder.

The current issue of JAMA also reports another troubling study published earlier this year in the journal Pediatrics. This study, conducted by Robert Penfold of the Department of Population Medicine at Harvard Medical School and the Harvard Pilgrim Health Care Institute, examined the use of the antipsychotic Geodon (ziprasidone) in pediatric patients covered by Medicaid in Michigan in 2001. Of the pediatric patients who had been diagnosed with a psychiatric disorder and had received Geodon, only 53.3 percent actually had a diagnosis of psychosis. The other children who received Geodon had one or more of the following diagnoses: 24.1 percent were diagnosed with explosive personality disorder, 17.6 percent were diagnosed with depressive disorder, and 13.1 percent of these kids who were prescribed Geodon had oppositional defiant disorder (ODD). What exactly does it take to get an ODD diagnosis?

Read entire article:  http://www.huffingtonpost.com/bruce-e-levine/psychiatric-drugs-and-poo_b_583568.html

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Child/Teen Suicide Rate 5 Times Higher for Kids on Antidepressants; Researchers Say findings support FDA Black Box Warnings

Monday, April 12th, 2010

WebMD
By Jennifer Warner
April 12, 2010

The heightened risk of teen suicide doesn’t vary among users of different antidepressants, a new study finds.

Researchers say the finding supports the FDA’s current “black box” warning on all antidepressants detailing the increased risk of suicide attempts and suicides in children and teens who start to take the drugs. A “black box” warning is the FDA’s most severe warning label.

Previous studies have shown that children and teenagers who begin to use SSRI (selective serotonin reuptake inhibitor) antidepressants may have an increase in suicidal thoughts and behaviors, but researchers say this is the first study to compare the child and teen suicide risk among different individual SSRI antidepressants.

The study followed 20,906 children in British Columbia between the ages of 10 and 18 who had been diagnosed with depression and prescribed an antidepressant over a nine-year period.

During the first year of antidepressant use, there were 266 attempted suicides and three suicides.

Researchers found no significant difference in child and teen suicide risk among the five SSRI antidepressants studied (fluoxetine, fluvoxamine, citalopram, paroxetine, and sertraline). Tricyclic antidepressants showed risks similar to the SSRIs.

Overall, the child and teen suicide rate after initiation of antidepressant use among participants in the study was five times higher than the rate reported among all teens aged 13 to 17 in British Columbia, which researchers say reflects the higher suicide risks among the depressed.

“Our analysis supports the decision of the Food and Drug Administration to include all antidepressants in the black box warning regarding increased suicidality risk for children and adolescents initiating use of antidepressants,” write researcher Sebastian Schneeweiss, MD, ScD of Harvard Medical School and colleagues in Pediatrics.

Read entire article:  http://www.webmd.com/depression/news/20100412/teen-suicide-risk-similar-among-antidepressants

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