Anxiety, Depression and Physical Health in Adolescents – What’s the connection?

Anxiety, Depression and Physical Health in Adolescence - What’s the connection?

With research finding ever-increasing evidence in support of the mind-body connection, there is no doubt that our mental functioning affects our physical health, and vice versa. The connection is a powerful one, and science is on well on its way to uncovering more of the detail. 

New research from Switzerland and Germany has found that in children and adolescents, certain physical diseases will be more likely to follow anxiety or depression. Similarly, particular mental health conditions happen more frequently following particular physical illnesses. 

Researchers have identified that depression tends to affect the stomach, while anxiety is more likely to affect the skin. Specifically, arthritis and diseases of the digestive system happen more frequently following depression or bipolar disorder, and skin diseases (such as atopic dermatitis) are more likely after anxiety. 

Researchers also found a strong association between epilepsy and subsequent eating disorders (including anorexia nervosa, bulimia nervosa, and binge eating disorder).

‘For the first time, we have established that epilepsy is followed by an increased risk of eating disorders – a phenomenon that had previously been described only in single case reports. This suggests that approaches to epilepsy treatment could also have potential in the context of eating disorders.’ Marion Tegethoff, lead author. 

This research is the first to explore the connection between these symptoms in adolescents, however previous research has found a similar relationship between in adults. Research involving adults has found that in people who have depression and arthritis, relieving the symptoms of depression also decreases the pain of arthritis. Similarly, people who have anxiety and atopic dermatitis report an improvement in their skin when they receive therapy for their anxiety.

In relation to the connection between eating disorders and epilepsy, the study refers to two earlier research studies, both with very small samples sizes, which have found some evidence to suggest that the connection might be because of the parts of the brain involved. When epilepsy arises from the right hemisphere, lesions in a part of the brain that has a close relationship with the limbic system may influence the development of eating disorders. At this stage, more research is needed, but it is a promising pathway for future research and possible treatment options.

The promise of this research is in widening the treatment options available to strengthen physical and mental health during adolescence. If we know there is a specific connection between certain symptoms, there is mounting evidence to suggest that treating one set of symptoms, has great potential to improve the other connected symptoms.

And finally …

Even with the strongest support, the greatest love, and the most committed and engaged parents in the world, many teens, probably all of them, will still struggle from to time. Adolescence will present itself with certain challenges to all teens. That’s the whole point of adolescence – it’s the time for them to stretch and push right up against their edges, to discover who they are, where they fit in, and how they will leave their very important mark on the world. All of our teens have it in them to be happy, thriving adults, but it’s not always easy to know exactly what they need to get there. Protecting their mental health is critical. We’ve always known that, but with our increasing wisdom on the mind-body connection, there is no doubt that when we guide and support them to stronger mental health, we are helping to strengthen them in mind, body and spirit.

7 Comments

Kristi

My 15 year old daughter suffers from JIA (Juvenile arthritis) and right along with it came depression and anxiety. She now sees a therapist that specializes in chronic disease management, medication administration and anxiety, and depression. She has seen decreased pain levels, better confidence in herself and future (self-efficacy) and an overall better outlook. Getting help was the smartest thing we ever did.

Reply
No

Adolescents…adolescents…as theycontinue to wreck havoc and be wrecked havoc upon…some things never change…puzzling, why?

Reply
Karen - Hey Sigmund

Ahhh yes – it’s all about what’s happening in their brains! Adolescence is a time of massive brain changes. Everything they do and everything they go through can generally be explained by these changes. It’s all part of their development towards being happy, healthy adults. Here is an article that explains it, and will hopefully make even their most confusing behaviour easier to understand https://www.heysigmund.com/what-you-need-to-know-about-the-adolescent-brai/.

Reply
IBikeNYC

May I assume that “eating disorders” refers ONLY to eating too little as opposed to eating too much?

Reply
Chrissy

My understanding (and experience as a parent) of an eating disorder is that it’s all about having a wrong relationship with food; whether it’s depriving or indulging, both are symptoms of a food obsession and a food fear at the same time. A right relationship with food is what we all want; one that brings ‘disorder’ into order, so that freedom can be found in a renewed way of thinking. It’s not impossible. But it takes time, love, patience and faith!

Reply
Karen - Hey Sigmund

Yes – when this research talks about eating disorders, it is specifically talking about when those eating disorders co-occur with epilepsy. In those cases, there might be a common area of the brain contributing to the symptoms. Similarly, in instances where a teen has anxiety and skin problems, or depression and digestive problems, or eating disorders and epilepsy, it may be that they are somehow related. It doesn’t mean there will always be digestive disorders with depression, or skin problems with anxiety, or epilepsy with eating disorders, but when there is, it may be that treating one set of symptoms (as in the physical symptoms or the symptoms related to the anxiety, depression or epilepsy), may see an improvement in the other set of symptoms. It’s an interesting area of research because of the treatment options that open up when there are co-occuring symptoms, and also because of what it might mean about the possible causes of various symptoms.

Reply
Karen - Hey Sigmund

Good question. The eating disorders part of the research included anorexia nervosa, bulimia nervosa, and binge eating disorder. I’ve amended the article to show this. Hope that clears things up.

Reply

Leave a Reply

Your email address will not be published. Required fields are marked *

Join our newsletter

We would love you to follow us on Social Media to stay up to date with the latest Hey Sigmund news and upcoming events.

Follow Hey Sigmund on Instagram

First, we ask the questions of us:

Are they relationally safe?
- Do they have an anchor adult at school?
- Do they know how to access this adult?
- Do they feel welcome, a sense of belonging, warmth from their adults?

Do they feel safe in their bodies?
- Are they able to move their bodies when they need to?
- Are they free from sensory overload or underload?
- If not, what is their bare minimum list to achieve this with minimum disruption to the class, keeping in mind that when they feel safer in their bodies, there will naturally be less disruptive behaviour and more capacity to engage, learn, regulate.

Then we ask the question of them:

What's one little step you can take? And don't tell me nothing because I know that you are amazing, and brave, and capable. I'm here right beside you to show you how much. I believe in you, even if you don't believe in yourself enough yet.❤️

#anxietyrelief #anxiouskids #anxietyinkids #anxiousteens #childanxiety #positiveparenting
Ready ... set ... SALE! 

Our Black Friday Sale is live. For a short time, we’re taking 25% off books, plushies, courses, and tiny beautiful things. 

The resources have been created to calm anxiety, build courage and resilience, and nurture the capacity for self-regulation all kids and teens.

The books have sold hundreds of thousands of copies. They’ve been read, loaned, gifted, and loved throughout the world. (The sale will also help you restock any resources that might have gone walking - apparently they tend to do that a bit!)

If you haven’t discovered the stickers, tattoos and tins yet, pop over and take a look. We’ve left the lights on for you!

See here for more information or to buy https://www.heysigmund.com/shop/.
Boundaries aren't requests we make of them. They're the actions we take to keep them (and everyone else involved) physically safe, relationally safe, and to preserve values when they aren't able to.

The rule: Phones in the basket at 5pm.

The boundary: (What I'm going to do when you're having trouble with the rule.) 

'Okay - I can see you're having trouble popping your phone in the basket. I'm just going to sit beside you as a reminder that it's time. Take your time. I'll just watch over your shoulder until you're ready. So who are we texting? What are we watching?'

Or:

'I know you hate this rule. It's okay to be annoyed. It's not okay to yell. I'm not going to listen while you're yelling.' 

Then, 'This phones in the basket thing is chewing into our night when we start it at 5pm. We'll see how we go tomorrow and if it's bumpy, we'll shift to phones in the basket from 4:30pm. Let's see how we go.'

It's not a punishment or a threat. It's also not about what they do, but about what we do to lead the situation into a better place.

Of course, this doesn't always mean we'll hold the boundary with a calm and clear head. It certainly doesn't mean that. We're human and sometimes we'll lose our own minds as though they weren't ours to own. Ugh. Been there too many times. That's okay - this is an opportunity to model humility, repair, self-compassion. What's important is that we repair the relational rupture as soon as we can. This might sound like, 'I'm sorry I yelled. That must have been confusing for you - me yelling at you to stop yelling. Let's try that again.'❤️
Boundaries are about what WE do to preserve physical safety, relational safety, and values. They aren’t about punishment. They’re the consequences that make sense as a way to put everything right again and restore calm and safety.

When someone is in the midst of big feelings or big behaviour, they (as with all of us when we’re steamy) have limited capacity to lead the situation into a better place.

Because of this, rather than focusing on what we need them to do, shift the focus on what we can do to lead back to calm. 

This might sound like:

The rule (what we want them to do): Phones go in the basket at 5pm. 

The boundary (what we do when the rule is broken), with love and leadership: ‘I can see you’re having trouble letting go of your phone. That’s okay - I’m just going to sit beside you until you’re ready. Take your time. You’re not in trouble. I’ll just stay here and watch over your shoulder until you’re done.’

Or …

‘I can see this phones in the basket process is dragging out and chewing into our night when we start it at 5pm. If that keeps happening I’ll be starting this process at 4pm instead of 5pm.’

And if there’s a bit of spice in their response, part of being a reliable, sturdy leader is also being able to lead them through that. Even if on the inside you feel like you’re about to explode 🤯 (we’ve all been there), the posture is ‘I can handle this, and I can handle you.’ This might sound like,

‘Yep you’re probably going to have a bit to say about it. That’s okay - I don’t need you to agree with me. I know it’s annoying - and it’s happening.’

‘I won’t listen when you’re speaking to me like this. Take your time though. Get it out of you and then we can get on with the evening.’

Then, when the spicy has gone, that’s the time to talk about what’s happened. ‘You’re such a great kid. I know you know it’s not okay to talk to me like that. How are we going to put this right? Let’s yet 5pm again tomorrow and see how we go. If it causes trouble we’ll start earlier. I actually think we’ll be okay though.’♥️
This error message is only visible to WordPress admins
Error: Access Token is not valid or has expired. Feed will not update.

Pin It on Pinterest

Share This