Long-lasting mental health isn’t normal

Abnormal is the new normal in mental health.

A small, poorly understood segment of the population stays mentally healthy from age 11 to 38, a new study of New Zealanders finds. Everyone else encounters either temporary or long-lasting mental disorders.

Only 171 of 988 participants, or 17 percent, experienced no anxiety disorders, depression or other mental ailments from late childhood to middle age, researchers report in the February Journal of Abnormal Psychology. Of the rest, half experienced a transient mental disorder, typically just a single bout of depression, anxiety or substance abuse by middle age.
“For many, an episode of mental disorder is like influenza, bronchitis, kidney stones, a broken bone or other highly prevalent conditions,” says study coauthor Jonathan Schaefer, a psychologist at Duke University. “Sufferers experience impaired functioning, many seek medical care, but most recover.”

The remaining 408 individuals (41 percent) experienced one or more mental disorders that lasted several years or more. Their diagnoses included more severe conditions such as bipolar and psychotic disorders.

Researchers analyzed data for individuals born between April 1972 and March 1973 in Dunedin, New Zealand. Each participant’s general health and behavior were assessed 13 times from birth to age 38. Eight mental health assessments occurred from age 11 to 38.
Surprisingly, those who experienced lasting mental health did not display several characteristics previously linked to a lower likelihood of developing mental disorders. Those attributes consist of growing up in unusually affluent families, enjoying especially sound physical health and scoring exceptionally high on intelligence tests.
Instead, mentally healthy participants tended to possess advantageous personality traits starting in childhood, Schaefer and colleagues found. These participants rarely expressed strongly negative emotions, had lots of friends and displayed superior self-control. Kiwis with rock-solid mental health also had fewer first- and second-degree relatives with mental disorders compared with their peers.

As adults, participants with enduring mental health reported, on average, more education, better jobs, higher-quality relationships and more satisfaction with their lives than their peers did. But lasting mental health doesn’t guarantee an exceptional sense of well-being, Schaefer says. Nearly one-quarter of never-diagnosed individuals scored below the entire sample’s average score for life satisfaction.

Less surprising was the 83 percent overall prevalence rate for mental disorders. That coincides with recent estimates from four other long-term projects. In those investigations — two in the United States, one in Switzerland and another in New Zealand — between 61 percent and 85 percent of participants developed mental disorders over 12- to 30-year spans.

Comparably high rates of emotional disorders were reported in 1962 for randomly selected Manhattan residents. Many researchers doubted those findings, which relied on a diagnostic system that was less strict than the three versions of psychiatry’s diagnostic manual that were introduced and used to evaluate New Zealand participants as they got older, says psychiatric epidemiologist William Eaton of Johns Hopkins Bloomberg School of Public Health. But the Manhattan study appears to have been on the right track, Eaton says.

Increased awareness that most people will eventually develop a mental disorder (SN: 10/10/09, p. 5), at least briefly, can reduce stigma attached to these conditions (SN Online: 10/13/16), he suspects.

Psychiatric epidemiologist Ronald Kessler suspects the numbers of people experiencing a mental disorder may be even higher than reported. Many participants deemed to have enduring mental health likely developed brief mental disorders that got overlooked, such as a couple of weeks of serious depression after a romantic breakup, says Kessler of Harvard Medical School, who directs U.S. surveys of mental disorders. Rather than focusing on rare cases of lasting mental health, “the more interesting thing is to compare people with persistent mental illness to those with temporary disorders,” he says.

How hydras know where to regrow their heads

Hydras, petite pond polyps known for their seemingly eternal youth, exemplify the art of bouncing back (SN: 7/23/16, p. 26). The animals’ cellular scaffolding, or cytoskeleton, can regrow from a slice of tissue that’s just 2 percent of the original hydra’s full body size. Researchers thought that molecular signals told cells where and how to rebuild, but new evidence suggests there are other forces at play.

Physicist Anton Livshits and colleagues at the Technion-Israel Institute of Technology in Haifa genetically engineered Hydra vulgaris specimens so that stretchy protein fibers called actins, which form the cytoskeleton, lit up under a microscope. Then, the team sliced and diced to look for mechanical patterns in the regeneration process.
Actin fibers in pieces of hydra exert mechanical force that lines up new cells and guides the growth of the animal’s head and tentacles, the researchers found. Turning off motor proteins that move actin stopped regeneration, and physically manipulating actin fiber alignment resulted in hydras with multiple heads. Providing hydras with further structural stability encouraged tissue slices to grow normally. Both mechanical and molecular forces may mold hydras in regeneration, the researchers report in the Feb. 7 Cell Reports.
When researchers anchored rings of hydra tissue to a wire (right), they found that the added mechanical stability made a hydra grow normally along one body axis, and thus grow one head. Without this stability, the actin scaffolding was more disrupted and the animal grew two heads (left).

Cold plasma puts the chill on norovirus

WASHINGTON — A nasty stomach virus that can linger on fruits and veggies may have met its match in cold plasma.

In experiments, the ionized gas, created by filtering room-temperature air through an electric field, virtually eliminated norovirus from lettuce, researchers reported February 7 at the American Society for Microbiology Biothreats meeting.

Norovirus is the leading cause of foodborne illness in the United States, infecting more than 20 million people every year. Sterilizing food with heat is one way to kill the virus, but that approach doesn’t work for fresh produce. Cold plasma could be a way to sterilize fruits and vegetables without damaging them, said Hamada Aboubakr, a food microbiologist at the University of Minnesota in St. Paul.
Aboubakr and colleagues used a cold plasma device to blast contaminated romaine lettuce leaves and stainless steel surfaces. After five minutes, the plasma wiped out about 99 percent of norovirus particles.

The researchers are testing the device on other foodborne viruses such as hepatitis A, which sickened more than 140 people last year after they ate contaminated strawberries. Unpublished experiments have shown that cold plasma also can destroy drug-resistant bacteria on chicken breasts and leafy greens. Aboubakr hopes to adapt the technology for use in restaurants, on cruise ships and in the produce aisles of grocery stores.

Seagrasses boost ecosystem health by fighting bad bacteria

BOSTON — For a lawn that helps the environment — and doesn’t need to be mowed — look to the ocean. Meadows of underwater seagrass plants might lower levels of harmful bacteria in nearby ocean waters, researchers reported February 16 during a news conference at the annual meeting of the American Association for the Advancement of Science. That could make the whole ecosystem — from corals to fish to humans — healthier.

Not truly a grass, seagrasses are flowering plants with long, narrow leaves. They grow in shallow ocean water, spreading into vast underwater lawns. Seagrasses are “a marine powerhouse, almost equal to the rainforest. They’re one of the largest stores of carbon in the ocean,” says study coauthor Joleah Lamb, an ecologist at Cornell University. “But they don’t get a lot of attention.”
It’s no secret that seagrasses improve water quality, says James Fourqurean, a biologist at Florida International University in Miami who wasn’t involved in the research, which appears in the Feb. 17 Science. The plants are great at removing excess nitrogen and phosphorus from coastal waters. But now, it seems, they might take away harmful bacteria, too.

A few years ago, Lamb’s colleagues became ill with amoebic dysentery while studying coral reefs in Indonesia, an archipelagic nation that straddles the Indian and Pacific oceans. When a city or village on one of the country’s thousands of islands dumps raw sewage into the ocean, shoreline bacteria populations can spike to dangerous levels.
Water sampled close to the shores of four small and densely populated Indonesian islands had 10 times the U.S. Environmental Protection Agency’s recommended exposure limit of Enterococcusbacteria, which can cause illness in humans and often signals the presence of other pathogens. But water collected from offshore tidal flats and coral reefs with seagrass beds had lower levels of the bacteria compared with similar sites without the plants less than 20 meters away. The water had lower levels of numerous bacterial species that can make fish and marine invertebrates sick, too. And field surveys of more than 8,000 coral heads showed that those growing adjacent to or within seagrass beds had fewer diseases than those growing farther away.
It’s unclear how far from seagrass beds this cleaner water extends, but the benefits can ripple through the entire ecosystem, Lamb said at the news conference. Healthier corals help protect the islands from erosion. And fish less contaminated with bacteria make a better source of food for people.

Lamb is planning follow-up studies to figure out exactly how the seagrasses clean the water. Like a shag carpet, seagrasses trap small particulates drifting through the ocean and prevent them from flowing on. The plants might ensnare bacteria in the same way, building up biofilms on their blades. Or, she suggests, the leaves could be giving off antimicrobial compounds that directly kill the bacteria.

The findings are one more reason to conserve seagrasses, study coauthor Jeroen van de Water, an ecologist at the Scientific Center of Monaco, said at the news conference. Worldwide, seagrass beds are declining by 7 percent each year, thanks to pollution and habitat loss. And while restoration efforts are underway in some areas, “it’s better to stop what we’re doing to the meadows than to try to replant them,” Lamb added. “Seagrasses are quite particular in the depth they want to be at and the environment they want to have. It’s hard to start doing restoration projects if the environment isn’t exactly what the seagrass prefers.”