Winter depression in children,Dr Deo Kumar Jha,MD. Pediatrician and Pulmonologist,Ghaziabad,Delhi-NCR

Winter depression in children,Dr Deo Kumar Jha,MD. Pediatrician and Pulmonologist,Ghaziabad,Delhi-NCR

Depression is a state of mind in which the mood of a person is very low and the person is not interested in surrounding and any activities which gives him or her pleasure, to the extent that disturbs his or her normal works.

This is known as affective disorder  in Psychiatry or mood disorder.

When it occurs for a particular season in year ,it is referred as to seasonal affective disorder-SAD

This disorder is in increasing trends in last 1-2 decades due to various reasons,in children.

The extreme form of this disorder urges a person to commit suicide.

It should be recognised early and addressed properly to keep the potency of a person at normal level.

It has been observed that ,children are particularly at risk to develop this disorder due to stressful family environment.

Vitamin D deficiency is a contributory factor to develop this disease entity ,

In the last few decades ,in India,children have been observed to be busy in indoor activities and more in screen activities.

On the one hand,this indoor confinement leads to less sun exposure and on the other hand the contents of screen may be depressive

In winter season ,naturally there is less time when there is sunlight, in which children can be exposed while playing.

Adequate vitamin D synthesis in the body occurs when skin is exposed to sunlight.

It has been observed that in winter season ,the level of serotonin is less in the body and melatonin balance is also disturbed.

These lead to increased symptoms of depression.

Sun exposure between 10 am to 3 pm is most effective for vitamin D synthesis from ultraviolet B light

 

Dr Deo Kumar Jha,

MBBS(Gold Medalist)

MD(Pediatrics)

Fellowship in Pediatric Pulmonology,AIIMS New Delhi

Pediatrician and Pulmonologist,Ghaziabad Delhi-NCR

Depression and financial instability of Parents-more asthma symptoms in children,Dr Deo Kumar Jha,MD.Pediatrician and Pulmonologist,Delhi-NCR

Asthma is the most common chronic respiratory disease in children.

It is responsible for significant days of school absenteeism.

It gives financial burden to the family by frequent visits to OPD and emergency department.

Child has to spend many sleepless nights during the period of symptoms.

It also disturbs the sleep of parents and the whole family.

Sleepless nights leads to decrease in work efficiency of child and parents.

According to the first study of its kind on 3900 Australian children,between the age of 1-15 years,the researcher observed that ,wheezing episodes in children with stressed parents were far more than the children with parents having no stress or negligible stress.

Specifically they observed that the wheezing episodes were 77% more in children of parents leading a stressful life with moderate to severe stresses, 55% more in children with mother having depression and 40% more in children with parents facing financial hardships.

Environmental factors which trigger asthma are well known in the form of pollutants,allergens,environmental tobacco smokes which are modifiable.

Depression and anxiety in children are also known to trigger asthma.

But Psychosocial factors, like parental stress due to workload or career making,depression and anxiety in parents, and financial hardships faced by parents are less recognised or ignored factors which may trigger symptoms of asthma.

 

In the care of asthmatic children, psychosocial factors should be addressed so as to control the symptoms of asthma

REFERENCES:

Shahunja KM, Sly PD, Mamun A. Trajectories of psychosocial environmental factors and their associations with asthma symptom trajectories among children in Australia. Pediatric Pulmonology. 2023:ppul.26733. doi: 10.1002/ppul.26733