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West Newsmagazine 12-16-20

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48 I HEALTH I<br />

December <strong>16</strong>, <strong>20</strong><strong>20</strong><br />

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A recent survey found that young adults who may be kept apart from their<br />

families this holiday season are feeling high levels of anxiety. (Source: Adobe Stock)<br />

Health<br />

Capsules<br />

By LISA RUSSELL<br />

Holiday stress coming from<br />

a different source this year<br />

The rush of holiday activities that are an<br />

annual source of anxiety for most people<br />

– shopping, baking, parties, cleaning, giftwrapping<br />

and more – has been replaced<br />

by a different type of stress this year: the<br />

fear of getting COVID-19 or giving it to<br />

someone you care about. According to a<br />

Kaiser Family Foundation health-tracking<br />

poll conducted in October, two-thirds of<br />

Americans are worried they or their family<br />

members will get the virus.<br />

That stress is perhaps being felt most keenly<br />

among younger adults, many of whom live<br />

away from home and are facing the cold reality<br />

of celebrating the holiday season alone<br />

for the first time. A recent CDC Household<br />

Pulse Survey shows that those between the<br />

ages of 18 and 29 report the highest levels<br />

of anxiety and depression symptoms of any<br />

age group; between Sept. 30 and Oct. <strong>12</strong>,<br />

the latest survey dates available, nearly half<br />

reported symptoms of one or both conditions.<br />

However, young people won’t have a<br />

monopoly on anxiety this holiday season.<br />

For many others, too, the loss of the<br />

gatherings and traditions surrounding the<br />

holidays will undoubtedly increase depression<br />

and cause extra stress on top of what<br />

has already been a very anxiety-inducing<br />

year. The National Alliance on Mental Illness<br />

(NAMI) offers a number of commonsense<br />

tips to help keep prevent unhealthy<br />

levels of stress this holiday season:<br />

• Stay active. Physical activity can boost<br />

your mood, both in the short and long term.<br />

Even a 10-15 minute walk can help when<br />

you feel anxious or sad.<br />

• Address loneliness. Make an effort to<br />

call, text or video chat with those who are<br />

important to you. Staying occupied every<br />

As the drug addiction crisis continues throughout Missouri,<br />

the state is set to receive $25 million in funding from the Substance<br />

Abuse and Mental Health Services Administration in<br />

each of the next two years. That total will include nearly $2.8<br />

million for the University of Missouri – St. Louis. These funds<br />

will help in a number of fronts in the battle against addiction and<br />

overdose, according to Associate Research Professor Rachel<br />

Winograd, who leads the addiction science team at UMSL’s<br />

Missouri Institute of Mental Health.<br />

While much of the money will be used to obtain doses of the<br />

opioid overdose-reversing medication naloxone and to hire the<br />

personnel required to distribute it effectively, the new funding<br />

will also enable more focus on the rising problem of stimulant<br />

use, mainly methamphetamine and cocaine, Winograd said.<br />

“These are not strictly opioid grants anymore, which is good<br />

because most people who use opioids don’t only use opioids,”<br />

Winograd said. “This is a poly-drug overdose crisis, not just an<br />

opioid overdose crisis.”<br />

day is also helpful – an occupied and<br />

engaged mind is less likely to dwell on<br />

feelings of loneliness and sadness.<br />

• Eat and drink well. Food impacts<br />

mood, so make sure to eat healthy most of<br />

the time and watch your intake of holiday<br />

treats. Also remember that while alcohol<br />

might lift your mood and reduce stress in<br />

the moment, it actually increases anxiety<br />

and depression over the long term.<br />

• Get enough sleep. Sleep deprivation<br />

can heighten negative emotions and cause<br />

unnecessary added stress.<br />

• Keep expectations realistic. Not everyone<br />

is on the same page when it comes to<br />

COVID-19 … and these differences have<br />

the potential to cause disappointment and<br />

disagreements. Have a clear and frank discussion<br />

with family up front.<br />

Wash U study identifies potential<br />

early COVID-19 treatment<br />

Scientists worldwide have been searching<br />

diligently for possible COVID-19<br />

treatments that could be given in the<br />

virus’ early stages, to prevent people from<br />

becoming more seriously ill. A research<br />

team at Washington University in St. Louis<br />

has identified one drug that may help to<br />

meet this urgent need: the serotonin reuptake<br />

inhibitor (SSRI) fluvoxamine.<br />

UMSL team awarded new funding to combat ‘poly-drug’ overdose crisis<br />

Sold under the brand name Luvox among<br />

others, fluvoxamine is an antidepressant<br />

which has been prescribed since the mid-<br />

1990s, and is used primarily to treat those<br />

with obsessive-compulsive disorder. In<br />

a preliminary study conducted between<br />

April and August in the St. Louis area, the<br />

Wash U scientists found that fluvoxamine<br />

seems to prevent some of the most serious<br />

COVID-19 complications and make hospitalization,<br />

along with the need for supplemental<br />

oxygen, less likely.<br />

During this “contactless” study, 152<br />

patients with mild to moderate COVID-19<br />

who were attempting to recover at home<br />

received either fluvoxamine or a placebo<br />

along with monitoring supplies.<br />

After 15 days, none of the 80 patients<br />

who received fluvoxamine experienced<br />

serious worsening of their symptoms.<br />

Meanwhile, six of the 72 patients given the<br />

placebo (8.3%) became seriously ill, with<br />

four needing to be hospitalized.<br />

“Most investigational treatments for<br />

COVID-19 have been aimed at the very<br />

sickest patients, but it’s also important to<br />

find therapies that prevent patients from<br />

getting sick enough to require supplemental<br />

oxygen or to have to go to the hospital.<br />

Our study suggests fluvoxamine may help<br />

fill that niche.” said Dr. Eric Lenze of the<br />

Wash University School of Medicine.<br />

To help address prevention, for example, the Missouri<br />

Institute of Mental Health is partnering with Big Brothers<br />

Big Sisters for the first time. It has added a partnership with<br />

local nonprofit The T, a St. Louis area health education and<br />

resource center. Some funding will also support expansion of<br />

the Behavioral Health Network of Greater St. Louis’ EPICC<br />

project – Engaging Patients in Care Coordination – which connects<br />

people who have recently survived an overdose to treatment<br />

and recovery resources.<br />

Winograd added that the COVID-19 pandemic has also<br />

increased the challenge for combatting the drug crisis. It has disrupted<br />

supplies, making these dangerous drugs even more volatile<br />

and unpredictable. It also has increased the stress and feelings<br />

of anxiety that can lead people to begin using drugs in the first<br />

place, while creating more barriers for people seeking treatment.<br />

“People are getting left behind, and it’s not any specific entity’s<br />

fault,” she said. “It’s just the reality of how our society is<br />

structured and our society’s response to this pandemic.”

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