Tag Archive for 'depression'

Decline in independent activity as a cause of decline in children’s mental wellbeing

It is no secret that rates of anxiety and depression among school-aged children and teens in the United States are at an all-time high. Recognizing this, the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Children’s Hospital Association issued, in 2021, a joint statement to the Biden administration that child and adolescent mental health be declared a “national emergency.”

Although most current discussions of the decline in youth mental health emphasize that which has occurred over the past ten to fifteen years, research indicates that the decline has been continuous over at least the last five or six decades.

Thesis by summarizing evidence for, respectively, (a) a large decline over decades in children’s opportunities for independent activity; (b) a large decline over the same decades in young people’s mental health; (c) effects of independent activity on children’s immediate happiness; and (d) effects of independent activity in building long-term psychological resilience.

Children in the 1970s or earlier know from experience that children then had far more freedom to roam, play, and engage in various activities independently of adults than do children today. Beginning in the 1960s and accelerating in the 1980s, the implicit understanding shifted from that of children as competent, responsible, and resilient to the opposite, as advice focused increasingly on children’s needs for supervision and protection. What has declined specifically is children’s freedom to engage in activities that involve some degree of risk and personal responsibility away from adults.

Chudacoff (2007) describes the first half of the 20th century as “the golden age of unstructured play” and shows how children’s free play, especially outdoors, declined from about 1960 on.6 Mintz (2006) supports the premises that “contemporary children are more regimented and constrained than ever before” and have “fewer socially valued ways to contribute to their family’s well-being or to participate in community life.”

It’s increased time children must spend in school and on schoolwork at home. Between 1950 and 2010, the average length of the school year in the US increased by five weeks.14 Homework, which was once rare or nonexistent in elementary school, is now common even in kindergarten. One study revealed that the average amount of time that US school children, ages 6-8, spent at school plus school homework increased by 11.4 hours per week between 1981 and 2003, equivalent to adding a day and half to an adult’s work week.

One survey, the Youth Risk Behavior Surveillance System (YRBS), conducted annually by the Centers for Disease Control and Prevention (CDC), revealed that by 2019, 36.7% of high school students ages 14-18 reported persistent feelings of sadness or hopelessness over the past year.

Major category of independent activity, especially for young children, is play evidence that children’s play-like activity appears to be most satisfying and to fit most closely with children’s own concept of play when it occurs away from adult oversight and intervention. Children understood play to be an activity “that took place with other children with little or no involvement from adults.”

Observational studies in natural settings have likewise documented an inhibiting effect of the presence of adults on children’s play Beyond promoting immediate mental wellbeing, children’s independent activity may also help build mental capacities and attitudes that foster future wellbeing. One way of thinking about this involves the concept of internal versus external locus of control (LOC). Internal LOC refers to a person’s tendency to believe they have control over their life and can solve problems as they arise, in contrast to external LOC, which is a tendency to believe their experiences are ruled by circumstances beyond their control. Many research studies, mostly cross-sectional but some longitudinal, have shown that a low internal LOC, assessed by a standard questionnaire, is highly predictive of anxiety and/or depression in both children and adults.

In addition to documenting dramatically increased anxiety and depression among young people over the last four decades of the 20th century, Twenge and her colleagues also documented a dramatic decline in internal LOC among them over that same period.45 Logically, it seems likely that a decline in internal LOC was a mediating cause of the decline in mental wellbeing. The increase in school time and pressure over decades may have impacted mental health not just by detracting from time and opportunity for independent activities but also because fear of academic failure, or fear of insufficient achievement, is a direct source of distress.

(Source: Gray P, Lancy DF, Bjorklund DF. Decline in Independent Activity as a Cause of Decline in Children’s Mental Well-being: Summary of the Evidence. J Pediatr. 2023 Sep; 260:113352)

Ian Thorpe and the champions’ depression

Ian Thorpe, one of the greatest swimmers, wrote in hia autobiography that he has been depressed but he had never spoken openly about it. ”Not even my family is aware that I’ve spent a lot of my life battling what I can only describe as a crippling depression”. The 30-year-old said he had striven to be perfect and had wanted to keep what he felt was a “character flaw” from his family. After the Sydney Olympics and while training for Athens, Thorpe decided to get answers and had a “clandestine visit” to a doctor, where he got “some help”, including medication.  ”I used alcohol as a means to rid my head of terrible thoughts, as a way of managing my moods – but I did it behind closed doors, where many depressed people choose to fight their demons before they realise they can’t do it without help”. ”There were numerous occasions, particularly between 2002 and 2004 as I trained to defend my Olympic titles in Athens, that I abused myself this way – always alone and in a mist of disgrace.”

We live in the period in which the depression is the most common mental disorder. Depression stimulated by the perception of not more control life and the belief that no one can help us. The champions also suffer of it and not only people who feel desperate because they live their lives as a failure or a failed attempt to realize their dreams. The champions may become trapped as they are in search of perfection that can never be reached and the need to repeat their successes, in an environment that considers them heroes only if they continue to win, otherwise as easily they become something to be deleted. The transience of success, despite the fame and the money, can destroy lives if those who live in this condition do not find the ways to get out alive and happy. Not everyone wants to learn, not everyone lives in an environment that warns and support them, and so they become depressed. Also because if ever they tried to speak, they will find many friends ready to tell, that they had everything and cannot complain.