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BRAIN HEALTH



           A sense of belonging as well as a sense of purpose can protect   Attachment Representations. Brain Sci. 2023;13(6). https://doi.
        against severe depression and anxiety. Helping others in the commu-  org/10.3390/brainsci13060884
        nity decreases activity in regions of the brain associated with stress.   5.  Giunchi, M., Pena-Jimenez, M., Petrilli, S. Work-Family Boundaries
        Volunteering is associated with benefits to mental and physical health,   in the Digital Age: A Study in France on Technological Intrusion,
        specifically in those with low neuroticism and higher extraversion.   Work-Family Conflict, and Stress. Med Lav. 2023;114(4):e2023039.
           As remote work has become common, the boundary between   https://doi.org/10.23749/mdl.v114i4.14510
        work and home has become unclear, which can cause stress that   6.  Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., Lee,
                                                                 C. Efficacy of the Mindfulness Meditation Mobile App “Calm” to
        may be further aggravated by interpersonal conflict within families.   Reduce Stress Among College Students: Randomized Controlled
        Active listening techniques, such as eye contact, asking questions, and   Trial. JMIR Mhealth Uhealth. 2019;7(6):e14273. https://doi.
        affirming the speaker, can strengthen relationships. Being assertive also   org/10.2196/14273
        improves communication and interpersonal skills, thereby reducing   7.  King, H.R., Jackson, J.J., Morrow-Howell, N., Oltmanns, T.F.
        stress in the social environment.                        Personality Accounts for the Connection Between Volunteering
                                                                 and Health. J Gerontol B Psychol Sci Soc Sci. 2015;70(5):691-7.
        Implementing Sustainable Practices                       https://doi.org/10.1093/geronb/gbu012
           When implementing effective habit formation strategies for   8.  Lewis, N.A., Hill, P.L. Sense of Purpose Promotes Resilience
        tackling long-term brain health, it is important to understand the   to Cognitive Deficits Attributable to Depressive Symptoms.
        underlying neuroscience of behavior change. For example, starting with   Front Psychol. 2021;12:698109. https://doi.org/10.3389/
        small steps not only increases the probability of long-term success, but   fpsyg.2021.698109
        also continuously reinforces new neuronal pathways. Environmental   9.  Madore, K.P., Wagner, A.D. Multicosts of Multitasking. Cere-
        cues as well as meaningful rewards also support consistency, while the   brum. 2019;2019
        utilization of tracking methods provides feedback that can strengthen   10. Martino, J., Pegg, J., Frates, E.P. The Connection Prescrip-
        and help with continued commitment. Personalized approaches are   tion: Using the Power of Social Interactions and the Deep
                                                                 Desire for Connectedness to Empower Health and Well-
        especially helpful due to individual differences in stress-related triggers   ness. Am J Lifestyle Med. 2017;11(6):466-75. https://doi.
        as well as vulnerabilities. Tailoring habit-changing strategies based on   org/10.1177/1559827615608788
        personality, preference and lifestyle greatly increases adherence. Fur-  11. Romero Garavito, A., Diaz Martinez, V., Juarez Cortes, E.,
        thermore, maintaining flexibility and adjusting approaches during   Negrete Diaz, J.V., Montilla Rodriguez, L.M. Impact of phys-
        high stress periods as well as developing a personalized “emergency   ical exercise on the regulation of brain-derived neurotrophic
        protocol” enhances resilience. Importantly, when stress overwhelms   factor in people with neurodegenerative diseases. Front Neurol.
        personal coping strategies, utilization of professional support becomes   2024;15:1505879. https://doi.org/10.3389/fneur.2024.1505879
        a valuable resource. Evidence-based models such as CBT provide struc-  12. Vandekerckhove, M., Wang, Y.L. Emotion, emotion regulation
        tured approaches to stress regulation that can be easily integrated with   and sleep: An intimate relationship. AIMS Neurosci. 2018;5(1):1-
        self-directed practice.                                  17. https://doi.org/10.3934/Neuroscience.2018.1.1
           Ultimately, stress is multifactorial and may require patients to prac-  13. Xie, L., Kang, H., Xu, Q., Chen, M.J., Liao, Y., Thiyagarajan,
        tice techniques relevant to various aspects of their life to see benefits.   M., et al. Sleep drives metabolite clearance from the adult brain.
        By introducing small changes to each facet of health, one can synergize   Science. 2013;342(6156):373-7. https://doi.org/10.1126/sci-
        protection from stress. With time, these small interventions can improve   ence.1241224
        long-term brain health. As stress quickens age-related cognitive decline,   14. Zhan, L., Lin, L., Wang, X., Sun, X., Huang, Z., Zhang, L. The
                                                                 moderating role of catastrophizing in day-to-day dynamic stress
        managing stress with consistent practices may greatly improve the quali-  and depressive symptoms. Stress Health. 2024;40(4):e3404.
        ty of life in old age. While stress can never be eliminated, reducing stress   https://doi.org/10.1002/smi.3404
        should be a priority for enhancing overall life satisfaction.

        References:                                                   Alison Bartak, OMS-II, is a medical student at the University of
        1.  Afonso, R.F., Kraft, I., Aratanha, M.A., Kozasa, E.H. Neural cor-  the Incarnate Word School of Osteopathic Medicine, Class of 2027.
           relates of meditation: a review of structural and functional MRI   Her current interests include Preventative Medicine and Surgery.
           studies. Front Biosci (Schol Ed). 2020;12(1):92-115. https://doi.
           org/10.2741/S542                                           Crista Thyvelikakath, OMS-1, is a medical student at the
        2.  Basso, J.C., McHale, A., Ende, V., Oberlin, D.J., Suzuki, W.A.   University of the Incarnate Word School of Osteopathic Medicine,
           Brief, daily meditation enhances attention, memory, mood,   Class of 2028. Her current interests include Behavioral Neurology
           and emotional regulation in non-experienced meditators.
           Behav Brain Res. 2019;356:208-20. https://doi.org/10.1016/j.  and exploring public health measures to improve mental health.
           bbr.2018.08.023
        3.  Berding, K., Vlckova, K., Marx, W., Schellekens, H., Stanton, C.,    Ramaswamy Sharma, MS, PhD, is a Professor of Histology
           Clarke, G., et al. Diet and the Microbiota-Gut-Brain Axis: Sowing   and Pathology at the University of the Incarnate Word School
           the Seeds of Good Mental Health. Adv Nutr. 2021;12(4):1239-85.   of Osteopathic Medicine. He is interested in delineating the
           https://doi.org/10.1093/advances/nmaa181                  multiple molecular and cellular roles of melatonin in maintaining
        4.  Eilert, D.W., Buchheim, A. Attachment-Related Differences   our quality of life. Dr. Sharma is a member of the BCMS Publications
           in Emotion Regulation in Adults: A Systematic Review on   Committee.
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