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Does weather affect mood?

References to the connection between weather and emotion pervade our culture, whether it’s “sunshine on a cloudy day,” “singing in the rain,” “somewhere over the rainbow,” or “rainy day blues” (1). But does weather really affect mood? Let’s think twice.

Some people experience seasonal affective disorder (SAD), a type of depression that occurs most often during darker months in fall or winter (1). According to Johns Hopkins, chemical changes in the brain may be associated with symptoms of depression when the days are shorter and there is less daylight (5).

Regarding mood and weather, most of the experimental evidence suggests there is no relationship. A study of mood using data collected from participants’ online diaries and weather station data found that daily weather was not associated with mood (6). Another study collected questionnaire data from 97 participants regarding their current mood, activity level, and how much time they spent outside on the day they came to the lab and concluded that mood was not directly related to outside temperature or barometric pressure (7). A study of daily mood ratings and diary entries of 18 students analyzed the prevalence with which diary entries mentioned different types of weather and found no association between weather and mood (8). Another study used data from 14,478 people in a depression-screening program combined with meteorological data found no association between weather and mood (9).

Among the studies that found an association, one studied 497 people using 3 weather indicators from meteorological data and 3 self-reported mood indicators and identified four groups with a modest relationships between weather and mood: summer lovers, unaffected, summer haters, and rain haters (2). Another study that analyzed 38 million posts from 3 million users of a social media site and details regarding the weather during the time of the post in the region of the poster found that sentiments consistent with low mood were associated with weather conditions of high humidity, precipitation, fog, and temperature extremes below 50°F and above 70°F, while high mood was associated with clear skies, high atmospheric pressure, and sunlight temperatures between 50°F and 70°F (3). Because this study relied on time zone and location fields in users’ profiles, it is not certain whether the meteorological data they collected was accurate for all users. A third study that found an association recruited 4,548 people representative of the general population of Japan to complete baseline measures and keep a daily health record regarding physical and mental symptoms for a month and compared those with meteorological data found that self-reported agitation and anxiety were associated with higher temperatures, while depressed mood was associated with lower temperatures (4).

If there is a relationship between mood and weather it seems limited given the small magnitude when there is an association and the inconsistent detection of an association. Our perceived association between weather and mood may relate to cultural expressions and associations, automatic mental associations, or other factors. But it seems that the weather may not cause and perhaps cannot cure low mood.

1) Swaim, E. (2022, August 12). Yes, Weather Can Affect Mood and Energy- and So Can Climate Change. Healthline. https://www.healthline.com/health/mental-health/weather-and-mood#risk-factors

2) Klimstra, T. A., Frijns, T., Keijsers, L., Denissen, J. J., Raaijmakers, Q. A., van Aken, M. A., Koot, H. M., van Lier, P. A., & Meeus, W. H. (2011). Come rain or come shine: individual differences in how weather affects mood. Emotion (Washington, D.C.), 11(6), 1495–1499. https://doi.org/10.1037/a0024649

3) Gilette, H. (2024, April 26). Weather Can Affect Your Mood- but How? PsychCentral. https://ojs.aaai.org/index.php/ICWSM/article/view/14451/14300

4) Lee, M., Ohde, S., Urayama, K. Y., Takahashi, O., & Fukui, T. (2018). Weather and Health Symptoms. International journal of environmental research and public health, 15(8), 1670. https://doi.org/10.3390/ijerph15081670

5) Johns Hopkins. (n.d.). Seasonal Affective Disorder. https://www.hopkinsmedicine.org/health/conditions-and-diseases/seasonal-affective-disorder#:~:text=Seasonal%20affective%20disorder%20(SAD)%20is,antidepressants%20can%20help%20treat%20SAD.

6) Denissen, Jaap J A et al. “The effects of weather on daily mood: a multilevel approach.” Emotion (Washington, D.C.) vol. 8,5 (2008): 662-7. doi:10.1037/a0013497

7) Keller, M. C., Fredrickson, B. L., Ybarra, O., Côté, S., Johnson, K., Mikels, J., Conway, A., & Wager, T. (2005). A Warm Heart and a Clear Head: The Contingent Effects of Weather on Mood and Cognition. Psychological Science, 16(9), 724–731. https://doi.org/10.1111/j.1467-9280.2005.01602.x

8) Clark, L. A., & Watson, D. (1988). Mood and the mundane: Relations between daily life events and self-reported mood. Journal of Personality and Social Psychology, 54(2), 296–308. https://doi.org/10.1037/0022-3514.54.2.296

9) Huibers, Marcus J H et al. “Does the weather make us sad? Meteorological determinants of mood and depression in the general population.” Psychiatry research vol. 180,2-3 (2010): 143-6. doi:10.1016/j.psychres.2009.09.016

Does birth control cause infertility?

Birth Control

IMG via MedlinePlus

Women take birth control for a multitude of reasons, from preventing pregnancy to regulating the menstrual cycle and reducing acne. Taken correctly, the pill can prevent 99% of pregnancies. This has made birth control a staple for generations of women. However, some women may wonder, What happens if I stop taking the pill? One misconception about the pill is that taken for years, it can reduce the ability to have children. The possibility of future infertility would deter many women from considering birth control pills. So, let’s think twice about it.  

The combination pill works by supplying two hormones, estrogen and progesterone, that work together to stop the ovaries from releasing an egg each month during menstruation. Other pills provide only progesterone; progestin-only pills prevent pregnancy primarily by thickening the cervical mucus. When you stop taking the pill, the hormones it supplies leave your system in a matter of days, and your body reverts to its natural cycle. Additionally, your body begins to produce estrogen and progesterone again. Therefore, barring underlying health issues, women can become pregnant right away after stopping the pill. 

There are several reasons behind the misconception that birth control causes infertility. One is that taking birth control can conceal symptoms of conditions associated with infertility, such as endometriosis, PCOS, and uterine fibroids. Birth control is sometimes used to manage these conditions, so stopping birth control might mistakenly associated with infertility. Another reason for this misconception might be that historically, the side effects of the pill were not well-researched or disclosed to users, so it was not clear whether infertility was a risk. Women often felt dismissed by clinicians and pharmaceutical companies when they experienced side effects of the pill, even for conditions as serious as blood clots and strokes. In the 1960s, despite reports of deaths related to the pill, the FDA maintained that the pill was safe. Additionally, drug companies failed to inform healthcare providers of the pill’s more severe side effects. Since then, the dosage of hormones provided by the pill was adjusted to improve its safety, but mistrust of the pill persists and worries about infertility have continued to the present day.  

However, there is good evidence that birth control users need not worry about their fertility. A 2018 review of twenty-two birth control studies including over 14,000 women showed that 83% of women became pregnant within 12 months of discontinuing contraception. Furthermore, a 2013 study of 3,727 women found that although birth control use was associated with a short delay before conception, overall fertility was not impacted. Additionally, longer-term use of the pill was associated with higher fertility compared to short-term use (less than 2 years). Therefore, even long-term users of the pill should not be concerned. Overall, the evidence suggests that worries about infertility should not stop women from taking the pill.  

Links:

https://my.clevelandclinic.org/health/drugs/3977-birth-control-the-pill#:~:text=Birth%20control%20pills%20are%20a,improve%20acne%20and%20treat%20endometriosis. 

https://my.clevelandclinic.org/health/drugs/3977-birth-control-the-pill 

https://health.clevelandclinic.org/can-birth-control-make-you-infertile/ 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055351/ 

https://www.mayoclinic.org/healthy-lifestyle/birth-control/in-depth/birth-control-pill/art-20045136#:~:text=The%20pill%20prevents%20your%20body,you%20stop%20taking%20the%20pill. 

https://www.mayoclinic.org/healthy-lifestyle/birth-control/in-depth/best-birth-control-pill/art-20044807#:~:text=How%20do%20the%20different%20birth,sperm%20from%20joining%20the%20egg. 

https://health.clevelandclinic.org/6-things-that-can-happen-when-you-stop-taking-the-pill/ 

https://cham.org/HealthwiseArticle.aspx?id=te8132#:~:text=You%20can%20get%20pregnant%20right,months%20after%20stopping%20the%20pill. 

https://www.healthline.com/health/birth-control/can-birth-control-cause-infertility#misconceptions 

https://www.acog.org/womens-health/faqs/progestin-only-hormonal-birth-control-pill-and-injection#:~:text=It%20stops%20ovulation.,uterus%20and%20fertilize%20an%20egg. 

https://www.sciencedirect.com/science/article/pii/S0277953621005797#bib115 

https://medlineplus.gov/birthcontrol.html

Is substance misuse a choice or a disease?

Various different types of pill capsules lay scattered on a wooden table.

Image from www.northwell.edu

Some people talk as if substance misuse is a moral failing. Science suggests that substance misuse is a disease similar to many other health conditions that affect the brain’s reward pathway. When one performs enjoyable activities like running or eating a tasty meal, dopamine and endorphins are released, and an individual may feel some euphoria. Drug use increases similar chemicals in brain pathways at a much greater magnitude. Furthermore, some drugs alter these functions after a single use. With ongoing usage, the brain pathways are modified, making it difficult for people to feel happy without the drug. In other words, one may get little enjoyment from everyday activities, and drug-taking becomes the only source of pleasure. Tolerance also develops as the brain adjusts to drug use, so more is needed.

The choice to try a drug may occur in a moment of vulnerability. There may be peer pressure. Individuals may begin taking a drug as a coping method for stress or distress. 

As substance misuse develops, it causes a loss of control over behaviors that impair the individual. It’s not just a matter of willpower to stop taking the drug. Moreover, people with altered brain chemistry may experience withdrawal symptoms if they stop using the drug. Avoiding the drug may become as challenging as going without food or water. 

Substance use disorder, like heart disease, results from a combination of factors. Genetic factors, frequency, duration, type of drug, ease of availability, and feelings of worry or depression are all factors that may be associated with the potential to develop a substance misuse disorder.

By treating those struggling with substance use disorder with the same compassion we extend to patients with a chronic disease like diabetes or heart failure, we can help them overcome this challenge and restore their health. 

 

https://www.cdc.gov/stopoverdose/stigma/index.html

https://drugfree.org/article/is-addiction-a-disease/

https://americanaddictioncenters.org/rehab-guide/is-drug-addiction-a-disease

https://iuhealth.org/thrive/is-addiction-really-a-disease