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    Don't Drink Alcohol? You're More Likely To Be Depressed, Says Study
    By News Staff | August 28th 2009 12:00 AM | 28 comments | Print | E-mail | Track Comments
    Researchers writing in, ironically, the journal Addiction have associated abstaining from alcohol with an increased risk of depression.


    Doesn't make sense, right?   Excessive alcohol consumption has been linked to poor physical and mental health but they cite evidence saying that levels of alcohol consumption that are too low may also be associated with poor mental health possibly - obviously, abstainers may have other issues or even be reformed heavy drinkers. 

    The study utilized data from the Nord-Trøndelag Health Study (HUNT Study) based in Norway, which provided information on the drinking habits and mental health of over 38,000 individuals. Using this data, the authors say that those individuals who reported drinking no alcohol over a two week period were more likely than moderate drinkers to report symptoms of depression.

    Those individuals who additionally labelled themselves as "abstainers" were at the highest risk of depression. Age, physical health problems, number of close friends or other factors can  explain some, but not all of this increased risk, they write. The authors also had access to reported levels of alcohol consumption 10 years prior to the main survey. This showed that fourteen percent of current abstainers had previously been heavy drinkers, but this did not explain all of the increased risk of depression amongst abstainers. 

    The authors conclude that in societies where some use of alcohol is the norm, abstinence may be associated with being socially marginalised or particular personality traits that may also be associated with mental illness. 

    It should also be noted that alcohol use is associated with many physical health problems, with excessive alcohol consumption being estimated to contribute to over 33,000 death in the UK each year and many more injuries. The current guidance is for men to drink no more than three to four units each day, and women to drink no more than two to three units. 

    Article: Skogen J. C., Harvey S. B., Henderson M., Stordal E., Mykletun A. Anxiety and depression among abstainers and low-level alcohol consumers. Addiction 2009; 104: 1519-1529

    Comments

    Gerhard Adam
    Why do I get the feeling that "depression" is the new fad label where if you aren't walking around with a idiotic zombie-like grin all the time, there's something wrong?

    Sorry, while I can appreciate the fact that there are some people that really do have serious mental problems that may cause depression, in far too many instances, it has simply become an excuse for people that don't want to deal with their lives (or take responsibility for their choices).

    In addition, I don't know where the idea came from that depression was necessarily bad (unless it was protracted or not linked to any particular event).  Of course, there may be times when one is depressed and it would be perfectly normal.  After all, healthy brain chemistry doesn't happen by accident .... the brain has to work itself through emotional ups and downs too. 

    Unfortunately, the "symptoms" are, no doubt, vague enough to where everyone fits into the profile.
    i think people shouldnt be drinking because it damages them it causes hell alot of problem for them as mentaly as physicly

    As a non drinker i can tell you the reason for this, and I dont need to spend a bunch of money on some fancy study either.

    Non-drinkers get depressed more because its hard to stay positive when the only thing to do every day is hang out with a bunch of loud, annoying drunken idiots at a loud annoying crowded bar

    so yeah, its depressing to not ever have anything to do. And yes, there are plenty of things to do which dont involve drinking, but try getting your friends to go do those things instead of going to the bar. I might be able to find something to do, but ill cetainly be doing it by myself, alone.

    Care to share what these "plenty of things to do" are? I need ideas for when my friends are out getting drunk. Bonus points if you have ideas that will cause them a little tug of maybe they're the ones who are missing out on something.

    Gerhard Adam
    Well, that's the point isn't it.  If getting drunk is the activity, then anything else represents "something else".  If the point is simply getting together to drink, you don't have to drink alcohol at all, or at least not to the point of getting drunk.
    Yes, but I want fun ideas. Also, if anyone has any suggestions for where one could meet friends who aren't into getting drunk, that would be cool. Maybe those of us who don't drink would be less depressed if we weren't left out of our friends' activities because we'd rather stab our eyes out than hang around a bunch of drunk people.

    Gerhard Adam
    Fun ideas are going to be related to whatever you find interesting.  Without knowing that, then what possible advice could one give?

    Well, I don't know--one could just throw ideas out there.

    Gerhard Adam
    Well, I don't want to sound critical, but it seems that you need to expend a bit of energy to think about this as well.  I've had these types of conversations before and it gets tiresome providing ideas just to be told that the other person thinks they're boring and not what they're into.

    I don't drink and quite frankly wouldn't have the time to go hang out at a bar.  However, it is equally true that what I find interesting, or what fills my day might be horrible to you.
    Well, I have thought of some things, such as going to/renting movies, doing some sort of exercise (bike ride, walk, etc.), rock climbing maybe, going out to dinner...not everything else I would normally do is possible on a Saturday night, though, when everyone else is out drinking. Plus I'd likely have to do these things by myself (unless I could talk my husband into some of them), because my friends seem to have suddenly decided that getting drunk is much more exciting.

    Which lead me to another issue caused by this sort of thing: one of my friends and I have talked about doing certain things...going on a road trip together, seeing a certain movie ("Clash of the Titans," to be exact). Now if I go do these things while she's out partying, she'll think I'm just doing it to be a b*tch. And maybe I am. On the other hand, why should I wait around until she's ready?

    Gerhard Adam
    You're exactly right.  In my own experience, I've found that by not drinking (and not being apologetic for it), many of the people that come around are also less inclined to drink.  In many ways, the drinking crowd behaves like an unruly mob, unless someone speaks up and decides that it is a silly thing to do. 

    Admittedly, there will always be hard-core drinkers in any crowd that would prefer to party over everything else, but you might be surprised at how receptive people are to alternatives if you help instigate them.

    ***As for your friend being annoyed if you do these things by yourself .... well, consider that if she really is a friend, then she'll either understand or she'll participate with you.  Anything else, and she's simply looking for someone else to drag around with her, and in my view, there's nothing more stupid than an individual that gets drunk when they don't want to.
    Hank
    I've never been a drinker.  I am not a Puritan or anything but I worked out a lot when I was in college and by the time I stopped doing competitive sports stuff I was 'outside' the age when I think people acquire it.   When I was younger I would get two reactions from strangers in bars, mostly along gender lines:

    Men - 'Have one for me'.  As if their existence was the reason I never discovered Jagermeister.

    Women - 'Ohhhhhhh', and then a look like I was a broken-winged bird they were going to fix, except the broken wing was apparently supposed to be my rampant, hidden alcoholism which I only just disclosed.  Don't let them fool you - women love to fix stuff that isn't broken.
    Want more no-nonsense, independent science? Buy Science Left Behind
    Well, they do know I'm not into it, but it's actually all of a sudden that they've started doing it themselves. I met them through a group on Facebook that is specifically meant for women in my city to make friends. We set up events and people in the group come out or not, depending on whether it interests them. Now instead of fun stuff, they've started making partying events. For example, they have one coming up on May 22. I'm not going, obviously. I wouldn't mind going to see that Clash of the Titans movie with another friend that night, but if I do that, my friend who wanted to do it but is going out partying will think I'm purposely doing it to be a b*tch. Which I kind of will be, because I think she expects me to wait around until she's not partying. She also wanted to go with me to this nearby town called Drumheller. I have another friend who has been wanting to go to Drumheller, as well, and she's from a different group of friends so she's not invited to the "party" night. I could go with her that weekend--it's a long weekend, and it would be a really fun thing to do, I think. But then my drinking friend will be mad.

    I'm actually still a little shell-shocked that they've started this all of a sudden. That friend I'm talking about specifically is someone who told me she doesn't get "stupid drunk" anymore, and that she wasn't into that these days. Guess she lied. She sure seems to be into it now. Last time they had a party night, she got drunk enough to make herself sick. Yuck! Why do that? She's also one of those people who says they don't like to do it. So why do it? I don't get it.

    Ugh, I probably shouldn't talk about this right now. I'm too mad about their sudden change. I was googling "where to meet friends who don't drink" when I stumbled upon this article.

    Hank
    Google sent you to a science site to meet non-drinkers?   That's a mistake.  I am assuming the only two here who don't drink already commented.
    Want more no-nonsense, independent science? Buy Science Left Behind
    No, silly, but the article came up and I wanted to read it. And then I sort of got into a bit of a conversation with one of the commenters.

    Gerhard Adam
    I'm not sure why you think your friend would think you're being a b*tch for going to a movie.  After all, isn't she doing the same thing by behaving as if you have to tag along with her until she's ready to do otherwise?  I'm the kind of person that doesn't like to waste energy pursuing people to convince to do other than they do.  If we are no longer moving in the same direction, then .... adios.

    Life's too short to be conflicted.
    Just because it's a movie that I know she wants to see. So if I ask people to go on the night she's out partying, she'll know I did it on purpose.

    You're right--trying to pursue them to do things now that they've decided partying is the "best thing evar" is a waste of time. I was thinking of distancing myself from them, for the exact reason that we are no longer moving in the same direction. But I didn't actually tell them that, and when my friend found out that my problem lately has been that I'm unhappy with their sudden change in personality (because they seem like different people to me now), one of the things she said was, "If you don't want to hang out with me anymore because I get drunk once every five years, that's your problem." I never said that, but she was being defensive. The 5 years thing...well, I haven't known her for that long, but all of a sudden it's almost every weekend, NOT just "once every 5 years." Why the hell did she have to start up again shortly after I met her!?

    Plus she's constantly saying one thing and then doing another. Like she says she's only going partying for our other friend, because she wants to go, but it's obvious that she's not JUST doing it for our other friend. There were things I wanted to do, but my friend isn't making them happen like she's making the party thing happen (which she claims she's doing because our other friend wants to do it), so the conclusion that I draw from that is that partying is more important, in their eyes. She also says that after her upcoming girl's night on May 22, that she's not having any more of them, but I doubt it. She'll probably just not tell me about it. And she says that she doesn't even like to drink. I think I mentioned that already, though.

    Gerhard Adam
    I personally wouldn't waste my time, especially when someone begins to get defensive.  At that point you already know that there's more involved that a difference of opinion.  Since I don't know any of the people involved, I certainly can't comment on their lives, but I'm always suspicious when I see behavior like that because invariably in means that something is wrong that they're attempting to compensate for.

    While I don't mind listening or helping out a friend that needs me, I certainly won't drag myself into self-destructive behaviors for that end.

    This is obviously about something more than "drinking every 5 years".
    "If you don't want to hang out with me anymore because I get drunk once every five years, that's your problem."
    Well, actually she's basically saying that you're not important enough to warrant her consideration of your feelings, but only that if you don't agree to indulge what she wants to do, then it's somehow your fault.  As I've already said, when getting drunk becomes an objective in itself, it's a problem. 

    Don't get me wrong.  I'm certainly in no position to be offering advice, but I wouldn't waste my time on someone that can't actually have a conversation about such a concern.

    The thing is, I know I can't expect her to stop just because I don't like it. I find that an appalling number of people are more interested in getting drunk than doing other, more interesting (in my opinion) things. So she has a right to say it's my "problem" if I don't want to hang out with her because she's not who I thought she was. I would word it differently and say it's my choice, not my "problem."

    I thought her reaction was really odd, considering that she was bugging me relentlessly to tell her what was bothering me. There were other things she said, too. Like, she was okay with it as my opinion, then she got defensive, then she started making excuses ("it's not like I'm doing it every night"), then slightly hostile ( the "that's your problem" thing), all the while maintaining that she was okay with me telling her my opinion of it.

    Also, she says she likes to go out dancing and she can't do that unless she has had a few drinks. But last time, she didn't even get to go dancing--her cousin threw up on the bar and got kicked out, so she and her friend went back to her house with her cousin and I guess they drank more, because she made herself sick, too. I mean to the point where she was throwing up, too. That kind of disgusts me, actually.

    I just don't know what to say to her. How can she say to my face that she's not really the one who's into it, when she obviously is? We do some other things like go swimming every week, but some of the things we used to do seem to be falling by the wayside. Priorities, I guess. We have a book club coming up the day after her next party, and I'm thinking she'll probably push it back again (it will be the third time it got pushed back--first two we hadn't finished the book), because she'll be hungover. If she does, I think I'm done with her.

    The best compliment I've ever received from my friends is that they don't need alcohol to enjoy my company.

    But seriously, the idea that "yes there are other things to do but nobody else wants to do them when they could be drinking" is bang on and pretty much the source of a lot of my upset. I have no desire to change who I am but I am still terrified of the idea that I won't make any close friends because I don't drink!

    Considering that alcohol is a depressant, I find it suspect that this study claims that refraining from it makes you depressed.

    There are many reasons people don't drink - including alcoholics in their families, being diabetic or allergic - but also just a simple, alcohol is an aquired taste and some people just don't aquire it.

    It seems to me that we are defining things so loosely these days to the point that everyone is a depressed, autistic, post traumtic stress and anxiety disordered.

    A few year ago, I was in a bank doing a transaction at the till. The bank employee asked generically if I was having a good day. I joked that she'd have to buy me a drink to get the answer.

    An older male customer at the next till turned and said that I should always smile.

    I turned on him and said that that was inane since he has no clue what's going on in my life and smiling & being cheerful is not always the appropriate response to life's circumstances.

    His face purpled with rage and he started to sputter.

    See, I said, you've stopped smiling.

    He stomped out of the bank and I turned to the clerk and smiled feeling actually happy, and said "Bad mood transfer complete"

    Gerhard Adam
    ... I like that story, Nina.  :)
    Alcohol is one of the few drugs that effects the entire brain--both the neocortex and the limbic system. It is also very complex in it's chemical interaction with various kinds of neuroreceptors. Yes, alcohol is a CNS depressant, but a very complex one. Gram per gram, ethanol is the most potent anti-anxiety drug around. But like cocaine, alcohol stimulates the release of dopomine in the pleasure centers of the brain. It also triggers endorphins which intensify a feeling of euphoria, along with dopomine.

    But alcohol also stimulates both serotonin and norepinephrine in the prefrontal cortex of the brain. Both of these neurotransmitters, as well as dopomine--or should I say the inability of these neurotransmitters to bond with neuroreceptors in post-synaptic neurons--have been associated with depression. This is why it is potentially dangerous for people suffering from bi-polar disorder to drink ethanol, because just by virtue of the fact that it has an effect on both of these neurotransmitters in the prefrontal cortex, it can trigger a manic episode.

    So, I can see how it is possible that people who abstain from the use of alcohol could be at higher risk for depression. It's like Aristotle said, ".....everything in moderation, including excess."
    Gerhard Adam
    Eric, unfortunately it doesn't appear that the focus of this study was in the same direction as your explanation. 

    After all what does this statement even mean?
    "...alcohol consumption that are too low may also be associated with poor mental health possibly - obviously, abstainers may have other issues..."
    The implication is that abstainers are the abnormal ones?

    This perspective is finally spelled out.
    "The authors conclude that in societies where some use of alcohol is the norm, abstinence may be associated with being socially marginalised or particular personality traits that may also be associated with mental illness."
    In short, these researchers managed to take a topic that warrants serious considerations and trivialized it.  So anyone reading these conclusions might consider that it is better to drink than to be a social outcast.
    Very good points, Gerhard.
    Sorry, Tiff. I didn't see your comment. Alcohol does bind with NMDA receptors for glutamate. Chronic use of large amounts of alcohol make the NMDA receptors hypersensitive to glutamate, while at the same time desensitizing GABA receptors. Cessation of alcohol under these conditions would result in acute anxiety and irritability as a result of the desensitized GABA receptors in the occipital lobe of the neocortex.

    So in moderation alcohol would not cause any problems with glutamate and GABA receptors. But in chronic use it causes extremely unpleasant withdrawal sypmtoms.
    Shoot, this article made me think...but still couldn't give me the answers I need!!

    Just a few days ago I went out with my boyfriend and as usual we had a few glasses of wine (nothing out of the ordinary) however, when we got home and were all in the pationate moment, I started blabbering things that up until today I do not know what I said, why I said it. THis happened 3 times in a row :-( it not only ticked him off, but it dempered his moment & mojo towards me. I don't understand. This has never happened to me. Yes there were times (back in the day) when I had a few to many and couldn't remember a few things the next day, but never humilitating myself in such a manner...everytime right before sex. Even worse, my bf and I have known each other for 11 years But have only been a couple for the past 6 months and have only been living together for the last 2 weeks. I imigrated and he came over for me to see whether we will work...and at the mo, I just seem to screw things up as we go :-(
    In Jan, when I visited him (as a friend at the time) everything was fab, the whole butterflies, the whole spark, the whole fall in love...I returned and we even fell further in love over a long distance but as soon as he arrived here, and we had that few drinks, it's as if my head took off...left me "to die" in bubbling words...I have no clue why. My bf said that we should just leave the whole situation and forget about it, great not like I can remember in any way...but then it happend again...And again :-( crap...I just don't understand why this all hapened why would I say random things that would have nothing to do with the moment nor did it make Any sense!!!