OMG Digital Magazine July 23rd, 2015 - Vol 4 Issue 168 | Page 33

What worry really does to your BRAIN BY LAURA HILGERS Reeling from the breakup of her marriage, Laura Hilgers had a lot on her mind. Then she started worrying about what all that worrying was doing to her brain. If emotional stress could be measured on the Richter scale, mine would be hovering around 9.0—and it’s been that way since the day my husband of 23 years announced he wanted a divorce. I was blindsided by the news; if there had been warning signs, I’d missed them completely. A year and a half later, as we signed the divorce papers, I was still in shock. So when I tuned in to NPR several months ago while driving home from my divorce attorney’s office, the last thing I wanted to hear about was a study linking midlife stress to dementia. The researchers had tracked 800 women in Gothenburg, Sweden, from 1968 to 2005, looking at how stress affected their health pre- and postmenopause. Over the course of the study, they uncovered a surprising finding: The women who reported major stressors—such as divorce, the death of a spouse, or a demotion or job loss—between ages 38 and 54 had a 21 percent increased risk of Alzheimer’s and a 15 percent increased risk of developing any kind of dementia. The more stressors, the higher the risk. My first thought was, They have stress in Sweden? My second thought: Oh, great. My marriage blows up, and now I have to worry about losing my mind? My third thought: At least I’ll be in good company. The fact is, I can’t name a single person who hasn’t been through something awful in midlife. Among my friends, several have weathered ugly divorces or serious marital troubles, others are dealing with their spouse’s or children’s addiction issues, and a few have lost their jobs. Even though the study focused specifically on middle age, stress at any stage of life may impact our Alzheimer’s risk, says Maria Norton, PhD, an associate professor at Utah State University and one of the study’s authors. And women might not be the only ones affected: Early data from a 19-year study on men and women suggests that the link between stress and dementia may be similar for both sexes. Does this mean that our brains take a hit with every major life shakeup? To find out, I got in touch with Robert Sapolsky, PhD, a neuroscientist at Stanford and the author of Why Zebras Don’t Get Ulcers, which explores the effects of long-term stress on the body and brain. Sapolsky explained that when we’re stressed, two areas of the brain crucial to learning and memory, the hippocampus and frontal cortex, are flooded with hormones called glucocorticoids, which help our body prioritize what’s most important in a crisis. These hormones maximize our strength and energy—in case we need to flee a predator, for example—while temporarily shutting down less essential functions, such as maintaining connections between neurons in our brain. (You don’t want to spend precious mental energy consolidating memories when you’re trying to outrun a saber-toothed tiger.) But chronic stress has us releasing glucocorticoids nonstop. “As a result, the hippocampus and frontal cortex continually back-burner their housekeeping duties of cleaning up connections between neurons,” says Sapolsky. Over time, that can cause these neurons to function poorly, potentially leaving us vulnerable to cognitive decline. The big question—and one Rajita Sinha, PhD, a professor of psychiatry and neurobiology and director of the Yale Stress Center, gets a lot—is whether the brain can bounce back after periods of chronic stress. “Everyone wants to know if they can recover from the damage,” says Sinha. “And actually, we think they can, but