Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study.

Depression and anxiety are prevalent and disabling conditions among adolescents. The aim of this study was to examine the relationship between adherence to the Mediterranean diet (MD) and depressive, anxiety, and stress symptoms in adolescents. This cross-sectional study included a sample of 698 adolescent students from a region of Spain (mean age of 13.9 ± 1.5 years; 56.2% girls). Adherence to the MD was evaluated with the Mediterranean Diet Quality Index in children and adolescents (KIDMED). Mental health symptoms were measured with the Depression, Anxiety, and Stress Scale (DASS-21). Logistic regression models were performed, including a wide range of potential confounders. Compared to individuals with low adherence to the MD, those with moderate and high adherence had lower odds of experiencing depressive symptoms (odds ratio [OR] = 0.40, 95% confidence interval [CI] 0.24-0.65 and OR = 0.33, 95% CI 0.20-0.55, respectively), which were statistically significant even after adjustment. No significant associations were found regarding anxiety or stress symptoms. Therefore, according to our results, higher adherence to the MD is inversely related to having depressive symptoms among adolescents, regardless of socioeconomic, anthropometric, and lifestyle factors. Considering the deleterious effects of mental health problems in youths, further research on the role of nonpharmacological strategies for the prevention and treatment of depressive symptoms in adolescence is essential.

The moderating role of recreational substance use in the association of Mediterranean diet with academic performance among adolescents.

No study has examined the potential moderating role of recreational substance use in the relationship between the Mediterranean diet (MedDiet) and academic performance. The aim of this study was to test the potential moderating role of recreational substance use (i.e., alcohol, tobacco, and cannabis) in the association of adherence to the MedDiet with academic performance among adolescents. This cross-sectional study included a sample of 757 adolescents (55.6% girls) aged 12-17 years from the Valle de Ricote (Region of Murcia). The Region of Murcia is an autonomous community of Spain located in the southeast of the Iberian Peninsula, along the coast of the Mediterranean Sea. Adherence to the MedDiet was assessed by the Mediterranean Diet Quality Index for Children and Teenagers (KIDMED). Recreational substance use (i.e., tobacco, alcohol, cannabis) was self-reported by adolescents. Academic performance was assessed by the school records at the end of the academic year. The relationship between adherence to the MedDiet and academic performance was moderated by both tobacco and alcohol use (for grade point average and all school records). In conclusion, higher adherence to the MedDiet was related to greater academic performance in adolescents, but recreational substance use could moderate this association.

Cognitive and personality differences between adolescents with and without attention deficit/hyperactivity disorder.

BACKGROUND: The relationships between cognitive and personality profile in teenagers with and without ADHD were assessed. METHOD: Two groups of teenagers, one with ADHD (N = 135; mean age = 13.93) and another group without ADHD (N = 199, mean age = 14.29) were evaluated using the K-BIT and 16PF-APQ tests. RESULTS: In cognitive variables, the results revealed that the ADHD group returned higher scores in the Matrices subtest and the IQ test. In personality variables, the group with ADHD exhibited higher scores in Tough-Mindedness and lower scores in Self-Control than the group without the disorder. The canonical correlation analysis applied to each group revealed a differing pattern of interrelationships between the cognitive-personality variables in the two groups. In adolescents with ADHD, we observed that higher scores in cognitive variables were associated with a more extroverted personality and less self-control, while in adolescents without ADHD, higher scores in cognitive variables were associated with less tough-mindedness and lower levels of self-control. CONCLUSIONS: The cognitive and personality variables of adolescents with and without ADHD differ. These results will be useful for establishing a cognitive and personality profile for this section of the population. The educational implications of the study are under discussion.

Anticipated synchronization in human EEG data: Unidirectional causality with negative phase lag.

Understanding the functional connectivity of the brain has become a major goal of neuroscience. In many situations the relative phase difference, together with coherence patterns, has been employed to infer the direction of the information flow. However, it has been recently shown in local field potential data from monkeys the existence of a synchronized regime in which unidirectionally coupled areas can present both positive and negative phase differences. During the counterintuitive regime, called anticipated synchronization (AS), the phase difference does not reflect the causality. Here we investigate coherence and causality at the alpha frequency band (f∼10 Hz) between pairs of electroencephalogram (EEG) electrodes in humans during a GO/NO-GO task. We show that human EEG signals can exhibit anticipated synchronization, which is characterized by a unidirectional influence from an electrode A to an electrode B, but the electrode B leads the electrode A in time. To the best of our knowledge, this is the first verification of AS in EEG signals and in the human brain. The usual delayed synchronization (DS) regime is also present between many pairs. DS is characterized by a unidirectional influence from an electrode A to an electrode B and a positive phase difference between A and B which indicates that the electrode A leads the electrode B in time. Moreover we show that EEG signals exhibit diversity in the phase relations: the pairs of electrodes can present in-phase, antiphase, or out-of-phase synchronization with a similar distribution of positive and negative phase differences.