October 30, 2012 by admin in Blog | Leave a comment
An Oxford study took a closer look at the link between smoking and causes of death in women.

By The Healthline Editorial Team | Published Oct 26, 2012
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– by Megan McCrea

The Gist

Anyone who has ever driven a car, ridden the bus, or watched TV has seen the ads. “Smoking kills.” “Quit smoking today!” “I Want YOU To Stop Smoking.” But just how important is quitting? If you stopped smoking, would it have a real effect on your health? Or did you seal your fate the day that you took your first drag?

A new study, published Online First in The Lancet today, provides keen insight into this question. The One Million Women Study, conducted by public health experts at Oxford University, found that smoking significantly increases a woman’s risk of death. It also found that quitting could extend her lifespan by ten years.

Over the course of the 15-year study, the participants who smoked died at nearly three times the rate of their nonsmoking peers. Among smokers, those who started smoking youngest and who smoked the most each day experienced the highest risk of death. Women who had quit smoking, however, significantly lowered their risk of dying from a smoking-related illness. The younger a woman was when she quit, the more she decreased her risk.

The Expert Take

Healthline talked to Dr. Rachel Huxley, an expert in cardiovascular epidemiology, to learn more.

“What makes the One Million Women Study distinct from previous [studies]–and superior for assessment…of the full hazards of prolonged smoking and the full benefits of cessation is [the fact] that the participants were among the first generation of women in the UK [in which] smoking was widespread in early adult life.”

Thus, with the One Million Women Study, researchers followed the first generation of women who had smoked throughout their lives. This allowed the researchers to truly gauge the long-term effects of smoking on women.

These results mirrored the results of past studies done on men. According to study co-author Professor Sir Richard Peto, “if women smoke like men, they die like men.”

“This paper tells those who want to stop [smoking] that if they do manage to stop, they’ll gain a decade of life expectancy,” he explained in an interview with Healthline.

That’s great news. The trouble is that quitting is notoriously difficult. In fact, Peto notes that two-thirds of smokers in the US and UK say they wish that they didn’t smoke.

Dr. Stuart Finkelstein treats patients with all types of addiction. He explained in an interview with Healthline why nicotine is so difficult to give up. “Most people want to change [an addictive behavior] because of negative consequences. If you look at nicotine, it can take a long time—10, 20, 30 years—to experience negative consequences.”

Dr. Judy Rosenberg, a therapist who specializes in smoking cessation, recommends adopting a plan to tackle the challenge. She recommended in an interview with Healthline that people consider the potential challenges of quitting, such as the physical and chemical addiction, the urge to smoke, and relapse triggers.

Furthermore, she notes that “people with mood disorders”—such as anxiety, depression, and bipolar disorder—“often have a more difficult time quitting than their counterparts and, thus, require more support.”

Ultimately, however, the difficulty is worth the risk. As cancer expert Dr. Mary Reid put it in a Healthline interview, “We are seldom confronted by a modifiable risk factor that can actually extend our lives—this is one of those moments when people can really do something to help themselves to live longer.”

Source and Method

Between 1996 and 2001, Oxford University researchers recruited 1.3 million British women (average age 55) and asked them to complete a lifestyle questionnaire. The women were asked whether they currently smoked, had smoked in the past, or had never smoked. The researchers asked the smokers how many cigarettes they smoked each day, and they asked the ex-smokers how long ago they had quit. The researchers followed these women through 2011, noting when a participant died and the cause of death. They then analyzed the data, adjusting for additional health and lifestyle factors such as age, body mass index, socioeconomic status, exercise habits, and alcohol intake. They used a regression model to see how smoking affected the participants’ risk of death.

The study found that women who smoked died at three times the rate of their nonsmoking peers. The smokers died much more frequently from smoking-related illnesses, such as chronic lung disease, lung cancer, heart disease, and stroke. The researchers concluded that “two-thirds of all deaths of smokers in their 50s, 60s, and 70s are caused by smoking.”

The women who had quit smoking seriously reduced their risk of death. The earlier in life a woman quit, the more she reduced her risk. Former smokers who had quit around age 50 avoided 66 percent of the increased risk of death caused by smoking. Those who quit around age 40 avoided 90 percent of the increased risk, and those who quit around age 30 avoided 97 percent of the increased risk of death caused by continued smoking.

Other Research

Many other studies have examined the effects of smoking (and smoking cessation) on mortality rates.

A Harvard School of Public Health study published in 2008 in the Journal of the American Medical Association also analyzed the relationships between smoking, smoking cessation, and mortality. The study found that, by quitting smoking, women drastically reduced their risk of lung disease.

A 2010 study published in Tobacco Control found that smoking cessation decreased the risk of death at different rates for different diseases. Smokers who quit experienced the greatest benefit when it came to coronary heart disease. Their risk was 61 percent lower than that of smokers.

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DEALING WITH A DEPRESSED BOSS OR EMPLOYEE

by drjudy on October 9, 2012

A depressed key employee is bound to impact the SYSTEM, in this case the company, as does the SYSTEM affect the employee. The inter-relationship between the employee and their co-workers determines the ability of the employee to continue to function within the work environment, or become even more dysfunctional within it.

Depression, while toxic to the key employee, can also be toxic to those around them, especially if the symptoms are misunderstood. A key to dealing with a depressed key employee is understanding the symptoms of depression:

Five or more of the following symptoms for more than two weeks:

• Persistent sad, anxious, or “empty” mood.
• Sleeping too little, early morning awakening, or sleeping too much.
• Reduced appetite and/or weight loss, or increased appetite and weight gain.
• Loss of interest in activities once enjoyed, including sex.
• Restlessness, irritability.
• Persistent physical symptoms that don’t respond to treatment (such as headaches, chronic pain or digestive disorders).
• Difficulty concentrating, remembering, or making decisions.
• Fatigue or loss of energy.
• Feeling guilty, hopeless or worthless.
• Thoughts of suicide or death.

Dealing with a key depressed employee means:

1) Not misinterpreting the above symptoms as lack of caring, stupidity, laziness, anger, irritability, apathy, and a general sense of disconnection from co-workers.

2) Not taking the symptoms personally and “reacting” to them by becoming frustrated, irritable, and resentful of the key employee.

3) Taking care not to judge them and lose respect by preserving their integrity and dignity while they receive treatment for the underlying cause.

4) Understanding that co-workers in subordinate positions may become lost and confused from lack of leadership and focus, and may need to regroup until their key employee can lead and function again.

From an analytic perspective, depression can be viewed as anger turned inward. Depressed individuals often turn to defense mechanisms such as substance abuse, smoking (esmoke2quit.com if you’re trying to quit), drinking, overeating, to cope with painful feelings. Shame, guilt, low self esteem, and hopelessness drive the key employee deeper into a dark hole of defense mechanisms that they find harder and harder to crawl out of. Offering support in the form of empathy, kindness, and patience gives them a lifeline. Gently guiding them into treatment gives them tools to heal.

Dr. Rosenberg uses her Be The Cause System and Mind Map (seen at drjudyrosenberg.com) to bring light to the darkness of the disorder. If you look at her Mind Map and direct your eye to Panel 4–Cause Chaos, it depicts the lost and confused state of depression. Panel 5–Cause ISMS, depicts the loneliness and isolation of defense mechanISMS. Panel 6–Cause Clash of the ISMS depicts how depression can cause the depressed individual to turn their anger inward and implode (suicide being the ultimate implosion). It is through Panel 7, Interconnection (between the employee and their support system) that healing can take place. Dealing with depression in an employee ultimately means interconnection as a pathway to healing.

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DEALING WITH A DEPRESSED BOSS OR EMPLOYEE

by drjudy on October 9, 2012

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A HARD HABIT TO BREAK

by drjudy on November 15, 2010

By Maureen Kedes | November 12, 2010

Dr. Judy Rosenberg in her treatment room

BHHS alumna Dr. Judy Rosenberg is planning a big media push for the American Cancer Society’s 35th annual Great American Smokeout.

My day job, when I’m not moonlighting as a blogger for Patch, is founder and president of Vertex Communications Company, a boutique PR firm in Los Angeles. I met Dr. Judy Rosenberg in the mid-1990s when I booked her for The Roseanne Show, the now-cancelled talk show starring Roseanne Barr. Rosenberg called me the other day to help her on her latest campaign. If you’re a Beverly Hills resident who still smokes, better find an ashtray fast. Dr. Judy is on her way.
A graduate of Beverly Hills High School, Judy Rosenberg, Ph.D., is a licensed clinical psychologist. Her doctoral dissertation was titled, “The Effects of a Mood-Altering Treatment on the Success Rate and Depression Level of Smokers Who Want to Stop Smoking.”
Rosenberg is a fiery, auburn-haired beauty with a fierce passion for breaking people of their bad habits. Her focus began with quitting smoking but has grown over the years to include bad habits and addictions of any kind, even personal relationship issues and poor dating patterns. In the 1980s, Rosenberg established anti-smoking programs at BHHS and also penned the book Kick It! with Judy Perlmutter, which has since sold more than a quarter of a million copies.
Rosenberg hopes to get smokers involved with the annual Great American Smokeout, sponsored by the American Cancer Society on Nov. 18. She wants people to start taking advantage of all the options out there for quitting smoking, including the electronic cigarette, or e-cigarette. According to the American Cancer Society’s website, the purpose of the event is to encourage “smokers to use the date to make a plan to quit, or to plan in advance and quit smoking that day. By doing so, smokers will be taking an important step toward a healthier life—one that can lead to reducing cancer risk.”
Here’s to you, Dr. Judy—let’s hope some Beverly Hills residents will heed the call!
Are you joining the Great American Smokeout this year? Tell us in the comments.
About this column: The dish on Beverly Hills.

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Posted Nov. 5, 2010 at 9:05 a.m.

By Adam Popescu, Beverly Hills Courier

Dr. Judy Rosenberg is kicking it. Smoking that is.

The psychologist and author of Kick It, a guide to quitting smoking, is working to revive her message, teaming with electronic cigarette company Never Light Again to help smokers kick the habit for good.

“I believe that the e-cigarette in combination with the stop smoking plan is going to be the cutting edge way of transitioning out of smoking,” Rosenberg said. “I know that this is the cutting edge way for smokers to smoke and kick the habit. I’m the only Psychologist incorporating this method.”

Rosenberg advocates use of the e-cigarette as a tool for smokers to quit their habit. That cigarette substitute, along with her new e-book The Habit Breakers Kick It! Plan form the backbone of her treatment. The e-book covers weight gain, relapse prevention, and many other smoking related topics.

“What I intend to get out of this project is to let smokers know that there is an easy way to kick this habit and lose the desire to resume,” she said. “Nicotine withdrawal only lasts 48-72 hours and can be managed with education. They key to long term success is relapse prevention, covered in the e-book.”

While not FDA approved, the e-cigarette is very safe according to the CDC and other health agencies, Rosenberg said. Over 1,000 young people start smoking daily, with over 50 million smokers worldwide.

In 1980, Rosenberg started the Habit Breakers Clinic, and in 1986 wrote a self-help book on kicking the habit. Kick It, based on the cold turkey approach, sold over a quarter of a million copies. Rosenberg holds a Ph.D and Master’s in psychology from the California Graduate Institute in Los Angeles and a BA in psychology from UCLA. Her Doctoral Dissertation, the Effects Of A Mood-Altering Treatment On The Success Rate And Depression Level Of Smokers Who Want To Stop Smoking led her on a life-long journey to deal with this issue.

During the 1980s, Rosenberg set up stop smoking programs at her alma mater Beverly Hills High School, where she lectured on prevention.

“I think that this plan using the e-cigarette is the most important smoking cessation breakthrough we have in our hands,” she said. “The bottom line is that people don’t want to lose the pleasure, just the pain. Now they can stop smoking, retain the pleasure principle, and either use the cold turkey or gradual withdrawal method to do so.”

For more, visit drjudyshabitbreakers.com.

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Dr. Judy’s Habit Breakers eBook

by drjudy on November 5, 2010

Lose the pain, keep the pleasure. eSmoke your way to stopping smoking!!!

Go to drjudyrosenberg.com and purchase your Habit Breakers Kick It! Stop Smoking ePlan.

Best of Health,

Dr. Judy

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Get Dating Ready Blog Post 1

by andrew on November 5, 2010

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January 1, 2011

by andrew on November 4, 2010

Video Blog

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