With Depression, Helping Others May in Turn Help You

MONDAY, Jan. 2 (HealthDay News) -- Doing something nice for someone else often leaves people feeling good about themselves and positive about their place in the world.

But does that mean practicing random acts of kindness has scientifically proven therapeutic value in treating mood disorders like depression?

Yes, according to a growing body of research that has found that "positive activity interventions" -- like helping someone with groceries, writing a thank you note or even counting your blessings -- can serve as an effective, low-cost treatment for depression.

"They seem really trivial. They seem like, what's the big deal, you feel good for 10 minutes," said Sonja Lyubomirsky, a psychology professor at the University of California, Riverside, who co-authored a recent paper on the topic. "But for a depressed person, they aren't trivial at all. Depressed individuals need to increase positive emotions in their life, even a minute here and there."

After a rigorous review of research on the therapeutic benefits of positive emotion, Lyubomirsky said, she and her colleagues found widespread support for the notion that people with a tendency toward depression can help themselves by helping others or otherwise introducing positivity into their day-to-day lives.

Such a simple, low-cost path to well-being could have big-time implications, given that more than 100 million people worldwide suffer with depression, according to Lyubomirsky's study. That includes more than 16 million U.S. adults, of whom about 70 percent of reported cases either do not receive enough treatment or do not get treated at all.

Positive activity interventions come in a variety of forms, including:

  • Being kind to others
  • Expressing gratitude
  • Thinking optimistically
  • Meditating on the good things in life

"The major aspect is the positive emotion," Lyubomirsky said. "The most significant feature of depression is the absence of positive emotion -- just a feeling of nothing, of emptiness."

Not only can being positive improve your mood, it can develop into a self-sustaining "upward spiral," she said.

"You might be more approachable to others, or be more creative and imaginative," Lyubomirsky said. "It snowballs, and you are more likely to experience even more positive emotion." For example, your boss might be more likely to compliment you if you are happy in your work, or your husband or wife might be friendlier after an act of kindness.

Dr. Michelle Riba, former president of the American Psychiatric Association, a psychiatry professor and associate director of the Depression Center at the University of Michigan, agreed that positivity can have a dramatic effect on people's psychological well-being.

"There's a lot of good research that shows these kinds of actions can have a positive impact on life," Riba said. "In general, people who help others stop focusing on their own pains and problems and worries and feel good about themselves."

And perhaps the best thing about it is that people can pursue these positive actions on their own.

"They are simple," Lyubomirsky said. "They don't involve going to a doctor. They aren't a substitute, but they are a great alternative or addition to therapy or medication."

Researchers are still assessing the best ways to pursue and implement positive thought and action to help treat depression, Lyubomirsky and Riba said.

For now, those who want to improve their mood through positivity need to figure out what works best for them through trial and error. This may include thinking long and hard about the best ways they can help others and reminding themselves of the good things in their own lives.

"You have to do work," Lyubomirsky said. "It takes effort to continually remind yourself to do acts of kindness for others, although I think it gets easier over time."

It's also important, she said, to vary your activities, lest you fall into a rut.

"You want to do them in optimal ways," Lyubomirsky said. "You want to vary what you do. You don't want to do the same thing every day. You want to do them at a rate that's optimal to you."

More information

The U.S. National Institute of Mental Health has more on depression.

 
  • JustMe  •  4 months ago
    As already mentioned there are different levels of depression. I have been diagnosed with dysthymia. It is a chronic (usually at least 10 years) mild-moderate depression that also has occasional severe bouts. I have been dealing with it for 20+ years. In my case, I can function in my daily life. I have a job and continue with my other commitments. But then when I get home, I seem to have no energy to do anything for myself. I am always sad and tired. But because I am functioning in my daily life, and I'm not suicidal, both my therapist and I agreed medications are not the right solution for me. So in my case I have to find other ways to keep going, and one of them has been volunteering. I really enjoy helping people and making a difference. If you read the title of the article it say "...MAY in Turn Help You." Like anything else it depends on the person.
    • Kay 4 months ago
      Thanks for sharing "JustMe"! I've battled depression for over 20 yrs but I still get out of bed and take a shower every day. But I do find other tasks overwhelming and avoid those. I don't think depression is exactly the same for everyone. I have had success with the SSRIs. I had stopped taking them a few years ago, life was great, new job, active in church, going to counseling - but I was still depressed and crying uncontrollably. I got back on the meds and got better. That's how I know I need them.
    • frankiquilts 4 months ago
      I have the same diagnoses, Just Me. I, too, functioned normally throughout the day. That was NEVER a criteria for whether or not medication could help. Welbutrin (Bupropion) is a mild SSRI with very few side effects. Sex life can improve with them, and if you smoke, they can help you not even want the cigs anymore. It won't make you feel drugged, nor will it make you feel "like a whole new person" like Prozac (zombie pills). The worst side effect seems to be dry-mouth when it's first taken.

      If you come home wiped out and not able to do anything else, you're not functioning in your daily life. HOME/YOU/Family/Friends are part of your daily life. I'm not saying you should take the meds ... I'm just saying not to rule them out. Nor should you short-change your self on what is "daily life".

      My doc said I'd probably be on them the rest of my life. I took them for 5 years and felt well enough to wean off. I've been off them for 3 years, and I feel just fine on most days. Yes, I sometimes have episodes of depression. BUT, I have other outlets now (like this article) that I learned while ON the meds.

      Good luck to you on your journey!
    • Tom 4 months ago
      Prozac isn't a "zombie pill" and if Justme is "always" or even often "sad and tired" when they're at home, I think they need medication. I would strongly advise getting a second opinion especially if your therapist isn't a psychiatrist and can't directly prescribe medicine.
  • carlo  •  New York, New York  •  4 months ago
    Depressed or not we should all try and be kind to our fellow man!
    • Anonymous 4 months ago
      But, no "good deed" goes left un-punished either, hmm!
    • carlo 4 months ago
      Hmmm! I think the quote is
      And no good deed goes unpunished.
    • BubbleGun2448 4 months ago
      Acts of kindness are NOT random: who came up w/ the ridiculous saying?
  • SarahC  •  4 months ago
    Jonathan, having been a diagnosed depression sufferer for 20 years, I have some experience here. Some days, weeks, months are as bad as you describe, but having a reason to get up can make it less daunting. Doing something, anything, can be beneficial when you're depressed. The great value of being nice to someone else is that it gives you positive things to look back on when it can be hard to think of anything, no matter how pleasant that doesn't bring tears and despair. When depression leads to low self-esteem so I'm unworthy of my own assistance and/or a belief that my problems are intractable, I can still see others who might be helped if I held open a door or gave a lift or shared a coupon at the grocery.

    Depression can be a chronic condition, too, with dreadful episodes. As with any chronic disease, sufferers need to know how they can moderate the symptoms and stave off flare-ups. Research findings that helping others-- along with such practices as getting enough sleep, exercising, seeking natural sunlight, and seeking out pleasurable experiences-- promote a better mood and better coping are not trivializing the disease. It's recognizing that trivial things help and hurt in dealing with it.
  • Jonathan M  •  4 months ago
    Meh. How, precisely, do the people who conducted this study define "depression"? Yes, we should all be doing everything we can to assist people in need; that goes without saying. But major depression is a crippling disease that often prevents the victim from helping even himself, let alone anyone else.
    Depression is not feeling sad for two or three weeks because you broke up with your girlfriend or boyfriend, or because you didn't get that raise you were hoping for. If you're legitimately depressed, you're going to find getting out of bed and bathing every day a daunting task--and it will drag on for years if left untreated. Let's be careful not to trivialize the horror of the illness.
    • Rob 4 months ago
      It is clinical depression that keeps you from even getting out of bed. And that, like other diseases, needs to be treated as soon as you or a trusted person can arrange it. It will not just go away one day.
    • kat 4 months ago
      When I read the article I wanted to reply "duh". In response the above, yes, it is very hard to drag one's self out of bed in the morning, but by focusing on others it makes what you're going thru easier to handle. If anything you can often see it from a distance opposed to wallowing in it. I've been diagnosed clinically depressed for over 17yrs now. I have my good days & my bad ones, but I keep pulling on my bootstraps and getting stuff done because others are counting on me and I know wallowing will only make it worse. If might actually make "it" seem so bad that I won't get up again or I'll possibly try to hurt myself, which would hurt my kids, other family & friends. Hurting myself & by extension them is not the best way to show them how much I love them, so I'll keep plugging along, helping them and by extension, myself.
    • Aya 4 months ago
      Well said, Jonathan.
      Kat- Love for my family and the knowledge that my death would hurt them terribly has been much of what's kept me going for a long time. But it doesn't cure me. It doesn't come close. It doesn't even make me feel better. At all. This article is not suggesting that helping others will help you keep going as much as it is stating that helping others will make you feel better, and for those with severe clinical depression that is not being adequately treated, that is simply not true.
  • Steve P  •  Los Angeles, California  •  4 months ago
    There are clearly a lot of misinformed douchbags on here. If you haven't suffered from the disease for a prolonged period of time without any relief from the symptoms than you have no idea what you're talking about. Depression is a paralyzing disease that rots you from the inside out. It takes away the pleasure out of just about everything. It makes it nearly impossible to look forward to tomorrow. Everyone dies, not everyone really lives. Depression robs you of life as most of us have come to know it.
    • Surefire69 4 months ago
      Wow!, spoken like a true sufferer.
    • Alicia Holloway 4 months ago
      I've been dealing with it for about 2 years and couldn't bring myself to get help for it until just a few months ago. I hate to think of how bad it could have gotten because I was already in a really bad place.
    • She who knows 4 months ago
      try bi-polar in the family. Brother has it,and is on meds, daughter has it,lots of meds, my doctor says I probably do also,according to testing, but I handle it differently. I worked with developmentally disabled adults trying to improve their lives and appreciate mine more no matter how high or low I am feeling, I know I am responsible for someone else.
  • BRENDA L  •  4 months ago
    We all have bouts of depression, and some more then others. I know what it feels like to be depressed, and it can be a rough time, but helping others in a nice feeling. Happiness, is something that we create for ourselves, it is not about making others happy. Depression can not be controlled, but it can be mangaged. Random acts of kindness is good medicine.
  • john beckcer  •  4 months ago
    I have to agree with Steve P...

    People who don't have it, really can't understand...

    I use to have it all...good looks (still do), popularity, star athlete, one of the smartest, super confidence, etc...but...

    When you're depressed (13 years here), you're literally unable to do anything...which will cause you to lose everything...

    Before depression, I would have never understood...I would have thought that anyone who wasn't a millionaire/billionaire were all failures...that only losers would live crappy lives...

    Now I know, it can happen to anyone, and destroy anyone...

    For people who are depressed, they feel like there's nothing to live for anymore...so either that have this great dream of the future and strive for it, or they are unable to do anything effectively...

    But if you can be kind to someone, just do it. I like that.
    • Jeff 4 months ago
      I think most people have experienced depression at one time or another...
    • JohnN 4 months ago
      the government has a fema camp set up for all you depressed people. ENJOY!!!!
  • Dataman  •  4 months ago
    Makes sense to me. Even just sitting and "sending" love to people you know who need some can help your mood.
  • Laura  •  4 months ago
    Telling us depressed people we "need" to try harder just makes us feel even more useless. I work with the elderly, I take care of everyone, I am a very good, nice person; most people don't even believe I have depression, I'm in therapy and on meds, but I still live in pain and despair almost every day and often want to die. If I could really do anything at a rate that's "optimal for me", I'd never leave my house.
  • Kelly  •  4 months ago
    This is , for my case, just stupid. I've had clinicial depression bouts since age 16; I'm now 43. I actually have catatonic depressions, where I cannot lift my head. I have been on meds , some which help for awhile, but they always run out of effectacy. I do regular ECT/schock treatments...it is so disabling...I have two degrees from the University of Washington but I am unable to work. I'm a smart person and when not depressed, a very fun person to be with. However, these bouts come upon me no matter WHAT I do.....like breathing, it's part of my DNA. There's something very wrong with my brain. I'm looking into getting a brain pacemaker; I'm eligible for one if I can afford it. The mental heaviness/darkness of my mind is worse than in the picture, "The Scream". When I'm not depressed, I cannot actually imagine what it feels like to be depressed - you have to experience it to understand it, and we still don't understand it. Likewise, a depressed person cannot imagine what it would like to feel good again. I've been to the hospital many times but it does no good; it's actually harder for me to be there...the severity is such that when you can't lift your head due to extreme mental pain, and I've always done therapy/counseling....a pretty normal person in other respects - it's unbelievable. I have been praying for years and I hope God gives me and you other sufferers some peace.....The only reason I don't kill myself is because I have a 16 year old son, and he recently had an episode....
  • Phillip  •  4 months ago
    This has always been true. The fact that so many people are depressed makes it seem like a 'cure', but that's only because so few do those things any more. Hey! Maybe there's a connection between the lack of love between people and the number of depressed people...
  • AJBACKST  •  Cicero, Illinois  •  4 months ago
    try telling someone who has this disorder to go out and volunteer . . .go ahead . . .just try.

    have a son who has been on ad and ap meds for the past few years. recently moved back with his dad and him, and it is very sad. he even had ect treatments in the summer of 2011, and that didn't "shock" his illness out of him.

    depression is a serious disorder . . . when a person is afflicted with this . . . he barely has enough energy to take care of himself, much less to be "nice" to someone.
  • Purplehaze  •  4 months ago
    Everytime I have tried to do volunteer work, they just want me to give them money. I don't have money, but I have lots of free time.
  • O Life  •  4 months ago
    There are many forms of depression and different levels. This could be talking about the types of depressions that many may feel that are of temporary nature, like you had a bad day. The other types require more than being "just positive" and the article is lacking insight by not distinguishing which level they are speaking of. I would be careful approaching a clinical depressant with this solution.
  • David A  •  4 months ago
    It is True that it helps Depression too help others!! It is a feeling you cannot buy to
    help others in need!! But Depression itself can be so devastating you are useless
    to yourself and others!! Everyday is a Mystery of how much you are affected by
    the Illness. Some people do great on Medication--Thank GOD!!
    Others will try many many medications in conjunction with others and really never
    feel well!!--I am Sorry For Them!! It is trial and error over and over till hopefully you
    will find Meds-that work for you!! Do Not Give Up!! Easy to Say--Hard To Do!!
  • Weichao  •  4 months ago
    Helping other people is inefficient. The time spent helping others could be better used in attempting to make yourself reach closer to the point of perfection.
  • Mingo  •  4 months ago
    I'm too depressed to help anyone........
  • Lylli  •  4 months ago
    First, counseling and then perhaps meds. After the major healing and stablization take hold, can you do this. Don't do it before hand. You are just putting people at risk.
  • grandmaster  •  4 months ago
    I don't like to help others when I'm depressed. When I help others, I see the joy in their eyes and that huge grin on their face....and then I have to listen to all the endless thank-you's and 'If there's ever anything I can do for you...' speech. Seeing other people so happy makes me feel even sadder when I'm depressed simply because I cannot capture and embrace the warmth of those kinds of feelings myself.
    The thing that works best for me is working on a creative project that tests my intellect, imagination and attention to detail (for me this is building furniture, wooden boats, etc.). Transforming a pile of wood into something eye-pleasing and functional is, for me anyway, the best therapy.
    It's important to recognize your own personal symptoms of depression as soon as possible so that you can manage them before they become worse. Have a strategy. Try to utilize an activity (I know...no energy) that engages the mind and body; something that forces you to pay attention to the present moment. IMHO, the worst thing you can do when you're depressed is sit somewhere, alone, dwelling on the negatives.
    Anyway, that's my advice based on my own personal experience with depression. I hope it helps----not that I'm trying to help anyone......LOL
  • Joel  •  4 months ago
    Uh...while concentrating on helping others one is not dwelling on their own situation, and/or see other people who also have problems, often worse than their own.
    It took someone a study to determine that?