SHARE
COPY LINK

HEALTH

Feeling blue? Here are some tips for dealing with the dark months ahead

One in four Germans is affected by the gloomy winter months and up to five percent experience the 'winter blues,' a medical condition that can be countered by a few simple tips.

Feeling blue? Here are some tips for dealing with the dark months ahead
Sitting in front of a light box can help beat winter depression. Photo: DPA.

If Antonio Vivaldi had lived in northern Germany, he may not have composed The Four Seasons, rather The Three Seasons: Spring, Summer and Darkness.

Northern European cities have as few as 42 (Hamburg) to 45 (Berlin) hours of sunlight in the month of January. Stockholm is on average even bleaker, with a paltry 40 hours of sun in a study that compiles over 30 years of data. Comparatively, southern European cities like Naples have 115 hours or Madrid has a whopping average of 148 hours of sunlight in the month of January.

It is no wonder why the term winter blues is common here in the north.

“It is getting cooler, it is getting darker – many people are experiencing this as a detrimental effect,” said Iris Hauth, President of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN).

One in four Germans suffers from health impairments in the winter and studies show that two to five percent of the population (more women than men) have a regular Seasonal Affective Disorder (SAD) beginning in the fall, where daylight is history by 4:30 in the afternoon.

Symptoms of the winter blues, which is a recognized medical condition, are similar to other signs of depression, like lethargy, or an inability to stay concentrated or focused, says Hauth. But a major difference between the winter blues compared to depression, she said, is that people afflicted with SAD can't stop eating sweets and carbohydrates. They also need a lot more sleep.

“This is attributed to the lack of light,” explains Hauth. This leads to a higher production of the sleep hormone melatonin, which controls the day-night rhythm in our bodies. For melatonin production, the body converts seratonin, a neurotransmitter that affects our mood, and decreases the body's supply – leading to many of the depressive symptoms. In extreme cases, people can even have suicidal thoughts.

Have you been looking for ways to naturally bring light and lightness back into your life during the dark, wintry season? We've got you covered. 

Five tips for dealing with the gloomy winter months

  • Light box therapy: sitting in front of a light box can replace some of the sunshine your body craves during the dark German autumn and winter. The light from these boxes is much brighter than the light emitted from your average light bulb and can stimulate the body's circadian rhythm (24-hour internal clock) while suppressing the release of the sleep hormone melatonin.

  • Vitamin D: During the winter months many of us have a vitamin D deficiency due to the lack of sunlight, which can also lead to the sluggishness and moodiness associated with the winter blues. The risk of suffering from depression doubles in young adults with Vitamin D deficiencies, according to a National Health and Nutrition Examination Survey.

  • Dawn simulators (Dämmerung simulator): These are like alarm clocks that use gradually increasing light to wake you up slowly, the same way the sun would. The best kinds use full-spectrum light, which is closest to natural sunlight.

  • Exercise: While it might seem hard to get moving when you wake up and head home in darkness, at least one hour of regular outdoor exercise and keeping a regular schedule can help keep the blues away, according to expert Hauth. Exercise increases the rate and frequency in which seratonin is produced. Regular exercise also increases the level of tryptophan in the brain – an amino acid used to manufacture seratonin.

  • Aromatherapy: Your sense of smell is directly connected to your mood, via your limbic system, the part of the brain that controls your mood and the circadian rhythm. Lavender, bergamot, verbena, neroli, rosewood, patchouli, palmrose, orange and lemon oils are recommended by Heilpraxis.net as beneficial for dealing with the winter blues.

With DPA

For members

HEALTH

Klinik-Atlas: How to use Germany’s new hospital comparison portal

The German government has launched a ‘Bundes-Klinik-Atlas’ which provides information on services and treatment quality at almost 1,700 hospitals throughout Germany. Here's what you need to know.

Klinik-Atlas: How to use Germany's new hospital comparison portal

Whether you’re a foreign resident or a local, it can be tricky to navigate hospital care in Germany. 

Now the German government has launched a new nationwide ‘Klinik-Atlas’ aimed at making it easier for people to compare different services in hospitals. 

If a patient needs care at a hospital or clinic, such as a knee operation, cancer treatment or to get their tonsils out, they can look through the state-run comparison portal to compare the services offered and their quality. The portal is intended to help patients make a decision on where they want to access care. 

It was launched on Friday May 17th and so far includes details on 1,700 hospitals throughout the country. 

Why has the Klinik-Atlas been launched? 

The German government believed there was a need to get more information on hospitals out there to the public. 

Health Minister Karl Lauterbach, of the Social Democrats (SPD), said comprehensive information on how to find good care is now more accessible to everyone with the new portal. 

He said that transparency was needed in view of the 16 million hospital treatments that take place in Germany per year and the 500,000 new cancer patients per year alone. Most patients are unsure which clinic or hospital is best suited for their treatment, he added. 

Compared to existing information portals, the Klinik-Atlas is particularly unique in the way it prepares data for patients, Lauterbach said: “With just a few clicks, they can compare clinics and find the best clinic in their area for the treatment they need.”

READ ALSO: Which of Germany’s hospitals are among the ‘world’s best’?

Patients can see and assess hospitals side by side instead of having to “hop from clinic to clinic”, added Lauterbach. He called it “clear guide” to help people sift through the maze of health care. 

However, there’s been a mixed reception to the project, with hospitals raising some concerns.

How does it work exactly?

One thing to keep in mind is that the site, which is located at www.bundes-klinik-atlas.de, is only in German, but it is fairly simple to use. 

– On the site you can see a map with all the clinics in your area, as well as the number of beds they have and treatments they offer. Each clinic is scored on the quality of its care. The score is based on the number of patients per nurse, taking into account the severity of the cases. Lower values equate better scores in this case.

A sign at a Charité Campus points to the Central Emergency Department.

A sign at the Berlin Charité points to the Central Emergency Department. Photo: picture alliance/dpa | Sebastian Gollnow

– You can also enter your place of residence and an illness or a very specific treatment in the portal. The system offers search suggestions if you don’t know the specialised term. According to the ministry, 28,000 treatment and 13,000 disease definitions are stored.

– There is a kind of speedometer display to help patients categorise their cases. The ‘faster’ you go, so to speak, i.e. the further the needle moves to the right, the better. For the time being, there are two speedometers – for the number of annual cases of a treatment and for the number of nursing staff in the hospital. The speedometers have five coloured elements to which the needle can point – from ‘very few’ to ‘very many’ cases, for example. 

What else can you find out?

A comparison shows that there are “huge differences within a very small area”, said Lauterbach. For example, there are 48 hospitals in Berlin and the surrounding area that perform bowel cancer operations, but only 18 of them are certified as specialist centres.

In the case of severe bowel disease in children, there are clinics that perform more than 70 operations a year, while others only perform four.

It is not the case that large clinics are automatically always ‘the winners’. There are also small clinics that are extremely specialised.

The portal is to receive its first update in a few weeks’ time and will then include complication rates for treatments. Figures on the number of specialised doctors will follow.

The information will be updated regularly, according to the Institute for Quality and Transparency in Healthcare, which is coordinating the implementation. At the moment the data is lagging, featuring case numbers from 2022. The information comes from several sources, including clinics and health insurance company invoices.

READ ALSO: How could Germany solve its worsening GP crisis?

How’s the reaction so far? 

According to the ministry, there were more than five million hits in the first three hours of the comparison launching, with some page views also experiencing a brief hitch due to the volume of traffic. 

But not everyone is for it. The German Hospital Federation said the portal does not provide patients with any additional information and even adds more bureaucracy to hospitals’ workloads. The hospital sector recently expanded its own online overview portal. The Deutschen Krankenhaus Verzeichnis’ or ‘German Hospital Directory’, which has existed since 2002, was updated to include more search functions. 

The German Patient Protection Foundation said that people want to know about the range of services and quality. “But the ‘hospital atlas’ lacks crucial information,” said CEO Eugen Brysch. “The quality of patient management in the clinic is not recorded.”

The German Social Association welcomed the comparison site, but added: “It remains to be seen how great the added value for patients really is.”

READ ALSO: How Germany is planning to save its ailing hospitals 

SHOW COMMENTS