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			 Compared to the general population, women who reported tanning at 
			least 10 times in the last year were more likely to be obsessed with 
			real or imaginary flaws in their appearance, to have episodes of 
			depression related to changes in seasons and to have high stress 
			levels. 
			 
			"It may be the case in clinical settings that when we see people who 
			do a lot of tanning, it may be a flag to look at other mental health 
			issues," said senior author Sherry Pagoto of the University of 
			Massachusetts Medical School in Worcester. 
			 
			Previous research found that people tan due to needs stemming from 
			their mood and appearance, the researchers write in a letter in JAMA 
			Dermatology. 
			 
			"We see sometimes with tanners an effort to get tanner and tanner 
			and a feeling that you’re never tan enough," Pagoto told Reuters 
			Health. That type of behavior is not unlike body dysmorphic 
			disorder, which is when people feel there is an issue with their 
			appearance that can't be fixed. 
			  
			Past research also suggests that people who tan may be at an 
			increased risk of elevated stress and seasonal affective disorder - 
			or SAD. 
			 
			"We looked at these three things and we wanted to see if we found 
			elevated rates among people who tan," Pagoto said. 
			 
			The researchers recruited 74 women, ages 19 to 63 years, who had 
			been tanning at least 10 times in the past year and at least four 
			times in the past two months. 
			 
			They surveyed the women with questions that would help detect body 
			dysmorphic disorder, SAD and elevated stress and then compared the 
			women's scores to what would be expected in the general population. 
			 
			Overall, 39 percent of the women scored high enough to likely have 
			body dysmorphic disorder, which is typically found in about 2 
			percent of all people. 
			 
			About one in 10 people in the general population would be diagnosed 
			with SAD, but more than half of the study participants scored high 
			enough to be diagnosed with that condition. 
			
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			Elevated stress was also found in about a third of the participants, 
			but would only be expected in about 13 percent of the general 
			population. 
			"It’s definitely the case that we’re seeing more of these 
			psychiatric disorders," said Pagoto. 
			 
			People should be cautious about interpreting the results, which are 
			drawn from only 74 people, said Erin Bonar, who was not involved in 
			the new research but has studied the mental health of people who 
			tan. 
			 
			"I would be cautious with regard to the findings of co-morbidity 
			since these participants were not formally diagnosed," said Bonar, 
			of the University of Michigan in Ann Arbor. 
			 
			But the new findings are consistent with previous results, she said. 
			 
			Pagoto said the new study suggests tanning may be a sign of a much 
			deeper problem that requires more attention. 
			 
			"For parents who have teenage and college-age daughters who tan, 
			this may be something to think about," she said. 
			 
			SOURCE: http://bit.ly/1PUVPMl JAMA Dermatology, online February 3, 
			2016. 
			[© 2016 Thomson Reuters. All rights 
				reserved.] Copyright 2016 Reuters. All rights reserved. This material may not be published, 
			broadcast, rewritten or redistributed. 
			
			
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