On this episode, Dr. Santosh Vijaykumar tells us about the sea of health misinformation on the internet and how researchers are working to understand and combat misinformation. We also discuss CHIRP, the Cognitive and Health Infodemics Research Programme, an interdisciplinary research group at Northumbria University studying misinformation from multiple perspectives.
Show notes:
If you’re intersted in getting involved in Santosh’s research you can email him at santosh.vijaykumar@northumbria.ac.uk.
You can find out more about CHIRP on their website.
Follow the show on our IG and Twitter @thebig5_psych
You can also get in touch with the podcast team on gmail: thebig5.nupodcast@gmail.com.
Dr. Carolina Are is an Innovation Fellow at the Centre for Digital Citizens. The Centre for Digital Citizens is a joint initiative with colleagues at Newcastle and Northumbria University from computing, design, law, and psychology who study how to make the internet a safer place for everyone. Carolina’s work centres on understanding why certain people are deplatformed and how to encourage social media platforms to prevent unnecessary deplatforming.
Show notes
To follow Carolina’s research check out her website bloggeronpole.com or follow her on Twitter @bloggeronpole
(Fittingly, my work computer wouldn’t let me access Carolina’s website…)
WE HAVE NEW SOCIALS! We’re on Twitter and Instagram @thebig5_psych. Give us a follow and we’ll be posting about new episodes and will respond to comments.
We also now have a gmail account that you can use to contact us thebig5.nupodcast@gmail.com.
Many thanks to my intern Maria Kouppi for mixing this episode and setting up the socials.
This week (13th-17th June 2022) sees the 6th Loneliness Awareness Week hosted by the Marmalade Trust. This is one of many such campaigns in recent years with the aim of raising awareness and reducing the stigma associated with talking about feeling lonely. Intiatives like the UK’s Campaign to End Loneliness and the Jo Cox Loneliness Commission aim to share research evidence about loneliness and to demonstrate the need for national leadership and guidance to address this issue. This has resulted in the appointment of the very first Ministers for Loneliness and the creation of a cross-governmental Tackling Loneliness Strategy and team.
The problem of loneliness
This increased focus is not without good reason. Experiencing loneliness, also referred to as perceived social isolation, can potentially lead to increased risk of developing health problems. Such issues include cardiovascular disease and stroke (1), dementia and cognitive decline (2), depression and anxiety (3) and chronic health conditions such as diabetes (4). Additionally, chronic loneliness and social isolation carries the same level of health risk as obesity and smoking (5).
Traditionally, older adults are viewed as those in society that are most likely to experience loneliness. Although recent evidence suggests that younger people are equally or more likely to report loneliness (6), loneliness in older adults is still a concern in this age group. In 2018 around 1 million UK residents aged over 50 reported that they were chronically lonely, and this number is expected to increase to more than 2 million by 2025. We also have an ageing population in the UK and worldwide, meaning that the effects of loneliness are likely to be experienced by an increasing number of older adults in the near future. Loneliness therefore poses a significant public health risk and has the potential to place increased strain on health and social care services.
This risk has been compounded by the recent COVID 19 pandemic. Social distancing and successive lockdown measures meant that for many older adults their already limited social contact was further reduced. This was clearly a concern for those already experiencing loneliness, but also meant that a new wave of older adults were at risk of becoming lonely, particularly those in residential care. Since these measures have been reversed the potential for more social contact has increased and the risk has hopefully reduced. However, given that negative effects may have already occurred, it’s important that we continue to focus on re-establishing our social connections and those of older adults to minimise this impact.
As you might expect, romantic social connections, such as being in a relationship or being married, offer some protection against loneliness (7). But what about other types of social links? One social connection which appears to be particularly important to older adults are friendships. Friendships seem to be more beneficial in preventing loneliness than family relationships (8). This may not be that surprising as family relationships have the potential to be based more on obligation than friendships and also at times can be fraught with conflict. It has been shown that (9) increasing the number of friends you have generally reduces loneliness (9). However, recent evidence from our department has shown that simply making more friends might not be the answer (10).
What is the magic number?
We surveyed hundreds of older adults about their levels of loneliness and friendships. Our study (10) demonstrated that although having more friends may indeed stave of loneliness, for older adults, adding more close friendships beyond four friends has no further effect in reducing loneliness. If four is the optimal number, then this means that older adults and interventions aimed at reducing loneliness in this age group can focus on establishing and maintaining this relatively small number of close connections. Many individuals have a support group of around five members (11), so it may be possible that some older adults already have the optimal number of close friendships. For those, individuals, focus is best placed on improving the quality within these relationships or addressing other aspects linked to loneliness such as mobility and functional status (12).
Valtorta, N. K., Kanaan, M., Gilbody, S., & Hanratty, B. (2018). Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing. European Journal of Preventive Cardiology, 25(13), 1387–1396. https://doi.org/10.1177/2047487318792696
Wilson, R. S., Krueger, K. R., Arnold, S. E., Schneider, J. A., Kelly, J. F., Barnes, L. L., … Bennett, D. A. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64(2), 234–240. https://doi.org/10.1001/archpsyc.64.2.234
Beutel, M. E., Klein, E. M., Brähler, E., Reiner, I., Jünger, C., Michal, M., … Tibubos, A. N. (2017). Loneliness in the general population: Prevalence, determinants and relations to mental health. BMC Psychiatry, 17(1), 1–7. https://doi.org/10.1186/s12888-017-1262-x
Brinkhues, S., Dukers-Muijrers, N. H. T. M., Hoebe, C. J. P. A., Van Der Kallen, C. J. H., Dagnelie, P. C., Koster, A., … Schram, M. T. (2017). Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus – The Maastricht study – The M. BMC Public Health, 17(1), 1–12. https://doi.org/10.1186/s12889-017-4948-6
Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and Social Isolation as Risk Factors for Mortality. Perspectives on Psychological Science, 10(2), 227–237. https://doi.org/10.1177/1745691614568352
Barreto, M., Victor, C., Hammond, C., Eccles, A., Richins, M. T., & Qualter, P. (2020). Loneliness around the world: Age, gender, and cultural differences in loneliness. Personality and Individual Differences, (January), 110066. https://doi.org/10.1016/j.paid.2020.110066
Victor, C. R., & Yang, K. (2012). The Prevalence of Loneliness Among Adults : A Case Study of the United Kingdom The Prevalence of Loneliness Among Adults : A Case Study of the United Kingdom. The Journal of Psychology, 146(1–2), 85–104. https://doi.org/10.1080/00223980.2011.613875
Lee, G. R., & Ishii-Kuntz, M. (1987). Social Interaction, Loneliness, and Emotional Well-Being among the Elderly. Research on Aging, 9(4), 459–482. https://doi.org/10.1177/0164027587094001
Shiovitz-Ezra, S., & Leitsch, S. A. (2010). The role of social relationships in predicting loneliness: The national social life, health, and aging project. Social Work Research, 34(3), 157–167. https://doi.org/10.1093/swr/34.3.157
Thompson, A., & Pollet, T. (In Press). Friendships, loneliness and psychological well-being in older adults: A limit to the benefit of the number of friends. Ageing & Society.
11. Dunbar, R. I. M., & Spoors, M. (1995). Social networks, support cliques, and kinship. Human Nature, 6(3), 273–290. https://doi.org/10.1007/BF02734142
Theeke, L. A. (2009). Predictors of Loneliness in U.S. Adults Over Age Sixty-Five. Archives of Psychiatric Nursing, 23(5), 387–396. https://doi.org/10.1016/j.apnu.2008.11.00
A study published last month revealed that adopting a diet high in whole grains, legumes, nuts, fruits, vegetables and fish and low in red and processed meat and sugary beverages could lead to an increased lifespan [1]. The authors revealed that the greatest gains in life expectancy could be possible by changing to an optimal diet in your 20’s (10 years), but even changes later in life at the age of 80 might extend life by almost three-and-a-half-years.
When considering ‘optimal ageing’, thoughts may immediately turn to a long life free of chronic illness, especially non-communicable diseases such as cardiovascular disease, cancer and diabetes, and this study suggests that plant-based nutrient-dense foods are fundamental to ageing successfully. Of course, ensuring optimal mental health and brain function across the lifespan is equally important and here nutrition also has an important role to play. Indeed, a recent review found that dietary patterns containing the exact same beneficial food groups identified in the study above had a protective effect with regards to improving measures of cognitive impairment and/or reducing risk of cognitive impairment or dementia [2].
However, you don’t need to wait until older adulthood to feel the benefits of following a healthy diet; data from our lab at Nothumbria University collected over the last two decades has revealed beneficial effects of a wide variety of nutrients (e.g. vitamins, omega-3 fatty acids), herbal extracts (e.g. ginkgo biloba, ginseng, lemon balm) and plant compounds found in everyday products (tea, chocolate, berry fruits) on cognitive function and mood in healthy adults that are observable after the course of anything from a few minutes to a few weeks, depending on the item. In this blog, I’ve talked about some of our more recent findings.
There’s more than just caffeine to your morning coffee ‘hit’
The alerting effects of coffee are often ascribed to the beverage’s caffeine content. Although not untrue, caffeine is not the only ‘active’ ingredient in coffee; in fact, the coffee bean itself contains a plethora of different compounds that have the potential to either directly affect brain function or work together with caffeine to produce effects. The major group of compounds of interest in coffee are called chlorogenic acids (CGA) and are particularly enriched in the flesh of the coffee fruit itself (coffee berry) and green unroasted beans.
Although roasting the beans diminishes the amount of CGA found in your average cup of coffee they are still present, with one study reporting CGA espresso content in several European countries in the range of 6–188 mg per cup [3]. Two recent studies from our lab investigated the effects of coffee berry extract on mood and cognitive performance and found a consistent pattern of alerting effects that was evident across the entire six-hour testing period, which cannot be attributed to the relatively small amount of caffeine found in the extract (22 mg vs 75 mg in an average cup of coffee) [4, 5].
Saffron is known throughout the world for its distinctive colour and taste and has been used in culinary dishes across Europe and Asia for millennia. Saffron stigmas are naturally rich in several bioactive compounds and its pain-relieving and sedative properties are recognised by traditional Asian medicine where it is used to treat a range of physical ailments including menstrual disorder, inflammation and depression [8, 9].
The anti-depressant activity of this herb has recently been explored in controlled trials; a meta-analysis of these data revealed that 30 g/d saffron extract for six weeks significantly improved symptoms in patients with major depressive disorder compared to placebo, but also had similar antidepressant efficacy when compared with mainstream antidepressant medications [10].
Our lab investigated whether these mood effects could be seen in otherwise healthy adults who reported subclinical feelings of low mood and anxiety and/or stress, who would not meet a formal diagnosis of depression. Compared to placebo, we found that eight weeks’ supplementation with 30 g/d saffron extract improved depressive symptoms, although no effects were observed for stress or anxiety [11]. Findings such as this are important as they highlight the potential for non-pharmacological plant extracts in supporting mental health.
Few would naturally think of their herb garden as a source of the next generation of dementia preventing products but the aromatic herbs belonging to the mint family such as peppermint, rosemary, lavender, lemon balm and sage are a rich source of phytochemicals with established psychoactive properties relevant to cognitive decline. Of all these culinary herbs, sage has the widest documented use in traditional medicine dating back to the ancient Greeks and is reputed to have cognitive or memory enhancing effects by several medicinal systems [12].
These effects were investigated by our lab using controlled trials and we have demonstrated consistent improvements in cognitive function in healthy adults following single doses of two different species of sage, Salvia officinalis (garden sage) and Salvia lavandulaefolia (Spanish sage)[13, 14]. Concurrent beneficial effects on mood such as increased calmness and alertness [15] and reduced mental fatigue [16] have also been observed.
Our lab also recently demonstrated beneficial effects on working, or short term, memory performance after four weeks’ daily consumption of a treatment combining both these sage species [17], opening up the exciting possibility of exploiting the individual chemical profiles of both species for maximum benefit.
So what should we be eating?
These are just a few examples of some of the interesting effects of different dietary items, some of which are consumed every day. The plants we ingest, in whatever form, are packed with compounds that interact with the chemistry of our bodies and brains that have the potential to help us live healthier, happier, and ultimately longer lives. The best way to achieve this is to incorporate as wide a variety of plants into your diet as you can.
Fadnes, L.T., et al., Estimating impact of food choices on life expectancy: A modeling study. PLOS Medicine, 2022. 19(2): p. e1003889.
Boushey, C., et al., USDA Nutrition Evidence Systematic Reviews, in Dietary Patterns and Neurocognitive Health: A Systematic Review. 2020, USDA Nutrition Evidence Systematic Review: Alexandria (VA).
Ludwig, I.A., et al., Variations in caffeine and chlorogenic acid contents of coffees: what are we drinking? Food Funct, 2014. 5(8): p. 1718-26.
Jackson, P.A., et al., A Randomized, Crossover Study of the Acute Cognitive and Cerebral Blood Flow Effects of Phenolic, Nitrate and Botanical Beverages in Young, Healthy Humans. Nutrients, 2020. 12(8): p. 2254.
Jackson, P.A., et al., Acute cognitive performance and mood effects of coffee berry and apple extracts: A randomised, double blind, placebo controlled crossover study in healthy humans. Nutr Neurosci, 2021: p. 1-9.
Haskell-Ramsay, C.F., et al., The Acute Effects of Caffeinated Black Coffee on Cognition and Mood in Healthy Young and Older Adults. Nutrients, 2018. 10: p. 1386.
Tajik, N., et al., The potential effects of chlorogenic acid, the main phenolic components in coffee, on health: a comprehensive review of the literature. Eur J Nutr, 2017. 56(7): p. 2215-2244.
Rios, J.L., et al., An update review of saffron and its active constituents. Phytotherapy Research, 1996. 10(3): p. 189-193.
Akhondzadeh, S., et al., Crocus sativus L. in the treatment of mild to moderate depression: a double-blind, randomized and placebo-controlled trial. Phytother Res, 2005. 19(2): p. 148-51.
Hausenblas, H.A., et al., Saffron (Crocus sativus L.) and major depressive disorder: a meta-analysis of randomized clinical trials. J Integr Med, 2013. 11(6): p. 377-83.
Jackson, P. A., Forster, J., Khan, J., Pouchieu, C., Dubreuil, S., Gaudout, D., … & Kennedy, D. O. (2021). Effects of saffron extract supplementation on mood, well-being, and response to a psychosocial stressor in healthy adults: A randomized, double-blind, parallel group, clinical trial. Frontiers in nutrition, 365.
Kennedy, D.O. and A.B. Scholey, The psychopharmacology of European herbs with cognition-enhancing properties. Curr Pharm Des, 2006. 12(35): p. 4613-23.
Kennedy, D.O., et al., Monoterpenoid extract of sage (Salvia lavandulaefolia) with cholinesterase inhibiting properties improves cognitive performance and mood in healthy adults. J Psychopharmacol, 2011. 25(8): p. 1088-100.
Kennedy, D.O., et al., Effects of cholinesterase inhibiting sage (Salvia officinalis) on mood, anxiety and performance on a psychological stressor battery. Neuropsychopharmacology, 2006. 31(4): p. 845-852.
Tildesley, N.T., et al., Salvia lavandulaefolia (Spanish sage) enhances memory in healthy young volunteers. Pharmacol Biochem Behav, 2003. 75(3): p. 669-74.
Tildesley, N.T., et al., Positive modulation of mood and cognitive performance following administration of acute doses of Salvia lavandulaefolia essential oil to healthy young volunteers. Physiol Behav, 2005. 83(5): p. 699-709.
Wightman, E.L., et al., The Acute and Chronic Cognitive Effects of a Sage Extract: A Randomized, Placebo Controlled Study in Healthy Humans. Nutrients, 2021. 13(1): p. 218.
The autonomous sensory meridian response, or ASMR, is described as an intensely pleasant tingling sensation originating in the scalp and neck, and spreading down the body. ASMR is elicited by a range of video and auditory triggers, such as watching someone pretend to perform relaxing actions like massaging or hair brushing, or listening to soft sounds such as whispers or tapping. There are countless ASMR videos on forums such as YouTube attracting thousands, or in some instances millions, of subscribers and hits.
The triggers vary from person to person. But for millions of people worldwide, ASMR is a go-to for relaxation, sleep and to reduce stress.
While research interest in the phenomenon is growing, there’s a lot we still don’t know about ASMR. For example, why do some people experience tingles and others don’t? Could understanding the personality traits associated with ASMR guide us when thinking about ASMR as a potential therapeutic intervention?
Emerging literature suggests that people who are capable of experiencing ASMR exhibit greater levels of neuroticism. Neuroticism is a personality trait typically defined as a tendency towards depression, self-doubt and other negative feelings.
Neuroticism is also associated with a tendency to experience negative emotional states such as anxiety. And we know that people who watch ASMR regularly may do so to relax or reduce stress, potentially indicating elevated levels of anxiety.
Currently, there is very little research linking neuroticism with anxiety in people who experience ASMR, or into the effect of watching ASMR videos on anxiety. Our new study aimed to add to the evidence in these areas.
What we did
We recruited 36 people who experience ASMR and 28 people who don’t. All participants watched a five-minute ASMR video that was a compilation of multiple common ASMR triggers.
Before watching the video, the participants completed questionnaires assessing their levels of neuroticism, trait anxiety (a predisposition to experience ongoing anxiety), and state anxiety (their anxiety levels in the moment). They also answered questions about their state anxiety after viewing the video.
The ASMR-experiencers had significantly greater scores for neuroticism and trait anxiety compared to the non-experiencers, which suggests these are characteristics associated with the ability to experience ASMR. The ASMR-experiencers also had greater pre-video state anxiety scores, which were significantly reduced after watching the video.
In contrast, there was no difference in non-experiencers’ state anxiety scores before and after watching the video. So the ASMR video alleviated anxiety, but only among the ASMR-experiencers.
However, when we looked at the data in a different way, we found that a propensity for greater neuroticism and anxiety overall – regardless of whether participants experienced ASMR or not – was associated with the ASMR video having a positive effect on anxiety levels.
This emphasises the importance of individual personality traits when thinking about ASMR as a potential therapeutic intervention. It also shows us that the benefits of watching ASMR videos can be experienced even if you don’t necessarily feel the “tingle”.
What does this all mean?
We have provided new evidence regarding the traits that may characterise people who experience ASMR, and an indication that ASMR could have potential as an alternative treatment for anxiety.
Our study supports previous research demonstrating that ASMR-experiencers exhibit greater levels of neuroticism. We’ve also found that people with elevated anxiety levels are more likely to experience ASMR.
Notably, in our study, watching the ASMR video reduced state anxiety among people who experience ASMR. While this seems logical considering that people who seek out ASMR often do so for therapeutic reasons, the results of our study also suggest that ASMR may have anxiety-reducing effects more generally.
So if people are prone to neuroticism and/or anxiety, they may benefit from watching ASMR – even if they don’t routinely watch ASMR videos or experience ASMR tingles.
Where to next?
Our study was only in a relatively small number of people, and we cannot discount that the targeted group most likely had a predisposition to seek out ASMR. So it will be important to carry out research with more ASMR-naive participants.
Certainly, further research into the use of ASMR as a psychological intervention will be important to better understand how this may help people who experience anxiety.
In the meantime, findings from recent neuroimaging studies are beginning to shed more light on this phenomenon. Using a type of brain imaging called electroenchephalograpy (EEG), researchers have shown that the electrical activity known to be associated with relaxation (including mindfulness meditation) increased in response to ASMR stimuli. This was true even when participants were performing a mentally demanding task.
These studies suggest that ASMR leads to changes in brain activity typically associated with a relaxed state, possibly even during day-to-day activities. More neuroimaging research will compliment behavioural studies and help us to identify the mechanisms that could underpin ASMR’s anxiety-reducing capabilities.
On this episode, Alyson tells us about her research on student well-being and what students struggle with during their transition to university. She also tells us about a funded PhD studentship opportunity! (See link below.)
Shownotes:
Find Dr. Alyson Dodd: on Twitter @alysondodd and on her staff profile.
You can learn more about SMaRteN and read the report Alyson references here.
Interested in this PhD opportunity? Check out the advert here.
Dementia with Lewy bodies (DLB) is the second most common type of dementia. DLB is a complex and heterogenous disorder, which is characterised by a range of symptoms, including neuropsychiatric symptoms, visuoperceptual difficulties and visual hallucinations.
The challenging, complex and symptom profile of people with DLB can have a significant impact upon their caregivers. DLB places a significant level of burden upon caregivers, and DLB caregivers typically report greater levels of distress than the caregivers of people with Alzheimer’s dementia (AD), or other types of dementia, even when DLB patients have a similar level of cognitive impairment. This has been shown to relate to the presence and severity of patient symptoms.
Caregiver distress is extremely likely to result in DLB caregivers developing sleep disturbances and disorders. A wide range of studies have indicated that stress is associated with subjective and objective sleep disturbances, and that stressful events can predict future sleep disturbances. Indeed, work from dementia caregivers, considered as a whole, demonstrates this: relative to age-matched control non-caregiver adults, caregivers have significant reductions in sleep duration (equivalent to losing up to 3.5 hours of sleep per week) and sleep quality. Additionally, even professional dementia caregivers demonstrate increased levels of stress hormones.
To date, no studies have specifically assessed sleep in DLB caregivers, or the relationship with stress and patient neuropsychiatric symptoms. This is extremely important as given the complex and challenging symptom profile of DLB, DLB caregivers are likely to be at a high risk of developing sleep disturbances and disorders. This is likely to have a direct negative impact upon their health.
Taken together, it is important to understand the nature of sleep disturbances in DLB caregivers. In particular, it is necessary to identify patient events or stressors which may negatively impact upon specific aspects of caregiver subjective and objective sleep. This will allow for the development and testing of bespoke DLB caregiver sleep interventions. This is important as techniques which optimise sleep in this population will benefit individual caregivers, as well as potentially having wider economic and societal benefits.
What is the goal of the proposed PhD Project?
The goals of this PhD project are to:
to examine, quantify, and compare the nature of subjective and objective sleep disturbances in DLB and AD caregivers
to examine the association between specific patient neuropsychiatric symptoms and DLB caregivers
design a bespoke DLB-specific caregiver intervention to improve sleep, and pilot and test its feasibility and effectiveness
This proposed studentship is very closely aligned with Dr. Elder’s current research programme, which is primarily focussed on subjective and objective sleep in patients with dementia with Lewy bodies.
What skills and knowledge does the PhD candidate need?
We are looking for an applicant who is passionate about clinically-applied sleep research. Given the novel nature of the project, you should demonstrate a high degree of professionalism and independence. You should possess a solid understanding of quantitative research methods and be willing to be trained in a variety of advanced sleep research methodologies (e.g. actigraphy, polysomnography).
Applicants will normally have a track record of academic achievement in psychology or a related discipline, demonstrated by a first class or upper second undergraduate honours degree and/or a master’s degree (or equivalent)
About the supervisors
Dr. Greg Elder is Associate Director of Northumbria Sleep Research and is a Senior Lecturer in the Department of Psychology. He is an experienced sleep researcher with expertise in the design, conduct and management of sleep research studies, including overnight polysomnography. Dr. Elder also has a wide range of expertise in designing and managing research studies involving patients with dementia with Lewy bodies, including interventional studies and clinical trials; additionally, he has expertise in the role of stress in sleep disturbances and insomnia, and behavioural interventions in this context. Dr. Elder is a Chartered Psychologist.
Dr. Daniel Rippon is a Senior Lecturer in the Department of Psychology. He has expertise in the design and conduct of research studies involving dementia caregivers. Dr. Rippon also has relevant clinical and research links with the Campus of Ageing and Vitality (Newcastle University), where he has developed a home-based service for supporting caregivers, and has clinical experience working within the NHS.
Professor Jason Ellis is Director of Northumbria Sleep Research and is a Professor of Sleep Science in the Department of Psychology. Professor Ellis has a wide range of expertise in the development and testing of behavioural interventions for insomnia.
More information and how to apply
If you would like to discuss the opportunity, please contact the principal supervisor by email (Dr. Greg Elder: g.elder@northumbria.ac.uk).
Details on how to submit an application are below. We’ve added some useful reading for prospective candidates at the end of the post
The advert for the post can be found here, this includes full eligibility requirements. As part of the application process you will need to submit a 1000 word proposal of how you would approach the project by 18th February 2022
Full details of the application process can be found here
Today is National Philanthropy Day, a time to reflect on how we can volunteer our time and money to help others. On this episode of the podcast, Northumbria Psychology student, Barbora Duskova tells us about her experience volunteering for the European Federation of Psychology Students Association and working in Dr. Katri Cornelisson’s lab as a research assistant. At the end of the episode, you’ll also hear about three psychology related volunteering opportunities. Details for these are in the show notes below.
Show notes:
Wanna join the European Federation of Psychology Students Association? Find out more here.
If you’d like to become a Nightline volunteer. Check out this student union page.
If you’re interested in becoming a mentor for other psychology students, please check out this page.
If you’d like to take part in the Volunteer Research Assistant scheme, you can contact michael2.craig@northumbria.ac.uk and look out for information about the scheme on your program level Blackboard site. (Please note that this scheme is only for current Northumbria students.)
On #CleanYourVirtualDesktopDay, Dr. Nick Neave tells us about his research on Digital Hoarding. We learn more about how humans anthropomorphise their possessions and why we have such a hard time throwing things away.
To mark World Mental Health Day, I’m writing a blog that covers two separate, but related, things. Both things relate to a question a patient asked me back in about 2014 and which I have thought a lot about since then
“Why aren’t researchers churning out new treatments for mental health problems the way new treatments for cancer get churned out?”
The first thing I wanted to write about is something that I think is implicit in that patient’s question, but doesn’t exactly answer it. It’s about how well treatments for mental health problems work in comparison to other types of health problems.
How effective are treatments for mental health problems?
A relatively widely held belief is that interventions for mental health problems aren’t very effective. However, at least some of the data we have suggests that treatments in psychiatry (such as medications for things like obsessive-compulsive disorder, depression, and panic disorder) work, on average, about as well as treatments for other types of health problems (such as medications for heart failure, asthma, and COPD).
A number of caveats need to be added here, as the authors of the study – Leucht and colleagues – noted. For example, it is difficult to compare how well treatments for different illnesses or health problems work because the outcomes researchers in different fields look at are so different. That is, if a psychological/psychiatric treatment doubles the likelihood that a patient recovers from depression, is that treatment as effective as one which halves the risk of someone dying from a heart attack? That’s a hard judgement to make. We also need to take into account things like the side effects of treatments, too. All of this means, in short, that it’s very difficult to say how well treatments for mental health problems work in comparison to treatments for other types of health problems. But looking at the data from Leucht and colleagues’ analysis, treatments for mental health problems seem reasonably effective.
When research can’t be replicated, this means that when other researchers try to repeat a study someone else has performed, they fail to find the same results. The results of the original study, therefore, may be untrustworthy. Over the past decade, many scientific fields have re-examined what proportion of the findings they generate are replicable, and in several areas of psychology it has been estimated that only 30-50% of findings are replicable. Mental health researchers have, however, not really examined how replicable (or trustworthy) findings in our field are. But I see no reason to expect that our field will be different to other areas of psychology. This means that it is quite likely that much of the evidence we have about what factors might cause mental health problems will be wrong. And this is important because our understanding of what causes mental health problems tends to shape the treatments we develop to treat mental health problems. So, if we aren’t doing replicable research into what causes mental health problems, then we have little chance of developing novel, more effective treatments for those mental health problems.
Happily, there are many reasonably straightforward solutions to these problems. We know, for example, that running studies that (a) use larger samples than we have typically achieved in the past, that (b) pay more attention to how well variables are being measured, and that (c) involve fully open reporting of how the study will be run and how its data will be analysed generates findings that are more replicable and trustworthy.
How is the Psychology Department at Northumbria addressing this issue?
As I said earlier, some the solutions to the problem of research findings that can’t be replicated and so seem untrustworthy are quite straightforward, but they are often time-consuming and costly. This has meant that the take-up of these solutions has been quite slow. But, at least to me, it does feel like mental health research is beginning to move in the right direction. And the quicker that can happen, the sooner we should be able to start developing novel, more effective treatments to help people struggling with their mental health.
Interested in hearing about our research in to mental health?