Synaptic Sunday #11 – Adolescence and Anxiety Edition

1) Learning to Overcome Fear is Difficult for Teens

Compared to younger and older individuals of their species, both adolescent humans and mice on average have a stronger tendency to keep exhibiting a fear response to a threat even when the danger is gone.

In the human experiment, the fear response was initially elicited by pairing a visual stimulus (one of a sequence of yellow or blue images on a computer screen) with a harsh startling sound; in subsequent trials the same images appeared without any startling noise – leading to an extinction of the fear response in children and adults, but not in the adolescents, who kept showing a fear response to whatever image had once been paired with the noise.

As for the animal experiment, the article reports that the experimenters “used standard fear conditioning common in these types of animal studies.” (This is vaguely worded… did they use loud noises? Or pain?) The experimenters also measured neuronal activity in the mice:

… the research team found that the prelimbic region in the prefrontal cortex, the brain region that processes emotion, is activated during acquisition of fear, and the infralimbic prefrontal cortex is used to extinguish this fear association.

When compared to younger and older mice, adolescent mice didn’t exhibit the kinds of neuronal activity associated with fear extinction (this corresponded to their behavior – they continued to show a fear response over time, regardless of the fact that the danger/unpleasantness was no longer present). Even as they got older, the adolescent mice didn’t lose their fear response.

Related data from other studies with humans:

It is estimated that over 75 percent of adults with fear-related disorders can trace the roots of their anxiety to earlier ages.

It’s not clear how the persistent fear response in this experiment fits into the complex puzzle of excessive anxiety and its sources, people’s predispositions towards it, the reasons it persists (or doesn’t) into adulthood, and the ways in which it disrupts mental and physical functioning (also, adolescents with anxiety disorders have often reported that their symptoms started in childhood). And how do these results tie into other findings with teens that show a greater tendency for them to do something dangerous even if they understand the risks?

2) Anxiety Disorders in Children and Teens

An overview of different types of anxiety that can become excessive and interfere with daily life (e.g. social anxiety, post-traumatic stress disorder, etc.)

3) Blogging May Help Teens Deal With Social Distress

Most of the study participants were girls (though the experimenters reported that the results for the boys weren’t significantly different).

Maintaining a blog had a stronger positive effect on troubled students’ well-being than merely expressing their social anxieties and concerns in a private diary, according to the article published online in the APA journal Psychological Services. Opening the blog up to comments from the online community intensified those effects.

Maybe the effects were stronger for a public blog because the teens felt less isolated with their problems and felt relief that they could be heard; it turns out that when they opened the blogs up to comments, the response from other Internet users was almost always positive and encouraging (few to no trolls). I’m assuming the blogs were anonymous, making the teens less vulnerable to disruption in their lives offline and maybe helping them write more freely about their worries.

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Incidentally, the photo that was at the top of the post linked to a relevant write-up on “stressed out lab rats” – how rats living in chronic stress tend to make decisions out of habit, as if their constant stress doesn’t allow them to be more mentally flexible. There are definitely parallels to stressed out humans.

The Internet and Intelligence

Over time, IQ scores have been going up (the Flynn Effect), so the Internet and T.V. can’t be making us dumber, right?

A recent Der Spiegel article, Is the Internet Really Making Us Dumber? (which is also worth reading for the questions it raises about what IQ tests measure) brings up the idea that the Internet and other digital media aren’t making us dumber but are instead changing the way we think: developing certain kinds of mental skills while de-emphasizing others. So what’s de-emphasized?

One thing stands out, though: While young test subjects are particularly good at solving visual and logical tasks quickly, their vocabulary is increasing only minimally — unlike that of their parents… One possible reason for the change is that today’s young people read and write many short messages on Facebook and on their cell phones, but they rarely immerse themselves in books anymore.

(In addition to not immersing themselves in books, kids might also be participating less in involved conversations and other kinds of meaningful verbal interaction. Very young kids for instance are now being exposed to e-readers and e-books – a development that might be problematic if parents rely too heavily on them for story time. Some research shows that parents reading to kids from e-books tend to interact less with them about the story itself and ask them fewer questions than parents reading to kids from print books. That’s even assuming the parent is sitting and reading with the child, and not handing the child over entirely to the device and its captivating animations and sound effects.)

The brain could be adapting to deal with digital technology on a regular basis but there’s still a place (maybe increasingly unrecognized) for mental processing that isn’t fast-paced: rumination, patience, the ability to follow the developments of a complex verbal argument. People describe our world as “fast-paced,” and in many ways it is, but not everything about the world and our way of living, thinking, and relating to others is fast-paced (or ought to be).

Why is it so hard to walk away?

Last week one of my nephews was amusing himself by jumping up and down on his dog’s squeaky chew toy. *Squeak, squeak, squeak, squeak…*

His mother asked him to stop.

He did, for a few seconds, and then started again. *Squeak, squeak, squeak…*

Again, his mother asked him to stop.

He stepped off the toy, but then touched it with his toes.

“Just walk away from it!” his mother snapped. “Just turn around and walk away!”

He turned away from the chew toy, then back to it, then away again, the struggle visible. Finally he laughed a little and walked away. His mother nudged the chew toy to the other side of the room.

Watching this, I thought, Why is it so hard to walk away? Children on average have poorer impulse control than adults, but I’m also thinking of how many Serious Adult Problems can be avoided or at least mitigated if we were better able to literally walk away from something that’s bad for us or for other people. Turn around and walk away from the dessert table at the buffet, from the convenience store where we buy cigarettes, from the person who’s spoiling for a fight, from the person who lied to us and defrauded us before, from the long T.V. lineup or unending stream of websites that we’ve been hooked on for long sedentary hours, etc. etc.

Make it a habit, as hard as it is initially, to turn around and walk away. Easier said than done, I know. That first moment is the hardest – the moment you have to first stop, get up or turn around; it’s so hard that most of the time we don’t attempt it, even if we know it’s good for us to walk away, whether to take a necessary break or to avoid something or someone completely. But once the action is initiated, it becomes easier to follow through. And with enough repetition maybe that first moment, in which we catch ourselves and change direction, gets easier.

Keeping resolutions

Keeping a resolution is difficult in part because the act of making a resolution gives you the false sense that you’ve accomplished something meaningful. You’ve stated what you want to do, you’ve shown some degree of self-awareness, dedication to improvement, and strength… and I think this gives you a false sense of security. You can do whatever it is you’ve set out to do because you’ve said as much – you’ve written it down on paper or whispered it to yourself at midnight. You’re set, you think. You’re going to do it.

Only you don’t. Sometimes you don’t do anything beyond making the resolution; you forget about it completely or you put it off for too long, and then it starts to seem too troublesome, stupid or hopeless. Other times you get to work on it but slump back into your old ways before long and give up.

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I’ve set down resolutions before, and given up on them. Other times I kept to them and succeeded (or more accurately I am succeeding, because success has been a matter of changing various habits, and it’s an ongoing process and struggle instead of a fixed end-state). For me the successes are marked with these qualities:

I have a stake in the outcome
Giving up needs to matter. Maybe I’ll lose dignity, self-respect, money, esteem in the eyes of other people. Maybe I made a promise that would hurt to go back on. Something needs to be at stake. Beyond that, I need the will and conviction to follow through on the resolution. I need to feel that what I’m doing is right and necessary. Is it important to me? Really, truly?

I keep it realistic, concrete and specific
The resolution can’t be far-fetched and impossible to undertake. It can’t be couched as something like “I will adopt a healthier lifestyle” or “I will be a better person.” Those are admirable goals but they’re too abstract to work with on a practical level. So I need to get down to the practical details: list a few ways in which I can be better, and what’s required to accomplish those.

I don’t try to make too many changes all at once
Too much all at once might be overwhelming. Making change gradually also helps me evaluate my progress and adjust expectations or goals.

I make it a habit
Changes to thoughts and behavior are lasting when they become habitual. They replace older more detrimental habits that take time, persistence and vigilance to undo.

I’m aware of potential self-sabotage
As damaging as old habits may be, they’re tempting to fall back on. There can be something strangely comforting about misery if it’s familiar. And change is difficult and scary. So I might try to trip myself up by setting unrealistic goals and expectations that I’ll fall short of. I let the smallest setback make me skittish. I assume an all-or-nothing attitude that demands perfect progress and a 100% success rate and otherwise condemns my efforts as hopeless and worth giving up on. Success doesn’t mean perfection (repeat to self, ad infinitum: success isn’t the same as perfection). Failures and setbacks along the way are ripe opportunities for excuses – excuses to give up and sink back into the familiar unfulfilled and unfulfilling life, narrow and comforting as it is. I can backslide completely, wallow for a while, and then make new resolutions that I won’t follow up on. I don’t reach out to other people when I need to. All of this is self-sabotage.

UPDATE: Ongoing resolutions that I’m dedicated to (written here in a general way, and not with the concrete actions/steps associated with each).

Taking a break to enhance memory

Incorporate short breaks into your learning/studying/reading, and it’s more likely that you’ll retain the material better, even several days later.

However, not just any break will do. In the study cited at the link, the breaks involved “wakeful resting” – nothing too mentally taxing (the experimenters had participants sitting in the dark with eyes closed for ten minutes). In real life I guess you could sit back and relax for ten minutes but more likely you’d be checking email, answering the phone or getting up to walk around, and maybe some of those activities would interfere more with memory consolidation than quiet sedentary relaxation.

The study’s participants had to remember short stories. I’m not sure how long the stories were. Is it good to take breaks only after shorter chunks of material, or is this strategy still effective for bigger chunks? Does overall coherence of the material matter more than length? (e.g. where you’re stopping to take your break: mid-paragraph vs. mid-sentence?) Furthermore, the stories were presented aurally; would that make a difference – hearing the material you’re hoping to retain instead of reading it to yourself?

The participants in the study were elderly adults aging normally, a refreshing change from the usual practice of using college students (undergraduates are easy to recruit; you don’t even have to pay them, just make it mandatory for them to participate in research studies to fulfill some kind of course requirement). However at some point the experiment probably will be replicated with college students to see if all the results are generalizable to younger adults too.

Synaptic Sunday #10 – Mental Health and Life Expectancy

A mental health issue isn’t “all in your mind.” The mind arises from the brain, and the brain is a part of your body that closely interacts with the rest of your body.

1) Even Mild Mental Health Problems Linked to Reduced Life Expectancy

This was from a study of 68,000 adults ages 35 and over in the U.K.:

Their results reveal that people who experienced symptoms of anxiety or depression had a lower life expectancy than those without any such symptoms.

Even people with minor symptoms of mental health problems seemed to have a higher risk of death from several major causes, including cardiovascular disease, according to the researchers.

And it’s not just a matter of poorer health behaviors. The researchers did try to control for factors like weight, eating habits, exercise, drinking, etc. and still found associations between these mental health symptoms and disease. (Granted they didn’t control for all possible factors, but they did try to account for some basic lifestyle choices that strongly impact health.)

Having poorer mental health doesn’t automatically doom you to a shorter life. No one can say what your individual outcome will be. What the study is showing is that on average people with poorer mental health have a shorter life expectancy compared to people with good mental health. As a preventative measure, to increase the odds in your favor that you’ll live longer and with a higher quality of life, don’t ignore your psychological distress or any other symptoms indicative of poor mental health. The effects ripple out to all areas of your life.

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2) Psychological distress linked to life expectancy- experts respond

Here’s a post with some comments from a few researchers and doctors on the study in the first link; the post includes some comments on potential weaknesses in the study and what can be researched next (for instance, what are the best interventions?). There are multiple ways that psychological distress can be linked to poorer health and shorter lifespan. Chronic stress damages the body and increases the chances of physical illnesses. People with poorer mental health might be more isolated and have less of a social support network. Maybe when they’re physically healthy they can get by, but when they come down with a physical illness they may neglect to get it treated. This is a fruitful area of research.