Increased risk of some neurological and psychiatric disorders remains two years after COVID-19 infection

New diagnoses of disorders including psychosis, dementia, seizures and ‘brain fog’ remain commoner two years after COVID-19 than after other respiratory infections, whereas the increased risks of depression and anxiety after COVID-19 are short-lived and there is no overall excess of cases.

Published in The Lancet Psychiatry, the new study from the University of Oxford and the National Institute for Health and Care Research (NIHR) Oxford Health Biomedical Research Centre investigated neurological and psychiatric diagnoses in over 1.25 million people following diagnosed COVID-19 infection, using data from the US-based TriNetX electronic health record network.

The study reports on 14 neurological and psychiatric diagnoses over a 2-year period and compares their frequency with a matched group of people recovering from other respiratory infections. It also reports data on children and older adults separately, and compares data across three waves of the pandemic. To our knowledge, these are the first robust data addressing these important questions.

Confirming previous studies, many of the disorders are more common after COVID-19. Notably, the increased risk of anxiety and depression subsides within two months of COVID-19 and, over the whole 2-year period, are no more likely to occur than after other respiratory infections. In contrast, diagnoses of many neurological disorders (such as dementia and seizures), as well as psychotic disorders and ‘brain fog’, continue to be made more often after COVID-19 throughout the 2 years.

Results in children (under 18) showed similarities and differences to adults. The likelihood of most diagnoses after COVID-19 was lower than in adults, and they were not at greater risk of anxiety or depression than children who had other respiratory infections. However, like adults, children recovering from COVID-19 were more likely to be diagnosed with some conditions, including seizures and psychotic disorders.

Do you keep secrets from your loved ones, family, or friends?

Ninety percent of people have kept an everyday consumer decision a secret from a spouse or other close relationship 
Photo Credit: Noelle Otto

It turns out that many people do. Whether ordering something online and hiding the package when it arrives, hiring a cleaning service and not telling your roommate, or eating a pizza instead of dieting, we often have secret purchases that we just prefer not to divulge.

UConn marketing professor Danielle Brick is investigating this behavior and discovering the little “errors of omissions” that go on in many households.

“I think what makes this research important, and fun, is how relatable it is,’ says Brick, a new member of the UConn School of Business faculty.

Her research, titled “Secret Consumer Behaviors in Close Relationships,” has just been published in the Journal of Consumer Psychology.

She and her colleagues found that this clandestine behavior not only impacts relationships in an unexpected and significant way, but also has considerable marketing implications.

Prevalence of gender-diverse youth in rural Appalachia exceeds previous estimates

The prevalence of gender diversity is largely unknown, especially in rural areas. To fill that knowledge gap, WVU researchers surveyed junior high and high school students in rural Appalachia about their gender identity. Over 7% of young people surveyed shared a gender identity that did not fully align with the sex they were assigned at birth.
Credit: WVU Photo/Sean Hines

Gender-diverse youth are at an increased risk of suicide and depression, according to the Centers for Disease Control and Prevention. But the prevalence of gender diversity is largely unknown—especially in rural areas, where studies of the topic are rare.

To fill that knowledge gap, researchers at West Virginia University— along with their colleagues at the University of Washington and Boise State University — surveyed junior high and high school students in rural Appalachia about their gender identity. They asked about the students’ internal sense of being male, being female or having another identity, like nonbinary. They found that more than 7% of young people surveyed shared a gender identity that did not fully align with the sex they were assigned at birth.

These findings were published in JAMA Pediatrics.

Being gender diverse, including being transgender, nonbinary or having another gender identity that doesn’t match the sex assigned at birth, is not a medical concern and is considered a normal part of human experience, according to the American Academy of Pediatrics.

Even though gender diversity isn’t an illness, some young people who are gender diverse experience distress when their gender doesn’t align with their physical characteristics or treatment in society. This distress, called “gender dysphoria,” can be associated with higher rates of depression or even thoughts of self-harm, prior research suggests.

Gaming does not appear harmful to mental health, unless the gamer can't stop

Video gaming: Although today’s research suggests gaming may only be a negative influence only for those who feel compelled to game, rather than all users, there is much more to be learned, according to the Oii research.
Credit: Ella Don on Unsplash

Societies may tremble when a hot new video game is released, but the hours spent playing popular video games do not appear to be damaging players’ mental health, according to the largest-ever survey of nearly 40,000 gamers and their gaming habits, which was conducted over six weeks by a team from Oxford’s Internet Institute. That does not mean, however, that the research did not throw up some concerns – and, the team argues, much more information is needed before tech regulators can really rest easy.

The research, published in the journal Royal Society Open Science, found no ‘causal link’ between gaming and poor mental health – whatever sort of games are being played. But Professor Andrew K. Przybylski, OII Senior Research Fellow, says the research did show a distinct difference in the experience of gamers who play ‘because they want to’ and those who play ‘because they feel they have to’.

He maintains, ‘We found it really does not matter how much gamers played [in terms of their sense of well-being]. It wasn’t the quantity of gaming, but the quality that counted…if they felt they had to play, they felt worse. If they played because they loved it, then the data did not suggest it affected their mental health. It seemed to give them a strong positive feeling.’

"It wasn’t the quantity of gaming, but the quality that counted…if they felt they had to play, they felt worse. If they played because they loved it, then the data did not suggest it affected their mental health"

Professor Andrew K. Przybylski

Developmental dyslexia essential to human adaptive success, study argues

Photo by Allan Mas

Cambridge researchers studying cognition, behavior and the brain have concluded that people with dyslexia are specialized in exploring the unknown. This is likely to play a fundamental role in human adaptation to changing environments.

They think this ‘explorative bias’ has an evolutionary basis and plays a crucial role in our survival.

Based on these findings − which were apparent across multiple domains from visual processing to memory and at all levels of analysis − the researchers argue that we need to change our perspective of dyslexia as a neurological disorder.

The findings, reported today in the journal Frontiers in Psychology, have implications both at the individual and societal level, says lead author Dr Helen Taylor, an affiliated Scholar at the McDonald Institute for Archaeological Research at the University of Cambridge and a Research Associate at the University of Strathclyde.

“The deficit-centered view of dyslexia isn’t telling the whole story,” said Taylor. “This research proposes a new framework to help us better understand the cognitive strengths of people with dyslexia.”

She added: “We believe that the areas of difficulty experienced by people with dyslexia result from a cognitive trade-off between exploration of new information and exploitation of existing knowledge, with the upside being an explorative bias that could explain enhanced abilities observed in certain realms like discovery, invention and creativity.”

This is the first-time a cross-disciplinary approach using an evolutionary perspective has been applied in the analysis of studies on dyslexia.

Brain imaging links stimulant-use relapse to distinct nerve pathway

Researchers used advanced brain imaging techniques to study nerve fibers connecting to the nucleus accumbens, which plays an important role in motivation and addiction.
Credit: Loreen Tisdall and Kelly H. MacNiven.

You might assume that people who are most prone to developing a substance use disorder in the first place would also have the hardest time avoiding relapse following treatment. But a new study by scientists with the Wu Tsai Neurosciences Institute’s NeuroChoice Initiative reveals that relapse may be linked to quite different brain circuits than addiction itself.

“There’s a huge revolving door problem with relapse,” said Brian Knutson, a professor of psychology. “These findings suggest ​​that what gets you into taking drugs may not be the same processes that get you out of it, which could be very valuable to help predict who is at highest risk of relapse coming out of treatment.”

Drug addiction presents a major global challenge. More than 35 million people worldwide self-report problematic use of drugs and admissions to drug treatment programs have surged in the United States in recent years. For many drugs, in particular stimulants such as cocaine and amphetamines, relapse remains a common problem. For example, as many as 50 percent of people with stimulant use disorders relapse within 6 months of release from treatment.

“The statistics are disheartening,” said Kelly MacNiven, a social science research scholar in the Knutson lab and co-author of the new study. “Unfortunately not much is known at a biological level about the drivers of relapse — understanding this better is going to be the first step to developing better ways to help people get out of dependence.”

New report finds smoking is a cause of depression and schizophrenia

Credit: Uki Eiri from Pixabay

Smoking increases the risk of developing schizophrenia by between 53% and 127% and of developing depression by 54% to 132%, a report by academics from the University of Bristol published today has shown. More research is needed to identify why this is the case, and more evidence is needed for other mental health conditions such as anxiety or bipolar disorder.

The evidence presented today at the Royal College of Psychiatrists International Congress has been shared with the Government which is currently developing a new Tobacco Control Plan for publication later this year.

The Congress will also be given new data on the numbers of smokers with mental health conditions. Rates of smoking are much higher among people with mental health conditions than those without, and among England’s 6 million smokers there are an estimated:

• 230k smokers with severe mental illness (e.g., schizophrenia and bi-polar disorder)
• 1.6 million with depression and anxiety

These analyses are timely as the Government is currently considering recommendations by the Khan Review for the forthcoming Tobacco Control Plan to deliver its Smokefree 2030 ambition. The independent review by Javed Khan was commissioned by the Secretary of State to help the Government to identify the most impactful interventions to reduce the uptake of smoking, and support people to stop smoking, for good. One of Khan’s 15 recommendations was that action is needed to tackle the issue of smoking and mental health.

Extreme weather and climate events likely to drive an increase in gender-based violence

Aftermath of Hurricane Katrina 
Credit: NOAA Images

In a study published in The Lancet Planetary Health, a team led by a researcher at the University of Cambridge analyzed current scientific literature and found that the evidence paints a bleak picture for the future as extreme events drive economic instability, food insecurity, and mental stress, and disrupt infrastructure and exacerbate gender inequality.

Between 2000 and 2019, floods, droughts, and storms alone affected nearly 4 billion people worldwide, costing over 300,000 lives. The occurrences of these extreme events represent a drastic change, with the frequency of floods increasing by 134%, storms by 40%, and droughts by 29% over the past two decades. These figures are expected to rise further as climate change progresses.

Extreme weather and climate events have been seen to increase gender-based violence, due to socioeconomic instability, structural power inequalities, health-care inaccessibility, resource scarcity and breakdowns in safety and law enforcement, among other reasons. This violence can lead to long-term consequences including physical injury, unwanted pregnancy, exposure to HIV or other sexually transmitted infections, fertility problems, internalized stigma, mental health conditions, and ramifications for children.

Social isolation may impact brain volume in regions linked to higher risk of dementia

Elderly woman in the middle stages of Alzheimer 
Credit: Steven HWG

Social isolation is linked to lower brain volume in areas related to cognition and a higher risk of dementia, according to research published today in Neurology. The study found that social isolation was linked to a 26% increased risk of dementia, separately from risk factors like depression and loneliness.

“Social isolation is a serious yet underrecognized public health problem that is often associated with old age,” said study author Professor Jianfeng Feng of Fudan University in Shanghai, China. “In the context of the COVID-19 pandemic, social isolation, or the state of being cut off from social networks, has intensified. It’s more important than ever to identify people who are socially isolated and provide resources to help them make connections in their community.”

The study looked at over 460,000 people across the United Kingdom with an average age of 57 at the beginning of the study who were followed for nearly 12 years before the pandemic. Of those, almost 42,000 (9%) reported being socially isolated, and 29,000 (6%) felt lonely. During the study, almost 5,000 developed dementia.

Researchers collected survey data from participants, along with a variety of physical and biological measurements, including MRI data. Participants also took thinking and memory tests to assess their cognitive function. For social isolation, people were asked three questions about social contact: whether they lived with others; whether they had visits with friends or family at least once a month; and whether they participated in social activities such as clubs, meetings or volunteer work at least once a week. People were considered socially isolated if they answered no to at least two questions.

Visual system brain development implicated in infants who develop autism

Anatomical locations of the splenium (yellow) and right middle occipital gyrus (red) in a representative infant brain.
Source: University of North Carolina at Chapel Hill

For the first time, scientists have found that brain differences in the visual brain systems of infants who later develop autism are associated with inherited genetic factors.

Published in the American Journal of Psychiatry, this research shows that brain changes in the size, white matter integrity and functional connectivity of the visual processing systems of six-month-olds are evident well before they show symptoms of autism as toddlers. Moreover, the presence of brain changes in the visual system is associated with the severity of autism traits in their older siblings.

Led by Dr. Jessica Girault, assistant professor of psychiatry at the UNC School of Medicine, this is the first research to observe that infants with older siblings who have autism and who themselves later develop autism as toddlers have specific biological differences in visual processing regions of the brain and that these brain characteristics precede the appearance of autistic symptoms. The presence of those visual processing differences is related to how pronounced the autism traits are in the older siblings.

“We’re beginning to parse differences in infant brain development that might be related to genetic factors,” said Girault, who is also a member of the Carolina Institute of Developmental Disabilities. “Using magnetic resonance imaging, we studied selected structures of brain, the functional relationship between key brain regions, and the microstructure of white matter connections between those brain regions. Findings from all three pointed us to the discovery of unique differences in the visual systems of infants who later developed autism.”

‘Transformative’ effects of mass gatherings like Burning Man are lasting

Photo by Curtis Simmons, Flickr: simmons_tx

Throughout history, mass gatherings such as collective rituals, ceremonies, and pilgrimages have created intense social bonds and feelings of unity in human societies. But Yale psychologists wondered if modern day secular gatherings that emphasize creativity and community serve an even broader purpose.

The research team studied people’s subjective experiences and social behavior at secular mass gatherings, such as the annual Burning Man festival in the Nevada desert. They found that people who reported transformative experiences at the gatherings felt more connected with all of humanity and were more willing to help distant strangers, the researchers report May 27 in the journal Nature Communications.

“We’ve long known that festivals, pilgrimages, and ceremonies make people feel more bonded with their own group,” said Daniel Yudkin, a postdoctoral researcher and first author of the paper. “Here we show that experiences at secular mass gatherings also have the potential to expand the boundaries of moral concern beyond one’s own group.”

The research team, led by M.J. Crockett, an associate professor of psychology at Yale, conducted field studies of more than 1,200 people attending multi-day mass gatherings in the United States and United Kingdom: Burning Man, Burning Nest, Lightning in a Bottle, Dirty Bird, and Latitude, all events that feature art, music, and self-expression.

Unlocking the Secrets of the Brain

Roberto Vargas

Researchers at Carnegie Mellon University have explored the regions of the brain where concrete and abstract concepts materialize. A new study now explores if people who grow up in different cultures and speak different languages form these concepts in the same regions of the brain.

"We wanted to look across languages to see if our cultural backgrounds influence how we understand, how we perceive abstract ideas like justice," said Roberto Vargas, a doctoral candidate in psychology at the Dietrich College of Humanities and Social Sciences and lead author on the study.

Vargas is continuing fundamental research in neural and semantic organization initiated by Marcel Just, the D.O. Hebb University Professor of Psychology. Just began this process more than 30 years ago by scanning the brains of participants using a functional magnetic resonance imaging (fMRI) machine. His research team began by identifying the regions of the brain that light up for concrete objects, like an apple, and later moved to abstract concepts from physics like force and gravity.

The latest study took the evaluation of abstract concepts one step further by exploring the regions of the brain that fire for abstract objects based on language. In this case, the researchers studied people whose first language is Mandarin or English.

"The lab's research is progress to study universalities of not only single concept representations, but also representations of larger bodies of knowledge such as scientific and technical knowledge," Just said. "Cultures and languages can give us a particular perspective of the world, but our mental filing cabinets are all very similar."

New brain-painting method developed at USF is being tested for ADHD treatment

The brain painting method developed at USF is being tested for ADHD treatment.
Credit: University of South Florida

Imagine focusing on one thing so well that you can control its movement. Now, imagine mentally selecting colors and shapes to create an abstract image – a brain painting. USF computer scientist Marvin Andujar is harnessing the power of concentration and art to develop a new brain-computer interface (BCI) prototype and help study participants use their brain like never before. The goal is to introduce a novel treatment option for individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) by tapping directly into their brain activity.

“This type of brain-computer interaction is more of a brain exercise to improve your attention,” Andujar said. “We’re trying to see how we can narrow that focus over time.”

Similar to Andujar’s previous work with brain-controlled drones, participants’ complete attention is required. To fly forward, a user must focus on a specific movement, such as walking. Individuals from the ADHD community approached Andujar after learning how the brain-controlled drone project harnessed attention span and asked for a device they could use at home.

Deaths from Alcohol Use Disorder Surged During Pandemic

Deaths related to alcohol use disorder dramatically increased over projections during the COVID-19 pandemic, Cedars-Sinai investigators found

Deaths involving alcohol use disorder increased dramatically during the pandemic, according to a new study by Cedars-Sinai investigators. The study also found that young adults 25 to 44 years old experienced the steepest upward trend in alcohol use disorder mortality.

In the study, published in the peer-reviewed journal JAMA Network Open, investigators used predictive modeling to compare expected—also called projected—alcohol use disorder mortality rates to actual rates. They found that alcohol use disorder-related mortality rates increased among all ages and sexes during the pandemic.

“During the first few months of the pandemic, my colleagues and I saw increased numbers of patients being treated for acute

alcohol use-related conditions in the intensive care unit and throughout the medical center,” said Yee Hui Yeo, MD, MSc, lead author of the study. “We also became aware of reports from single centers of elevated alcohol use-related complications. That prompted us to think, maybe this is a significant public health crisis.”

Transgender mental health in crisis

Trans and LGBTIQA+ organizations across Australia are facing huge demand from the trans community for inclusive and affirming mental health services.
Image: The Gender Spectrum Collection

Australia’s transgender (trans) community is experiencing depression and thoughts of self-harm at levels never before seen, but many are not getting the help they need because they’re afraid to access mainstream services, a new study has shown.

Authored by the University of Melbourne’s Trans Health Research Group, the Trans in the Pandemic: Stories of Struggle and Resilience in the Australia Trans Community report has found 61 per cent of the 1019 people surveyed in 2020 experienced clinical depression – that’s twice the national rate and much higher than before the COVID-19 pandemic.

The team also found 49 per cent of trans people experienced thoughts of self-harm or suicide compared to 14.9 per cent for the general Australian population who reported thoughts of self-harm or suicide in the initial months of the pandemic.

The survey was carried out in May and June 2020, when there was concern the trans community may be disproportionately affected by social distancing restrictions, and healthcare and employment disruptions.

Report lead author Sav Zwickl said it was already well-established prior to the pandemic that the trans community faced numerous health disparities and was one of the most medically and socially marginalized groups in society.

New research finds the risk of psychotic-like experiences can start in childhood

 

It has long been understood that environmental and socio-economic factors – including income disparity, family poverty, and air pollution – increase a person’s risk of developing psychotic-like experiences, such as subtle hallucinations and delusions that can become precursors to a schizophrenia diagnosis later in life. Research has long focused on young adults but now, thanks to data from the Adolescent Brain Cognitive Development (ABCD) Study, researchers at the University of Rochester have found these risk factors can be observed in pre-adolescent children.

“These findings could have a major impact on public health initiatives to reduce the risk of psychotic-like experiences,” said Abhishek Saxena, a graduate student in the department of Psychology at the University of Rochester and first author of the study recently published in Frontiers in Psychiatry. “Past research has largely focused on the biological factors that lead to development of schizophrenia spectrum disorders, but we now know that social and environmental factors can also play a large role in the risk and development of schizophrenia. And this research shows these factors impact people starting at a very young age.”

Researchers looked at data collected from 8,000 kids enrolled in the ABCD study. They found that the more urban of an environment a child lived in – proximity to roads, houses with lead paint risks, families in poverty, and income disparity – the greater number of psychotic-like experiences they had over a year’s time. These findings are in line with past research conducted in young adults, but have not been found like this in pre-adolescences.

Study finds an unexpected upside to imposter syndrome

People who report “impostor workplace thoughts” are often still successful, by being strong team players in the office, and being recognized as such, according to a new study. The research was led by MIT Sloan Assistant Professor Basima Tewfik.
Credit: MIT

Even many successful people harbor what is commonly called impostor syndrome, a sense of being secretly unworthy and not as capable as others think. First posited by psychologists in 1978, it is often assumed to be a debilitating problem.

But research by an MIT scholar suggests this is not universally true. In workplace settings, at least, those harboring impostor-type concerns tend to compensate for their perceived shortcomings by being good team players with strong social skills, and are often recognized as productive workers by their employers.

“People who have workplace impostor thoughts become more other-oriented as a result of having these thoughts,” says Basima Tewfik, an assistant professor at the MIT Sloan School of Management and author of a new paper detailing her findings. “As they become more other-oriented, they’re going to be evaluated as being more interpersonally effective.”

Tewfik’s research as a whole suggests we should rethink some of our assumptions about impostor-type complexes and their dynamics. At the same time, she emphasizes, the prevalence of these types of thoughts among workers should not be ignored, dismissed, or even encouraged.

Wireless neuro-stimulator to revolutionize patient care

Many neurological disorders like Parkinson’s, chronic depression and other psychiatric conditions could be managed at home, thanks to a collaborative project involving researchers at the University of Queensland (UQ).

Queensland Brain Institute (QBI) Professor Peter Silburn AM said his team, together with Neurosciences Queensland and Abbott Neuromodulation have developed a remote care platform which allows patients to access treatment from anywhere in the world.

“By creating the world’s first integrated and completely wireless remote care platform, we have removed the need for patients to see their doctor in person to have their device adjusted,” Professor Silburn said.

Electrodes are surgically inserted into the brain and electrical stimulation is delivered by a pacemaker which alters brain function - providing therapeutic relief and improving quality of life.

This digital platform allows clinicians to monitor patients remotely, as well as adjust the device to treat and alleviate symptoms in real time.

“We have shown that it is possible to minimize disruption to patients’ and caregivers’ lifestyles by increasing accessibility to the service, saving time and money,” Professor Silburn said.

“There are no cures for many of these conditions which often require life-long treatment and care, so for those people the device would be a game-changer.”

He said the system also fostered increasingly personalized treatment and data-driven clinical decisions, which could improve patient care.

Researchers accurately identify people with PTSD through text data alone

A study participant is interviewed by Ellie, an artificial character, to gather text data.
Credit: Jonathan Gratch, USC Institute for Creative Technologies 

University of Alberta researchers have trained a machine learning model to identify people with post-traumatic stress disorder with 80 per cent accuracy by analyzing text data. The model could one day serve as an accessible and inexpensive screening tool to support health professionals in detecting and diagnosing PTSD or other mental health disorders through telehealth platforms.

Psychiatry PhD candidate Jeff Sawalha, who led the project, performed a sentiment analysis of text from a dataset created by Jonathan Gratch at USC’s Institute for Creative Technologies. Sentiment analysis involves taking a large body of data, such as the contents of a series of tweets, and categorizing them — for example, seeing how many are expressing positive thoughts and how many are expressing negative thoughts.

“We wanted to strictly look at the sentiment analysis from this dataset to see if we could properly identify or distinguish individuals with PTSD just using the emotional content of these interviews,” said Sawalha.

The text in the USC dataset was gathered through 250 semi-structured interviews conducted by an artificial character, Ellie, over video conferencing calls with 188 people without PTSD and 87 with PTSD.

Are people more willing to empathize with animals or with other humans?

Credit: Photo by David Clode on Unsplash

Stories about animals such as Harambe the gorilla and Cecil the lion often sweep the media as they pull at people’s heartstrings. But are people more likely to feel empathy for animals than humans?

A new Penn State study led by Daryl Cameron, associate professor of psychology and senior research associate at Rock Ethics Institute, found that the answer is complicated. The findings could have implications for how messaging to the public about issues like new environmental policies is framed, among others.

The researchers found that when people were asked to choose between empathizing with a human stranger or an animal — in this study, a koala bear — the participants were more likely to choose empathizing with a fellow human.

However, in a second pair of studies, the researchers had participants take part in two separate tasks: one in which they could choose whether or not they wanted to empathize with a person, and one in which they could choose whether or not they wanted to empathize with an animal. This time, people were more likely to choose empathy when faced with an animal than when faced with a person.

Cameron said the findings — recently published in a special issue on empathy in the Journal of Social Psychology — suggest that when people are deciding whether to engage in empathy, context matters.

“It’s possible that if people are seeing humans and animals in competition, it might lead to them preferring to empathize with other humans,” Cameron said. “But if you don’t see that competition, and the situation is just deciding whether to empathize with an animal one day and a human the other, it seems that people don’t want to engage in human empathy but they're a little bit more interested in animals.”