According to a new survey by the Iraq and Afghanistan Veterans of America (IAVA), suicide is one of the most important issues facing this generation of veterans, with 37 percent of respondents saying they know a veteran who has committed suicide and 45 percent know of an Iraq/Afghanistan war veteran who has attempted suicide.

Furthermore, nearly one in three veterans have considered taking their own life and 63 percent of vets say they have a friend who they feel needs mental health care. Half of respondents have had people close to them suggest they seek mental health care (19 percent of those individuals did not seek care, with most of those people stating that they were concerned it would affect their career or would make their peers perceive them in a different light).

On a positive note, 93 percent of individuals know that the Department of Veteran’s Affairs offers a suicide helpline, and 91 percent of vets say they have recommended that their friends seek out mental health treatment.

In an unrelated study published in The Journal of the American Medical Association (JAMA), researchers from the Naval Health Research Center found that the rising number of suicides in the military may not be caused by deployments to Iraq and Afghanistan. Instead, they believe that untreated depression, manic-depressive disorder, and alcohol abuse are much stronger indicators that an enlisted individual will commit suicide. For more information about the study, visit JAMA.
Have you noticed lately that your favorite smartphone app or videogame greets you with an occasional surprise or random reward when you log on? For example, a popular app for an upscale taxi service called Uber rewards its customers with unexpected one-day options such as on-demand roses, ice cream, or even helicopter rides. The offers are “just for fun” says Travis Kalanick, Uber’s CEO, and customers seem to agree: traffic to their app spikes on days when these special services are offered. But there is nothing random about this kind of marketing, according to Steve Henn, Technology Correspondent for National Public Radio.

“Many of the most popular technologies of our time tap into powerful reward mechanisms in our brains,” said Henn in a July 24 story on NPR’s All Tech Considered program. “Many techies and marketers are tapping, sometimes unintentionally, into decades of neuroscience research to make their products as addictive and profitable as possible.”

As every student of psychology knows, unexpected rewards are much better at driving behavior than predictable ones; this was proved by the famous behaviorist B.F. Skinner in the 1930s with his Skinner Box experiment. Skinner trained rats to press a lever in order to receive a food pellet; he then set the mechanism to release the pellet only occasionally and randomly. This caused the rats to obsessively click the lever again and again, hoping to trigger a reward.

This kind of behavior, in both rats and humans, is a response not to hunger but rather to the boost of dopamine released by the brain in anticipation of a reward, says Nora Volkow, the head of the National Institute on Drug Abuse. Volkow and others have studied the effects of dopamine on the brain and its role in addictive behavior, and a large body of research has shown that unexpected rewards trigger the release of more dopamine than expected ones. So the repeated clicks to your favorite app might be a desire for the dopamine rush in anticipation of the latest special offer.

What do you think? Are apps with random rewards just for fun, or are they cultivating genuinely addictive behavior? PAR wants to hear from you, so leave a comment and join the conversation!
Although overall life expectancy in the U.S. has increased from 75 years to 78 years in the past decade, information from the Institute for Health Metrics and Evaluation at the University of Washington in Seattle has found that Americans are spending more of their lifetime dealing with disability.

According to the research, Americans are now spending an average of 10.1 years living with a disability, up from 9.4 years reported before 1990.

Of the top five disabilities, two are mental health diagnoses – major depressive disorder (ranked No. 2) and anxiety disorders (ranked No. 5). These rankings have not changed from the 1990 report. The researchers hope that this report can help focus on which diseases, injuries, and health problems are the greatest losses of health and life, with the hope of using that information to better serve these problems with improved health and medical care.

More information about this study is available in the July 10 issue of the Journal of the American Medical Association.
$4 Million: The fine Kaiser Permanente will face for failing to provide mental health treatment in a timely manner.

1 in 4: The number of stroke survivors who are suffering from post-traumatic stress disorder, according to a new study from Columbia University Medical Center.

70%: The ability of a computer to accurately guess a person’s emotions in a new study by researchers at Carnegie Mellon University.

85.8%: The percentage of gang members diagnosed with an antisocial personality disorder in new research from the Forensic Psychiatry Research Unit at Queen Mary, University of London.

49.4%: The number of adolescents reporting zero mentally unhealthy days in 2010 (a significant decrease from 60.9%, which was reported in 2005-2006).
Ira L. Cohen and colleagues from the New York State Institute for Basic Research in Developmental Disabilities presented their research on video tracking as a valuable way to study autism spectrum disorders (ASD) at last month’s International Meeting for Autism Research (IMFAR).

Using EthoVision XT, a video tracking software that analyzes behavior, movement, and activity, the team examined correlations between data from various ASD rating scales (including the PDD Behavior Inventory™ [PDDBI™]), and information gathered through video tracking. Researchers studied 31 children between the ages of 2 and 14 in a large room with toys on the floor and on a table. Twenty-two of the children in the study were diagnosed with an ASD. The child’s parent was seated in the corner of the room during the free play time. Data was collected on mean distance from the parent, mean time spent in different zones in the room, path complexity, and other factors.

Researchers were able to draw correlations between the tracking data and the results on the rating scales, finding that the tracking data could be used as a predictor of the scores on the rating scales. Results from this study may be a basis for creating new objective methods of assessing children with ASD as well as measuring the results of intervention.
If you are looking to exercise both your body and your mind, then you may be interested in some new research conducted at the University of Illinois at Urbana-Champaign. Neha Gothe, a graduate student at Illinois who is now a professor of kinesiology at Wayne State University, led a research team to uncover data that shows a 20-minute session of hatha yoga significantly improved participants’ speed and accuracy on tests of working memory and inhibitory control. Participants showed significantly better results on these tests of retention of new information after a yoga session than after completing a moderate to vigorous aerobic exercise.

Participants underwent a 20-minute progression of seated, standing, and supine yoga postures, concluding with a meditative posture and deep breathing. They also completed a 20-minute aerobic exercise where they walked or jogged on a treadmill for 20 minutes, with each subject maintaining 60 to 70 percent of her maximum heart rate throughout the workout. All subjects in the study were female undergraduates. No significant improvements in working memory or inhibitory control were found after the aerobic exercise.

Researchers believe that following a yoga practice, participants were better able to focus because the breathing and meditation exercises aim to calm the mind and body, possibly translating into better mental performance beyond the yoga practice. Furthermore, meditation and breathing exercises are known to reduce anxiety and stress, which may help improve scores on some cognitive tests.

The full study is available in the May issue of the Journal of Physical Activity and Health.
The class of 2013 doesn’t have it easy when it comes to finding a job. The recession has resulted in cut-backs, layoffs, and hiring freezes at many U.S. companies—and, although the recession has technically ended, recovery is slow. A recent Reuters article forecast a tough road for students hoping to join the workforce this summer: Employers will hire just 2.1% more new graduates this year than they did last year, and of 500 hiring managers surveyed by staffing firm Adecco, 58% said they won’t hire any new grads at all.

Meanwhile, it costs more than ever to get that degree: College costs have risen by 6-7% per year for the last few decades—twice the rate of inflation—and, according to the New York Federal Reserve Bank, more than 40% of 25-year-olds have student loan debt—in 2004, that rate was 25%.

“In addition to the substantial share who are officially unemployed, a large swath of these young, highly educated workers have either a job but cannot attain the hours they need or want a job but have given up looking for work,” said Heidi Shierholz, a senior economist at the Economic Policy Institute in Washington. The numbers back her up: Among college graduates ages 21-24 who aren’t enrolled in grad school, the unemployment rate is 8.8% and the underemployed rate is a staggering 18.3%.

So what’s a bright, eager 22-year-old armed with a diploma to do? Be detailed, be prepared, and look into every option. Some people find that their chosen field, which may have had a decent hiring rate four years ago, has undergone a change in terms of worker saturation. Others may graduate not fully knowing how their degree will translate into the real world. Grads should think creatively about how the skills and knowledge gained during college—including things learned outside of class—could be applied to unexpected fields or careers.  (PAR’s Self-Directed Search family of career inventory tools, designed to match personality types with career fields, can help with this step.)

Resumes should include any experience that might apply to the position, including internships, leadership positions in clubs, and volunteer work. And that resume should be nearly flawless—43 percent of hiring managers surveyed by Adecco said resume spelling errors resulted in “automatic disqualification.” Most colleges have career centers staffed with people who will look over a resume and provide constructive feedback. Grads should prepare for interviews by researching the company exhaustively and knowing how they’ll respond to standard interview questions. Likewise, they should have some questions ready for the interviewer. “The worst thing you can do, if they ask you if you have any questions, is to say ‘no,’” said Vicki Hardin, associate director of Career Services at University of West Georgia.

And one more thing: Young grads should be realistic, both about the length of their job search and about the job they’ll end up with. Grads probably will not be hired by the first company they send their resume to, and they’re “not going to be making $100,000 on [their] first job. Any kind of experience is better than none,” said Hardin. Patience and a healthy dose of humility are required for this journey.

Did you have a hard time finding a job out of college? Or do you have children who will soon encounter this problem? How have you found jobs in the past? Leave a comment and let us know what you think.

 
Figures on the rate of unemployment among veterans can be confusing as media outlets report only parts of the story. Although the overall unemployment rate among vets has dropped slightly in recent months, a March 2013 report from the Bureau of Labor Statistics shows that for U.S. veterans of the Iraq and Afghanistan wars, the rate is 9.9%, about 2% higher than for the general population. In short, more than 200,000 veterans from the Iraq and Afghanistan wars are now unemployed (see the Harvard Kennedy School’s Research Roundup for a summary of recent studies on veterans and unemployment).

As a result of their military service, veterans often face additional obstacles that contribute to difficulties as they look for work. Conditions such as posttraumatic stress disorder, traumatic brain injury, and other physical and mental disorders are common among veterans. A recent study found a direct correlation between depression and unemployment rates among veterans; the good news is that improved depression status (following treatment at VA hospitals) was associated with an increased likelihood of becoming employed.

The U.S. government, the Department of Defense, and other public and private institutions offer some support for veterans seeking civilian careers. For example, the revised G.I. Bill focuses on retraining, and tax credits are now available for employers who hire veterans. However, many veterans’ organizations are calling for more help for young vets transitioning from active duty.

For veterans, active-duty military personnel, and the career counselors who work with them, PAR is developing a new component of the popular Self-Directed Search® (SDS®) designed specifically to support the transition from a military career to a civilian career. Scheduled to release in July, the Veterans and Military Occupations Finder™ matches an individual’s military occupation code with civilian career possibilities. Used with the SDS, this new tool will help veterans explore their interests and capitalize on the skills they developed in the military. Finding a good job is one of the most important factors in a veteran’s successful transition to civilian life, and the Veterans and Military Occupations Finder provides a starting point for that search. To learn more, visit the SDS Web site and look for updates about the release of this new addition to the SDS product line.
A million hours a year are being spent waiting for approval from insurance companies before doctors can hospitalize suicidal or mentally ill patients, according to the Annals of Emergency Medicine.

Unlike medical emergencies, psychiatric emergencies require permission from a patient’s insurance company before an individual can be admitted. Dr. Amy Funkenstein, a child and adolescent psychiatry resident at Brown University, coauthored the study that produced this number after becoming increasingly frustrated with the amount of time she was spending on the insurance approval process. The study found that the approval process takes 38 minutes per patient on average – meaning that the 1.6 million psychiatric admissions per year translate into 1 million hours of time described by Dr. Funkenstein as “wasted.” Although half of the insurance approvals were obtained in less than 20 minutes, 10 percent of authorizations took longer than one hour, and one authorization took five hours. The patients in need of admittance most commonly presented with suicidal ideation, though a few were diagnosed as being homicidal.

Despite the amount of time spent on the authorization process, very few cases are being denied (just one case of the 53 included in this study was not authorized by the insurance company). The study evaluated a sample of 53 patients at the Cambridge Health Alliance Psychiatric Emergency Department in Massachusetts over a three-month period.
Researchers have found that college roommates of students who demonstrate vulnerability to depression are more likely to develop that vulnerability themselves over time. The research, conducted by psychologists Gerald Haeffel and Jennifer Hames of the University of Notre Dame, was published in the April issue of Clinical Psychological Science.

Haeffel and Hames examined “cognitive vulnerability,” which they call “a potent risk factor for depression.” Those with cognitive vulnerability tend to interpret stressful life events as the result of factors over which they have no control; they see these events as a reflection of their own deficiencies. Cognitive vulnerability is normally quite stable in adulthood; however, the researchers wanted to examine whether it might be “contagious” during periods of major life transitions—like starting college.

The research involved 103 randomly assigned roommate pairs who had started college as freshmen. When they arrived on campus, the participants completed an online questionnaire that included measures of cognitive vulnerability and depressive symptoms; they completed the same survey twice more, at 3-month and 6-month intervals, when they also answered questions about stressful life events.

The results showed that freshmen who were assigned to roommates with high levels of cognitive vulnerability were likely to “catch” their roommates’ vulnerability to depression. Perhaps even more significant, when the vulnerable mindset “rubbed off” on these students, it affected their rates of future depressive symptoms. Students whose cognitive vulnerability increased over the first 3 months of college had nearly twice the level of depressive symptoms at 6 months than those whose vulnerability didn’t change.

On a more positive note, the study also found that a healthy mindset was also contagious. “Those assigned to a roommate with a more positive thinking style developed a more positive style themselves whereas those assigned to a roommate with a negative style became more negative,” Haeffel said in a recent interview with Time.com. The research does not suggest factors that make one roommate’s style more likely to influence the other.

“Our findings suggest that it may be possible to use an individual’s social environment as part of the intervention process, either as a supplement to existing cognitive interventions or possibly as a stand-alone intervention,” the authors say in press release from the Association for Psychological Science, the publisher of the journal in which the study appears. “Surrounding a person with others who exhibit an adaptive cognitive style should help to facilitate cognitive change in therapy.”

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