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  • March 31, 2010
  • 09:18 AM
  • 862 views

Predicting Psychosis

by Neuroskeptic in Neuroskeptic

"Prevention is better than cure", so they say. And in most branches of medicine, preventing diseases, or detecting early signs and treating them pre-emptively before the symptoms appear, is an important art.Not in psychiatry. At least not yet. But the prospect of predicting the onset of psychotic illnesses like schizophrenia, and of "early intervention" to try to prevent them, is a hot topic at the moment.Schizophrenia and similar illnesses usually begin with a period of months or years, general........ Read more »

Ruhrmann, S., Schultze-Lutter, F., Salokangas, R., Heinimaa, M., Linszen, D., Dingemans, P., Birchwood, M., Patterson, P., Juckel, G., Heinz, A.... (2010) Prediction of Psychosis in Adolescents and Young Adults at High Risk: Results From the Prospective European Prediction of Psychosis Study. Archives of General Psychiatry, 67(3), 241-251. DOI: 10.1001/archgenpsychiatry.2009.206  

  • May 15, 2010
  • 05:40 PM
  • 862 views

Do It Like You Dopamine It

by Neuroskeptic in Neuroskeptic

Neuroskeptic readers will know that I'm a big fan of theories. Rather than just poking around (or scanning) the brain under different conditions and seeing what happens, it's always better to have a testable hypothesis.I just found a 2007 paper by Israeli computational neuroscientists Niv et al that puts forward a very interesting theory about dopamine. Dopamine is a neurotransmitter, and dopamine cells are known to fire in phasic bursts - short volleys of spikes over millisecond timescales - in........ Read more »

  • March 20, 2010
  • 03:00 PM
  • 860 views

Absinthe Fact and Fiction

by Neuroskeptic in Neuroskeptic

Absinthe is a spirit. It's very strong, and very green. But is it something more?I used to think so, until I came across this paper taking a skeptical look at the history and science of the drink, Padosch et al's Absinthism a fictitious 19th century syndrome with present impactAbsinthe is prepared by crushing and dissolving the herb wormwood in unflavoured neutral alcohol and then distilling the result; other herbs and spices are added later for taste and colour.It became extremely popular in th........ Read more »

Padosch SA, Lachenmeier DW, & Kröner LU. (2006) Absinthism: a fictitious 19th century syndrome with present impact. Substance abuse treatment, prevention, and policy, 1(1), 14. PMID: 16722551  

  • August 4, 2011
  • 04:27 AM
  • 859 views

Brain-Modifying Drugs

by Neuroskeptic in Neuroskeptic

What if there was a drug that didn't just affect the levels of chemicals in your brain, it turned off genes in your brain? That possibility - either exciting or sinister depending on how you look at it - could be remarkably close, according to a report just out from a Spanish group.The authors took an antidepressant, sertraline, and chemically welded it to a small interfering RNA (siRNA). A siRNA is kind of like a pair of genetic handcuffs. It selectively blocks the expression of a particular ge........ Read more »

Bortolozzi, A., Castañé, A., Semakova, J., Santana, N., Alvarado, G., Cortés, R., Ferrés-Coy, A., Fernández, G., Carmona, M., Toth, M.... (2011) Selective siRNA-mediated suppression of 5-HT1A autoreceptors evokes strong anti-depressant-like effects. Molecular Psychiatry. DOI: 10.1038/mp.2011.92  

  • December 9, 2009
  • 08:08 AM
  • 856 views

Testosterone, Aggression... Confusion

by Neuroskeptic in Neuroskeptic

Breaking news from the BBC -Testosterone link to aggression 'all in the mind' Work in Nature magazine suggests the mind can win over hormones... Testosterone induces anti-social behaviour in humans, but only because of our own prejudices about its effect rather than its biological activity, suggest the authors. The researchers, led by Ernst Fehr of the University of Zurich, Switzerland, said the results suggested a case of "mind over matter" with the brain overriding body chemistry. "Whe........ Read more »

  • August 20, 2010
  • 10:02 AM
  • 856 views

Schizophrenia, Genes and Environment

by Neuroskeptic in Neuroskeptic

Schizophrenia is generally thought of as the "most genetic" of all psychiatric disorders and in the past 10 years there have been heroic efforts to find the genes responsible for it, with not much success so far.A new study reminds us that there's more to it than genes alone: Social Risk or Genetic Liability for Psychosis? The authors decided to look at adopted children, because this is one of the best ways of disentangling genes and environment.If you find that the children of people with schiz........ Read more »

  • February 19, 2010
  • 12:03 PM
  • 855 views

Drunk on Alcohol?

by Neuroskeptic in Neuroskeptic

When you drink alcohol and get drunk, are you getting drunk on alcohol?Well, obviously, you might think, and so did I. But it turns out that some people claim that the alcohol (ethanol) in drinks isn't the only thing responsible for their effects - they say that acetaldehyde may be important, perhaps even more so.South Korean researchers Kim et al report that it's acetaldehyde, rather than ethanol, which explains alcohol's immediate effects on cognitive and motor skills. During the metabolism of........ Read more »

  • April 8, 2010
  • 03:51 PM
  • 852 views

Social Learning in Antisocial Animals

by Neuroskeptic in Neuroskeptic

In an unusual study with potentially revolutionary implications, Austrian biologists Wilkinson et al show evidence of Social learning in a non-social reptile.Social learning means learning to do something by observing others doing it, rather than by doing it yourself. Many sociable animal species, including mammals, birds and even insects, have shown the ability to learn by observing others doing things. It's often seen as a distinct form of cognition, separate to "normal" learning, which evolve........ Read more »

  • April 7, 2010
  • 08:48 AM
  • 849 views

Why Do We Dream?

by Neuroskeptic in Neuroskeptic

A few months ago, I asked Why Do We Sleep?That post was about sleep researcher Jerry Siegel, who argues that sleep evolved as a state of "adaptive inactivity". According to this idea, animals sleep because otherwise we'd always be active, and constant activity is a waste of energy. Sleeping for a proportion of the time conserves calories, and also keeps us safe from nocturnal predators etc.Siegel's theory in what we might call minimalist. That's in contrast to other hypotheses which claim that s........ Read more »

  • October 20, 2010
  • 05:38 AM
  • 849 views

You Read It Here First...Again

by Neuroskeptic in Neuroskeptic

A couple of months ago I pointed out that a Letter published in the American Journal of Psychiatry, critiquing a certain paper about antidepressants, made very similar points to the ones that I did in my blog post about the paper. The biggest difference was that my post came out 9 months sooner.Well, it's happened again. Except I was only 3 months ahead this time. Remember my post Clever New Scheme, criticizing a study which claimed to have found a brilliant way of deciding which antidepressan........ Read more »

  • December 28, 2010
  • 06:00 AM
  • 848 views

When Is A Placebo Not A Placebo?

by Neuroskeptic in Neuroskeptic

Irving Kirsch, best known for that 2008 meta-analysis allegedly showing that "Prozac doesn't work", has hit the headlines again.This time it's a paper claiming that something does work. Actually Kirsch is only a minor author on the paper by Kaptchuck et al: Placebos without Deception.In essence, they asked whether a placebo treatment - a dummy pill with no active ingredients - works even if you know that it's a placebo. Conventional wisdom would say no, because the placebo effect is driven by th........ Read more »

Kaptchuk, T., Friedlander, E., Kelley, J., Sanchez, M., Kokkotou, E., Singer, J., Kowalczykowski, M., Miller, F., Kirsch, I., & Lembo, A. (2010) Placebos without Deception: A Randomized Controlled Trial in Irritable Bowel Syndrome. PLoS ONE, 5(12). DOI: 10.1371/journal.pone.0015591  

  • July 27, 2011
  • 03:27 AM
  • 846 views

Brain Connectivity, Or Head Movement?

by Neuroskeptic in Neuroskeptic

"It's pretty painless. Basically you just need to lie there and make sure you don't move your head".This is what I say to all the girls... who are taking part in my fMRI studies. Head movement is a big problem in fMRI. If your head moves, your brain moves and all fMRI analysis assumes that the brain is perfectly still. Although head movement correction is now a standard part of any analysis software, it's not perfect.It may be a particular problem in functional connectivity studies, which attemp........ Read more »

  • September 8, 2009
  • 07:18 PM
  • 843 views

Trauma Alters Brain Function... So What?

by Neuroskeptic in Neuroskeptic

According to a new paper in the prestigous journal PNAS, High-field MRI reveals an acute impact on brain function in survivors of the magnitude 8.0 earthquake in China.The earthquake, you'll remember, happened on 12th May last year in central China. Over 60,000 people died. The authors of this paper took 44 earthquake survivors, and 32 control volunteers who had not experienced the disaster.The volunteers underwent a "resting state" fMRI scan; survivors were scanned between 13 and 25 days after ........ Read more »

Lui, S., Huang, X., Chen, L., Tang, H., Zhang, T., Li, X., Li, D., Kuang, W., Chan, R., Mechelli, A.... (2009) High-field MRI reveals an acute impact on brain function in survivors of the magnitude 8.0 earthquake in China. Proceedings of the National Academy of Sciences. DOI: 10.1073/pnas.0812751106  

  • August 4, 2010
  • 03:44 PM
  • 843 views

Real Time fMRI

by Neuroskeptic in Neuroskeptic

Wouldn't it be cool if you could measure brain activation with fMRI... right as it happens?You could lie there in the scanner and watch your brain light up. Then you could watch your brain light up some more in response to seeing your brain light up, and watch it light up even more upon seeing your brain light up in response to seeing itself light up... like putting your brain between two mirrors and getting an infinite tunnel of activations.Ok, that would probably get boring, eventually. But th........ Read more »

Hinds, O., Ghosh, S., Thompson, T., Yoo, J., Whitfield-Gabrieli, S., Triantafyllou, C., & Gabrieli, J. (2010) Computing moment to moment BOLD activation for real-time neurofeedback. NeuroImage. DOI: 10.1016/j.neuroimage.2010.07.060  

  • March 8, 2010
  • 03:45 PM
  • 842 views

Life Without Serotonin

by Neuroskeptic in Neuroskeptic

Via Dormivigilia, I came across a fascinating paper about a man who suffered from a severe lack of monoamine neurotransmitters (dopamine, serotonin etc.) as a result of a genetic mutation: Sleep and Rhythm Consequences of a Genetically Induced Loss of SerotoninNeuroskeptic readers will be familiar with monoamines. They're psychiatrists' favourite neurotransmitters, and are hence very popular amongst psych drug manufacturers. In particular, it's widely believed that serotonin is the brain's "happ........ Read more »

Smaranda Leu-Semenescu et al. (2010) Sleep and Rhythm Consequences of a Genetically Induced Loss of Serotonin. Sleep, 33(03), 307-314. info:/

  • November 2, 2009
  • 12:52 PM
  • 834 views

Real vs Placebo Coffee

by Neuroskeptic in Neuroskeptic

Coffee contains caffeine, and as everyone knows, caffeine is a stimulant. We all know how a good cup of coffee wakes you up, makes you more alert, and helps you concentrate - thanks to caffeine.Or does it? Are the benefits of coffee really due to the caffeine, or are there placebo effects at work? Numerous experiments have tried to answer this question, but a paper published today goes into more detail than most. (It caught my eye just as I was taking my first sip this morning, so I had to blog ........ Read more »

  • February 12, 2010
  • 05:19 PM
  • 834 views

Dope, Dope, Dopamine

by Neuroskeptic in Neuroskeptic

When you smoke pot, you get stoned.Simple. But it's not really, because stoned can involve many different effects, depending upon the user's mental state, the situation, the variety and strength of the marijuana, and so forth. It can be pleasurable, or unpleasant. It can lead to relaxed contentment, or anxiety and panic. And it can feature hallucinations and alterations of thinking, some of which resemble psychotic symptoms.In Central nervous system effects of haloperidol on THC in healthy male ........ Read more »

Liem-Moolenaar, M., Te Beek, E., de Kam, M., Franson, K., Kahn, R., Hijman, R., Touw, D., & van Gerven, J. (2010) Central nervous system effects of haloperidol on THC in healthy male volunteers. Journal of Psychopharmacology. DOI: 10.1177/0269881109358200  

  • August 17, 2009
  • 10:09 AM
  • 830 views

Schizophrenia: The Mystery of the Missing Genes

by Neuroskeptic in Neuroskeptic

It's a cliché, but it's true - "schizophrenia genes" are the Holy Grail of modern psychiatry.Were they to be discovered, such genes would provide clues towards a better understanding of the biology of the disease, and that could lead directly to the development of better medications. It might also allow "genetic counselling" for parents concerned about their children's risk of schizophrenia.Perhaps most importantly for psychiatrists, the definitive identification of genes for a mental illness w........ Read more »

  • September 8, 2010
  • 08:54 AM
  • 829 views

Autistic Toddlers Like Screensavers

by Neuroskeptic in Neuroskeptic

Young children with autism prefer looking at geometric patterns over looking at other people. At least, some of them do. That's according to a new study - Preference for Geometric Patterns Early in Life As a Risk Factor for Autism.Pierce et al took 110 toddlers (age 14 to 42 months). Some of them had autism, some had "developmental delay" but not autism, and some were normally developing.The kids were shown a one-minute video clip. One half of the screen showed some kids doing yoga, while the ot........ Read more »

  • October 19, 2009
  • 12:20 PM
  • 827 views

Antidepressant Sales Rise as Depression Falls

by Neuroskeptic in Neuroskeptic

Antidepressant sales are rising in most Western countries, and they have been for at least a decade. Recently, we learned that the proportion of Americans taking antidepressants in any given year nearly doubled from 1996 to 2005.The situation has been thought to be similar in the UK. But a hot-off-the-press paper in the British Medical Journal reveals some surprising facts about the issue: Explaining the rise in antidepressant prescribing.The authors examined medical records from 1.7 million Bri........ Read more »

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