Category Archives: News

Screen Time Is A Solution And A Problem In A Tech-Driven Society

A recent column in the daily free press reminds us that six years ago Apple introduced new tools built into iOS 12 to “help customers understand and take control of the time they spend interacting with their iOS devices.”  These new features called Screen Time included Activity Reports, App Limits and new Do Not Disturb and Notifications controls.

Photo via Apple

The goal was to offer users detailed information and tools that would help them better understand and control the time they spend with apps and websites, how often they pick up their iPhone or iPad during the day and how they receive notifications.

Ten years earlier Apple had introduced parental controls for iPhone and over that time the developers have worked to add features to help parents manage their children’s content. With Screen Time, these new tools are empowering users who want help managing their device time, and balancing the many things that are important.

So what happened? Did no one use it?

Consumers rejoiced that Apple offered a solution to the issues of screen use. Unfortunately Apple presented us with a useful tool, not a solution.

Today we are still struggling with the negative effects that too much screen time has on our physical, emotional and mental health. A research study recently published in The Journal of Mood & Anxiety Disorders, found that that one-third of youth (aged between 10 and 24 years) spend four or more hours a day engaging with their screens. The effects of such are great, leading to health and mental health problems, among other things. In teenagers, screen media activity (SMA) consumes up to 60% of their after-school time and nearly 97% of US youth have at least one electronic item in their bedroom.

Not An Individual Activity But A Complex and Multifaceted Problem

SMA in youth is often perceived as an individual activity. The authors point out that the relationship between SMA and mental health outcomes in youth is a complex and multifaceted issue that has garnered significant attention among researchers and the public in recent years. The complexity may be due to the diverse nature of screen activities, the rapidly evolving landscape of digital media , and the differential impacts these activities may have across individuals. What is emerging is a nuanced picture, with some evidence suggesting relatively trivial effects of SMA on well-being or life satisfaction and other results indicating stronger associations with mental health problems such as depression or anxiety. More recent research suggests there may be individual differences concerning the impact of SMA. For example, sex-related differences have emerged, with girls generally demonstrating stronger associations between screen media time and mental health indicators than boys; and there is some evidence that effects may differ depending on the broader socioeconomic and environmental context. The COVID-19 pandemic added complexity, influencing screen time habits and mental health outcomes.

An Overeview of the Complexites

To better understand and research SMA, it is more accurate to view it as occurring within a system that encompasses the individual, the immediate caregiver environment, the school, peers and other environmental factors. The authors utilize the Bronfenbrenner’s ecological systems theory, which is a framework for understanding human behavior within a complex system of relationships within and across multiple levels of the environment, from more proximal (e.g., immediate family, academic settings) to more distal (e.g., sociocultural values, laws, etc.). The theory proposes five interrelated systems that influence development:

  • (1) the microsystem which is the immediate environment with which an individual interacts,
  • (2) the mesosystem which focuses on interactions between different elements of the microsystem,
  • (3) the exosystem which involves the larger social system with which the individual does not directly interact but it still impacts their behavior,
  • (4) the macrosystem comprised of the broader societal and cultural context, and
  • (5) the chronosystem that is centered on the dimension of time including the timing of specific events and historical context.

Figure 1 shows the Bronfenbrenner model conceptual overview of screen media activity and mental health.

Figure 1

Both clinicians and researchers could benefit from reading this article. It provides an excellent birdseye view of the multifaceted interrelationships that can be an important part of screen media activity in youth today and applicable to society in general in today’s tech-obsessed world.

Citation:

Paulus MP, Zhao Y, Potenza MN, Aupperle RL, Bagot KS, Tapert SF. Screen media activity in youth: A critical review of mental health and neuroscience findings. J Mood Anxiety Disord. 2023 Oct;3:100018. doi: 10.1016/j.xjmad.2023.100018. Epub 2023 Aug 11. PMID: 37927536; PMCID: PMC10624397.

Research Shows: Writing by Hand Is Better for Memory and Learning

OLD SCHOOL versus NEW SCHOOL

Handwritten notes may seem ‘old fashioned’ in today’s educational facilities compared to typing or using other digital technology to transcribe recorded class notes. However, research continues to point out that the process of taking notes the traditional way—with pen and paper or even stylus and tablet—is still the best way to learn, especially for young children.

A recent study published in Frontiers in Psychology investigated how digital devices have been progressively replacing traditional handwriting and evaluated the implications for the human brain.

Previous research suggested that when typing notes on a computer keyboard, ” It goes in through your ears and comes out through your fingertips, but you don’t process the incoming information.” When you take notes by hand, you need to be selective and prioritize, consolidate and relate it to previously learned facts. We consciously build onto known concepts and add new concepts.

The Study

Brain electrical activity was recorded in 36 university students as they were handwriting visually presented words using a digital pen and typewriting the words on a keyboard. Connectivity analyses were performed on EEG data recorded with a 256-channel sensor array.

When writing by hand, brain connectivity patterns were far more elaborate than when typewriting on a keyboard, as shown by widespread theta/alpha connectivity coherence patterns between network hubs and nodes in parietal and central brain regions. Existing literature indicates that connectivity patterns in these brain areas and at such frequencies are crucial for memory formation and for encoding new information and, therefore, are beneficial for learning.

Results

Study findings suggest that the spatiotemporal pattern from visual and proprioceptive information obtained through the precisely controlled hand movements when using a pen, contribute extensively to the brain’s connectivity patterns that promote learning. It appears that the movements related to typewriting do not activate these connectivity networks the same way that handwriting does. Researchers urge that children, from an early age, need to be exposed to handwriting activities in school to establish the neuronal connectivity patterns that provide the brain with optimal conditions for learning. Although it is vital to maintain handwriting practice at school, it is also important to keep up with continuously developing technological advances. Therefore, both teachers and students should be aware of which practice has the best learning effect in what context, for example when taking lecture notes or when writing an essay.

Post-research Commentary

In a Scientific American interview with Dr Sophia Vinci-Booher, an assistant professor of educational neuroscience at Vanderbilt University who was not involved in the new study, says these findings are exciting and consistent with past research. It does not mean that technology is a disadvantage in the classroom. Laptops, smartphones and other such devices can be more efficient for writing essays or conducting research and can offer more equitable access to educational resources. The problem is that difficulties can occur when people rely on technology too much. People are increasingly delegating thought processes to digital devices, an act called “cognitive offloading” which is using smartphones to remember tasks, such as taking a photo instead of memorizing information or depending on GPS to navigate. While it may be helpful and easier, the constant offloading means it’s less work for the brain. If we’re not actively using these areas, they may deteriorate over time, whether it’s memory or motor skills.

Link to study

Van der Weel FR and Van der Meer ALH (2024) Handwriting but not typewriting leads to widespread brain connectivity: a high-density EEG study with implications for the classroom. Front. Psychol. 14:1219945. doi: 10.3389/fpsyg.2023.1219945


Introducing “Chatbot Corner”

 “Chatbot Corner,” is a new column in Psychiatric Times® which will explore the intersection of psychiatry and cutting-edge technology.

Dr Steven Hyler, professor emeritus of Psychiatry at Columbia University Medical Center, describes this column as an “innovative space dedicated to exploring the dynamic and sometimes challenging relationship between artificial intelligence (AI) technology and mental health.” He invites insightful readers to contribute articles, ideas, thoughts, commentaries, suggestions and experiences with AI chatboxes.

The goal is to demystify the role of AI and discuss clinical implications of AI in psychiatry and serve as a guide toward responsible use.

Readers are encouraged to share and dissect the most egregious chatbot errors you have encountered in practice or your experience with trying to stump the psychiatry chatbot with complex scenarios, your contributions are vital.

Ideas and articles can be submitted to PTEditor@MMHGroup.com and feel free to participate in this intriguing journey into AI and how it fits into psychiatry and mental health.

Link to Psychiatric Times, Dr Hyler’s call for participation.


APA Annual Meeting 2024 in New York City

The Upcoming 2024 American Psychiatric Association Annual Meeting is in New York City this year.

Saturday, May 4th – Wednesday, May 8th, 2024
At the JAVITS CONVENTION CENTER OF NEW YORK.

Connect with colleagues and industry experts from around the globe. Choose from 500+ educational sessions led by psychiatry and mental health expert educators. Engage with an array of exhibitors featuring the latest therapeutics and technologies in psychiatry.

The Technology Sessions

This year, for the first time, there are 70 technology-related sessions/courses. This is nearly three times the number of technology sessions offered last year and dozens more than previous years.

More so than ever before, technology has become a major component of the fabric of our society and impacts so many aspects of our lives including business, entertainment, health, mental health, education, sports. leisure activities and personal relationships.

It is critical for psychiatry, psychology and mental health professionals to be well informed and sophisticated in understanding how we use technology and how it impacts our lives, our clinical practices and our research in behavioral health and healthcare and the well-being of the world’s populations.

This year APA offers a wide array of educational opportunities to prepare ourselves for the digital challenges that we face now and in the future.

Link to APA Annual Meeting page

Link to APA Website Session Search

Link to our page of APA Technology Sessions with faculty and locations.

Journal of Medical Extended Reality – Premiere Issue Published

The American Medical Extended Reality Association (@theAMXRA) In collaboration with the editorial board of the newly published Journal of Medical Extended Reality, AMXRA has developed a new guideline to define the emerging field of Medical Extended Reality (MXR). 

Medical Extended Reality Defined

The guideline presents a new taxonomy with five core domains, encompassing 13 primary topics and a comprehensive set of 180 secondary topics. This taxonomy is intended to serve as a crucial tool for harmonizing communication and collaboration among researchers, clinicians, educators, and policymakers. The goal is to establish a common language and structure to support the field’s continued growth and integration into health care. With this tool, various stakeholders can systematically classify and navigate the complexities of the MXR field.

Extended Reality in Mental Health

Through the use of virtual reality (VR) and artificial intelligence (AI), XAIA offers personalized cognitive behavioral therapy (CBT)-based mental health support. Users can select from nine nature scenes and interact with a robot avatar. The platform has shown promise in helping individuals with mild to moderate anxiety and depression, with no participants stopping therapy due to distress and no reports of VR-induced vertigo.

Virtual Reality in Healthcare Education

There is increasing interest in VR within healthcare and healthcare education, as it offers a unique opportunity to teach and assess key skills relating to situational awareness (SA) and decision making (DM) across undergraduate healthcare professions.

However, there is a perceived gap in literature regarding the use of VR for these purposes. A scoping review aims to address this gap and further explore the potential of VR, augmented reality (AR), and mixed reality (MR) in healthcare education.

Publication of the Journal of Medical Extended Reality is a step towards advancing the field of MXR. Continuing to explore and understand the potential of these technologies, it is clear that there may be a important role for MXR to play in transforming the future of healthcare.

The Journal of Medical Extended Reality is a Mary Ann Liebert, Inc publication . To learn more about the Journal and featured content and editorial board visit https://home.liebertpub.com/publications/journal-of-medical-extended-reality/680.


FDA Accepts First AI Drug Development Tool

The FDA began accepting submissions in 2022 for a program to provide support for unconventional drug development tools that can assist, enhance and expedite new drug research. Finally in January 2024, it has accepted its first artificial intelligence-powered tool.

The program called Innovative Science and Technology Approaches for New Drugs (ISTAND) pilot is designed to create a new pathway to FDA review novel tools that may not fit into currently existing routes of evaluation, but that could potentially improve the development of new drugs.

The newest tool accepted into ISTAND comes from Deliberate AI. The AI-generated Clinical Outcome Assessment—AI-COA for short—uses multimodal behavioral signal processing and machine learning technology to record mental health symptoms and assess the severity of cases of anxiety and depression.

“This marks a pioneering step for the ISTAND program as the first artificial intelligence-based, digital health technology project in neuroscience to be accepted into the pilot program,” Peter Stein, M.D., director of the Office of New Drugs within the FDA’s Center for Drug Evaluation and Research, said in an agency announcement this week. “Our acceptance aligns with FDA’s vision of optimizing drug development and evaluation, potentially expediting the availability of safe and effective treatments.”

Resources

FDA Announcement and Links to more info.

Deliberate AI

ISTAND program

New York is the First US State to Officially Declare Social Media Usage a Hazard

New York City declared social media ‘Health hazard’ a threat to the mental health of young people, NYC is the first major U.S. city to take such action.

The city’s Health Commissioner, Ashwin Vasan, issued an advisory officially labeling social media as a public health hazard in New York City. Mayor Eric Adams blamed platforms like TikTok, YouTube, and Facebook for contributing to a mental health crisis with their addictive and harmful features and likened this move to how the U.S. surgeon general addressed issues with tobacco and guns in the past.

In response to the concerns raised, Vasan provided guidance in the advisory to young people on promoting healthy social media use. This includes establishing tech-free times and places, being aware of emotions while using social media, and discussing concerns related to social media and mental health with adults.

The advisory pointed out that a large percentage of U.S. teens use social media, but the growing mental health crisis among young people has raised worries about the impact of these platforms and their potential to create addictive habits.

Some social media companies, such as TikTok and YouTube, have taken steps to address concerns by introducing features that allow parents to have more control over their children’s online activity and limit their screen time.

Last year, the U.S. Surgeon General Vivek H. Murthy expressed in an advisory that there isn’t enough evidence to determine whether social media is “sufficiently safe for children and adolescents.” He acknowledged the potential contribution of social media to the ongoing youth mental health crisis.

The advisory from the New York City health commissioner revealed alarming increases in rates of hopelessness and suicidal ideation among high-schoolers in the city between 2011 and 2021, with certain demographics, such as Black, Latino, female, or LGBTQ+ individuals, experiencing disproportionately high rates of hopelessness.

According to Axios News,

NY City’s Department of Health and Mental Hygiene issued an advisory identifying unrestricted access to and use of social media as a public health hazard.

  • The department urged parents and caregivers to delay giving children access to a smartphone or social media until at least age 14.
  • They also urged federal and state policymakers to expand on legislative proposals that protect youth from “predatory practices by social media companies.”

NYC Mayor Eric Adams said in his State of the City speech Wednesday, “We won’t let Big Tech endanger our kids.” The advisory urged all New Yorkers to “advocate to hold social media companies accountable and advance reform that protects youth from harmful and predatory practices.”

Recent Pew Research on US teens use of social media. [Link]

CES: Electronics Show, Las Vegas, January 9-12, 2024

Registration is now open for CES® 2024 — taking place Jan. 9-12, in Las Vegas.

CES is not just for consumers. Experience global business opportunities with CES, where you can meet with partners, customers, media, investors, and policymakers from across the industry and the world all in one place.

Don’t miss your chance to be a part of the most powerful tech event in the world.

Special Digital Health Sections exploring:

Exploring Innovations in Mental Health
How Tech Can Transform Women’s Health
Future of Care: How Other Industries Shape Health
Personalized, Digitized Care
Digital Health and AI
Longevity and Biohacking

Working with the Consumer Technology Association®, the American Psychological Association will launch PsyTech at CES, a look at how psychological science intersects with and influences technology. As the science of human behavior, psychology plays a significant role in advancing technology. Psychological researchers are engaged across all aspects of technology innovation and advancement, including human-computer interaction and user experience, the application of learning science to education technology products and studies of the effectiveness of digital products focused on behavior change. PsyTech sessions will showcase examples of the contributions of ethical and equitable psychological research to product development, consumer acceptance and innovation.

All PsyTech sessions will take place Tuesday, Jan. 9. Highlights include:

  1. Harnessing the Power of AI Ethically (9 a.m. PST)
    This panel will dive into the ethics of artificial intelligence and provide examples of how industry leaders can use what is known about human behavior to address ethical issues and help realize the power of AI to benefit human health and well-being.
  2. Social Media’s Impact on Kids: What’s Next for Tech? (11 a.m. PST)
    This session will explore a science-based roadmap that industry leaders can use to enhance the positive effects of social media and keep kids safe.
  3. Making Digital Interventions Accessible and Affordable (1 p.m. PST) This session will examine how experts on the cutting edge of behavioral health treatments are teaming up with the technology industry to bring evidence-based digital treatments into the mainstream, changing how technology and health care work together.
  4. Your Brain Gaming for Good (3 p.m. PST)
    This session will look at the latest findings on games associated with enhancements to human performance and bring together leaders developing games that promote positive behaviors and prevent violence.

Digital Healthcare Summit

Healthcare is increasingly more personal, portable and customizable. From wearables to telehealth and digital consultations, technology innovators are answering the call for consumer-friendly and effective self-care, accessible to and from virtually anywhere and at any time.

At CES, you have the opportunity to connect with gamechangers, investors, and policymakers not only from digital health, but complementary industries – like AI, gaming and smart home – that together, aid in more meaningful conversations and can ultimately effect change in more impactful ways.

List of Summit Sessions and Faculty

Link to CES Website for more information and registration.

New Pew Study on Teens and Social Media

A new Pew Research Center survey of U.S. teens conducted Sept. 26-Oct. 23, 2023, among 1,453 13- to 17-year-olds – covered social media, internet use and device ownership among teens. Even though negative headlines and growing concerns about social media’s impact on youth has drawn the attention of parents, teachers, the medical profession and lawmakers, teens continue to use these platforms at high rates – with some describing their social media use as “almost constant.”

YouTube continues to dominate. Roughly nine-in-ten teens say they use YouTube, making it the most widely used platform measured in our survey.

Other key findings include:
TikTok, Snapchat and Instagram remain popular among teens: Majorities of teens ages 13 to 17 say they use TikTok (63%), Snapchat (60%) and Instagram (59%). For older teens ages 15 to 17, these shares are about seven-in-ten.

Teens are less likely to be using Facebook and Twitter (recently renamed X) than they were a decade ago: Facebook once dominated the social media landscape among America’s youth, but the share of teens who use the site has dropped from 71% in 2014-2015 to 33% today. Twitter, which was renamed X in July 2023, has also seen its teen user base shrink during the past decade – albeit at a less steep decline than Facebook.

Teens’ site and app usage has changed little in the past year. The share of teens using these platforms has remained relatively stable since spring 2022, when the Center last surveyed on these topics. For example, the percentage of teens who use TikTok is statistically unchanged since last year.

And for the first time, we asked teens about using BeReal: 13% report using this app.

When asked about frequency

By Gender
Teen girls are more likely than boys to say they almost constantly use TikTok (22% vs. 12%) and Snapchat (17% vs. 12%).

But there are little to no differences in the shares of boys and girls who report almost constantly using YouTube, Instagram and Facebook.

By Race and Ethnicity
There were also differences by race and ethnicity in how much time teens report spending on these platforms. Larger shares of Black and Hispanic teens report being on YouTube, Instagram and TikTok almost constantly, compared with a smaller share of White teens who say the same. Hispanic teens stand out in TikTok and Snapchat use. For instance, 32% of Hispanic teens say they are on TikTok almost constantly, compared with 20% of Black teens and 10% of White teens.

By Age
Older teens are more likely than younger teens to use many of the platforms asked about, including Instagram, Snapchat, Facebook, Twitter, TikTok and Reddit. For example, while 68% of teens ages 15 to 17 say they use Instagram, this share drops to 45% among teens ages 13 and 14.

Source and additional information

Teens, Social Media and Technology 2023


Revised Digital Media Overuse Scale Adapts to Changing Technology

The rapid changes in the nature of digital media presents a challenge for those who study digital addiction. Various social networks and computer games might be popular now, but they could be irrelevant in a few years. A new tool developed by researchers from Binghamton University, State University of New York will make it easier for clinicians and researchers to measure digital media addiction as new technologies emerge. 

Daniel Hipp, PhD and Peter Gerhardstein, PhD from Binghamton Univ. collaborated with the Digital Media Treatment and Education Center in Boulder, Colorado in developing the Digital Media Overuse Scale, or dMOS. The goal of fMOS is to allow clinicians and researchers who are using the tool to be free to make their investigations as broad (i.e. social media) or as granular (i.e. Instagram) as they want for their particular use. Rather than focusing on the technology the focus is the behavioral, emotional or psychological aspects of an individual’s experience.

To test the Digital Media Overuse Scale, the researchers conducted an anonymous survey with over 1,000 college students to investigate clinically relevant behaviors and attitudes as they relate to five digital media domains: general smartphone use, internet video consumption, social media use, gaming, and pornography use.

They found the following: 

  • A majority of students demonstrate few indicators of addiction or overuse 
  • Use patterns were highly targeted to specific domains for specific users.  
  • A select set of students’ responses indicated attitudes and behaviors around digital media use that, if they were derived from drug use or sex, would be deemed clinically problematic.  

The researchers found that overuse is “not a general thing” but more specific, and typically reported in one or a few domains only. Broadly speaking, the data paint a picture of a population who are using digital media substantially, and social media in particular, to a level that increases concern regarding overuse.

Initial indications are that the Digital Media Overuse Scale is a reliable, valid, and extendible clinical instrument capable of providing clinically relevant scores within and across digital media domains, wrote the researchers.

Reference: Hipp, D., Blakley, E. C., Hipp, N., Gerhardstein, P., Kennedy, B., & Markle, T. (2023). The Digital Media Overuse Scale (dMOS): A Modular and Extendible Questionnaire for Indexing Digital Media Overuse. Technology, Mind, and Behavior4(3: Fall 2023). https://doi.org/10.1037/tmb0000117