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Care Management Reduces Depression And Suicidal Thoughts In Older Primary Care Patients
Depression in older adults too often goes unrecognized and untreated, resulting in untold misery, worsening of medical illness, and early death. A new study has identified one important remedy: Adding a trained depression care manager to primary care practices can increase the number of patients receiving treatment, lead to a higher remission rate of depression, and reduce suicidal thoughts.
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Administration To Pitch Health Reform In "Model" Community
President Obama and top advisers will travel to Green Bay Thursday - "one of the highest-value health communities in the nation" - to promote health reform in a town-hall meeting, the Washington Post reports. "In his drive to rein in skyrocketing health-care costs, Obama is increasingly focused on wasteful medical care," the Post reports. The administration"s budget director, Peter Orszag, told the Post, "If we could make the rest of the nation practice medicine the way that Green Bay does, we would have higher quality and significantly lower costs."
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Sleep Helps Build Long-Term Memories - Picower Institute Study Strengthens Link Between Sleep, Memory Formation
Experts have long suspected that part of the process of turning fleeting short-term memories into lasting long-term memories occurs during sleep. Now, researchers at the RIKEN-MIT Center for Neural Circuit Genetics of MIT"s Picower Institute for Learning and Memory have shown that mice prevented from "replaying" their waking experiences while asleep do not remember them as well as mice who are able to perform this function.
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Research Shows Temptation More Powerful Than Individuals Realize

Whether it"s highlighted in major news headlines about Argentinean affairs and Ponzi schemes, or in personal battles with obesity and drug addiction, individuals regularly succumb to greed, lust and self-destructive behaviors. New research from the Kellogg School of Management examines why this is the case, and demonstrates that individuals believe they have more restraint than they actually possess - ultimately leading to poor decision-making. The study, led by Loran Nordgren, senior lecturer of management and organizations at the Kellogg School, examined how an individual"s belief in his/her ability to control impulses such as greed, drug craving and sexual arousal influenced responses to temptation. The research found the sample, on average, displayed a "restraint bias," causing individuals to miscalculate the amount of temptation they could truly handle, in turn leading to a greater likelihood of indulging impulsive or addictive behavior. "People are not good at anticipating the power of their urges, and those who are the most confident about their self-control are the most likely to give into temptation," said Nordgren. "The key is simply to avoid any situations where vices and other weaknesses thrive and, most importantly, for individuals to keep a humble view of their willpower." In developing their case, the study"s authors cited previous research demonstrating that people often have difficulty appreciating the power of impulsive states. People in a "cold state" (not experiencing hunger, anger, sexual arousal, etc.) tend to underestimate how a "hot," impulsive state will influence their behavior. To expand upon these findings, the study authors set out to test whether: * People in a cold, non-impulsive state will overestimate their ability to control impulses * People in a hot, impulsive state will have a more realistic view of their capacity for impulse control * People who perceive they have a high capacity for impulse control will expose themselves to more temptation and will ultimately exhibit more impulsive behavior To test their hypotheses, the researchers conducted four experiments focusing on hunger, addiction and mental fatigue. Each experiment resulted in significant "restraint bias." For example, one experiment focused on cigarette addiction found those who overestimated their capacity for self-control were much more likely to smoke a cigarette after simply watching a movie about smoking. Another experiment centered on hunger. Results found a satiated group was significantly less likely to return snacks than a hungry group who limited their temptation by choosing less appealing snacks. "A system which assumes people will control themselves is going to fall prey to this restraint bias; we expose ourselves to more temptation than is wise, and subsequently we have millions of people suffering with obesity, addictions and other unhealthy lifestyles," said Nordgren. "And, while our study focused on personal behaviors like smoking and eating, it is easy to apply our findings to a broader context. Understanding the power of temptation, you might also ask about the extent to which we need oversight or regulatory guidelines for business and political leaders." Furthermore, this research suggests observers should think twice before judging those who fall prey to temptation because most people overestimate their capacity to control their own impulses, Nordgren concluded. The study will appear in an upcoming issue of Psychological Science. Nordgren co-authored the research with Joop van der Pligt and Frank van Harreveld of the University of Amsterdam. Meg Washburn Association for Psychological Science


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