Author: Veronica du PlessisOur recent discussion centered around an article titled “Depression Among Older Adults: A 20-Year Update on Five Common Myths and Misconception”. This article revisited a 1997 study that challenged five myths about depression in older adults, highlighting new insights on the subject. The findings of this article hold the potential to positively impact the mental health community as they challenge outdated assumptions that may have led to misdiagnosis, undertreatment, or ineffective interventions for older adults. If depression is better recognized and treated in this population, it could lead to improved quality of life, increased independence, and even longer life expectancy. On a broader scale, changing the conversation about mental health in aging populations can reduce stigma, ensuring that older individuals feel empowered to seek and receive the mental health care they need.
The article listed the first myth that depression is more common in older adults than in younger individuals. Earlier studies suggested that aging led to increased sadness and depressive symptoms. However, more recent research, such as Blazer (2003), has demonstrated that the prevalence of Major Depressive Disorder (MDD) is actually lower in older adults compared to middle-aged individuals. This shift in understanding is partly due to improved diagnostic tools and a better distinction between normal aging and clinical depression (Cole & Dendukuri, 2003). Another evolving perspective involves the causes of depression in older adults. Historically, psychological factors like grief and loneliness were considered the primary triggers. While these factors remain relevant, more recent studies emphasize biological and social determinants, including chronic illness, neurobiological changes, and social isolation, as key contributors (Fiske, Wetherell, & Gatz, 2009). This change in understanding has led to more comprehensive treatment approaches that incorporate medical, psychological, and social factors. Similarly, earlier beliefs suggested that depression manifests differently in older adults, primarily through physical symptoms rather than emotional distress. While some studies, such as Gallo et al. (1994), found a slight increase in bodily symptom complaints among older individuals, more recent research has shown that the overall symptom profile of depression remains consistent across age groups. This understanding has led to improved screening methods that ensure older adults receive appropriate diagnoses rather than attributing their symptoms solely to physical health conditions. The notion that depression in older adults is more chronic and treatment-resistant has also been reevaluated. While it is true that relapse rates are higher due to medical comorbidities and cognitive decline (Mitchell & Subramaniam, 2005), newer findings suggest that psychotherapy, particularly cognitive-behavioral therapy (CBT), is just as effective in older populations as in younger ones (Areán & Cook, 2002). Furthermore, while some earlier research indicated that antidepressant medications might be less effective in older adults, recent studies have focused on optimizing dosages and combining treatments for better outcomes (Nelson et al., 2008). The major findings of the article encompassed that Major Depressive Disorder in older adults is a complex issue influenced by many factors. The treatment, severity, and outcomes of depression depends on more variables such as health conditions than strictly age. The content of the article sparked exciting discussion, in which multiple implications of the article were brought to light. The increased awareness that depression in older adults is often linked to chronic health conditions and social isolation could place additional strain on healthcare systems. If depression is seen as part of a broader network of medical and social issues, treatment must extend beyond prescribing medication and include comprehensive care models- requiring more resources and coordination. Additionally, the research indicating that depression in older adults is more likely to relapse (Mitchell & Subramaniam, 2005) suggests that long-term treatment and follow-up care are crucial, potentially requiring sustained investment in geriatric mental health services. Furthermore, we discussed the social implications of such misconceptions, in particular stigma around mental health in aging. By challenging the myth that depression is a normal part of growing older, older adults may feel more encouraged to seek treatment. As a final note, we analyzed what factors could contribute to the establishment and continuation of misconceptions about mental health in the older age population, such as ageism, previous gaps in research, and the current focus on depression in younger age groups. Haigh, E. A. P., Bogucki, O. E., Sigmon, S. T., & Blazer, D. G. (2018). Depression Among Older Adults: A 20-Year Update on Five Common Myths and Misconceptions. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 26(1), 107–122. https://doi.org/10.1016/j.jagp.2017.06.011
0 Comments
Liv MaceLiv is a veteran intern at the B-RAD lab. She is skilled in data collection and organization as well as creating well designed social media content for the team. For our weekly Neuroscience talk, our lab discussed the importance of gathering wide demographic samples in neuroimaging. We read an article that described why diverse samples in neuroimaging research is significant, specifically in studies that involve children and adolescents. It is essential to have individuals of various demographics to ensure a representative sample in our research and findings. Neuroimaging research offers unique insights into brain function and structure, but it often faces challenges in recruiting varying demographic groups. We addressed the importance of building connections and trust with communities not typically recruited in research as a means to accomplish this goal. During our discussion, lab members contributed strategies to improve community involvement and representation in our studies. The central theme that emerged from our discussion was the importance of establishing long-term relationships with the communities we work with. Lab members emphasized the establishment of a “giving period” before the “taking period". We want to ensure that this relationship is not one way, meaning that as neuroscience researchers, we need to be a part of the community not just work within it. Jackson, one of our study coordinators, suggested asking for feedback from the community to best understand their needs and to see how we can be of service. By understanding their needs and becoming a consistent presence, researchers in our lab can build relationships with communities. We need to be a part of the community, not just work within it. Another project coordinator, Ashlan, discussed the idea of establishing relationships with these communities through serving them directly where we can. This brings up a more natural and fluid recruitment pipeline that is more likely to benefit the community as well as our research. She suggested ideas such as volunteering at food banks, where people receive resources or other assistance and providing clinical services when possible. Volunteering at community events allows us to establish relationships with specific communities not typically contacted in research recruitment which allows us to expand our neuroimaging demographics for better comprehensive understanding of the brain while supporting the community and giving back.
Overall, this discussion emphasized the importance of how research labs can establish relationships instead of simply obtaining data in underrepresented communities in neuroimaging. Members in this discussion concluded that we must thoughtfully consider the tangible value of the work we do to the broader community. By implementing the strategies we have discussed, we can work towards becoming a more impactful lab that serves the diverse populations of our community. Challenges do remain, but this discussion opens a path forward for building stronger connections in the future. Author: Maggie JohnsonDuring our lab meeting, we examined the portrayal of autism spectrum disorder (ASD) in media and how it affects both the autistic community and broader societal perceptions, with the foundation of our discussion on Theodoto Ressa’s article titled Histrionics of Autism in the Media and the Dangers of False Balance and False Identity on Neurotypical Viewers.
We started by discussing the shows mentioned in an article about autistic representation. One member admitted to having only watched clips of The Good Doctor but mentioned hearing negative feedback. They noted that the show oversimplifies autism, portraying the main character in a way that is overly dramatized, which detracts from its authenticity. Others agreed, highlighting that the writing felt more like a soap opera, and this sensationalization worsened the portrayal of an autistic character. On the other hand, another member expressed they had watched Love on the Spectrum, which was not mentioned in the article. They felt the show did a wonderful job breaking down stigmas by including therapist-informed conversations, but sometimes used comedic stylistic approaches that detracted from genuine challenges, uncomfortably infantilizing the cast.Another member shared their experience with Atypical. They enjoyed the show but acknowledged that it did not feature autistic actors, which detracts from its credibility despite tackling important themes surrounding autism. It was seen as a step forward, even though it missed the opportunity to involve individuals from the autistic community in the actual cast. We delved into the question of whether neurotypical actors can accurately portray autistic individuals, which opened a broader conversation about casting neurotypical actors for neurodivergent roles without proper consultation. One member brought up House MD, pointing out an example of a female character with ASD, which was portrayed tastefully and without much sensationalism, contrasting it with more problematic examples like The Good Doctor. This led to a reflection on how other media does not provide the same level of courtesy by casting individuals who understand the conditions they portray. Another team member noted that even if a show’s writing is not perfect, casting actors with lived experiences can still bring a layer of authenticity that would otherwise be missing. We agreed that there is a fine line between gaining a greater understanding and not capturing the nuance required. One of us pointed out that modern media tends to be rushed, often losing nuance in favor of fast production timelines, which negatively affects the accuracy of representations. We also explored the binary framing of neurotypical (NT) versus neurodivergent (ND) experiences and how that affects public understanding of neurodiversity. One of us remarked that the media often presents ASD in black-and-white terms—you either have it or you do not—without recognizing the full spectrum of traits and experiences that can go with autism. Another member pointed out that TikTok and other social media platforms are worsening this issue by promoting singular narratives about autism, reinforcing stereotypes rather than promoting a spectrum-based understanding of ASD. This led to a broader discussion on the polarization of neurodiverse representations and how these extreme portrayals make it difficult for audiences to see the more "in-between" experiences that are just as valuable in understanding neurodivergent identities. Toward the end of our discussion, we explored what “success” looks like for neurodivergent individuals in media. One of us expressed a desire to see portrayals of autistic adults who are thriving, who have accommodations, and who are self-aware, without autism framed as a hurdle they must overcome. However, another member cautioned that we should be careful about defining success, emphasizing that it should not always be measured by neurotypical standards. Instead, success should be individualized, focusing on small victories and lived experiences. In conclusion, we agree that media representation is crucial in shaping societal beliefs of autism. There is still much more work to ensure these portrayals are diverse, correct, and respectful. The portrayal of autism as a single, narrow experience does a disservice to the community, and there is a need for more nuanced, spectrum-based representations that go beyond the current tropes of savant syndrome and overcoming struggles. We also acknowledged the reciprocal relationship between media and society, where media both reflects and influences societal norms. If the media continues to rush out content without consulting the communities they are portraying, we risk perpetuating harmful stereotypes and missing the opportunity to foster a deeper understanding of neurodiversity. Author: Lucia VidalAs our BioGENE study begins to unfold, we believe it is important for our lab to deepen our understanding of genetic testing. This week in our lab, we watched a video on the disparities in genetic testing and discussed some of those issues. The topics included socioeconomic status, prevalent mistrust, and logistical barriers. Much of what we know about genetics comes from research on predominantly white, Western populations. This skews the data and leads to less accurate diagnoses for people from other ethnic backgrounds. Author: Rebecca Revilla For our weekly Inclusion in Neuroscience topic, our lab read Refining Research and Representation of Sexual and Gender Diversity in Neuroscience (Edmiston & Juster, 2022) and watched an interview with Dr. Karen Blair on LGBTQ+ Inclusivity in Research. These resources summarized a history of exclusion and mistreatment of LGBTQ+ individuals in research and presented helpful suggestions for how scientists can conduct LGBTQ+ inclusive research. Additionally, Edmiston and Juster (2022) explained the critical need for research in this area to continue to shift focus toward understanding the “effects of minority stress on the brain and on mental health” as well as the development of related interventions. During our discussion, several themes emerged as particularly relevant to conducting LGBTQ+ inclusive research within our lab.
In the B-RAD Lab, we are interested in understanding human development across the lifespan. This means we are often working with children and adolescents. Edmiston and Juster (2022) provided suggestions for conducting research on LGBTQ+ youths. Specifically, the authors described the care that researchers must take to avoid outing LGBTQ+ youths to their caregivers. This requires thoughtful wording of recruitment materials and consent forms. Our lab found this idea extremely insightful and discussed how we could be more cautious and considerate of our materials. For example, we ask participants to fill out a participant information form that has various demographic fields including options to share pronouns and gender identity. It will be important for our lab to create a specific plan for protecting this information and/or informing potential youth participants about these demographic questions during the assent process. A broad question that emerged for our lab after reviewing the materials is, what is the line between being inclusive and invading privacy? Specifically, when should we ask or not ask for demographic information related to sexual orientation and gender identity? One point posed by a lab member was to only ask for this information if it benefits the participants or will benefit others in study outcomes. Another lab member added to this point by comparing the typical collection of data on outward identities versus inner identities, such as why we would only classify participants using outward identities. Others challenged these ideas by stating that some people do not like to be labeled and questioned whether labeling identities is truly practical or beneficial. Although we did not identify a clear answer to this question, our lab connected this question with the importance of using mixed-method study designs and community-based participatory methods as we work to conduct more inclusive research. |
AuthorB-RAD Lab Members all contribute to our articles. Archives
May 2025
Categories
All
|