Monday, May 18, 2020

Is The News Making Us Sick?

It began one morning with two seemingly unrelated items: a story about mountain climbing on BBC Future and a panel from the comics section of the newspaper.

The BBC article, “The placebo effect is well known for its medical benefits, but there is evidence it could give athletes an edge, too,” began with an experiment where mountain climbers were given oxygen to boost physical performance at high altitudes. In a laboratory simulation, they were first given tanks of oxygen to improve performance. When they were later given empty tanks, their brains expected similar improvement and caused the body to adjust appropriately.

It went on to explain how placebos like this can improve athletic performance in other areas, for example, sugar pills believed to be performance enhancing drugs could have the same effect. 

The effectiveness of placebos applies to many areas. A summary of studies shows that “antidepressants are effective for depression about 31-70% of the time, while placebos are effective 12-50% of the time…. So, while antidepressants appear more effective than placebo, only a fraction of the benefit we see in patients is likely from a direct neurobiological impact of the medication itself.” Effectiveness depends on the amount of faith patients have in the product. Placebos taken as part of a test of more powerful drugs tend to have more powerful effects; and patients often report some of the same side effect as the drug itself.

This led me to another BBC article explaining the opposite effect, sometimes called nocebo. In this example the treatment was merely the words the doctor used. The doctor, talking about serious osteoarthritis, says that he has “bad news,” that the knees are “worn out” and the medicine may “help a bit,” but may damage the stomach lining. The doctor has set the patient up to expect the worst. This kind of presentation can unintentionally cause the brain to deliver the opposite of a placebo effect: less positive, possibly negative, outcomes.

A conclusion is “when prescribing treatments, the doctor should emphasise the positive effects of the medicine, while framing the negative side-effects so they seem less frightening, and being careful not to over-emphasise their risks.” They should be honest, but with an optimistic tone.

This led to yet another BBC article, this one from 2015, about how negative thoughts and ideas can not only make you sick, but actually kill you. This effect applies to any authority figure or respected expert, not just doctors. “In the same way that voodoo shamans could harm their victims through the power of suggestion, priming someone to think they are ill can often produce the actual symptoms of a disease.” Hence, people can die of fright or become sicker based on the message and their faith in the authority of the messenger.

Each of these articles is interesting, but coincidentally they came to my attention on the day I saw “The Flying McCoys” at the bottom of the page of an on-line newspaper. The idea is almost too true and too common to be funny and typical of many news programs.

Based on the information above, what is this doing to the overall health of the American people, this constant barrage of fears and anxiety over the virus and whether opening the economy too soon will be a mistake, the emphasis on the ever increasing number of cases and deaths, the constant skepticism about the actions and predictions of the task force, the criticism of any encouraging remarks – especially if they turn out to be overly optimistic; and for years now, fanning the flames of  divisiveness within the country – all with the express intention of putting us on edge, amplifying the fear and anxiety to get everyone to continue to tune in. 

Remember, placebo, the strong mind-body connection cuts both ways. Between the news media, social media and politicians, it’s surprising we are not all physical and emotional wrecks.

The news can be both addictive and unhealthy. One defense is to watch less. Another is to use critical thinking and see it for what it is, big business trying to attract “eyeballs,” and act accordingly, increase our skepticism, lessen our faith in the source and discount their predictions of a fearful outcome at every turn. 

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