If you're struggling to lose weight, it might actually be due to a chemical imbalance in your brain.
Researchers at the National Institutes of Health have shown that some obese individuals might have differences in the reward areas of the brain, compared to non-obese individuals.1 The ability to resist the urge to eat needs to be stronger than the expected feeling of reward when we do eat. Some people seem to have an impairment in the brain area associated with reward sensitivity, and therefore their willpower is overwhelmed by the need to get that food reward.
[I wish this paper were open access as I'd love to know whether the researchers think one could break the conditioned response!]
1Volkow ND, Wang GJ, Baler RD. Reward, dopamine and the control of food intake: implications for obesity. Trends Cogn Sci. 15:37-46 (2011).
Sunday, 23 January 2011
Monday, 10 January 2011
Placebos as medicine
Did you know that your doctor may be giving you a placebo for your niggle? Well they very well may be. Antibiotics for flu? There you have one example already.
A recent survey was done by Kermen and co-workers1 to determine how frequently American physicians prescribe placebos.Fifty-six percent (56%) of surveyed physicians reported prescribing or administering placebos in their practices, with younger physicians being a lot more likely to prescribe placebos than older physicians. The most frequently-used placebo was antibiotics (for non-bacterial diagnoses, 40%). The second most frequently prescribed placebo was vitamines (23%), followed by herbal supplements (12%). The most common reasons for prescribing placebos were “unjustified demand for medication” (32%) and “to calm patients” (21%). Most physicians (31%) told their patients that their presription consisted of a substance that will help and not hurt, and a very honest 2% told their patients that what they were given was an actual placebo. Most physicians believe that the placebo effect is beneficial and can have real, positive results.
So, while most physicians "believe" in the placebo effect, only about half would prescribe a substance that they knew had no direct therapeutic ingredient. Of course this was a very small study, but it makes one wonder what's happening in one's own surgery. It also reiterates the strong effect that thoughts can have on health.
1 Kermen R, Hickner J, Brody H, Hasham I. Family physicians believe the placebo effect is therapeutic but often use real drugs as placebos. Fam Med. 42:636-42 (2010)
Source
A recent survey was done by Kermen and co-workers1 to determine how frequently American physicians prescribe placebos.Fifty-six percent (56%) of surveyed physicians reported prescribing or administering placebos in their practices, with younger physicians being a lot more likely to prescribe placebos than older physicians. The most frequently-used placebo was antibiotics (for non-bacterial diagnoses, 40%). The second most frequently prescribed placebo was vitamines (23%), followed by herbal supplements (12%). The most common reasons for prescribing placebos were “unjustified demand for medication” (32%) and “to calm patients” (21%). Most physicians (31%) told their patients that their presription consisted of a substance that will help and not hurt, and a very honest 2% told their patients that what they were given was an actual placebo. Most physicians believe that the placebo effect is beneficial and can have real, positive results.
So, while most physicians "believe" in the placebo effect, only about half would prescribe a substance that they knew had no direct therapeutic ingredient. Of course this was a very small study, but it makes one wonder what's happening in one's own surgery. It also reiterates the strong effect that thoughts can have on health.
1 Kermen R, Hickner J, Brody H, Hasham I. Family physicians believe the placebo effect is therapeutic but often use real drugs as placebos. Fam Med. 42:636-42 (2010)
Source
Subscribe to:
Posts (Atom)