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December 28, 2023

2023’s Mind-Bending Revelations in the Brain Sciences

This year the explosion of interest in AI had a profound impact on how experts in the fields of neuroscience and psychology think about biological intelligence and learning

By Gary Stix

This year was full of roiling debate and speculation about the prospect of machines with superhuman capabilities that might, sooner than expected, leave the human brain in the dust. A growing public awareness of ChatGPT and other so-called large language models (LLMs) dramatically expanded public awareness of artificial intelligence. In tandem, it raised the question of whether the human brain can keep up with the relentless pace of AI advances.

The most benevolent answer posits that humans and machines need not be cutthroat competitors. Researchers found one example of potential cooperation by getting AI to probe the infinite complexity of the ancient game of Go—which, like chess, has seen a computer topple the highest-level human players. A study published in March showed how people might learn from machines with such superhuman skills. And understanding ChatGPT’s prodigious abilities offers some inkling as to why an equivalence between the deep neural networks that underlie the famed chatbot and the trillions of connections in the human brain is constantly invoked.

Importantly, the machine learning incorporated into AI has not totally distracted mainstream neuroscience from avidly pursuing better insights into what has been called “the most complicated object in the known universe”: the brain. One of the grand challenges in science—understanding the nature of consciousness—received its due in June with the prominent showcasing of experiments that tested the validity of two competing theories, both of which purport to explain the underpinnings of the conscious self.

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The past 12 months provided lots of examples of impressive advances for you to store in your working memory. Now here’s a closer look at some of the standout mind and brain stories we covered in Scientific American in 2023.

AI Drives a Machine That Can Decode the Contents of Your Brain

Researchers proved the usefulness of merging AI with neuroscience by reporting how they combined a functional magnetic resonance imaging (fMRI) brain scan with AI-driven LLMs to try to figure out what is actually going on in a person’s head. Demonstrated at the University of Texas at Austin, the model replicated—with a fair degree of accuracy—the stories a person listened to or made up while in the scanner. The researchers recorded brain activity when the participant listened to certain words. The data from these scans were then used to train an AI model to detect patterns in how the brain activated in response to these words. Then the system took a new set of scans, and the AI predicted, based on its training, what a person heard during those scans. It may be some time before you can buy this kind of technology on Amazon; such deductive feats require a ton of training. The best the current system can do is provide a rough gist of what’s in your head.

Victories in Go Inspire Better Gameplay

When the “superhuman” AI created by Google’s outfit DeepMind defeated then champion Lee Sedol at the strategy game of Go in 2016, it spurred collective hand-wringing about what this kind of superiority might imply for humans (who had previously been felled by computers in chess). Some researchers took it upon themselves to study exactly how Go players reacted to the defeat . The findings, published in March, hold some optimism for the future of human collaborations with AI systems: The study revealed that the Go community took Sedol’s defeat as a learning experience. These players analyzed the program’s moves and discovered that some had never been seen before in human gameplay. They then incorporated those moves into their own games—an example of an AI-human interaction that ultimately improved human gameplay and offered ideas about how such collaborations can better human decision-making.

Will We Finally Understand Consciousness by the Year 2048?

Headlines around the world revealed the outcome of a 25-year-old bet between philosopher David Chalmers and neuroscientist Christof Koch. The wager, settled at a New York University conference in June, was over whether neuroscience would be able to supply a “clear” neural signature of consciousness by this year. Koch—who thought a quarter-century ago that the consciousness signature would be QED by now—had to reluctantly agree that this lofty goal had yet to be reached. He proceeded to fork over a case of fine wine to Chalmers, and then he vowed to revisit the matter in another 25 years to assess whether more “clarity” had been achieved toward hacking consciousness. The conference also highlighted the results of experiments intended to test two leading theories of consciousness; it was agreed that both of them need a lot more work.

Quashing Bad Thoughts Makes You Feel Better

Not everything in the brain sciences has to do with AI. Clinical psychologists have done stellar work without the need to necessarily draw upon the resources of  an LLM. One simple at-home type of step has to do with turning off a negative flow of thoughts that might be streaming inside your head. The idea that if you ignore distressing thoughts and imagery, they’ll inevitably come back to haunt you later does not measure up, according to a study by researchers at the University of Cambridge in England. This is great news for people with anxiety, depression or trauma. Suppression of this flow of negativity really does seem to ratchet down the intensity of one’s inner fears.

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  • Published: 16 February 2023

New and emerging approaches to treat psychiatric disorders

  • Katherine W. Scangos   ORCID: orcid.org/0000-0001-7983-7767 1 ,
  • Matthew W. State   ORCID: orcid.org/0000-0003-1624-8302 1 ,
  • Andrew H. Miller   ORCID: orcid.org/0000-0001-8260-7997 2 ,
  • Justin T. Baker 3 &
  • Leanne M. Williams   ORCID: orcid.org/0000-0001-9987-7360 4 , 5  

Nature Medicine volume  29 ,  pages 317–333 ( 2023 ) Cite this article

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Psychiatric disorders are highly prevalent, often devastating diseases that negatively impact the lives of millions of people worldwide. Although their etiological and diagnostic heterogeneity has long challenged drug discovery, an emerging circuit-based understanding of psychiatric illness is offering an important alternative to the current reliance on trial and error, both in the development and in the clinical application of treatments. Here we review new and emerging treatment approaches, with a particular emphasis on the revolutionary potential of brain-circuit-based interventions for precision psychiatry. Limitations of circuit models, challenges of bringing precision therapeutics to market and the crucial advances needed to overcome these obstacles are presented.

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Scangos, K.W., State, M.W., Miller, A.H. et al. New and emerging approaches to treat psychiatric disorders. Nat Med 29 , 317–333 (2023). https://doi.org/10.1038/s41591-022-02197-0

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April 23, 2024

Research in Context: Treating depression

Finding better approaches.

While effective treatments for major depression are available, there is still room for improvement. This special Research in Context feature explores the development of more effective ways to treat depression, including personalized treatment approaches and both old and new drugs.

Woman standing on a road between a bleak, desolate area and a lush, green area.

Everyone has a bad day sometimes. People experience various types of stress in the course of everyday life. These stressors can cause sadness, anxiety, hopelessness, frustration, or guilt. You may not enjoy the activities you usually do. These feelings tend to be only temporary. Once circumstances change, and the source of stress goes away, your mood usually improves. But sometimes, these feelings don’t go away. When these feelings stick around for at least two weeks and interfere with your daily activities, it’s called major depression, or clinical depression.

In 2021, 8.3% of U.S. adults experienced major depression. That’s about 21 million people. Among adolescents, the prevalence was much greater—more than 20%. Major depression can bring decreased energy, difficulty thinking straight, sleep problems, loss of appetite, and even physical pain. People with major depression may become unable to meet their responsibilities at work or home. Depression can also lead people to use alcohol or drugs or engage in high-risk activities. In the most extreme cases, depression can drive people to self-harm or even suicide.

The good news is that effective treatments are available. But current treatments have limitations. That’s why NIH-funded researchers have been working to develop more effective ways to treat depression. These include finding ways to predict whether certain treatments will help a given patient. They're also trying to develop more effective drugs or, in some cases, find new uses for existing drugs.

Finding the right treatments

The most common treatments for depression include psychotherapy, medications, or a combination. Mild depression may be treated with psychotherapy. Moderate to severe depression often requires the addition of medication.

Several types of psychotherapy have been shown to help relieve depression symptoms. For example, cognitive behavioral therapy helps people to recognize harmful ways of thinking and teaches them how to change these. Some researchers are working to develop new therapies to enhance people’s positive emotions. But good psychotherapy can be hard to access due to the cost, scheduling difficulties, or lack of available providers. The recent growth of telehealth services for mental health has improved access in some cases.

There are many antidepressant drugs on the market. Different drugs will work best on different patients. But it can be challenging to predict which drugs will work for a given patient. And it can take anywhere from 6 to 12 weeks to know whether a drug is working. Finding an effective drug can involve a long period of trial and error, with no guarantee of results.

If depression doesn’t improve with psychotherapy or medications, brain stimulation therapies could be used. Electroconvulsive therapy, or ECT, uses electrodes to send electric current into the brain. A newer technique, transcranial magnetic stimulation (TMS), stimulates the brain using magnetic fields. These treatments must be administered by specially trained health professionals.

“A lot of patients, they kind of muddle along, treatment after treatment, with little idea whether something’s going to work,” says psychiatric researcher Dr. Amit Etkin.

One reason it’s difficult to know which antidepressant medications will work is that there are likely different biological mechanisms that can cause depression. Two people with similar symptoms may both be diagnosed with depression, but the causes of their symptoms could be different. As NIH depression researcher Dr. Carlos Zarate explains, “we believe that there’s not one depression, but hundreds of depressions.”

Depression may be due to many factors. Genetics can put certain people at risk for depression. Stressful situations, physical health conditions, and medications may contribute. And depression can also be part of a more complicated mental disorder, such as bipolar disorder. All of these can affect which treatment would be best to use.

Etkin has been developing methods to distinguish patients with different types of depression based on measurable biological features, or biomarkers. The idea is that different types of patients would respond differently to various treatments. Etkin calls this approach “precision psychiatry.”

One such type of biomarker is electrical activity in the brain. A technique called electroencephalography, or EEG, measures electrical activity using electrodes placed on the scalp. When Etkin was at Stanford University, he led a research team that developed a machine-learning algorithm to predict treatment response based on EEG signals. The team applied the algorithm to data from a clinical trial of the antidepressant sertraline (Zoloft) involving more than 300 people.

Young woman undergoing electroencephalography.

EEG data for the participants were collected at the outset. Participants were then randomly assigned to take either sertraline or an inactive placebo for eight weeks. The team found a specific set of signals that predicted the participants’ responses to sertraline. The same neural “signature” also predicted which patients with depression responded to medication in a separate group.

Etkin’s team also examined this neural signature in a set of patients who were treated with TMS and psychotherapy. People who were predicted to respond less to sertraline had a greater response to the TMS/psychotherapy combination.

Etkin continues to develop methods for personalized depression treatment through his company, Alto Neuroscience. He notes that EEG has the advantage of being low-cost and accessible; data can even be collected in a patient’s home. That’s important for being able to get personalized treatments to the large number of people they could help. He’s also working on developing antidepressant drugs targeted to specific EEG profiles. Candidate drugs are in clinical trials now.

“It’s not like a pie-in-the-sky future thing, 20-30 years from now,” Etkin explains. “This is something that could be in people's hands within the next five years.”

New tricks for old drugs

While some researchers focus on matching patients with their optimal treatments, others aim to find treatments that can work for many different patients. It turns out that some drugs we’ve known about for decades might be very effective antidepressants, but we didn’t recognize their antidepressant properties until recently.

One such drug is ketamine. Ketamine has been used as an anesthetic for more than 50 years. Around the turn of this century, researchers started to discover its potential as an antidepressant. Zarate and others have found that, unlike traditional antidepressants that can take weeks to take effect, ketamine can improve depression in as little as one day. And a single dose can have an effect for a week or more. In 2019, the FDA approved a form of ketamine for treating depression that is resistant to other treatments.

But ketamine has drawbacks of its own. It’s a dissociative drug, meaning that it can make people feel disconnected from their body and environment. It also has the potential for addiction and misuse. For these reasons, it’s a controlled substance and can only be administered in a doctor’s office or clinic.

Another class of drugs being studied as possible antidepressants are psychedelics. These include lysergic acid diethylamide (LSD) and psilocybin, the active ingredient in magic mushrooms. These drugs can temporarily alter a person’s mood, thoughts, and perceptions of reality. Some have historically been used for religious rituals, but they are also used recreationally.

In clinical studies, psychedelics are typically administered in combination with psychotherapy. This includes several preparatory sessions with a therapist in the weeks before getting the drug, and several sessions in the weeks following to help people process their experiences. The drugs are administered in a controlled setting.

Dr. Stephen Ross, co-director of the New York University Langone Health Center for Psychedelic Medicine, describes a typical session: “It takes place in a living room-like setting. The person is prepared, and they state their intention. They take the drug, they lie supine, they put on eye shades and preselected music, and two therapists monitor them.” Sessions last for as long as the acute effects of the drug last, which is typically several hours. This is a healthcare-intensive intervention given the time and personnel needed.

In 2016, Ross led a clinical trial examining whether psilocybin-assisted therapy could reduce depression and anxiety in people with cancer. According to Ross, as many as 40% of people with cancer have clinically significant anxiety and depression. The study showed that a single psilocybin session led to substantial reductions in anxiety and depression compared with a placebo. These reductions were evident as soon as one day after psilocybin administration. Six months later, 60-80% of participants still had reduced depression and anxiety.

Psychedelic drugs frequently trigger mystical experiences in the people who take them. “People can feel a sense…that their consciousness is part of a greater consciousness or that all energy is one,” Ross explains. “People can have an experience that for them feels more ‘real’ than regular reality. They can feel transported to a different dimension of reality.”

About three out of four participants in Ross’s study said it was among the most meaningful experiences of their lives. And the degree of mystical experience correlated with the drug’s therapeutic effect. A long-term follow-up study found that the effects of the treatment continued more than four years later.

If these results seem too good to be true, Ross is quick to point out that it was a small study, with only 29 participants, although similar studies from other groups have yielded similar results. Psychedelics haven’t yet been shown to be effective in a large, controlled clinical trial. Ross is now conducting a trial with 200 people to see if the results of his earlier study pan out in this larger group. For now, though, psychedelics remain experimental drugs—approved for testing, but not for routine medical use.

Unlike ketamine, psychedelics aren’t considered addictive. But they, too, carry risks, which certain conditions may increase. Psychedelics can cause cardiovascular complications. They can cause psychosis in people who are predisposed to it. In uncontrolled settings, they have the risk of causing anxiety, confusion, and paranoia—a so-called “bad trip”—that can lead the person taking the drug to harm themself or others. This is why psychedelic-assisted therapy takes place in such tightly controlled settings. That increases the cost and complexity of the therapy, which may prevent many people from having access to it.

Better, safer drugs

Despite the promise of ketamine or psychedelics, their drawbacks have led some researchers to look for drugs that work like them but with fewer side effects.

Depression is thought to be caused by the loss of connections between nerve cells, or neurons, in certain regions of the brain. Ketamine and psychedelics both promote the brain’s ability to repair these connections, a quality called plasticity. If we could understand how these drugs encourage plasticity, we might be able to design drugs that can do so without the side effects.

Neuron with 5-HT2A receptors inside.

Dr. David Olson at the University of California, Davis studies how psychedelics work at the cellular and molecular levels. The drugs appear to promote plasticity by binding to a receptor in cells called the 5-hydroxytryptamine 2A receptor (5-HT2AR). But many other compounds also bind 5-HT2AR without promoting plasticity. In a recent NIH-funded study, Olson showed that 5-HT2AR can be found both inside and on the surface of the cell. Only compounds that bound to the receptor inside the cells promoted plasticity. This suggests that a drug has to be able to get into the cell to promote plasticity.

Moreover, not all drugs that bind 5-HT2AR have psychedelic effects. Olson’s team has developed a molecular sensor, called psychLight, that can identify which compounds that bind 5-HT2AR have psychedelic effects. Using psychLight, they identified compounds that are not psychedelic but still have rapid and long-lasting antidepressant effects in animal models. He’s founded a company, Delix Therapeutics, to further develop drugs that promote plasticity.

Meanwhile, Zarate and his colleagues have been investigating a compound related to ketamine called hydroxynorketamine (HNK). Ketamine is converted to HNK in the body, and this process appears to be required for ketamine’s antidepressant effects. Administering HNK directly produced antidepressant-like effects in mice. At the same time, it did not cause the dissociative side effects and addiction caused by ketamine. Zarate’s team has already completed phase I trials of HNK in people showing that it’s safe. Phase II trials to find out whether it’s effective are scheduled to begin soon.  

“What [ketamine and psychedelics] are doing for the field is they’re helping us realize that it is possible to move toward a repair model versus a symptom mitigation model,” Olson says. Unlike existing antidepressants, which just relieve the symptoms of depression, these drugs appear to fix the underlying causes. That’s likely why they work faster and produce longer-lasting effects. This research is bringing us closer to having safer antidepressants that only need to be taken once in a while, instead of every day.

—by Brian Doctrow, Ph.D.

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References:  An electroencephalographic signature predicts antidepressant response in major depression.  Wu W, Zhang Y, Jiang J, Lucas MV, Fonzo GA, Rolle CE, Cooper C, Chin-Fatt C, Krepel N, Cornelssen CA, Wright R, Toll RT, Trivedi HM, Monuszko K, Caudle TL, Sarhadi K, Jha MK, Trombello JM, Deckersbach T, Adams P, McGrath PJ, Weissman MM, Fava M, Pizzagalli DA, Arns M, Trivedi MH, Etkin A.  Nat Biotechnol.  2020 Feb 10. doi: 10.1038/s41587-019-0397-3. Epub 2020 Feb 10. PMID: 32042166. Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial. Ross S, Bossis A, Guss J, Agin-Liebes G, Malone T, Cohen B, Mennenga SE, Belser A, Kalliontzi K, Babb J, Su Z, Corby P, Schmidt BL. J Psychopharmacol . 2016 Dec;30(12):1165-1180. doi: 10.1177/0269881116675512. PMID: 27909164. Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer. Agin-Liebes GI, Malone T, Yalch MM, Mennenga SE, Ponté KL, Guss J, Bossis AP, Grigsby J, Fischer S, Ross S. J Psychopharmacol . 2020 Feb;34(2):155-166. doi: 10.1177/0269881119897615. Epub 2020 Jan 9. PMID: 31916890. Psychedelics promote neuroplasticity through the activation of intracellular 5-HT2A receptors.  Vargas MV, Dunlap LE, Dong C, Carter SJ, Tombari RJ, Jami SA, Cameron LP, Patel SD, Hennessey JJ, Saeger HN, McCorvy JD, Gray JA, Tian L, Olson DE.  Science . 2023 Feb 17;379(6633):700-706. doi: 10.1126/science.adf0435. Epub 2023 Feb 16. PMID: 36795823. Psychedelic-inspired drug discovery using an engineered biosensor.  Dong C, Ly C, Dunlap LE, Vargas MV, Sun J, Hwang IW, Azinfar A, Oh WC, Wetsel WC, Olson DE, Tian L.  Cell . 2021 Apr 8: S0092-8674(21)00374-3. doi: 10.1016/j.cell.2021.03.043. Epub 2021 Apr 28. PMID: 33915107. NMDAR inhibition-independent antidepressant actions of ketamine metabolites. Zanos P, Moaddel R, Morris PJ, Georgiou P, Fischell J, Elmer GI, Alkondon M, Yuan P, Pribut HJ, Singh NS, Dossou KS, Fang Y, Huang XP, Mayo CL, Wainer IW, Albuquerque EX, Thompson SM, Thomas CJ, Zarate CA Jr, Gould TD. Nature . 2016 May 26;533(7604):481-6. doi: 10.1038/nature17998. Epub 2016 May 4. PMID: 27144355.

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Peripheral Visual Information Halves Attentional Choice Biases Brenden Eum, Stephanie Dolbier, and Antonio Rangel  

When consumers make shopping decisions, does their behavior depend on whether items are displayed in closed proximity (so that alternative options can be seen in the periphery) or whether they are shown one at a time? This question helps us understand how point-of-sale marketing in the growing domain of e-commerce might be influencing decisions differently than in traditional retail settings. We find that when only one option is shown at a time, consumers are more biased towards selecting the option that attracts more attention, compared to when all options are shown at the same time. These results suggest that peripheral visual information plays a critical role in facilitating good decision-making, and suggest a potential mechanism for future use in nudges. 

Perceptual Awareness Occurs Along a Graded Continuum: No Evidence of All-or-None Failures in Continuous Reproduction Tasks Michael Cohen, Jonathan Keefe, and Timothy Brady  

At any given moment, the human senses (e.g., vision, hearing) are presented with more information than the brain can process. Some of this information ultimately reaches conscious awareness (e.g., the sight of an animal crossing the road in front of you), while other information remains unconscious (e.g., the pothole on the street that you drive right over). How does information transition from unconscious to conscious? Does it enter in a discrete, all-or-nothing manner? Or does it enter along a graded continuum? Here, we used a wide array of paradigms that manipulate perceptual awareness and found that a signal detection-based model, which posits that information reaches consciousness in a graded fashion, easily explains all of these results. Moreover, this model outperforms other models that have been cited to claim information reaches consciousness in a discrete fashion. Thus, we argue that information reaches consciousness along a graded continuum. 

Learning-Induced Plasticity Enhances the Capacity of Visual Working Memory Markus Conci, Nuno Busch, Robert Rozek, and Hermann Müller  

It is intuitively plausible that meaningful objects can be remembered better than meaningless objects. For instance, people are typically better at memorizing a picture of a cookie than that of a green square. However, previous visual working memory (VWM) studies have often confounded potential benefits accruing from preexisting (long-term) object knowledge with concurrent variations in perceptual and familiarity-related properties of the to-be-memorized stimuli. Improved short-term retention could thus be owing to increased familiarity or additional perceptual details provided with these objects. To eliminate such confounds and isolate the influence of knowledge, the current study presented observers with, for them, initially meaningless stimuli (Chinese characters), a subset of which was associated with specific meanings (animal pictures or everyday objects) during the experiment. The results revealed that acquiring a meaning association of Chinese characters with real-world objects indeed improved VWM, thus demonstrating that short-term retention can be boosted by associative long-term memory (LTM). 

Across species, memory can be used to guide choices in new situations that resemble original learned experiences. Although this fundamental process of stimulus generalization can be adaptive, a tendency to overgeneralize negative experiences is also a hallmark of psychiatric disorders. Here, we investigated whether risky drinking behavior, associated with imprecise memories and a tendency to widely choose to consume alcohol, is also characterized by increased stimulus generalization. Across two experiments, we tested whether risky drinkers differ from light drinkers in their propensity to generalize alcohol-related outcomes to perceptually similar stimuli. We found that individuals who engage in riskier drinking behavior, despite having comparable learning, indeed overgeneralize both appetitive and aversive outcomes related to alcohol and show a broader tendency to report recognizing alcohol-related images. These results demonstrate a novel real-world correlate of stimulus generalization, highlighting the potential clinical importance of this memory process in the context of addiction. 

Listen to related Under the Cortex episode .

Parenting Practices May Buffer the Impact of Adversity on Epigenetic Age Acceleration Among Young Children With Developmental Delays Alexandra Sullivan, Anne Bozack, Andres Cardenas, Jonathan Comer, Daniel Bagner, Rex Forehand, and Justin Parent  

Exposure to early-life adversity predicts health problems, and parenting interventions may be one way to promote resilience among children exposed to adversity. Biological aging, measured with epigenetic age acceleration, may offer insight into children at risk of poor health who may benefit from intervention. This study used a sample of mostly Latinx families, many of whom endorsed financial hardship. Some of these families participated in a parenting intervention for children with developmental delay and elevated behavior problems, and some received community referrals. Our findings suggest that increases in positive parenting practices and decreases in negative-parenting practices may protect young children with developmental delay from accelerated epigenetic aging associated with early-life adversity. Results underscore that caregivers dealing with hardship can protect their children from the negative effects of stress, particularly when caregivers are provided access to effective interventions designed to enhance parenting. 

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At least four-in-ten U.S. adults have faced high levels of psychological distress during COVID-19 pandemic

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At least four-in-ten U.S. adults (41%) have experienced high levels of psychological distress at least once since the early stages of the coronavirus outbreak , according to a new Pew Research Center analysis that examines survey responses from the same Americans over time.

Experiences of high psychological distress are especially widespread among young adults. A 58% majority of those ages 18 to 29 have experienced high levels of psychological distress at least once across four Center surveys conducted between March 2020 and September 2022.

This assessment of the public’s psychological reaction to the COVID-19 outbreak is based on surveys of members of Pew Research Center’s American Trends Panel (ATP) conducted online several times since March 2020. The mental health questions were included on four surveys. The first survey was conducted among 11,537 U.S. adults March 19-24, 2020; a second survey with the question series was conducted April 20-26, 2020, with a sample of 10,139 adults; a third survey was conducted February 16-21, 2021, among 10,121 adults; and the most recent survey was conducted September 13-18, 2022, among 10,588 adults. Additionally, researchers analyzed a subsample of 5,007 respondents who participated in each of the four surveys to examine psychological distress over time.

The ATP is an online survey panel that is recruited through national random sampling of residential addresses. This way nearly all U.S. adults have a chance of selection. The surveys are weighted to be representative of the U.S. adult population by gender, race, ethnicity, partisan affiliation, education and other categories. The group of respondents who participated in each of the four surveys was similarly weighted to be representative of the U.S. adult population. Here is more information about the ATP .

The psychological distress index used here measures the total amount of mental distress that individuals reported experiencing in the past seven days, as captured by questions measuring sleeplessness, anxiety, depression, loneliness, and physical reactions experienced when thinking about the outbreak. The low distress category includes about half of the sample; very few in that group said they were experiencing any of the types of distress most or all of the time. The middle category includes roughly a quarter of the sample, while the high distress category includes 21%. A large majority of those in the high distress group reported experiencing at least one type of distress most or all of the time in the past seven days.

This research benefited from the advice and counsel of the COVID-19 and mental health measurement group from Johns Hopkins Bloomberg School of Public Health (JHSPH): Catherine K. Ettman (JHSPH); M. Daniele Fallin (JHSPH, now at Emory University); Calliope Holingue (Kennedy Krieger Institute, JHSPH); Renee Johnson (JHSPH); Luke Kalb (Kennedy Krieger Institute, JHSPH); Frauke Kreuter (University of Maryland, Ludwig-Maximilians University of Munich); Elizabeth Stuart (JHSPH); Johannes Thrul (JHSPH); and Cindy Veldhuis (Columbia University, now at Northwestern University).

Here are the mental health questions used for this analysis, along with responses, and the detailed survey methodology statements for surveys conducted in March 2020 , late April 2020 , February 2021 and September 2022 .

A bar chart showing that young adults are especially likely to have experienced high psychological distress since March 2020

The analysis highlights the fluid nature of psychological distress among Americans, as measured by a five-item index that asks about experiences such as loneliness, anxiety and trouble sleeping.

In the September 2022 survey, 21% of U.S. adults fell into the high psychological distress category; in each of four surveys, no more than 24% of adults have fallen into this category. But because individuals experience varying levels of distress at different points in time, a significantly larger share of Americans (41%) have experienced high psychological distress at least once across the four surveys conducted over the past two and a half years.

In addition to age, experiences of high psychological distress are strongly tied to disability status and income. About two-thirds (66%) of adults who have a disability or health condition that keeps them from participating fully in work, school, housework or other activities reported a high level of distress at least once across the four surveys. And those with lower family incomes (53%) are more likely than those from middle- (38%) and high-income households (30%) to have experienced high psychological distress at least once since March 2020.

See also: In CDC survey, 37% of U.S. high school students report regular mental health struggles during COVID-19 pandemic

While many Americans faced challenges with mental health before the coronavirus pandemic, public health officials warned in early 2020 that the pandemic could exacerbate psychological distress. The negative effects of the outbreak have hit some people harder than others, with women, lower-income adults , and Black and Hispanic adults among the groups who have faced disparate health or financial impacts.

Americans’ personal levels of concern about getting or spreading the coronavirus have continued to decline over the course of 2022. The coronavirus is one of many potential sources of stress , including the economy and worries about the future of the nation.

Psychological distress levels have shifted for most Americans during the pandemic

A pie chart showing that levels of psychological distress have fluctuated for a 60% majority of U.S. adults since COVID-19 pandemic began

Amid the shifting landscape of COVID-19 in the United States , just 35% of Americans have registered the same level of psychological distress – whether high, medium or low – across all four surveys conducted by the Center since March 2020.

Instead, a majority of respondents (60%) moved in and out of levels of psychological distress. Psychological distress increased for some but decreased for others. One illustration of the fluid nature of these experiences is that while 41% of U.S. adults faced high psychological distress at least once across four surveys, just 6% experienced high distress in all four surveys. Nearly five times as many (28%) experienced low distress in all of the surveys.

The index of psychological distress is based on measures of five types of possible distress experienced in the past week, such as anxiety or sleeplessness, that are adapted from standard psychological measures. As used in the current survey, the questions are not a clinical measure nor a diagnostic tool; they describe people’s emotional experiences during the week prior to the interview.

A bar chart showing that having trouble sleeping (64%) and feeling anxious (61%) were the most commonly reported feelings of psychological distress in September 2022

Only one question refers specifically to the coronavirus outbreak. It asks how often in the past week Americans have “had physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart” when thinking about their experience with the coronavirus outbreak. In the most recent September survey, 14% of Americans answered this question affirmatively. In March 2020, in the early stages of the outbreak, 18% said they had experienced this.  

Trouble sleeping is one of the most common forms of distress measured in the surveys. In the latest survey, about two-thirds of adults (64%) reported trouble sleeping at least some or a little of the time during the past week. A similar share (61%) said they had felt nervous, anxious or on edge.

Experiences with depression and loneliness also register with sizable shares of Americans. In the most recent survey, 46% of adults said they had felt depressed at least one or two days during the past week, and 42% said they had felt lonely.

All four surveys have included a question about positive feelings, though it is not part of the psychological distress index. Overall, 78% of U.S. adults said they had felt hopeful about the future at least one or two days in the past week, according to the latest survey from September. However, 22% of adults said they had felt hopeful about the future rarely or none of the time during the past week.

Note: Here are the mental health questions used for this analysis, along with responses, and the detailed survey methodology statements for surveys conducted in March 2020 , late April 2020 , February 2021 and September 2022 .

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Giancarlo Pasquini is a research associate focusing on science and society research at Pew Research Center

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Scott Keeter is a senior survey advisor at Pew Research Center

How Americans View the Coronavirus, COVID-19 Vaccines Amid Declining Levels of Concern

Online religious services appeal to many americans, but going in person remains more popular, about a third of u.s. workers who can work from home now do so all the time, how the pandemic has affected attendance at u.s. religious services, mental health and the pandemic: what u.s. surveys have found, most popular.

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  4. Cory's Corner: The One About Left-Wing Authoritarianism and... Hitler?

  5. Philosophical and Methodological Approaches to Psychological Research

  6. Psychiatry's turn to neuroscience in historical context with Andrew Scull

COMMENTS

  1. News

    Better Blood Pressure Is at the Tip of Your Nose. E. Paul Zehr Ph.D. on November 26, 2023 in Black Belt Brain. Breathing is a critical function of body and brain. Breathing down from your nose to ...

  2. Psychology Research News -- ScienceDaily

    Scientists Identify Cell Vulnerability 'Fingerprint' Related to Parkinson's, Lewy Body Dementia. Apr. 16, 2024 — A new study offers a first look into the complex molecular changes that occur in ...

  3. Psychology News -- ScienceDaily

    Psychology news. Read today's psychology research on relationships, happiness, memory, behavioral problems, dreams and more. Also, psychology studies comparing humans to apes.

  4. 14 emerging trends

    That said, the urgent need for mental health services will be a trend for years to come. That is especially true among children: Mental health-related emergency department visits have increased 24% for children between ages 5 and 11 and 31% for those ages 12 to 17 during the COVID-19 pandemic. That trend will be exacerbated by the climate ...

  5. The push for more equitable research is changing the field

    Qualitative research can also unearth new psychological experiences and constructs in ways that quantitative methods do not, Smith-Bynum noted. Luckily, change is afoot. "In the past 10 years, the content in PsycArticles—which includes all the APA published journals and the English language Hogrefe journals—that has the methodology index ...

  6. New Content From Advances in Methods and Practices in Psychological

    Network psychometrics is a new direction in psychological research that conceptualizes psychological constructs as systems of interacting variables. In network analysis, variables are represented as nodes, and their interactions yield (partial) associations. Current estimation methods mostly use a frequentist approach, which does not allow for ...

  7. Psychology

    Psychology is a scientific discipline that focuses on understanding mental functions and the behaviour of individuals and groups. The shift towards low-carbon heating technologies and associated ...

  8. Latest Research News

    New Research From Clinical Psychological Science. A sample of research on the role of shame in the sexual-orientation disparity in mental health, moving toward anti-racism, profiles of risk in low-income children, and much more. New Content From Current Directions in Psychological Science

  9. Top 100 in Psychology

    Top 100 in Psychology - 2022. This collection highlights our most downloaded* psychology papers published in 2022. Featuring authors from around the world, these papers showcase valuable research ...

  10. Articles in 2022

    In this Review, Kline and colleagues discuss effective treatments for this combination, focusing on trauma-focused treatments, and provide recommendations to improve treatment response and reduce ...

  11. 2023's Mind-Bending Revelations in the Brain Sciences

    Gary Stix, the neuroscience and psychology editor for Scientific American, edits and reports on emerging advances that have propelled brain science to the forefront of the biological sciences.Stix ...

  12. 12 emerging trends for 2023

    In 2024, psychology will play a major role in pointing the way toward a healthier, more just society. 2024 will be a pivotal year for psychology. The U.S. presidential campaign, already infected with misinformation, needs psychological science's debunking and prebunking strategies. Generative artificial intelligence—unleashed upon society ...

  13. Breakthroughs and Discoveries in Psychological Science: 2020 Year in

    Racial Inequality in Psychological Research: Trends of the Past and Recommendations for the Future: Systematic inequality exists within psychological research. This is the conclusion researchers published in Perspectives on Psychological Science after querying more than 26,000 articles published between 1974 and 2018 in top-tier psychology ...

  14. Mind & Brain News -- ScienceDaily

    Psychology news from leading research institutes around the world. Research on relationships, new treatments for mental health conditions, and more. Updated daily.

  15. PsyPost

    Reporting the latest scientific research on behavior, cognition and society. ... New study sheds light on its surprising role in adult sexuality. ... Being in nature can alter your sense of time, according to psychology research. April 25, 2024. Ayahuasca. Is childhood trauma linked to challenging ayahuasca experiences? New study has surprising ...

  16. New and emerging approaches to treat psychiatric disorders

    Although many somatic and psychological treatments are available, ... (RDoC): toward a new classification framework for research on mental disorders. Am. J. Psychiatry 167, 748-751 (2010).

  17. Home

    Psychological Research is seeking nominations for a new, incoming Editor-in-Chief, term beginning January 1 2025.. Interested candidates should email their CV and a letter of interest, indicating their expertise, editorial experience, and a vision statement (2 pages or so) for the journal to [email protected]. The call will be open until May 1st, 2024, and candidates will be contacted ...

  18. New Psychological Research Teaches Us How To Be More Self ...

    We generally assume that if we face too many obstacles while pursuing a goal, it takes a toll on our motivation levels. However, a new study published in the Journal of Research in Personality ...

  19. Psychologists are rebranding the field, expanding the one-to-one

    Psychology is thinking bigger, as a growing number of psychological scientists and clinicians seek to "rebrand" the field. Experts are finding innovative new ways to reach more people and take a more preventive approach by shifting away from the perception of psychology as the practice of diagnosing and treating mental health disorders and broadening the lens of behavioral health.

  20. Research in Context: Treating depression

    Finding better approaches. While effective treatments for major depression are available, there is still room for improvement. This special Research in Context feature explores the development of more effective ways to treat depression, including personalized treatment approaches and both old and new drugs.

  21. New Research in Psychological Science

    In a one-of-a-kind experiment, 200 adults from seven countries received a gift of $10,000 each from a pair of wealthy donors, with almost no strings attached. On average, the recipients spent over $6,400 on purchases that benefited others, including nearly $1,700 in donations to charity.

  22. New Psychological Research Teaches Us How To Cultivate ...

    getty. A new study published in the Journal of Positive Psychology introduces a new concept in mental health inspired by buddhist philosophy. This concept, termed 'caring for bliss,' consists ...

  23. Mental Health Research News -- ScienceDaily

    Read the latest research as well as in-depth information on clinical depression, schizophrenia, bipolar disorder, ADHD and other mental health disorders in adults, teens, and children.

  24. During the pandemic, 41% of US adults faced high ...

    (SDI Productions via Getty Images) At least four-in-ten U.S. adults (41%) have experienced high levels of psychological distress at least once since the early stages of the coronavirus outbreak, according to a new Pew Research Center analysis that examines survey responses from the same Americans over time.. Experiences of high psychological distress are especially widespread among young adults.

  25. Shaping the future of behavioral and social research at NIA

    For the past four years, I've had the privilege of leading the Division of Behavioral and Social Research (BSR). Every day, I work with a talented and dedicated team united by our passion for improving healthspan as we age through social, psychological, economic, and behavioral research at both the individual and population levels.

  26. 11 emerging trends for 2023

    Driven by a sense of purpose, psychologists are finding new ways to get research and clinical advice to those who need it. ... Psychologists are expanding the one-to-one therapy approach to strengthen psychological health across entire populations. ADVERTISEMENT. ADVERTISEMENT. Date created: January 2023.

  27. Current Issues in Statistical Methods and Research Practices for

    Psychological methods keep evolving: psychology researchers constantly adopt new statistical methods, computational tools, and research practices. This course covers the latest advances in research methods in psychological science through a series of lectures, tutorials, and seminars. Lectures are generally given by a guest speaker who introduce...

  28. New AI-Technology Estimates Brain Age Using Low-Cost EEG Device

    Researchers from Drexel University's Creativity Research Lab developed an artificial intelligence technique that can effectively estimate an individual's brain age based on electroencephalogram (EEG) brain scans. The technology could help to make early, regular screening for degenerative brain diseases more accessible.