Depressão: exercícios e terapia cognitivo-comportamental pela internet propiciam alívio prolongado

Depressão: exercícios e terapia cognitivo-comportamental pela internet propiciam alívio prolongado

Megan Brooks

Notificação | 09 de dezembro de 2016

A prática de exercícios e a terapia cognitivo-comportamental pela internet são boas opções a considerar para os pacientes com depressão leve a moderada, dizem os autores de um grande estudo randomizado controlado.

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Resetting the Addictive Brain


On a cold Tuesday morning one March, Christian Lüscher hopped on his bicycle in the cavernous basement tunnels that snake beneath the building housing his laboratory and pedaled to the nearby Geneva University Hospitals.
By the time he arrived in the operating room, a surgical team already had shaved a patient bald, secured a metal frame to her head and drilled two quarter-size holes on either side of her skull. She was 68, a retired U.N. employee.

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Go Inside the Harvard Brain Bank


The Harvard Brain Tissue Resource Center is the largest human brain bank in the United States. Home to 5000 specimens, the center provides scientists around the country with invaluable research materials. Because donated brains can arrive at all hours of the day, the brain bank is open 24/7.

In the short video “Brain Freeze: Welcome to the Country’s Largest Brain Collection,” Great Big Story goes behind the scenes at the brain bank, showing how employees slice and dice donated specimens in preparation for research. The center accepts the brains of people who were diagnosed with a psychiatric, neurological, or neurodevelopmental disorder. It also takes «normal» brains, which play an important role as controls. In the video, scientific director Sabina Berretta explains how these donated brains help researchers learn more about everything from schizophrenia to Parkinson’s disease.

“We are not even close to understanding a lot of what we take for granted: our thoughts, our instincts, our feelings, our emotions,” Berretta explains in the video above. “A brain donation is, in a very concrete way, a gift of knowledge.”

Banner image credit: Great Big Story, YouTube


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The invisible world of human perception


Stage magicians are not the only ones who can distract the eye: a new cognitive psychology experiment demonstrates how all human beings have a built-in ability to stop paying attention to objects that are right in front of them.

Perception experts have long known that we see much less of the world than we think we do. A person creates a mental model of their surroundings by stitching together scraps of visual information gleaned while shifting attention from place to place. Counterintuitively, the very process that creates the illusion of a complete picture relies on filtering out most of what’s out there.

In a paper published in the journal Attention, Perception, & Psychophysics a team of U of T researchers reveal how people have more «top-down» control of what they don’t notice than many scientists previously believed.

«The visual system really cares about objects,» says postdoctoral fellow J. Eric T. Taylor, who is the lead author on the paper. «If I move around a room, the locations of all the objects — chairs, tables, doors, walls, etc. — change on my retina, but my mental representation of the room stays the same.»

Objects play such a fundamental role in how we focus our attention that many perception researchers believe we are «addicted» to them; we couldn’t stop paying attention to objects if we tried. The visual brain guides attention largely by selecting objects — and this process is widely believed to be automatic.

«I had an inkling that object-based attention cues require a little more will on the observer’s part,» says Taylor. «I designed an experiment to determine whether you can ‘erase’ object-based attention shifting.»

Taylor put a new twist on an old and highly influential test known as a «two-rectangle experiment.» The original experiment was instrumental in demonstrating just how deeply objects are ingrained in how we see the world.

In the original experiment, test subjects stare at a screen with two skinny rectangles. A brief flash of light draws their attention to one end of one rectangle — say the top end of the left rectangle. Then, a «target» appears, either in the same place as the flash, at the other end of the same rectangle, or at one of the ends of the other rectangle.

Observers are consistently faster at seeing the target if it appeared at the opposite end of the original rectangle than if it appeared at the top of the other rectangle — even though those two points are precisely the same distance from the original flash of light.

The widely accepted conclusion was that the human brain is wired to use objects like these rectangles to focus attention. Alternately referred to as a «bottom-up» control or a «part of our lizard brain,» object-based attention cues seemed to evoke an involuntary, uncontrolled response in the human brain.

Taylor and colleague’s variations added a new element: test observers went through similar exercises, but they were instructed to hunt targets of a specific colour that either matched or contrasted with the colour of the rectangles themselves.

«They activate a ‘control setting’ for, say, green, which is a very top-down mental activity,» says Taylor. «We found that when the objects matched the target color, people use them to help direct their attention. But when the objects were not the target colour, people no longer use them — they become invisible.»

Test observers are aware of the rectangles on the screen, but when they’re seeking a green target among red shapes, those objects no longer affect the speed with which they find it. In everyday life, we continually create such top-down filters, by doing anything from heeding a «Watch for children» sign to scanning a crowd for a familiar face.

«This result tells us that one of the ways we move attention around is actually highly directed rather than automatic,» Taylor says. «We can’t say exactly what we’re missing, but whatever is and is not getting through the filter is not as automatic as we thought.»

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