Addiction Archive

Negative traits such as anger and insecurity have been linked to heart-related problems. Taking steps to temper these tendencies may help.

Remember the Type A personality? First coined back in the 1950s, the term refers to people who are aggressive, ambitious, competitive, and time-conscious. But the notion that Type As were more likely to have heart attacks than their more laid-back counterparts turned out to be untrue, as numerous studies in the 1980s and 1990s revealed.

But in the early 2000s, another personality type — Type D for distressed — began getting more attention. Type D people are anxious, irritable, and angry; they also tend to feel ill at ease in social situations and are uncomfortable opening up to others. According to a 2018 review in Current Cardiology Reports, having a Type D personality is a risk factor for cardiovascular disease. The lead author, psychologist Johan Denollet, first described Type D and created a test for it (see "Type D personality test").

News briefs

A little afternoon snooze can help you feel more rested — and it might do you good in other ways, too. A small study from China published online Jan. 25, 2021, by General Psychiatry suggests that afternoon naps (between five minutes and two hours long) may be good for your memory and thinking skills. Researchers put more than 2,200 older adults through a series of health screenings that included blood tests and cognitive assessments, and also asked participants whether and how often they napped. About 1,500 of the participants were nappers. Compared with people who didn't nap, the nappers performed better on cognitive tests, scoring better on location awareness, verbal fluency, and memory. The study was observational, so it can't prove that napping caused the better cognitive test results. Previous studies have shown that afternoon nap benefits decline as age and nap duration increase. Short, frequent naps (less than 30 minutes, four times per week) have been associated with reduced risks for developing Alzheimer's disease. In contrast, people who take long naps (two hours or longer) appear to have worse cognitive function, although it is unclear what is cause and what is effect.

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Consider your social interaction if you've been feeling foggy.

We've all been isolated from many family members and friends during the pandemic. If you've been having a harder time remembering things or processing information since the pandemic began, it could be an isolation side effect.

"It's something I'm seeing clinically. Some people were okay before the pandemic and now they're having faster cognitive decline," says Dr. Joel Salinas, a behavioral neurologist and faculty member of the Harvard Center for Population and Development Studies.

No one likes being stuck by a needle, and it’s not unusual for a person to be afraid of needles. If it’s serious enough, this phobia can affect quality of life and overall health — an especially important concern with vaccination available for COVID-19. But there are ways to cope with the problem.

Peer support groups in mental health allow people with similar lived experiences to listen, share, and encourage one another. A Black peer support group created around race and culture as well as mental health may offer a safe space that allows people to address aspects of shared identity and experiences around racism with others who understand their daily reality.

Ask the doctor

Q. How do we store memories in our brain, and is there hope that someday we might be able to restore memories we've lost?

A. We remember just a tiny fraction of the events of our lives. The sights and sounds of every conscious moment could become a memory. But only when a moment seems important do we remember it, at least for a while. I remember the radiant beauty of my wife's face on our wedding day, at the moment she lifted the veil.

Details of significant experiences from decades ago may still be available if you can coax them out of your memory.

Sometimes memories of certain experiences remain crystal clear for life, like the moment you said "I do," or the first time you held your baby in your arms. Other significant memories from long ago can be harder to recall. But they may still be with you; it just takes effort to retrieve them.

Which memories stay with us?

Of the many memories you accumulate every day, only those marked as meaningful are recorded in your brain's long-term files. "We have a system in our brains that tags memories that are important in some way so we'll remember them in the future," explains Dr. Andrew Budson, a neurologist and chief of Cognitive and Behavioral Neurology at VA Boston Healthcare System.

Research we're watching

While opioid use disorders have gotten a lot of attention in recent years, the number of people dying as a result of methamphetamine use is on the rise. A study published Jan. 14, 2021, in The New England Journal of Medicine found that a combination drug therapy may provide some hope in helping people with this difficult-to-treat disorder.

In the trial, half of the 403 adult volunteers were given a combination of two drugs: naltrexone, which is used to treat both opioid and alcohol use disorders, and bupropion, an antidepressant. The other half of the group received a placebo. The treatment period began in 2017 and ended in 2019. During that time people were given periodic urine tests to gauge whether they used methamphetamines. Those who had at least three of four drug-free tests were defined as having responded to treatment. Researchers found that by weeks five and six, 16.5% of the treatment group had responded to treatment, compared with 3.4% of the control group. By weeks 11 and 12, 11.4% of the treatment group met the urine test criteria for successful treatment, compared with less than 2% of the control group. Most people who received the drug treatment didn't have any serious side effects.

News briefs

We already know that mindfulness meditation and a mentally active life are boons to healthy aging. But do these practices also help older people struggling with mild cognitive impairment (MCI)? To find out, Harvard researchers reviewed more than a dozen recent studies that looked at the effects of either mindfulness or cognitive training (including computerized programs) on older adults with MCI. In findings published online Dec. 29, 2020, by The American Journal of Medicine, researchers concluded that both strategies have potential benefits for cognition and mood. For people with MCI, practicing mindfulness over several weeks to months seemed to sharpen attention, memory, and other mental skills, and ease anxiety and depression. Similarly, cognitive training was associated with better memory, executive function, and mood. Most of the studies included in the review were relatively small and short-term, so they don't provide strong evidence of benefit, nor could they determine how long any benefit might last. But researchers say both strategies are feasible and low-risk, with the potential to benefit thinking skills and mood in people with MCI. Now we need more research to find out how the benefits might translate into everyday life and endure over time.

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