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Stuck in fight-or-flight mode? 5 ways to complete the ‘stress cycle’ and avoid burnout or depression

<div class="theconversation-article-body"> <p>Can you remember a time when you felt stressed leading up to a big life event and then afterwards felt like a weight had been lifted? This process – the ramping up of the stress response and then feeling this settle back down – shows completion of the “stress cycle”.</p> <p>Some stress in daily life is unavoidable. But remaining stressed is unhealthy. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568977/">Chronic stress</a> increases <a href="https://pubmed.ncbi.nlm.nih.gov/32886587/">chronic health conditions</a>, including heart disease and stroke and diabetes. It can also lead to <a href="https://theconversation.com/were-all-exhausted-but-are-you-experiencing-burnout-heres-what-to-look-out-for-164393">burnout</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137920/">depression</a>.</p> <p>Exercise, cognitive, creative, social and self-soothing activities help us process stress in healthier ways and complete the stress cycle.</p> <h2>What does the stress cycle look like?</h2> <p>Scientists and researchers refer to the “stress response”, often with a focus on the fight-or-flight reactions. The phrase the “stress cycle” has been made popular by <a href="https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout">self-help experts</a> but it does have a scientific basis.</p> <p>The <a href="https://www.ncbi.nlm.nih.gov/books/NBK541120/">stress cycle</a> is our body’s response to a stressful event, whether real or perceived, physical or psychological. It could be being chased by a vicious dog, an upcoming exam or a difficult conversation.</p> <p>The stress cycle has three stages:</p> <ul> <li> <p><strong>stage 1</strong> is perceiving the threat</p> </li> <li> <p><strong>stage 2</strong> is the fight-or-flight response, driven by our stress hormones: adrenaline and cortisol</p> </li> <li> <p><strong>stage 3</strong> is relief, including physiological and psychological relief. This completes the stress cycle.</p> </li> </ul> <p>Different people will respond to stress differently based on their life experiences and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181835/#:%7E:text=The%20major%20findings%20regarding%20the,renin%2Dangiotensin%2Daldosterone%20system%20or">genetics</a>.</p> <p>Unfortunately, many people experience <a href="https://www.weforum.org/agenda/2023/01/polycrisis-global-risks-report-cost-of-living/">multiple and ongoing stressors</a> out of their control, including the cost-of-living crisis, extreme weather events and <a href="https://www.aihw.gov.au/family-domestic-and-sexual-violence/types-of-violence/family-domestic-violence">domestic violence</a>.</p> <p>Remaining in stage 2 (the flight-or-flight response), can lead to chronic stress. <a href="https://theconversation.com/how-chronic-stress-changes-the-brain-and-what-you-can-do-to-reverse-the-damage-133194">Chronic stress</a> and high cortisol can increase <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476783/">inflammation</a>, which damages our brain and other organs.</p> <p>When you are stuck in chronic fight-or-flight mode, you don’t think clearly and are more easily distracted. Activities that provide temporary pleasure, such as eating junk food or drinking alcohol are <a href="https://onlinelibrary.wiley.com/doi/10.1111/acer.14518">unhelpful strategies</a> that do not reduce the stress effects on our brain and body. Scrolling through social media is also not an effective way to complete the stress cycle. In fact, this is associated with an <a href="https://www.apa.org/monitor/2022/11/strain-media-overload">increased stress response</a>.</p> <h2>Stress and the brain</h2> <p>In the brain, chronic high cortisol can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561403/">shrink the hippocampus</a>. This can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1557684/#:%7E:text=The%20hippocampal%20formation%20plays%20a,%2C%20memory%2C%20motivation%20and%20emotion.&amp;text=Therefore%2C%20reduced%20hippocampal%20volumes%20should,in%20patients%20with%20major%20depression">impair a person’s memory</a> and their capacity to think and concentrate.</p> <p>Chronic high cortisol also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907136/#:%7E:text=The%20prefrontal%20cortex%20(PFC)%20intelligently,brain%20regions%20(BOX%201).">reduces activity</a> in the prefrontal cortex but <a href="https://www.sciencedirect.com/science/article/pii/S2352289514000101">increases activity</a> in the amygdala.</p> <p>The prefrontal cortex is responsible for higher-order control of our thoughts, behaviours and emotions, and is <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full">goal-directed</a> and rational. The amygdala is involved in reflexive and emotional responses. Higher amygdala activity and lower prefrontal cortex activity explains why we are less rational and more emotional and reactive when we are stressed.</p> <p>There are five <a href="https://www.penguin.co.uk/articles/2019/03/complete-stress-cycle-emotional-exhaustion-burnout">types of activities</a> that can help our brains complete the stress cycle.</p> <figure><iframe src="https://www.youtube.com/embed/eD1wliuHxHI?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">It can help to understand how the brain encounters stress.</span></figcaption></figure> <h2>1. Exercise – its own complete stress cycle</h2> <p>When we exercise we get a short-term spike in cortisol, followed by a <a href="https://www.health.harvard.edu/staying-healthy/exercising-to-relax">healthy reduction</a> in cortisol and adrenaline.</p> <p>Exercise also <a href="https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469#:%7E:text=Exercise%20in%20almost%20any%20form,distract%20you%20from%20daily%20worries.&amp;text=You%20know%20that%20exercise%20does,fit%20it%20into%20your%20routine.">increases endorphins and serotonin</a>, which improve mood. Endorphins cause an elated feeling often called “runner’s high” and have <a href="https://pubmed.ncbi.nlm.nih.gov/33396962/">anti-inflammatory effects</a>.</p> <p>When you exercise, there is more blood flow to the brain and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721405/">higher activity</a> in the prefrontal cortex. This is why you can often think more clearly after a walk or run. Exercise can be a helpful way to <a href="https://www.healthline.com/health/heart-disease/exercise-stress-relief">relieve feelings of stress</a>.</p> <p>Exercise can also increase the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041121/">volume</a> of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915811/">hippocampus</a>. This is linked to better short-term and long-term memory processing, as well as reduced stress, depression and anxiety.</p> <h2>2. Cognitive activities – reduce negative thinking</h2> <p>Overly negative thinking can trigger or extend the stress response. In our 2019 research, we found the relationship between stress and cortisol was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987429/">stronger in people with more negative thinking</a>.</p> <p>Higher amygdala activity and less rational thinking when you are stressed can lead to <a href="https://pubmed.ncbi.nlm.nih.gov/18628348/">distorted thinking</a> such as focusing on negatives and rigid “black-and-white” thinking.</p> <p>Activities to reduce negative thinking and promote a more realistic view can reduce the stress response. In clinical settings this is usually called <a href="https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt">cognitive behaviour therapy</a>.</p> <p>At home, this could be journalling or writing down worries. This engages the logical and rational parts of our brain and helps us think more realistically. Finding evidence to challenge negative thoughts (“I’ve prepared well for the exam, so I can do my best”) can help to complete the stress cycle.</p> <h2>3. Getting creative – a pathway out of ‘flight or fight’</h2> <p>Creative activities can be art, craft, gardening, cooking or <a href="https://heartmindonline.org/resources/10-exercises-for-your-prefrontal-cortex">other activities</a> such as doing a puzzle, juggling, music, theatre, dancing or simply being absorbed in enjoyable work.</p> <p>Such pursuits increase <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2014.00761/full">prefrontal cortex activity</a> and promote flow and focus.</p> <p>Flow is a <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.645498/full">state of full engagement</a> in an activity you enjoy. It lowers high-stress levels of noradrenaline, the brain’s adrenaline. When you are focussed like this, the brain only processes information relevant to the task and ignores non-relevant information, including stresses.</p> <h2>4. Getting social and releasing feel-good hormones</h2> <p>Talking with someone else, physical affection with a person or pet and laughing can all <a href="https://theconversation.com/what-happens-in-our-brain-and-body-when-were-in-love-198885">increase oxytocin</a>. This is a chemical messenger in the brain that increases social bonding and makes us feel connected and safe.</p> <p>Laughing is also a social activity that <a href="https://neurosciencenews.com/laughter-physical-mental-psychology-17339/">activates parts</a> of the limbic system – the part of the brain involved in emotional and behavioural responses. This increases <a href="https://www.jneurosci.org/content/37/36/8581">endorphins</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/27439375/">serotonin</a> and improves our mood.</p> <h2>5. Self-soothing</h2> <p>Breathing <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189422/">exercises</a> and meditation stimulate the parasympathetic nervous system (which calms down our stress responses so we can “reset”) via the <a href="https://theconversation.com/our-vagus-nerves-help-us-rest-digest-and-restore-can-you-really-reset-them-to-feel-better-210469">vagus nerves</a>, and <a href="https://www.tandfonline.com/doi/full/10.1080/17437199.2020.1760727">reduce cortisol</a>.</p> <p>A good <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035568/#:%7E:text=We%20conclude%20that%2C%20in%20addition,self%2Dsoothing%20effects%20of%20crying.">cry can help too</a> by releasing stress energy and increasing oxytocin and endorphins.</p> <p><a href="https://www.medicalnewstoday.com/articles/319631#:%7E:text=Possible%20benefits%20of%20crying%20include,of%201.9%20times%20a%20month.">Emotional tears</a> also remove cortisol and the hormone prolactin from the body. Our prior research showed <a href="https://pubmed.ncbi.nlm.nih.gov/29096223/">cortisol</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9216608/">prolactin</a> were associated with depression, anxiety and hostility.<em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/susan-j-thomas-1293985">Susan J. Thomas</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <h2>Action beats distraction</h2> <p>Whether it’s watching a funny or sad movie, exercising, journalling, gardening or doing a puzzle, there is science behind why you should complete the stress cycle.</p> <p>Doing at least one positive activity every day can also reduce our baseline stress level and is beneficial for good mental health and wellbeing.</p> <p>Importantly, chronic stress and <a href="https://theconversation.com/are-you-burnt-out-at-work-ask-yourself-these-4-questions-118128">burnout</a> can also indicate the need for change, <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/wps.20311">such as in our workplaces</a>. However, not all stressful circumstances can be easily changed. Remember help is always available.</p> <p>If you have concerns about your stress or health, please talk to a doctor.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="https://www.lifeline.org.au/">Lifeline</a> on 13 11 14 or <a href="https://kidshelpline.com.au/">Kids Helpline</a> on 1800 55 1800.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/218599/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, Associate professor of Medical Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/susan-j-thomas-1293985">Susan J. Thomas</a>, Associate professor in Mental Health and Behavioural Science, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image </em><em>credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/stuck-in-fight-or-flight-mode-5-ways-to-complete-the-stress-cycle-and-avoid-burnout-or-depression-218599">original article</a>.</em></p> </div>

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How much stress is too much? A psychiatrist explains the links between toxic stress and poor health − and how to get help

<p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655">La<em>wson R. Wulsin</em></a><em>, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati </a></em></p> <p>COVID-19 taught most people that the line between tolerable and toxic stress – defined as persistent demands that lead to disease – varies widely. But some people will age faster and die younger from toxic stressors than others.</p> <p>So how much stress is too much, and what can you do about it?</p> <p>I’m a <a href="https://researchdirectory.uc.edu/p/wulsinlr">psychiatrist specializing in psychosomatic medicine</a>, which is the study and treatment of people who have physical and mental illnesses. My research is focused on people who have psychological conditions and medical illnesses as well as those whose stress exacerbates their health issues.</p> <p>I’ve spent my career studying mind-body questions and training physicians to treat mental illness in primary care settings. My <a href="https://www.cambridge.org/core/books/toxic-stress/677FA62B741540DBDB53E2F0A52A74B1">forthcoming book</a> is titled “Toxic Stress: How Stress is Killing Us and What We Can Do About It.”</p> <p>A 2023 study of stress and aging over the life span – one of the first studies to confirm this piece of common wisdom – found that four measures of stress all speed up the pace of biological aging in midlife. It also found that persistent high stress ages people in a comparable way to the <a href="https://doi.org/10.1097/PSY.0000000000001197">effects of smoking and low socioeconomic status</a>, two well-established risk factors for accelerated aging.</p> <figure><iframe src="https://www.youtube.com/embed/yiglpsqv5ik?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Children with alcoholic or drug-addicted parents have a greater risk of developing toxic stress.</span></figcaption></figure> <h2>The difference between good stress and the toxic kind</h2> <p>Good stress – a demand or challenge you readily cope with – is good for your health. In fact, the rhythm of these daily challenges, including feeding yourself, cleaning up messes, communicating with one another and carrying out your job, helps to regulate your stress response system and keep you fit.</p> <p>Toxic stress, on the other hand, wears down your stress response system in ways that have lasting effects, as psychiatrist and trauma expert Bessel van der Kolk explains in his bestselling book “<a href="https://www.penguinrandomhouse.com/books/313183/the-body-%20keeps-the-score-by-bessel-van-der-kolk-md/">The Body Keeps the Score</a>.”</p> <p>The earliest effects of toxic stress are often persistent symptoms such as headache, fatigue or abdominal pain that interfere with overall functioning. After months of initial symptoms, a full-blown illness with a life of its own – such as migraine headaches, asthma, diabetes or ulcerative colitis – may surface.</p> <p>When we are healthy, our stress response systems are like an orchestra of organs that miraculously tune themselves and play in unison without our conscious effort – a process called self-regulation. But when we are sick, some parts of this orchestra struggle to regulate themselves, which causes a cascade of stress-related dysregulation that contributes to other conditions.</p> <p>For instance, in the case of diabetes, the hormonal system struggles to regulate sugar. With obesity, the metabolic system has a difficult time regulating energy intake and consumption. With depression, the central nervous system develops an imbalance in its circuits and neurotransmitters that makes it difficult to regulate mood, thoughts and behaviors.</p> <h2>‘Treating’ stress</h2> <p>Though stress neuroscience in recent years has given researchers like me <a href="https://doi.org/10.1097/PSY.0000000000001051">new ways to measure and understand stress</a>, you may have noticed that in your doctor’s office, the management of stress isn’t typically part of your treatment plan.</p> <p>Most doctors don’t assess the contribution of stress to a patient’s common chronic diseases such as diabetes, heart disease and obesity, partly because stress is complicated to measure and partly because it is difficult to treat. In general, doctors don’t treat what they can’t measure.</p> <p>Stress neuroscience and epidemiology have also taught researchers recently that the chances of developing serious mental and physical illnesses in midlife rise dramatically when people are exposed to trauma or adverse events, especially during <a href="https://www.cdc.gov/violenceprevention/aces/ace-brfss.html">vulnerable periods such as childhood</a>.</p> <p>Over the past 40 years in the U.S., the alarming rise in <a href="https://www.cdc.gov/diabetes/health-equity/diabetes-by-the-numbers.html">rates of diabetes</a>, <a href="https://www.cdc.gov/nchs/data/hestat/obesity-child-17-18/overweight-obesity-child-H.pdf">obesity</a>, depression, PTSD, <a href="https://www.cdc.gov/nchs/products/databriefs/db433.htm">suicide</a> and addictions points to one contributing factor that these different illnesses share: toxic stress.</p> <p>Toxic stress increases the risk for the onset, progression, complications or early death from these illnesses.</p> <h2>Suffering from toxic stress</h2> <p>Because the definition of toxic stress varies from one person to another, it’s hard to know how many people struggle with it. One starting point is the fact that about 16% of adults report having been exposed to <a href="https://www.cdc.gov/violenceprevention/aces/fastfact.html">four or more adverse events in childhood</a>. This is the threshold for higher risk for illnesses in adulthood.</p> <p>Research dating back to before the COVID-19 pandemic also shows that about 19% of adults in the U.S. have <a href="https://doi.org/10.7249/TL221">four or more chronic illnesses</a>. If you have even one chronic illness, you can imagine how stressful four must be.</p> <p>And about 12% of the U.S. population <a href="https://blogs.worldbank.org/opendata/introducing-second-edition-world-banks-global-subnational-atlas-poverty">lives in poverty</a>, the epitome of a life in which demands exceed resources every day. For instance, if a person doesn’t know how they will get to work each day, or doesn’t have a way to fix a leaking water pipe or resolve a conflict with their partner, their stress response system can never rest. One or any combination of threats may keep them on high alert or shut them down in a way that prevents them from trying to cope at all.</p> <p>Add to these overlapping groups all those who struggle with harassing relationships, homelessness, captivity, severe loneliness, living in high-crime neighborhoods or working in or around noise or air pollution. It seems conservative to estimate that about 20% of people in the U.S. live with the effects of toxic stress.</p> <figure><iframe src="https://www.youtube.com/embed/WuyPuH9ojCE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Exercise, meditation and a healthy diet help fight toxic stress.</span></figcaption></figure> <h2>Recognizing and managing stress and its associated conditions</h2> <p>The first step to managing stress is to recognize it and talk to your primary care clinician about it. The clinician may do an assessment involving a <a href="https://doi.org/10.1097/PSY.0000000000001051">self-reported measure of stress</a>.</p> <p>The next step is treatment. Research shows that it is possible to retrain a dysregulated stress response system. This approach, <a href="https://lifestylemedicine.org/">called “lifestyle medicine</a>,” focuses on improving health outcomes through changing high-risk health behaviors and adopting daily habits that help the stress response system self-regulate.</p> <p>Adopting these lifestyle changes is not quick or easy, but it works.</p> <p>The <a href="https://www.cdc.gov/diabetes/prevention/index.html">National Diabetes Prevention Program</a>, the <a href="https://www.ornish.com/">Ornish “UnDo” heart disease program</a> and the <a href="https://www.ptsd.va.gov/understand_tx/tx_basics.asp">U.S. Department of Veterans Affairs PTSD program</a>, for example, all achieve a slowing or reversal of stress-related chronic conditions through weekly support groups and guided daily practice over six to nine months. These programs help teach people how to practice personal regimens of stress management, diet and exercise in ways that build and sustain their new habits.</p> <p>There is now strong evidence that it is possible to treat toxic stress in ways that improve health outcomes for people with stress-related conditions. The next steps include finding ways to expand the recognition of toxic stress and, for those affected, to expand access to these new and effective approaches to treatment.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/222245/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655"><em>Lawson R. Wulsin</em></a><em>, Professor of Psychiatry and Family Medicine, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-and-how-to-get-help-222245">original article</a>.</em></p>

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Undernourished, stressed and overworked: cost-of-living pressures are taking a toll on Australians’ health

<p><em><a href="https://theconversation.com/profiles/nicole-black-103425">Nicole Black</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/anthony-harris-7148">Anthony Harris</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/danusha-jayawardana-1406565">Danusha Jayawardana</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/david-johnston-1126643">David Johnston</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>For the past few years, it has been impossible to escape the impact of inflation. Meeting our most basic needs – such as food, housing and health care – now costs significantly more, and wage increases <a href="https://futurework.org.au/post/for-most-workers-wages-are-still-failing-to-keep-up-with-inflation/">haven’t kept up</a>.</p> <p>There are signs relief could be on the horizon. Inflation has fallen to its <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/latest-release">lowest levels</a> since January 2022.</p> <p>But Australia now also finds itself in the midst of an <a href="https://theconversation.com/prepare-to-hear-about-an-official-recession-unofficially-weve-been-in-one-for-some-time-224963">economic downturn</a>, putting further pressure on households.</p> <p>Rising prices have an obvious negative impact on our financial health. But they can also have a profound effect on our physical and mental wellbeing, which is often overlooked.</p> <p>Australians may continue to feel the health effects of high inflation for quite some time.</p> <h2>It’s costing more to live well</h2> <p>Between March 2021 and March 2023, the price of goods and services <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/jun-quarter-2023">rose substantially</a>, marking a period of high <a href="https://www.rba.gov.au/education/resources/explainers/inflation-and-its-measurement.html">inflation</a>.</p> <p><iframe id="5vFeh" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/5vFeh/" width="100%" height="400px" frameborder="0"></iframe></p> <p>Worryingly, the prices of basic needs that are important for staying healthy – nutritious food, health care, housing and utilities – rose between 11% and 36%.</p> <h2>Who is affected the most?</h2> <p>Higher prices on essentials are virtually impossible to dodge, but they impact certain groups of people more than others.</p> <p>Wealthier households have managed their higher expenses by <a href="https://www.rba.gov.au/publications/fsr/2023/oct/pdf/financial-stability-review-2023-10.pdf">cutting back on discretionary spending and dipping into savings</a>.</p> <p>However, lower income households spend <a href="https://www.rba.gov.au/publications/fsr/2023/oct/household-business-finances-in-australia.html#:%7E:text=Lower%20income%20households%2C%20including%20many,than%20households%20on%20higher%20incomes.">a much larger portion of their income</a> on housing and other essentials.</p> <p>Without a savings buffer, these households experience severe financial strain and poor health outcomes.</p> <h2>Financial stress affects our health</h2> <p>Our research shows that high inflation has <a href="https://www.vichealth.vic.gov.au/resources/resource-download/high-inflation-and-implications-for-health">a range of effects</a> on people’s health.</p> <p>These effects fall into three main groups: material hardship, psychosocial, and behavioural.</p> <p><strong>1. Material hardship</strong></p> <p>People facing material hardship can’t meet their basic needs because they can’t afford to pay for them.</p> <p>Material hardship can present itself in a variety of ways:</p> <ul> <li><a href="https://theconversation.com/how-many-australians-are-going-hungry-we-dont-know-for-sure-and-thats-a-big-part-of-the-problem-195360">food insecurity</a> – not getting adequate nutrition</li> <li><a href="https://theconversation.com/1-in-4-households-struggle-to-pay-power-bills-here-are-5-ways-to-tackle-hidden-energy-poverty-204672">energy poverty</a> – struggling to pay for electricity and gas</li> <li>deferred health care – putting off medical treatment</li> <li>housing insecurity – struggling to find a stable place to live.</li> </ul> <p>Between August 2022 and February 2023, when inflation hit its highest levels in 33 years, over half (53%) of surveyed Australians reported <a href="https://melbourneinstitute.unimelb.edu.au/data/taking-the-pulse-of-the-nation-2022/2023/australians-face-challenging-budgetary-constraints">struggling to afford</a> their basic needs.</p> <p>Finding ourselves in this situation can have far-reaching implications for our health.</p> <p>For example, food insecurity is linked to <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">an increased risk of poor nutrition, obesity and chronic illness</a>, as households facing cost-of-living pressures shift towards cheaper, lower-quality food options.</p> <p>Energy poverty is linked to <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">physical and mental health problems</a> as people struggle to keep warm in wintertime, and cool in the summer.</p> <p>Delaying health care <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">increases</a> the risk of facing severe health problems, staying in hospital for longer, and being admitted to the emergency department. This isn’t just worse for individuals, it’s also far more costly for our health care system.</p> <p><strong>2. Psychosocial effects</strong></p> <p>Psychosocial effects are the ways in which cost-of-living pressures impact our mind and social relationships.</p> <p>Difficulties in meeting our basic needs are strongly associated with <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">increased levels of psychological distress</a>, including symptoms of anxiety and depression.</p> <p>This impact can worsen over time if individuals experience sustained financial stress.</p> <p>By undermining our ability to work well, the psychosocial effects of prolonged financial stress can initiate a “vicious cycle”, leading to reduced productivity and lower earnings.</p> <p>Financial stress can also have a detrimental impact on spousal relationships, which can affect the mental health of other household members such as children.</p> <p><strong>3. Behavioural effects</strong></p> <p>Cost-of-living pressures can also cause a number of changes in the way we behave.</p> <p>For many, these pressures have become a reason to work longer hours and gain additional income.</p> <p>Last year, Australians collectively worked 4.6% longer, an <a href="https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia/aug-2023">extra 86 million hours</a>.</p> <p>But working longer hours <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">reduces people’s overall health</a>, especially among parents of young children facing greater time constraints.</p> <p>It also leaves less time for activities that help to keep people healthy, such as getting regular exercise and cooking healthy meals.</p> <h2>How can policymakers respond?</h2> <p>In theory, the Reserve Bank of Australia’s primary tool for combating inflation – raising interest rates – should help. By reducing aggregate spending in the economy, it is designed to put downward pressure on prices.</p> <p>But by bluntly increasing the cost of borrowing, it also puts significant short-term financial pressure on both lower-income mortgage holders and renters.</p> <p>Better acknowledgement of this fact, and of inflation’s broader impact on people’s physical and mental health, would be a great start.</p> <p>When formulating policy responses to high inflation, governments could factor health and wellbeing impacts into their assessment of the trade-offs between alternative policy responses.</p> <p>This could help minimise any policy’s long-term negative health consequences and its impact on the health care system.</p> <p>Policymakers could also focus on making sure affordable and timely access to health care, especially mental health support, is made available to those most vulnerable to cost-of-living pressures.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223625/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/nicole-black-103425">Nicole Black</a>, Associate Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/anthony-harris-7148">Anthony Harris</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/danusha-jayawardana-1406565">Danusha Jayawardana</a>, Research Fellow in Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/david-johnston-1126643">David Johnston</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/undernourished-stressed-and-overworked-cost-of-living-pressures-are-taking-a-toll-on-australians-health-223625">original article</a>.</em></p>

Money & Banking

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Passenger slammed as he takes "manspreading to ANOTHER LEVEL"

<p>A frequent flyer has sparked outrage online after posting a video of one man's poor plane etiquette. </p> <p>Claire Zhu, 27, who has gained a following while documenting her travels with boyfriend Peter Ovendorf, 29, after quitting their nine-to-five in what they call their "corporate gap year", shared the video on TikTok. </p> <p>"Goodbye," she captioned the clip, with a text overlay that read: "The way this man took manspreading to ANOTHER LEVEL on my flight." </p> <p>At the start of the clip, Claire showed herself covering her mouth in shock, before panning over to the man sitting across from her, with his legs spread so wide that it crossed the aisle and reached her seat. </p> <p>His other foot was sitting so close to the passenger next to him, that even they could barely move. </p> <div class="embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; color: #323338; font-family: Figtree, Roboto, 'Noto Sans Hebrew', 'Noto Kufi Arabic', 'Noto Sans JP', sans-serif; background-color: #ffffff; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border-width: 0px; border-style: initial; vertical-align: baseline; width: 580px; max-width: 100%; outline: none !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7307690077772172587&display_name=tiktok&url=https%3A%2F%2Fwww.tiktok.com%2F%40claireandpeter%2Fvideo%2F7307690077772172587&image=https%3A%2F%2Fp19-sign.tiktokcdn-us.com%2Fobj%2Ftos-useast5-p-0068-tx%2FoovOIIFx0GSNezDUDCDAQEa7R5lgQBDEliE7fV%3Fx-expires%3D1701982800%26x-signature%3DNXp8xnv9BnN83wAEogQY%252BWxMv3Q%253D&key=59e3ae3acaa649a5a98672932445e203&type=text%2Fhtml&schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>People flooded to the comments to express their anger. </p> <p>"I would lose my mind," wrote one person. </p> <p>"That isn't man spreading, that's literally splitting," another quipped. </p> <p>"Absolutely not," added another. </p> <p>"Bestie you got to step on his foot. This is the final straw," commented a fourth. </p> <p>A few others were concerned that his actions might be hazardous. </p> <p>"He will trip someone!" one wrote. </p> <p>"Not only across the aisle but made it into your floor space..." another added. </p> <p>One commenter even shared their own horrific experience with another passenger taking over their space. </p> <p>"A lady did this to me on a long haul flight except I felt something on my thigh AND IT WAS HER FOOT," they said. </p> <p><em>Images: TikTok</em></p> <p> </p>

Travel Trouble

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12 expert ways to manage stress at airports

<p><strong><em>Betsy Goldberg writes for <a href="http://blog.virtuoso.com/" target="_blank" rel="noopener"><span style="text-decoration: underline;">Virtuoso Luxury Traveller</span></a>, the blog of a <a href="http://www.virtuoso.com/" target="_blank" rel="noopener"><span style="text-decoration: underline;">global luxury travel network</span></a>, and she enjoys nothing more than taking a holiday.</em></strong></p> <p>Airports should be happy places. They’re the beginning of a journey, either to a new place, a vacation, business meetings, time with family and friends, or back home.</p> <p>If you’ve spent even a brief amount of time inside an airport, though, you know that’s not the case. They can be stressful places with people running to and fro trying to make flights. All while dealing with their day-to-day life via their phone. No surprise that a psychologist has even developed an air travel stress scale.</p> <p>Air travel stress gets to virtually all of us. But it doesn’t have to. How can you reduce the drama?</p> <p><strong>1. Put things in context</strong></p> <p>A lot of reducing air travel stress comes simply from having a good mindset.</p> <p>The most important thing is to start with the right attitude, says Rishi Piparaiya, author of Aisle Be Damned: “We’re talking about an extremely complicated industry, where millions of people fly in the skies in metal tubes at the speed of sound. Sure, something may go wrong, but our ancestors would spend a lifetime to make the journey we make in half a day.”</p> <p>Here’s another take from Brent Bowen, dean of the College of Aviation at Embry-Riddle Aeronautical University. He noted that in 2013 the overall performance of U.S. airlines hit its highest point in 24 years.</p> <p>“The number of customer complaints has gone down,” he says. “Mishandled baggage has gone down and on-time performance has improved. So technically, based solely on the data, (the flight experience) has improved over the last 25 years substantially.”</p> <p><strong>2. When to fly</strong></p> <p>Leisure travellers tend to fly on weekends. Business travellers are crowding airports Mondays, Thursdays and Fridays. Therefore, book your flights for the quieter days of Tuesday and Wednesday when you can.</p> <p>Book an early-morning flight if possible to avoid more air travel stress. Airlines are less likely to have delays first thing in the day.</p> <p><strong>3. Use a packing list</strong></p> <p>This prevents “Oh no!” moments at the airport. If you’re not even at security yet and you already think you’re missing something and don’t have the time to go get it, the rest of the airport experience probably won’t be great.</p> <p>Avoid that kind of air travel stress before you get to the airport by starting with a packing list. Also, learn how to effectively pack a bag.</p> <p><strong>4. Check in promptly</strong></p> <p>Airlines let you check in online 24 hours before your flight. Do that to avoid lineups at the airport. Another bonus: it may help prevent you from being bumped off an oversold flight.</p> <p><strong>5. Carry on what you can</strong></p> <p>The advantages: less to potentially lose in your checked luggage. No baggage fees. And a faster exit from the airport when you arrive.</p> <p>Always carry on essentials like keys, medications, valuables and anything critical for business meetings. You don’t want to arrive in the Caribbean and be waiting days for everything you need to actually enjoy the Caribbean.</p> <p>So remember that air travel is actually much more effective than almost any human mode of transport in history. And in the past few decades, the experience has technically only improved. Take a deep breath when that air travel stress hits you.</p> <p><strong>6. The early bird approach</strong></p> <p>People fall into very distinct camps on this. Earlier tends to be better (especially around peak travel times like holidays). If you know security lines might be longer, why gamble and add more air travel stress?</p> <p><strong>7. The full charge</strong></p> <p>Phone batteries are getting better as technology continues to develop. And more airports are offering outlets and charging stations. But always get to the airport on a full charge. If you encounter a hiccup, you’ll need your device as a resource.</p> <p><strong>8. What to wear</strong></p> <p>Layers will help you navigate varying temperatures inside the airport and on the plane. Wear comfortable clothes you can move in, in case of a last-minute dash to a connecting flight. Wrinkle-free clothing is great, both for the journey to your destination as well as your trip itself.</p> <p>As far as footwear goes, wear something easy to slide on/off to get through security faster. In larger airports, you’re likely in for a big walk to and from your gate, so comfort is a must as well.</p> <p><strong>9. Entertainment</strong></p> <p>Unless you’ve booked an entire row on the plane, your seatmates are a random act of chance. They could be great – and not bother you. Or they could be challenging in many ways.</p> <p>So load up on distractions. Those include magazines, books, e-books, movies, TV shows and work you need to complete. They’ll also help in case of delays while you’re still in the terminal.</p> <p><strong>10. Your fellow passengers</strong></p> <p>Airports are amazing places for people-watching. If you stop at an airport bar or restaurant, you can usually strike up a conversation easily. You might be sitting next to someone from halfway around the world. You don’t get that chance every day, so take advantage of it.</p> <p>Want a conversation starter? Talk about the fastest way to board passengers. You’ll make some new friends and relieve your mutual air travel stress.</p> <p><strong>11. Airport lounges</strong></p> <p>Another place to meet new people: an airport lounge. You’ll await your flight in a relaxed, comfortable atmosphere. And you’ll enjoy peace and quiet, comfortable seating, food, drinks and reading materials.</p> <p>First-class and business-class travellers and elite frequent flyers have access to their airline’s lounge. Also, certain credit card holders enjoy complimentary access. For everyone else, there’s a day pass. A pass at an independent lounge will run you about $30 to $50.</p> <p><strong>12. Advisors as air travel stress relief</strong></p> <p>There are dozens of reasons why working with a professional travel advisor is a good idea. See here for real-life stories from actual travellers. One of those: an advisor can reduce air travel stress. Your advisor will work with you on itineraries, the best flight times, and any adjustments. If something crops up at the airport, you have a trusted resource one call away.</p> <p><em>Image credits: Getty Images</em></p>

Travel Tips

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Do stress and depression increase the risk of Alzheimer’s disease? Here’s why there might be a link

<p><em><a href="https://theconversation.com/profiles/yen-ying-lim-355185">Yen Ying Lim</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/ivana-chan-1477100">Ivana Chan</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Dementia affects more than <a href="https://www.who.int/news-room/fact-sheets/detail/dementia">55 million people</a> around the world. A number of factors can increase a person’s risk of developing dementia, <a href="https://link.springer.com/article/10.14283/jpad.2023.119">including</a> high blood pressure, poor sleep, and physical inactivity. Meanwhile, keeping cognitively, physically, and socially active, and limiting alcohol consumption, can <a href="https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext">reduce the risk</a>.</p> <p>Recently, a <a href="https://alzres.biomedcentral.com/articles/10.1186/s13195-023-01308-4">large Swedish study</a> observed that chronic stress and depression were linked to a higher risk of developing <a href="https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.12638">Alzheimer’s disease</a>, the most common form of dementia. The researchers found people with a history of both chronic stress and depression had an even greater risk of the disease.</p> <p>Globally, around <a href="https://www.who.int/news-room/fact-sheets/detail/depression">280 million people</a> have depression, while roughly <a href="https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders">300 million people</a> experience anxiety. With so many people facing mental health challenges at some stage in their lives, what can we make of this apparent link?</p> <h2>What the study did and found</h2> <p>This study examined the health-care records of more than 1.3 million people in Sweden aged between 18 and 65. Researchers looked at people diagnosed with chronic stress (technically chronic stress-induced exhaustion disorder), depression, or both, between 2012 and 2013. They compared them with people not diagnosed with chronic stress or depression in the same period.</p> <p>Participants were then followed between 2014 and 2022 to determine whether they received a diagnosis of mild cognitive impairment or dementia, in particular Alzheimer’s disease. <a href="https://alz-journals.onlinelibrary.wiley.com/doi/10.1016/j.jalz.2016.07.151">Mild cognitive impairment</a> is often seen as the precursor to dementia, although not everyone who has mild cognitive impairment will progress to dementia.</p> <p>During the study period, people with a history of either chronic stress or depression were around twice as likely to be diagnosed with mild cognitive impairment or Alzheimer’s disease. Notably, people with both chronic stress and depression were up to four times more likely to be diagnosed with mild cognitive impairment or Alzheimer’s disease.</p> <h2>Important considerations</h2> <p>In interpreting the results of this study, there are some key things to consider. First, the diagnosis of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9438479/">chronic stress-induced exhaustion disorder</a> is unique to the Swedish medical system. It is characterised by at least six months of intensive stress without adequate recovery. Symptoms include exhaustion, sleep disturbance and concentration difficulties, with a considerable reduction in ability to function. Mild stress may not have the same effect on dementia risk.</p> <p>Second, the number of people diagnosed with dementia in this study (the absolute risk) was very low. Of the 1.3 million people studied, 4,346 were diagnosed with chronic stress, 40,101 with depression, and 1,898 with both. Of these, the number who went on to develop Alzheimer’s disease was 14 (0.32%), 148 (0.37%) and 9 (0.47%) respectively.</p> <p>These small numbers may be due to a relatively young age profile. When the study began in 2012–2013, the average age of participants was around 40. This means the average age in 2022 was around 50. Dementia is typically diagnosed in <a href="https://www.health.gov.au/topics/dementia/about-dementia">people aged over 65</a> and diagnosis <a href="https://karger.com/dem/article-abstract/34/5-6/292/99009/Overdiagnosis-of-Dementia-in-Young-Patients-A?redirectedFrom=fulltext">in younger ages</a> may be less reliable.</p> <p>Finally, it’s possible that in some cases stress and depressive symptoms may reflect an awareness of an already declining memory ability, rather than these symptoms constituting a risk factor in themselves.</p> <p>This last consideration speaks to a broader point: the study is observational. This means it can’t tell us one thing caused the other – only that there is an association.</p> <h2>What does other evidence say?</h2> <p><a href="https://link.springer.com/article/10.14283/jpad.2023.119">Many studies</a> indicate that significant symptoms of depression, anxiety and stress are related to higher dementia risk. However, the nature of this relationship is unclear. For example, are depressive and anxiety symptoms a risk factor for dementia, or are they consequences of a declining cognition? It’s likely to be a bit of both.</p> <p>High <a href="https://pubmed.ncbi.nlm.nih.gov/32082139/">depressive and anxiety symptoms</a> are commonly reported in people with mild cognitive impairment. However, studies in middle-aged or younger adults suggest they’re important dementia risk factors too.</p> <p>For example, similar to the Swedish study, other <a href="https://www.sciencedirect.com/science/article/pii/S0165032719323031">studies</a> have suggested people with a history of depression are twice as likely to develop dementia than those without this history. In addition, in middle-aged adults, high anxiety symptoms are associated with <a href="https://pubmed.ncbi.nlm.nih.gov/34648818/">poorer cognitive function</a> and <a href="https://bmjopen.bmj.com/content/8/4/e019399">greater dementia risk</a> in later life.</p> <h2>Why the link?</h2> <p>There are several potential pathways through which stress, anxiety and depression could increase the risk of dementia.</p> <p>Animal studies suggest cortisol (a hormone produced when we’re stressed) can increase risk of Alzheimer’s disease by causing the accumulation of key proteins, <a href="https://pubmed.ncbi.nlm.nih.gov/34159699/">amyloid and tau</a>, in the brain. The accumulation of these proteins can result in increased <a href="https://www.mdpi.com/1422-0067/23/18/10572">brain inflammation</a>, which affects the brain’s nerves and supporting cells, and can ultimately lead to brain volume loss and memory decline.</p> <p>Another potential pathway is through <a href="https://www.sciencedirect.com/science/article/pii/S1087079217300114?via%3Dihub">impaired sleep</a>. Sleep disturbances are common in people with chronic stress and depression. Similarly, people with Alzheimer’s disease commonly report sleep disturbances. Even in people with <a href="https://pubmed.ncbi.nlm.nih.gov/34668959/">early Alzheimer’s disease</a>, disturbed sleep is related to poorer memory performance. Animal studies suggest poor sleep can also enhance accumulation of <a href="https://pubmed.ncbi.nlm.nih.gov/31408876/">amyloid and tau</a>.</p> <p>We still have a lot to learn about why this link might exist. But evidence-based strategies which target chronic stress, anxiety and depression may also play a role in reducing the risk of dementia.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215065/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/yen-ying-lim-355185"><em>Yen Ying Lim</em></a><em>, Associate Professor, Turner Institute for Brain and Mental Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/ivana-chan-1477100">Ivana Chan</a>, PhD candidate, clinical psychology, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-stress-and-depression-increase-the-risk-of-alzheimers-disease-heres-why-there-might-be-a-link-215065">original article</a>.</em></p>

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Should I be getting my vitamin D levels checked?

<p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Australia has seen a <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">surge in vitamin D testing</a> of children, with similar trends reported for adults around the <a href="https://pubmed.ncbi.nlm.nih.gov/29659534/">world</a>. GPs are now <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">being urged</a> not to test for vitamin D unnecessarily.</p> <p>So when is low vitamin D a potential concern? And when might you need to get your levels tested?</p> <h2>How much vitamin D do we need?</h2> <p>Vitamin D is not only a nutrient – when metabolised in the body it acts as a <a href="https://pubmed.ncbi.nlm.nih.gov/29080638/">hormone</a>. We have receptors for this hormone all around our body and it helps regulate the metabolism of calcium and phosphorus.</p> <p>Vitamin D also has many other roles, including helping our immune defences and contributing to <a href="https://pubmed.ncbi.nlm.nih.gov/11295155/">DNA repair</a> and cell differentiation.</p> <p>We can thank the sun for most of our vitamin D. A chemical in our skin called 7-dehydrocholesterol is converted to vitamin D after contact with UVB radiation from the sun.</p> <p>While we get some vitamin D also <a href="https://pubmed.ncbi.nlm.nih.gov/35253289/">through our diet</a>, this makes a relatively small contribution. It’s difficult to get much more than one-third of our daily vitamin D requirement from diet without supplementation.</p> <p>Nutritional vitamin D status is <a href="https://en.wikipedia.org/wiki/Calcifediol">typically measured</a> via a blood test. This checks the calcidiol (calcifediol, 25-hydroxyvitamin D) concentrations, which reflect the average intakes from the sun and diet over the past three to four weeks.</p> <p>The <a href="https://pubmed.ncbi.nlm.nih.gov/22708765/">current recommendation</a> is that we should all aim to have at least 50nmol/L (20ng/mL) at the end of winter.</p> <p>However, one problem with vitamin D tests is that there is <a href="https://pubmed.ncbi.nlm.nih.gov/37182753/">variation</a> in measured concentrations between the laboratories and between the assays, and whether you’re deemed to have a deficiency can depend on the testing method used.</p> <p>Doctors do not always agree with what is deficiency. While very low concentrations are likely to prompt doctors to recommend a supplement (and, potentially, follow-up testing), some may consider even relatively high concentrations as inadequate.</p> <p>This is all understandable as research in this space is still evolving, and we know low concentrations do not always cause any symptoms.</p> <h2>Why avoid vitamin D deficiency?</h2> <p>Prolonged, severe vitamin D deficiency will lead to softening of bone tissue and cause diseases such as rickets (children) and osteomalacia (adults).</p> <p>However, avoiding low concentrations is likely to be good for <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">many aspects of health</a>, with consistent evidence suggesting benefits for <a href="https://www.bmj.com/content/356/bmj.i6583">infectious diseases</a> and autoimmune conditions such as multiple sclerosis.</p> <p>Randomised trials have also provided evidence for lower <a href="https://pubmed.ncbi.nlm.nih.gov/35676320/">cancer</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/24414552/">all cause mortality</a> by daily supplementation, although any benefit is likely to be restricted to those who otherwise have insufficient intakes.</p> <h2>Who is at risk of deficiency?</h2> <p>Most of us do not need tests to have a relatively good idea whether we might be at risk of a clinically important deficiency.</p> <p>If it’s not late winter, we spend regularly at least some time outside with skin exposed to the sun, and we do not belong to a specific high-risk group, it is unlikely that our <a href="https://pubmed.ncbi.nlm.nih.gov/22168576/">levels would be very low</a>.</p> <p>The two main reasons for vitamin D deficiency typically relate to:</p> <p><strong>1. not getting (enough) vitamin D through sun exposure.</strong> Deficiency risk <a href="https://www.healthdirect.gov.au/vitamin-d-deficiency">can be high</a> for anyone who is housebound, such as older or disabled people in residential care. The risk of deficiency increases if we always cover our skin carefully by <a href="https://pubmed.ncbi.nlm.nih.gov/19211395/">modest cultural dress,</a> and also <a href="https://pubmed.ncbi.nlm.nih.gov/6119494/">dark skin pigmentation</a> is known to reduce vitamin D synthesis.</p> <p><strong>2. having a chronic disease that alters your requirement.</strong> Medications such as anticonvulsants used to treat epilepsy, and conditions such as <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">liver and kidney diseases</a> can interfere with vitamin D metabolism. Some <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">digestive diseases</a> can reduce vitamin D absorption from your diet, while <a href="https://pubmed.ncbi.nlm.nih.gov/30020507">obesity</a> will increase your vitamin D requirement and make it more difficult to raise your blood levels.</p> <h2>Am I getting enough sun exposure?</h2> <p>In Australia, it is possible to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. This isn’t so for many people living in the northern hemisphere.</p> <p>For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun a few minutes on most days.</p> <p>The body can only produce a certain amount of vitamin D at the time, so staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer.</p> <p>During winter, catching enough sun can be difficult, especially if you spend your days confined indoors. Typically, the required exposure increases to two to three hours per week in winter. This is because sunlight exposure can only help produce vitamin D if the UVB rays reach us at the correct angle. So in winter we should regularly spend time outside in the middle of the day to get our dose of vitamin D.</p> <p>If you are concerned, you have very dark skin, or are otherwise in a high-risk group, you may want to talk to your GP.</p> <p>In any case, taking a modest daily dose of vitamin D (1,000-2,000 IU) during the darker winter months is unlikely to cause harm and it <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">may be beneficial</a>.</p> <h2>Why does excess vitamin D testing matter?</h2> <p>When not indicated, testing can cause unnecessary worry and promote a cascade of <a href="https://pubmed.ncbi.nlm.nih.gov/32675268/">laboratory, prescription and imaging services</a> that are of low value.</p> <p>Excessive testing is also a waste of health-care resources, with one <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50619">single test</a> costing about the same as a years’ worth of vitamin D supplementation.</p> <p>Very often, we can make relatively small changes to our lifestyles to reduce the risks of vitamin D deficiency. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211268/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-i-be-getting-my-vitamin-d-levels-checked-211268">original article</a>.</em></p>

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Don’t believe the hype. Menopausal women don’t all need to check – or increase – their testosterone levels

<p><em><a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Ever heard “low testosterone” blamed for low mood, brain fog and loss of vitality? Despite all evidence to the contrary, social media influencers are increasingly promoting testosterone therapy as an elixir for women experiencing troubling symptoms of menopause.</p> <p>In a series of documentaries and <a href="https://www.dailymail.co.uk/health/article-11792553/Davina-McCall-effect-sparks-menopause-testosterone-treatment-rush-putting-women-risk.html">social media posts</a> about menopause in 2021 and 2022, British TV presenter Davina McCall promoted the use of testosterone therapy in addition to standard <a href="https://www.menopause.org.au/hp/information-sheets/combined-menopausal-hormone-therapy-mht">menopausal hormone therapy</a>. The “<a href="https://www.telegraph.co.uk/news/2023/02/17/davina-effect-fuels-surge-menopausal-women-using-testosterone/#:%7E:text=Chelsea%20Magazine%20Company-,'Davina%20effect'%20fuels%20surge%20in%20menopausal%20women%20using%20testosterone,NHS%20prescriptions%20for%20the%20hormone">Davina effect</a>” has helped fuel a <a href="https://pharmaceutical-journal.com/article/news/nhs-testosterone-prescribing-in-women-rises-ten-fold-in-seven-years#:%7E:text=The%20number%20of%20women%20in,The%20Pharmaceutical%20Journal%20has%20revealed">ten-fold increase</a> in prescribing of testosterone for women in the United Kingdom since 2015.</p> <p>Data isn’t available for Australia, but in my clinical practice, women are increasingly asking to have their testosterone level checked, and seeking testosterone to treat fatigue and brain fog.</p> <p>But while testosterone continues to be an important hormone before and after menopause, this doesn’t mean women should be having a blood test to get their testosterone levels checked – or taking testosterone therapy.</p> <h2>What does testosterone do?</h2> <p>Testosterone is an important hormone in women’s bodies, affecting the blood vessels, skin, muscle and bone, breast tissue and the brain. In both women and men, testosterone can act on its own or be converted into estrogen.</p> <p>Before menopause, testosterone is made in the ovaries, where it helps developing eggs grow and aids in estrogen production.</p> <p>The ovaries release both testosterone and estrogen into the bloodstream, and the levels of the two hormones in the blood peak around ovulation.</p> <p>Some of the testosterone measured in blood is also produced outside the ovaries, such as in fat, where it is made from “pre-hormones” secreted by the adrenal glands. This source of production of testosterone takes over after menopause.</p> <h2>Do we have more testosterone before menopause?</h2> <p>The claim is often made that pre-menopausal women have more testosterone in their bloodstream than estrogen, to justify the need for testosterone replacement after menopause.</p> <p>But, when sex hormones have been measured with precision, studies have shown this is not true. <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">Our research</a> found estrogen levels are higher than testosterone levels at all stages of the menstrual cycle.</p> <p>Blood testosterone levels <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">fall</a> by about 25% between the ages of 18 and 40 years in healthy women. The fall in testosterone coincides with the decline in eggs in the ovaries but whether this is a marker of the decline, a consequence, or a cause of the decline is not known.</p> <p>From around 40, the rate of decline slows and blood testosterone levels don’t change when <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">menopause</a> occurs naturally. Studies have not shown testosterone levels change meaningfully during the menopause transition.</p> <h2>Can blood tests detect ‘low testosterone’?</h2> <p>Some influencers claim to have a condition called “testosterone deficiency syndrome” or low levels of testosterone detected in blood tests.</p> <p>But there is no “normal” blood level below which a woman can be diagnosed as having “testosterone deficiency”. So there’s no such thing as having a testosterone deficiency or testosterone deficiency syndrome.</p> <p>This is also in part, because women have very low testosterone concentrations compared with men, and most commercial methods used to measure testosterone cannot separate normal from low levels in women with any certainty.</p> <p>Pre-menopausal women might also be told they have “low” testosterone if blood is drawn early in the menstrual cycle when it is normal for testosterone to be low. (However, it would only be clinically necessary to do this type of blood test to look for <em>high</em> testosterone, in someone with with excessive hair growth or severe acne, for example, not for <em>low</em> testosterone.)</p> <p>In post-menopausal women, much of the action of testosterone occurs in the tissues where it is made, after which testosterone is either converted to estrogen or broken down before it leaks back into the circulation. So blood testosterone concentrations are not a true reflection of tissue concentrations.</p> <p>Further complicating the picture is the enormous variability in the effects of testosterone. At a given blood level of testosterone, some women might have oily skin, acne, increased body hair growth or balding, while others will have no such effects.</p> <p>So, looking for a “low” blood testosterone in women is not helpful.</p> <h2>Can testosterone improve sexual desire? What about other conditions?</h2> <p>There is sound evidence that testosterone therapy may improve sexual desire in post-menopausal women who have developed low sexual desire that bothers them.</p> <p>This was <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">confirmed by</a> a <a href="https://pubmed.ncbi.nlm.nih.gov/31353194/">systematic review</a> of clinical trials comparing testosterone with a placebo or an alternative. These trials, all of which involved a treatment time of at least 12 weeks, showed testosterone therapy, overall, improved desire, arousal, orgasm and sexual satisfaction in post-menopausal women with low desire that caused them distress.</p> <p>Treatment is only indicated for women who want an improvement in sexual desire (after excluding other factors such as depression or medication side effects) and its success can only be determined by each woman’s personal self-reported response.</p> <p>But there is <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">not enough evidence</a> to show testosterone is beneficial for any other symptom or medical condition. The overall available data has shown no effect of testosterone on mood or cognition.</p> <p>As such, testosterone therapy <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">should not be used</a> to treat symptoms such as fatigue, low mood, muscle weakness and poor memory, or to prevent bone loss, dementia or breast cancer.</p> <p>However research continues to investigate these potential uses, including from my <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth">research team</a>, which is investigating whether testosterone therapy can <a href="https://asbmr.onlinelibrary.wiley.com/doi/10.1002/jbmr.534">protect against bone density loss and muscle loss after menopause</a>.</p> <p><em>You can learn more about participating in one of our studies <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth/join-a-study">here</a>.</em> <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/209516/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dont-believe-the-hype-menopausal-women-dont-all-need-to-check-or-increase-their-testosterone-levels-209516">original article</a></em>.</p>

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52 new charges levelled at Hunter Valley bus driver

<p>The bus driver accused of causing a fatal crash in the NSW Hunter Valley has bene slapped with dozens of new charges.</p> <p>Brett Button was allegedly behind the wheel of the bus carrying wedding guests when it rolled near the Hunter Expressway at Greta.</p> <p>The devastating crash claimed the lives of ten people, and injured several others, who were travelling from a wedding ceremony to a reception party in June. </p> <p>Mr Button, 58, was granted bail at Cessnock Local Court shortly after the accident, as he faces 20 charges, including negligent driving occasioning death. </p> <p>However, on Thursday it was revealed that Mr Button is now facing 63 charges in total, after 43 additional charges were laid by NSW Police.</p> <p>The new offences include nine charges each of dangerous and negligent driving occasioning grievous bodily harm.</p> <p>There were also an additional 25 new charges of causing bodily harm by misconduct while in charge of a motorvehcile.</p> <p>Police claim Button was driving too quickly and allegedly told passengers to "fasten your seatbelts" in the moments before the vehicle lost control at a roundabout and slammed into a guardrail, before tipping onto its side.</p> <div>Kane Symons, Angus Craig, Rebecca Mullen, Darcy Bulman, Nadene and Kyah McBride, Andrew and Lynan Scott, Tori Cowburn, and Zachary Bray were killed in the crash.</p> <p>Earlier this week, the NSW government finalised its inquiry into the bus crash but the findings are yet to be released.</p> <p><em>Image credits: Getty Images</em></p> </div>

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An El Niño looms over Australia’s stressed electricity system – and we must plan for the worst

<p><a href="https://theconversation.com/profiles/dylan-mcconnell-1602">Dylan McConnell</a>, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em> and <a href="https://theconversation.com/profiles/iain-macgill-576">Iain MacGill</a>, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p>The Bureau of Meteorology this week declared a 70% chance of an <a href="https://media.bom.gov.au/releases/1170/the-bureau-of-meteorology-issues-an-el-nino-alert/">El Niño</a> developing this year. It’s bad timing for the electricity sector, and means Australians may face supply disruptions and volatile prices.</p> <p><a href="http://www.bom.gov.au/climate/updates/articles/a008-el-nino-and-australia.shtml">El Niño events</a> are <a href="https://theconversation.com/from-floods-to-fire-a-climate-scientist-on-the-chances-el-nino-will-hit-australia-this-year-197408">associated with</a> increased temperatures and heatwaves. These conditions drive demand for electricity, especially in summer.</p> <p>These same conditions can also mean some generators don’t produce at full capacity. And unfortunately, the likely El Niño comes as the electricity sector grapples with other significant headwinds.</p> <p>Australia’s electricity grid may be fine this summer. But given what’s on the horizon, it would be prudent to plan for the worst.</p> <h2>How does hot weather affect energy supplies?</h2> <p>Increased air conditioning use in summer can cause <a href="https://aemo.com.au/-/media/files/electricity/nem/planning_and_forecasting/nem_esoo/2022/forecasting-approach-electricity-demand-forecasting-methodology.pdf">demand to peak</a>, particularly during heatwaves, as the below graph shows.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=208&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=208&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=208&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=262&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=262&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/530604/original/file-20230607-27-m1kddg.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=262&amp;fit=crop&amp;dpr=3 2262w" alt="Scatterplot of New South Wales demand and temperature, example based on 2017 calendar year" /><figcaption><span class="caption">Scatterplot of New South Wales demand and temperature, example based on 2017 calendar year.</span> <span class="attribution"><span class="source">AEMO</span></span></figcaption></figure> <p>At the same time, electricity generators – including coal, gas, <a href="https://www.climatechangeinaustralia.gov.au/en/projects/esci/esci-case-studies/case-study-heat/">solar and wind</a> – can become less efficient in hot temperatures, and so provide less energy to the system. And the hotter transmission lines get, the less electrical current they can safely carry. This lowers their capacity to transport energy.</p> <p>When the electricity grid is under stress, this can lead to “load shedding” or blackouts – when power companies deliberately switch off the power supply to groups of customers to prevent the overall system from becoming dangerously unstable.</p> <p>This happened in Victoria in early 2019, when more than <a href="https://www.abc.net.au/news/2019-01-26/victorian-blackouts-what-caused-them-and-is-this-the-new-normal/10751412">200,000 customers</a> lost power during a period of extreme heat.</p> <p>El Niño events are also associated with reduced rainfall. Among other effects on the electricity grid, this can reduce output from hydroelectricity generators (which produce electricity by pumping water through turbines). This <a href="https://theconversation.com/praying-for-rain-50085">occurred</a> in Tasmania in 2016, and contributed to an energy crisis in that state.</p> <h2>Other headwinds are blowing</h2> <p>Aside from facing a likely El Niño, the electricity sector faces other headaches.</p> <p>Earlier this year, the Australian Energy Market Operator <a href="https://aemo.com.au/newsroom/media-release/aemo-issues-nem-reliability-update">warned</a> electricity demand “may exceed supply” at times over the next decade due to factors such as weather conditions or generator outages.</p> <p>The market operator pointed to delays to the Snowy 2.0 hydro project and the gas-fired <a href="https://www.afr.com/companies/energy/new-snowy-ceo-can-t-rule-out-further-delays-at-projects-20230213-p5cjzr">Kurri Kurri Power Station</a>, both in New South Wales.</p> <p>The Kurri Kurri project has been delayed for a year. It was scheduled to begin operating in December this year – in time for the first summer since the Liddell coal-fired power station closed.</p> <p>The Australian Energy Market Operator said the electricity system was expected to meet the “reliability standard” in all regions for the next five years. The <a href="https://www.aemc.gov.au/energy-system/electricity/electricity-system/reliability#:%7E:text=What%20is%20the%20Reliability%20Standard,to%20be%20met%20each%20year.">standard requires</a> at least 99.998% of forecast demand be met each year. Unmet demand can lead to interrupted supply, or blackouts.</p> <p>But the operator also said delays to the Kurri Kurri project posed risks to reliability in NSW this summer.</p> <p>Adding to the pressures on the system, Queensland’s Callide C coal-fired power station is still not back to capacity more than two years after an explosion at the site. The station’s owners last week <a href="https://www.afr.com/companies/energy/energy-grid-fears-as-callide-c-return-delayed-until-mid-2024-20230529-p5dc90">announced</a> the plant would not be fully operational until mid-2024.</p> <p>Combine all this with a likely El Niño, and the electricity sector may be facing a challenging summer.</p> <h2>El Niño years are not normal</h2> <p>In August, the Australian Energy Market Operator is due to publish a new <a href="https://aemo.com.au/-/media/files/electricity/nem/planning_and_forecasting/nem_esoo/2022/esoo-and-reliability-forecast-methodology-document-2022.pdf">assessment</a> of the grid’s expected reliability over the next decade. It may well show reliability standards will be achieved.</p> <p>On first blush, that sounds like good news. However, the way the assessment is derived may mask the real risk during El Niño periods.</p> <p>The assessment combines a number of scenarios, which are based on different <a href="https://aemo.com.au/en/energy-systems/electricity/national-electricity-market-nem/nem-forecasting-and-planning/forecasting-and-reliability/projected-assessment-of-system-adequacy">forecasts</a> of electricity demand. The scenarios based on average weather conditions are given the most weight.</p> <p>But if an El Niño arrives, this summer will not be average. We’re likely to experience very hot and dry conditions. This may lead to higher demands on the energy system, and a greater likelihood of blackouts.</p> <p>This won’t be properly reflected in the assessment. So the grid may be deemed reliable even though electricity supplies are under immense pressure.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/530771/original/file-20230608-30-lb28wc.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="repair person climbs power pole" /><figcaption><span class="caption">The grid may be deemed reliable even though it’s under pressure.</span> <span class="attribution"><span class="source">Shutterstock</span></span></figcaption></figure> <h2>What can be done?</h2> <p>You might find all this news worrying. But there are measures and technologies in place to help reduce the risks.</p> <p><a href="https://aemo.com.au/en/energy-systems/electricity/emergency-management/reliability-and-emergency-reserve-trader-rert">A mechanism</a> exists that allows the market operator to secure emergency energy reserves. It could mean, for example, calling on a large industrial plant to pause operations to reduce its electricity use, or starting up a standby diesel generator. The operator can start procuring this months ahead of time, and will no doubt be monitoring the situation closely.</p> <p>In the medium term, the uptake of so-called “consumer energy resources” such as rooftop solar farms and small-scale battery storage shows promise. These technologies are located at homes and businesses. They can reduce demand on the grid at peak times and can potentially be built faster than big projects.</p> <p>Longer term, we need to build more “stuff”. This includes renewable energy and other “dispatchable” resources – which can provide energy when it’s needed – as well as more transmission infrastructure.</p> <p>Several federal funding measures – the <a href="https://www.energy.gov.au/government-priorities/energy-supply/capacity-investment-scheme">Capacity Investment Scheme</a> and <a href="https://www.energy.gov.au/news-media/news/rewiring-nation-supports-its-first-two-transmission-projects">Rewiring the Nation</a> – might help realise these projects.</p> <p>The reality is that ageing coal plants are closing – and while they remain open, they’re contributing to reliability challenges in the energy system. Unchecked climate change will also add considerable strain, through natural disasters and more extreme weather.</p> <p>Unfortunately, investment in renewable and other low-emission technology has been <a href="https://www.cleanenergycouncil.org.au/news/clean-energy-construction-peaks-as-investment-pipeline-battles-headwinds">slower than necessary</a>. This has slowed Australia’s emissions reduction efforts and cast questions over the reliability of our energy supplies as an El Niño looms.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/207210/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/dylan-mcconnell-1602">Dylan McConnell</a>, Senior Research Associate, Renewable Energy &amp; Energy Systems Analyst, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em> and <a href="https://theconversation.com/profiles/iain-macgill-576">Iain MacGill</a>, Joint director, Collaboration on Energy and Environmental Markets, and Professor, School of Electrical Engineering and Telecommunications, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/an-el-nino-looms-over-australias-stressed-electricity-system-and-we-must-plan-for-the-worst-207210">original article</a>.</em></p> <p><em>Images: Getty</em></p>

Technology

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‘We lose ourselves’: carers talk about the lonely, stressful work of looking after loved ones

<p><em><a href="https://theconversation.com/profiles/fleur-sharafizad-1138251">Fleur Sharafizad</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/esme-franken-947855">Esme Franken</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>, and <a href="https://theconversation.com/profiles/uma-jogulu-1278812">Uma Jogulu</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>An informal personal carer is someone who looks after a family member, neighbour or friend in need of care due to disability, illness or age.</p> <p>In Australia, there are approximately 2.8 million informal personal carers, including 906,000 who are primary carers. Projections suggest the national demand for carers will <a href="https://www.carersaustralia.com.au/wp-content/uploads/2020/07/FINAL-Value-of-Informal-Care-22-May-2020_No-CIC.pdf">rise 23% by 2030</a>.</p> <p>Around one in ten Australians are informal carers: <a href="https://www.aihw.gov.au/reports/australias-welfare/informal-carers">most of these unpaid</a>. This group of people support one of society’s most foundational needs and our economy would struggle without them.</p> <p>Yet, little is understood about their experiences. <a href="https://bristoluniversitypressdigital.com/view/journals/ijcc/aop/article-10.1332-239788223X16789866214981/article-10.1332-239788223X16789866214981.xml">Our recent research</a> reveals how this group of carers lack necessary support for their own wellbeing.</p> <h2>Our research</h2> <p>We interviewed 36 informal personal primary carers living across Western Australia and Queensland. Respondents were aged between 34 and 69 years, and had all been the primary carer for a child, parent, partner, or in-law, for between two and 21 years. Data was collected in two waves: one in 2020 and the other in 2021. Respondents were recruited with the help of an Australian carers’ organisation.</p> <h2>‘I’d rather it be someone else’s problem’</h2> <p>Many of the carers we spoke to said they were not caring by choice, but by necessity. They said they feel both unseen and undervalued. A husband who had been caring for his wife who suffers from Alzheimer’s said: "I would rather work. I really don’t like being a carer. I’d rather it be someone else’s problem. Being a carer, you just get forgotten."</p> <p>Carers generally provide care around-the-clock, yet their compensations (such as <a href="https://www.servicesaustralia.gov.au/carer-payment">carer payments</a>) are far from equivalent to full-time pay. The carer payment, for example, equates to only <a href="https://www.carersaustralia.com.au/programs-projects/caring-costs-us/">28% of weekly ordinary time earnings</a> in Australia, and carers can expect to lose <a href="https://www.carersaustralia.com.au/carers-are-17700-worse-off-every-year-in-superannuation-payments/#:%7E:text=Caring%20Costs%20Us%3A%20The%20economic%20impact%20on%20lifetime,every%20year%20they%20are%20in%20that%20caring%20role.">approximately $17,700 in superannuation</a> every year they provide care.</p> <p>Few of <a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/02/FINAL-Carers-Australia-2023-24-Jan-2023-Budget-Submission.pdf">Carers Australia’s pre-budget submission items</a> to benefit carers were adopted in the most recent federal budget. Instead, the budget contained items which may indirectly benefit carers through <a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/05/2023-24-Budget-What-it-means-for-carers.pdf">increased support for the cared-for</a>. But these measures do not explicitly recognise and support carers’ wellbeing.</p> <p>Similarly, the recent draft of the <a href="https://www.pmc.gov.au/resources/draft-national-strategy-care-and-support-economy">National Strategy for the Care and Support Economy</a> recognises the contribution informal carers make to Australia’s economy but focuses on paid care and support.</p> <p>Our interviewees spoke about the personal costs of their work, and the stress and loneliness they experience. They shared feelings of being taken for granted as if their role was not work, let alone difficult work.</p> <p>One mum caring for her disabled son shared: "I just want people to see that, [a] carer doesn’t have any leave, paid leave, or recognition. People just think that’s your loved one, that’s your job. But I do want people to understand that I did not choose to be a carer as my career, but I will do it because it is important."</p> <p>This played into a feeling of people losing their sense of self, because caring work was so demanding and time consuming. A mother who had been caring for her daughter for 17 years after she had been involved in an accident said, "People don’t realise how much we put our life on hold to support the people that need that emotional and mental and physical and spiritual support. We put ourselves in the back shed while we’re supporting them, so we lose ourselves."</p> <h2>A mental toll</h2> <p>Many spoke of how they once had individual goals and ambitions, which they now considered unachievable. All of our interviewees had quit jobs and halted careers to take on personal care full-time. One mother caring for her ill child said: "I think if I had a crystal ball, I don’t know that I would perhaps have become a parent, I think I would have just stuck to my corporate life and had a cat and be done with it."</p> <p>The mental health toll experienced by carers in our study was clear throughout all interviews. A mother looking after her child with mental health challenges expressed: "Every carer has mental health impacts from being a carer. They won’t say it’s depression or anxiety, but it’s mental health because when the hierarchy of needs is not being met for you, you can’t provide them for somebody else."</p> <p>As one interviewee explained, the demanding nature of the work had left them exhausted and as though they “can’t do it”. Our interviewees spoke of “falling apart” under the strain of constantly caring for high-needs people in their households.</p> <p>One mother who cared for her children who were both on the autism spectrum recalled: "How many times, if I don’t go to the bathroom and have a shower to cool down myself, I could kill the kids and myself easily. That’s how bad. We are not ever in the category to get help."</p> <h2>Feeling abandoned</h2> <p>Because so much of their work happens in pre-existing relationships and behind closed doors, carers talked about not just feeling unseen but abandoned. A common theme across all interviews was how carers felt abandoned by institutions, health professionals and, in many cases, friends and family members.</p> <p>One husband who had cared for his wife for close to 20 years said: "The government doesn’t even care about the carers […] we’re not really getting anything and then they’re trying to take the crumbs off us."</p> <p>Carers do not have psychological, institutional or social support for themselves as individuals, separate from their role. But these support pillars are necessary so the entire responsibility of care does not fall solely on informal carers.</p> <p><a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/02/FINAL-Carers-Australia-2023-24-Jan-2023-Budget-Submission.pdf">Carer-inclusive activities</a> could be a good start. But policy should also be responsive to the unique and unmet needs of carers. These relate to the lack of personal and professional development, feelings of abandonment and social isolation.</p> <p>With an ageing population, a pandemic, and an emerging crisis over the quality of care for older Australians and people with disabilities, the role of informal carers has become increasingly important.</p> <p>The truth is that most of us will likely, at some point, undertake care work or be the person being cared for. Better formalised support for carers will ultimately improve the care for the most vulnerable among us and society as a whole.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="http://lifeline.org.au/">Lifeline</a> on 13 11 14. <a href="https://www.carersaustralia.com.au/about-us/what-we-do/">Carers Australia</a> also offers advice and support.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/206409/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/fleur-sharafizad-1138251">Fleur Sharafizad</a>, Lecturer in Management, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/esme-franken-947855">Esme Franken</a>, Lecturer in Management, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>, and <a href="https://theconversation.com/profiles/uma-jogulu-1278812">Uma Jogulu</a>, Senior Lecturer, School of Business and Law, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/we-lose-ourselves-carers-talk-about-the-lonely-stressful-work-of-looking-after-loved-ones-206409">original article</a>.</em></p>

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8 best places to go on holiday that zap stress (even after you get home), according to experts

<p><strong>Health benefits of holidaying </strong></p> <p>aking regular holidays offers a wealth of physical and mental health benefits – in fact, research says getting enough holiday time may help you live longer.</p> <p>Psychologist Dr Carla Manly, author of <em>Joy from Fear</em>, says just the process of planning a holiday brings an immediate sense of wellbeing. “Having something wonderful to anticipate gives the mind and spirit a surge of happiness,” Dr Manly says. “Particularly when issues such as burnout cause additional stress and anxiety, having upcoming travel adventures to look forward to can make all the difference in mental health and overall wellbeing.”</p> <p>But when your heart is set on seriously escaping the demands of work and life, research suggests there are a handful of best places to go on holiday that will rejuvenate you the most. Science, local lore, and a bit of esoteric legend suggest some destinations go the extra mile when it comes to soothing our bodies, relieving stress, and delivering a holiday experience that really does the job.</p> <p>Where are the world’s greatest places to go on holiday to relieve stress? Here are eight destinations that are said to maximally inspire awe and renewal (and that may inspire you to start searching for flights immediately).</p> <p><strong>Okinawa, Japan</strong></p> <p>Shinrin-yoku, which has become known as “forest bathing,” is a form of ecotherapy developed in the 1980s by Japan’s Ministry of Agriculture, Forestry, and Fisheries. The idea of forest bathing is that spending time in nature awakens the senses to promote physical and mental health benefits. A wealth of research supports these claims.</p> <p>A review of studies published in Environmental Health and Preventive Medicine found that forest bathing improves heart health, endocrine system function, metabolism, immunity, and inflammation levels, as well as psychological and emotional health.</p> <p>There are dozens of certified Shinrin-yoku forests throughout Japan (and really, you can practise forest bathing in any natural surroundings). But what makes Okinawa special is that it’s one of the world’s five Blue Zones, the geographical areas where data consistently show the residents live the longest lives. Researchers have found common traits among people living in Blue Zones, such as prioritising stress relief, engaging in regular movement, following a balanced diet, and having strong social bonds.</p> <p>Yanburu is a particularly popular spot for forest-bathing stress away. Located in the north of Okinawa, Yanburu is a subtropical rainforest with incredible biodiversity.</p> <p><strong>Grindavik, Iceland</strong></p> <p>With its towering waterfalls, vast glaciers, and dramatic landscapes, Iceland has been one of the world’s most up-and-coming travel destinations of this century. In fact, a March 2023 analysis of Google search volume named it the most popular destination for solo female travellers in 2023. But before you make a beeline for the capital city, Reykjavik, consider stopping in the less-travelled town of Grindavik.</p> <p>Grindavik is a sleepy former fishing village just 20 minutes from the airport and offers easy access to many of Iceland’s top sites. Most notably, it’s home to the Blue Lagoon, a natural geothermal spa with a unique composition of minerals and algae not found anywhere else on Earth. Research in 2022 in the peer-reviewed medical journal, Skin Pharmacology and Physiology, stated that the Blue Lagoon’s waters are known to improve skin health for some of the most stubborn psoriasis cases.</p> <p>The Blue Lagoon’s consistency also allows you to float weightlessly. Peer-reviewed findings in the Natural Medicine Journal in 2021 concluded that flotation therapy stimulates a “robust relaxation response,” supporting stress reduction, energy levels, and general wellbeing. The review’s authors stated that their research “revealed benefits of floating, specifically regarding participants experiencing muscular pain, depression, anxiety, stress, and sleep disorders.”</p> <p><strong>Helsinki, Finland</strong></p> <p>According to Gallup’s March 2023 world happiness report, Finland has claimed the top spot since 2017 – and Travel &amp; Leisure Asia has named Finland’s capital, Helsinki, among the globe’s “least stressed” cities. Researchers suggest that this sense of wellbeing among Finns comes down to the culture’s gravitation towards nature and a slow living lifestyle – an experience wellness-seekers must see for themselves.</p> <p>Around 75% of Finland is covered by forests, and there are almost 200,000 lakes. Research has shown the country’s high accessibility to varied, multi-sensory natural environments leads to a range of wellbeing benefits.</p> <p>For instance, a 2023 study led by researchers from the Finnish Institute for Health and Welfare even found that Helsinki’s abundant green and blue spaces reduced people’s use of medications for depression and anxiety, blood pressure, and asthma.</p> <p><strong>Bali, Indonesia</strong></p> <p>An island of sandy coastline, jungles, volcanoes, and waterfalls, Bali is one of the most biodiverse places on the planet, with ecotherapy opportunities around every corner. A 2022 psychiatry and public health study found that tropical holidays in particular support mental health. Some believe that it’s no coincidence that Bali leaves visitors with a particularly high sense of wellbeing.</p> <p>The theory of Ley lines asserts that major historic and sacred landmarks – such as Stonehenge, the Pyramids, and ancient burial grounds – are connected by an “energy grid.” Bali falls at the intersection of two lines on this conceptual map, which believers say creates a powerful healing energy. Science has found no evidence to support the theory of Ley lines, but an analysis of research published in Humanities suggests that the concept itself – whether true or not – gives rise to valuable opportunities to connect with our surroundings physically and spiritually.</p> <p><strong>Las Catalinas, Costa Rica</strong></p> <p>A 2013 study found that people are at their happiest near the ocean – and numerous studies since have supported the link between “blue views” and wellbeing.</p> <p>While any coastline seems like an invitation to de-stress, the small oceanside town of Las Catalinas shores up wellness in unique ways. Las Catalinas is entirely car-free – you get around on foot or by bike – which encourages a slower pace of life, more time in nature, and a stronger sense of local community.</p> <p>Las Catalinas is also a great jumping-off point to explore the Nicoya Peninsula, another of the world’s five Blue Zones (where residents are twice as likely than Americans to live to age 100!).</p> <p><strong>Sedona, Arizona</strong></p> <p>With its sandstone cliffs, year-round blue skies, and unique red-green landscapes, Sedona is a revered destination for anyone looking to get back to nature. It’s also one of only 36 certified Dark Sky communities in the world, offering magical Milky Way stargazing opportunities. Research has shown that light pollution is associated with increases in stress, mood disorders, and physical health issues – while dark skies promote relaxation and ultra-healthy sleep.</p> <p>Sedona, like Bali, lies at the intersection of Ley lines, which contributes in part to the town’s deep spiritual history. Native American tribes considered the area sacred, amplified by a serene, healing energy that can intensify your connection with nature and promote greater self-awareness.</p> <p>Today, people continue to believe there are four “energy vortex” locations with energy so strong it twists the desert flora. While juniper trees, like those in Arizona, are known to get kinks in their trunk, Sedona’s harmony-seeking pilgrims will say not to knock the area’s peaceful vibe until you experience it.</p> <p><strong>Exuma, Bahamas</strong></p> <p>Exuma is a collection of more than 360 islands known for having some of the clearest, sapphire-blue ocean water in the world. You could spend days island-hopping, swapping out stress for blue views – or jump right in for even greater wellbeing. Psychiatry research in 2022 showed that the weightlessness and pressure we experience in the water have a calming effect on the mind.</p> <p>In fact, humans have what’s called a mammalian dive reflex, a physiological response that occurs when our face is submerged in water. This reflex slows our heart rate and soothes our nervous system, with studies showing that activating it is effective in relieving feelings of stress, anxiety, and panic. (Plus, Exuma is home to the famous Pig Beach – and a little time with animals goes a long way in reducing stress, according to studies.)</p> <p><strong>Southern Ibiza, Spain</strong></p> <p>Dancing the night away in Ibiza’s legendary music scene can certainly zap your daily stresses in a special way…but if you’re looking for tranquillity, turn to the south.</p> <p>On the Southwest coast of Ibiza, rising from the sea you’ll find the mythical limestone rock called Es Vedrà, which legend says is the tip of the lost city of Atlantis. Es Vedrà is thought to be one of the most magnetic spots on Earth. This is said to confuse compasses and even birds, but some believe the location creates an energetic, healing atmosphere.</p> <p>To the Southeast lies Las Salinas, a UNESCO World Heritage site with unique biodiversity. This salt lagoon makes for particularly floaty, salty seawater believed to promote skin health, circulation, and stress relief. The area is also home to the cotton candy pink Lake Torrevieja (and its flocks of pink flamingos). Lake Torrevieja is a mineral-rich body of water thought to have healing powers.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/travel/8-best-places-to-go-on-holiday-that-zap-stress-even-after-you-get-home-according-to-experts" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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"The numbers don't lie": Sunrise and Today take their ratings rivalry to the next level

<p dir="ltr">Tensions have reached new heights between Australian networks Seven and Nine, with one broadcaster releasing a public statement in defence of its own reportedly lacklustre breakfast show audience numbers. </p> <p dir="ltr">According to a new report from the <em>Daily Telegraph</em>, Nine’s <em>Today </em>has been lagging behind Seven’s <em>Sunrise</em>, with year-to-date average audience figures putting <em>Sunrise </em>ahead by 18 per cent.</p> <p dir="ltr">At a national scale, things don’t look much better for Nine, with <em>Sunrise</em>’s average sitting at 363,000 viewers and 271,000 for <em>Today </em>- numbers confirmed by <em>news.com.au</em>.</p> <p dir="ltr">The publication also reported that a source claimed executives were concerned about <em>Today</em>’s new line-up of Karl Stefanovic and Sarah Abo, and that it may not be connecting with their audiences as intended.</p> <p dir="ltr">Nine’s director of morning television, Steven Burling, had plenty to say about the report, calling it a “fabrication and a distortion of the old fashioned and out of date overnight ratings system.” </p> <p dir="ltr">He also noted that <em>Today </em>was actually in a favourable position with younger audiences, and considered that to be “all important”.</p> <p dir="ltr">However, <em>Sunrise</em> weren’t too keen on accepting that fact, with a spokesperson for their network informing news.com.au that the ratings that had placed <em>Sunrise</em> at the top of the pecking order were, in fact, accurate.</p> <p dir="ltr">“The numbers don’t lie,” they stated. “<em>Sunrise</em> has been number one for 19 years and is number one again this year, across the capital cities and nationally.</p> <p dir="ltr">“<em>Sunrise </em>wins in Sydney, New South Wales, Victoria, Adelaide, South Australia, Perth, Western Australia, Tasmania, and Queensland. It is growing well in Melbourne. <em>Today</em> is ahead in Brisbane.”</p> <p dir="ltr">They also had thoughts about<em> Today </em>being ahead with younger age groups, unwilling to believe it and instead arguing that <em>Sunrise </em>was the leader of the pack with the 25-54 group. </p> <p dir="ltr">The same couldn’t be said for the 16-39 age bracket, with <em>Today</em> still seizing the win there. </p> <p dir="ltr">The situation may yet change, as it’s already been in flux for a few years, with the two shows actually managing to narrow their gap in 2021.</p> <p dir="ltr">2022 and 2023 were a different story, with that divide widening again, leading many to speculate that it may or may not have something to do with each breakfast programme’s chosen line-up. </p> <p dir="ltr">David Koch has been hosting over at <em>Sunrise</em> for 20 years - with co-host Natalie Barr contributing in some capacity for the same span of time. </p> <p dir="ltr">Meanwhile, <em>Today</em> has endured shake up after shake up in recent times, with Karl Stefanovic’s co-host Sarah Abo only joining him at the helm in 2023, after Allison Langdon left for a position at <em>A Current Affair</em>. </p> <p dir="ltr"><em>Images: Sunrise / Seven, Today / Nine </em></p>

TV

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Australians’ satisfaction with life is at its lowest level in two decades

<p><em><a href="https://theconversation.com/profiles/kate-lycett-500671">Kate Lycett</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/georgie-frykberg-1422532">Georgie Frykberg</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/mallery-crowe-1347393">Mallery Crowe</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>, and <a href="https://theconversation.com/profiles/tanja-capic-1351103">Tanja Capic</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>Australians’ satisfaction with life as a whole is at its lowest level in 21 years, according to the latest <a href="https://www.acqol.com.au/uploads/surveys/survey-039-report.pdf">Australian Unity Wellbeing Index survey</a>, a collaboration between Deakin University and mutual company Australian Unity.</p> <p>Each year since 2001, we survey a geographically representative sample of 2,000 Australians about how satisfied they are with their lives as a whole, along with their satisfaction with seven key life areas to compile an overall measure: the Personal Wellbeing Index.</p> <p>Our survey was conducted in May and June of 2022, by which time inflation was <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/jun-2022">exceeding 6%</a> and the Reserve Bank of Australia had delivered the <a href="https://www.rba.gov.au/statistics/cash-rate/">first two</a> of ten consecutive interest rate rises. There have <a href="https://theconversation.com/inflation-has-fallen-but-one-or-two-more-interest-rate-rises-are-still-likely-204269">now been 11</a> since May 2022.</p> <p>In 2020, at the start of the pandemic, we actually saw an improvement in satisfaction with life as a whole. The decline since likely reflects pressures like cost of living but also conforms with a longer-term trend since 2010.</p> <hr /> <p><iframe id="iOQDs" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/iOQDs/6/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>Measuring personal wellbeing</h2> <p>Our composite measure, the Personal Wellbeing Index, incorporates seven life areas: standard of living, relationships, purpose in life, community connectedness, safety, health and future security. We combine these <a href="https://www.acqol.com.au/uploads/pwi-a/pwi-a-english.pdf">using an internationally regarded method</a> to generate an index score out of 100.</p> <hr /> <p><iframe id="Sq8My" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/Sq8My/3/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <p>This composite has been pretty stable over the survey’s 21 years, with average scores ranging between 74 and 77.</p> <p>But small shifts are significant because we do not expect to ever see big ones. This is due, principally, to a type of “<a href="https://theconversation.com/5-charts-on-australian-well-being-and-the-surprising-effects-of-the-pandemic-183537">psychological homeostasis</a>” whereby most people will ride out the highs and lows of their lives and maintain a relatively positive outlook regardless of the circumstances.</p> <p>Also, as an average, different factors can counterbalance each other. You can get a better sense of this from the following graph, which shows the constituent elements of the Personal Wellbeing Index.</p> <p>This shows a long-term increase in feelings of personal safety but long-term declines in the average measures of health and purpose in life, with relatively steep declines since 2021 in standard of living, future security and community connectedness.</p> <hr /> <p><iframe id="eoaI2" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/eoaI2/6/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>Wellbeing and low incomes</h2> <p>For Australia’s poor, 2020 unexpectedly had a silver lining when the federal government temporarily doubled JobSeeker payments. This likely explains the jump in wellbeing scores recorded in 2020 for those with household incomes of less than $30,000. But with those extra payments ending (in March 2021) and the increases in living costs since, the average wellbeing score for poor people has plummeted.</p> <hr /> <p><iframe id="iS0Z7" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/iS0Z7/6/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>Differences by age</h2> <p>Those aged 76 and older reported the highest average wellbeing (78.7 out of 100), and those aged 18-25 the lowest – though not by much, with their score (72.5) being just below those aged 46-55 years (73.2).</p> <p>The average wellbeing score for 18- to 25-year-olds was the lowest in 21 years. It likely reflects higher feelings of anxiety, stress, depression and climate worry (also measured in our survey) among this age group.</p> <hr /> <p><iframe id="1KSao" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/1KSao/2/" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>Creating a wellbeing economy</h2> <p>Given the ongoing uncertainties and cost-of-living pressures that we now face, there’s every reason to expect Australians’ wellbeing to now be even lower than when our survey was conducted.</p> <p>It underscores the importance of considering wellbeing in policy decisions, particularly for groups that are struggling the most.</p> <p>As Treasurer Jim Chalmers noted in his lengthy essay in The Monthly in February, we must “build something better” in the face of ongoing crises.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/205008/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/kate-lycett-500671">Kate Lycett</a>, NHMRC Early Career Fellow, Centre for Social and Early Emotional Development, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/georgie-frykberg-1422532">Georgie Frykberg</a>, Project Coordinator, Centre for Social and Early Emotional Development, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>; <a href="https://theconversation.com/profiles/mallery-crowe-1347393">Mallery Crowe</a>, Epidemiologist &amp; Project Officer, Centre for Social and Early Emotional Development, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a>, and <a href="https://theconversation.com/profiles/tanja-capic-1351103">Tanja Capic</a>, PhD candidate, Psychology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australians-satisfaction-with-life-is-at-its-lowest-level-in-two-decades-205008">original article</a>.</em></p>

Caring

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Murder charge levelled at children's book author

<p>Author Kouri Richins wrote a children’s book on grief following the death of her husband in 2022. She is now being charged with his murder.</p> <p>Richins was arrested on May 7 in Utah and is accused of charging documents of poisoning her husband with a lethal dose of fentanyl at their home in Kamas, a small mountain town near Park City.</p> <p>Prosecutors allege Richins called authorities in the middle of the night in March 2022 to report that her husband, Eric Richins, was “cold to the touch”.</p> <p>The mum-of-three told authorities she had made her husband a mixed vodka drink to celebrate him selling a home and then went to soothe one of their children in their bedroom. She later returned and found her husband unresponsive, which prompted her to call 911.</p> <p>A medical examiner later found five times the lethal dosage of fentanyl in his system.</p> <p>Additionally, Richins is facing charges involving the alleged possession of GHB - a narcolepsy drug typically used in recreational settings, including at dance clubs.</p> <p>The charges, which are based on officers’ interactions with Richins that evening and the account of an “unnamed acquaintance” who claimed to have sold her the fentanyl, come two months after Richins appeared on local television to promote Are You With Me, a picture book she wrote to help children cope with the death of a loved one.</p> <p>For a segment called Good Things Utah, Richins referred to her husband’s death as unexpected and explained how it sent her and her three boys spiralling. In terms of children, she said, grieving was about “making sure that their spirit is always alive in your home”.</p> <p>“It’s ... explaining to my kid just because he’s not present here with us physically, doesn’t mean his presence isn’t here with us,” she told the reporters, who commended her for being an amazing mother.</p> <p>Richins’ lawyer, Sky Lazaro, declined to comment on the charges.</p> <p><em>Image credit: Instagram</em></p>

Legal

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Will AI ever reach human-level intelligence? We asked 5 experts

<p>Artificial intelligence has changed form in recent years.</p> <p>What started in the public eye as a burgeoning field with promising (yet largely benign) applications, has snowballed into a <a href="https://www.grandviewresearch.com/industry-analysis/artificial-intelligence-ai-market">more than US$100 billion</a> industry where the heavy hitters – Microsoft, Google and OpenAI, to name a few – seem <a href="https://theconversation.com/bard-bing-and-baidu-how-big-techs-ai-race-will-transform-search-and-all-of-computing-199501">intent on out-competing</a> one another.</p> <p>The result has been increasingly sophisticated large language models, often <a href="https://theconversation.com/everyones-having-a-field-day-with-chatgpt-but-nobody-knows-how-it-actually-works-196378">released in haste</a> and without adequate testing and oversight. </p> <p>These models can do much of what a human can, and in many cases do it better. They can beat us at <a href="https://theconversation.com/an-ai-named-cicero-can-beat-humans-in-diplomacy-a-complex-alliance-building-game-heres-why-thats-a-big-deal-195208">advanced strategy games</a>, generate <a href="https://theconversation.com/ai-art-is-everywhere-right-now-even-experts-dont-know-what-it-will-mean-189800">incredible art</a>, <a href="https://theconversation.com/breast-cancer-diagnosis-by-ai-now-as-good-as-human-experts-115487">diagnose cancers</a> and compose music.</p> <p>There’s no doubt AI systems appear to be “intelligent” to some extent. But could they ever be as intelligent as humans? </p> <p>There’s a term for this: artificial general intelligence (AGI). Although it’s a broad concept, for simplicity you can think of AGI as the point at which AI acquires human-like generalised cognitive capabilities. In other words, it’s the point where AI can tackle any intellectual task a human can.</p> <p>AGI isn’t here yet; current AI models are held back by a lack of certain human traits such as true creativity and emotional awareness. </p> <p>We asked five experts if they think AI will ever reach AGI, and five out of five said yes.</p> <p>But there are subtle differences in how they approach the question. From their responses, more questions emerge. When might we achieve AGI? Will it go on to surpass humans? And what constitutes “intelligence”, anyway? </p> <p>Here are their detailed responses. </p> <p><strong>Paul Formosa: AI and Philosophy of Technology</strong></p> <p>AI has already achieved and surpassed human intelligence in many tasks. It can beat us at strategy games such as Go, chess, StarCraft and Diplomacy, outperform us on many <a href="https://www.nature.com/articles/s41467-022-34591-0" target="_blank" rel="noopener">language performance</a>benchmarks, and write <a href="https://www.theatlantic.com/technology/archive/2022/12/chatgpt-ai-writing-college-student-essays/672371/" target="_blank" rel="noopener">passable undergraduate</a> university essays. </p> <p>Of course, it can also make things up, or “hallucinate”, and get things wrong – but so can humans (although not in the same ways). </p> <p>Given a long enough timescale, it seems likely AI will achieve AGI, or “human-level intelligence”. That is, it will have achieved proficiency across enough of the interconnected domains of intelligence humans possess. Still, some may worry that – despite AI achievements so far – AI will not really be “intelligent” because it doesn’t (or can’t) understand what it’s doing, since it isn’t conscious. </p> <p>However, the rise of AI suggests we can have intelligence without consciousness, because intelligence can be understood in functional terms. An intelligent entity can do intelligent things such as learn, reason, write essays, or use tools. </p> <p>The AIs we create may never have consciousness, but they are increasingly able to do intelligent things. In some cases, they already do them at a level beyond us, which is a trend that will likely continue.</p> <p><strong>Christina Maher: Computational Neuroscience and Biomedical Engineering</strong></p> <p>AI will achieve human-level intelligence, but perhaps not anytime soon. Human-level intelligence allows us to reason, solve problems and make decisions. It requires many cognitive abilities including adaptability, social intelligence and learning from experience. </p> <p>AI already ticks many of these boxes. What’s left is for AI models to learn inherent human traits such as critical reasoning, and understanding what emotion is and which events might prompt it. </p> <p>As humans, we learn and experience these traits from the moment we’re born. Our first experience of “happiness” is too early for us to even remember. We also learn critical reasoning and emotional regulation throughout childhood, and develop a sense of our “emotions” as we interact with and experience the world around us. Importantly, it can take many years for the human brain to develop such intelligence. </p> <p>AI hasn’t acquired these capabilities yet. But if humans can learn these traits, AI probably can too – and maybe at an even faster rate. We are still discovering how AI models should be built, trained, and interacted with in order to develop such traits in them. Really, the big question is not if AI will achieve human-level intelligence, but when – and how.</p> <p><strong>Seyedali Mirjalili: AI and Swarm Intelligence</strong></p> <p>I believe AI will surpass human intelligence. Why? The past offers insights we can't ignore. A lot of people believed tasks such as playing computer games, image recognition and content creation (among others) could only be done by humans – but technological advancement proved otherwise. </p> <p>Today the rapid advancement and adoption of AI algorithms, in conjunction with an abundance of data and computational resources, has led to a level of intelligence and automation previously unimaginable. If we follow the same trajectory, having more generalised AI is no longer a possibility, but a certainty of the future. </p> <p>It is just a matter of time. AI has advanced significantly, but not yet in tasks requiring intuition, empathy and creativity, for example. But breakthroughs in algorithms will allow this. </p> <p>Moreover, once AI systems achieve such human-like cognitive abilities, there will be a snowball effect and AI systems will be able to improve themselves with minimal to no human involvement. This kind of “automation of intelligence” will profoundly change the world. </p> <p>Artificial general intelligence remains a significant challenge, and there are ethical and societal implications that must be addressed very carefully as we continue to advance towards it.</p> <p><strong>Dana Rezazadegan: AI and Data Science</strong></p> <p>Yes, AI is going to get as smart as humans in many ways – but exactly how smart it gets will be decided largely by advancements in <a href="https://thequantuminsider.com/2020/01/23/four-ways-quantum-computing-will-change-artificial-intelligence-forever/" target="_blank" rel="noopener">quantum computing</a>. </p> <p>Human intelligence isn’t as simple as knowing facts. It has several aspects such as creativity, emotional intelligence and intuition, which current AI models can mimic, but can’t match. That said, AI has advanced massively and this trend will continue. </p> <p>Current models are limited by relatively small and biased training datasets, as well as limited computational power. The emergence of quantum computing will transform AI’s capabilities. With quantum-enhanced AI, we’ll be able to feed AI models multiple massive datasets that are comparable to humans’ natural multi-modal data collection achieved through interacting with the world. These models will be able to maintain fast and accurate analyses. </p> <p>Having an advanced version of continual learning should lead to the development of highly sophisticated AI systems which, after a certain point, will be able to improve themselves without human input. </p> <p>As such, AI algorithms running on stable quantum computers have a high chance of reaching something similar to generalised human intelligence – even if they don’t necessarily match every aspect of human intelligence as we know it.</p> <p><strong>Marcel Scharth: Machine Learning and AI Alignment</strong></p> <p>I think it’s likely AGI will one day become a reality, although the timeline remains highly uncertain. If AGI is developed, then surpassing human-level intelligence seems inevitable. </p> <p>Humans themselves are proof that highly flexible and adaptable intelligence is allowed by the laws of physics. There’s no <a href="https://en.wikipedia.org/wiki/Church%E2%80%93Turing_thesis" target="_blank" rel="noopener">fundamental reason</a> we should believe that machines are, in principle, incapable of performing the computations necessary to achieve human-like problem solving abilities. </p> <p>Furthermore, AI has <a href="https://philarchive.org/rec/SOTAOA" target="_blank" rel="noopener">distinct advantages</a> over humans, such as better speed and memory capacity, fewer physical constraints, and the potential for more rationality and recursive self-improvement. As computational power grows, AI systems will eventually surpass the human brain’s computational capacity. </p> <p>Our primary challenge then is to gain a better understanding of intelligence itself, and knowledge on how to build AGI. Present-day AI systems have many limitations and are nowhere near being able to master the different domains that would characterise AGI. The path to AGI will likely require unpredictable breakthroughs and innovations. </p> <p>The median predicted date for AGI on <a href="https://www.metaculus.com/questions/5121/date-of-artificial-general-intelligence/" target="_blank" rel="noopener">Metaculus</a>, a well-regarded forecasting platform, is 2032. To me, this seems too optimistic. A 2022 <a href="https://aiimpacts.org/2022-expert-survey-on-progress-in-ai/" target="_blank" rel="noopener">expert survey</a> estimated a 50% chance of us achieving human-level AI by 2059. I find this plausible.</p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/will-ai-ever-reach-human-level-intelligence-we-asked-5-experts-202515" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Technology

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The truth about the effects of stress on the mind and body

<p>Worried. Anxious. Disheartened. Busy. If any of these are familiar to you, it’s likely you are also familiar with stress. By now it’s no secret that stress does more harm than good. Work/retirement, family life, finances, personal and societal pressures... there are a million reasons why we all get frazzled, and they all can take a toll.</p> <p>In an effort to better understand how this unease can affect our mind and body, Popular Science magazine took a closer look at the science behind worrying in this month’s issue. Here we’ve rounded up the key learnings and statistics about how stress can shape our lives – and what to do about it.</p> <p><strong>Stress runs deep</strong></p> <p>Unfortunately the emotions associated with stress don’t just affect us on the outside. Stress can actually influence us on a <span style="text-decoration: underline;"><strong><a href="http://www.popsci.com/chronic-stress-it-could-be-killing-you" target="_blank" rel="noopener">cellular level and even mess with our biological systems</a></strong></span>. Amy Cuddy, a Harvard University social psychologist, explains it like this: “Our bodies change our minds, and our minds can change our behavior, and our behavior can change outcomes."</p> <p>Cortisol, also known as the stress hormone, <span style="text-decoration: underline;"><strong><a href="http://www.popsci.com/chronic-stress-it-could-be-killing-you" target="_blank" rel="noopener">can negatively affect our cardiovascular system, cells, metabolic system, nervous system and digestive system</a></strong></span>. Chronic worry may also increase our risk for heart attack, contribute to irritable bowl syndrome or could lead to changes in the brain.</p> <p><strong>It’s a matter of the mind, too</strong></p> <p><a href="http://www.popsci.com/chronic-stress-it-could-be-killing-you" target="_blank" rel="noopener"><span style="text-decoration: underline;"><strong>According to Popular Science magazine</strong></span>, </a>30 percent of US adults say stress affects their physical health and 33 percent say it has an impact on their mental health. To lighten the heavy mental load, aim to have a good laugh – and often! Research shows a little giggle <span style="text-decoration: underline;"><strong><a href="http://www.mayoclinic.org/healthy-living/stress-management/in-depth/stress-relief/art-20044456" target="_blank" rel="noopener">releases endorphins from the brain and can improve your mood</a></strong></span>.</p> <p><strong>It can be sleep saboteur</strong></p> <p>Coritsol tends to follow its own natural rhythm, spiking in the morning and then again overnight. This can be a particularly problematic for those who have stress-related mental health disorders. According to the National Institutes of Health, people with depression have abnormally high levels of cortisol in the body, which may negatively impact body cycles – including sleep, Popular Science magazine reported.</p> <p><strong>Don’t worry, you’re not alone</strong></p> <p>A <span style="text-decoration: underline;"><strong><a href="http://www.popsci.com/whos-most-high-strung-data-visualization" target="_blank" rel="noopener">study conducted by researchers at Carnegie Mellon University</a></strong></span> found that our stress levels have steadily increased over the years – but the good news is, our worry tends to decrease with age. Financial concerns are also a major influence on how stressed we feel.</p> <p><strong>Tips for managing stress</strong></p> <p>These statistics may sound gloomy, but there is a bright side: Managing these emotions is entirely in our control. In fact, easing your stress may be as simple as tweaking your perspective. Columbia University researchers found that those who sat in expansive positions with their arms and legs spread out for two minutes saw lower levels of the stress hormone than those in more tighter poses, <span style="text-decoration: underline;"><strong><a href="http://www.popsci.com/strategies-battling-stress" target="_blank" rel="noopener">according to Popular Science</a></strong></span>.</p> <p>You may also want to ensure you add some regular exercise, meditation and socialising to your schedule. Research shows that these activities can also help ease tension.</p> <p>Acute stress is one thing, but chronic worrying could be a sign of bigger health issues, so if you’re feeling overwhelmed you should speak to your doctor.</p> <p><strong>Related links: </strong></p> <p><em><strong><span style="text-decoration: underline;"><a href="../health/wellbeing/2015/03/qualities-of-happy-people/">The 4 qualities of happy people</a></span> </strong></em></p> <p><em><strong><span style="text-decoration: underline;"><a href="../health/wellbeing/2014/12/what-to-do-when-you-feel-stuck/">How to reboot when you’re feeling stuck</a></span></strong></em></p> <p><em><strong><span style="text-decoration: underline;"><a href="../health/wellbeing/2014/10/yoga-–-the-perfect-exercise-for-over-60s/">Yoga – the perfect exercise for over-60s</a></span></strong></em></p> <p><em>Image credit: Shutterstock</em></p>

Mind

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I’m a psychotherapist – here are the 5 keys to letting my stress go

<p><strong>Going to therapy?</strong></p> <p>Lately, the growing answer to that question is an emphatic Yes. Thanks to the increased interest in psychotherapy – especially in light of the stress the pandemic caused – some authorities suggest the coming years are likely to see a shortage of therapists…which is perhaps one of the few disadvantages of this trend.</p> <p>As more individuals recognise the need to manage stress, process trauma, and talk through challenges we face in work and our professional lives, many therapists are finding it likewise necessary to ratchet up the ways we take care of ourselves. When your job is to make space for others to process through struggle and heal – and complete the work that’s necessary to effectively manage your practice (and fulfil your role as a parent who works, in the case of myself and many others) – it is essential to take steps to stay feeling spiritually light and come back replenished to work every day.</p> <p>Every April during Stress Awareness Month, I take a conscious inventory of my own self-care strategies, keeping in mind that I can’t be at my best for others unless I’m taking care of myself first. Here are my best practices for getting into a good space, even when the day feels heavy.</p> <p><strong>Engage in meaningful work</strong></p> <p>The time we spend working often takes us away from other things that bring us joy. The truth is, it wears on all of us to think that we may be spending more time in connection with our co-workers than even our families. As often as you can remember to do so, recognise: Yes – your personal sacrifices provide you with what you need to survive – but also, consider how your work translates to the difference you make in the world.</p> <p>Burnout is a key problem facing our workforce today, but you’re less likely to experience burnout if you enjoy, and feel connected to, the work you do. Often at my job, I feel so connected to and proud of the work we do improving access to mental health care that it doesn’t seem like work at all!</p> <p>However, I am careful to make sure I disconnect at the end of the day so I can be present with my family when I’m not at work.</p> <p><strong>Spend time with family and friends</strong></p> <p>It’s important to spend time with those who are important to you. As we emerge from the pandemic (when we were often disconnected from friends, family, and other loved ones), it’s important to reconnect. Even if you can’t physically be present with each other, a key to managing stress is to set aside time each week to video conference with friends and family.</p> <p><strong>Get fresh air</strong></p> <p>I’ve always found that getting outside and doing something enjoyable helps me fill my cup. Whether it’s taking the dog for a walk, walking my son in his push-along sports car, or sitting in a rocking chair and taking in the sights and sounds…a little time outdoors is so good for the soul.</p> <p><strong>Keep a gratitude journal </strong></p> <p>We all know there is plenty of negativity in the world around us. I find it particularly helpful to focus on the positives by keeping a gratitude journal. This requires me to sift through the noise, zoom out from the daily minutiae, and focus on what I’m grateful for each day. Being intentional to think about what I’m grateful for improves my overall outlook and centres me.</p> <p>From time to time, it’s also nice to flip through the journal and reflect on all of the things that I have to be grateful for on a tough day.</p> <p><strong>Go to therapy</strong></p> <p>I wouldn’t be a good psychologist if I didn’t practise what I preach. Regardless of what is happening in your life, it is wonderful to have a non-partial, confidential sounding board. While my therapist has helped me through the toughest times in my life, she has also helped me focus on and celebrate the best times of my life. Therapy is really such a gift to give yourself.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/im-a-psychotherapist-here-are-the-5-keys-to-letting-my-stress-go" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Mind

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How financial stress can affect your mental health and 5 things that can help

<p>Financial stress is affecting us in many different ways. Some people are struggling to pay bills, feed the family, or maintain a place to live. Others are meeting their basic needs but are dipping into their savings for extras.</p> <p>Financial stress <a href="https://www.anu.edu.au/news/all-news/australians-under-increasing-financial-stress">is increasing</a> and, understandably, is causing some distress. In recent months, Lifeline has seen a <a href="https://www.lifeline.org.au/media/qhmfdsit/lifeline-is-here-to-support-people-struggling-with-the-mental-wellbeing-effects-of-cost-of-living-pressures.pdf">rise</a> in the number of calls about financial difficulties.</p> <p>But understanding and finding ways to reduce our financial stress – and its emotional impact on us – can help make this challenging time a bit easier.</p> <h2>What is financial stress?</h2> <p>If you’re finding it difficult to meet your current expenses or are worried about your current or future finances, you’re under <a href="https://onlinelibrary.wiley.com/doi/10.1002/smi.2688">financial stress</a>. Like other types of stress, financial stress has two components: </p> <ul> <li> <p><strong>objective</strong> financial difficulty, where you don’t have enough funds to cover necessary expenses or debts</p> </li> <li> <p><strong>subjective</strong> perceptions about your current or future finances, leading to worry and distress.</p> </li> </ul> <p>These two are related. But someone can have trouble meeting their expenses, view this as acceptable, and not be overly worried. Alternatively, someone may be reasonably financially secure but still feel quite stressed about their finances.</p> <h2>Why are we feeling it?</h2> <p>There is a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0148296317301005?via%3Dihub">broad range</a> of factors that can influence your current level of financial stress. These include contextual and personal ones.</p> <p>Contextual factors are societal-level influences on the current financial landscape. These include rates of economic growth, market performance, governmental and political policy, and distribution of wealth. These factors may vary across cultures and countries.</p> <p>Personal factors contributing to stress are unique to each person. For example, demographic characteristics such as age, gender, education and ethnic group may influence someone’s access to financial resources. </p> <p>Other personal factors that can affect financial stress are financial literacy and practices, personality traits that influence behaviour and perceptions, and major life events with financial implications (such as marriage, having a child, or retiring).</p> <h2>The health impacts can be severe</h2> <p>High levels of financial stress can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0264041">impact</a> people’s wellbeing, raising levels of psychological distress, anxiety and depression. </p> <p><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0264041">A review</a> found clear evidence for a link between financial stress and depression, and that the risk for depression was greatest for people on low incomes. </p> <p>A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8806009/">large survey</a> of adults in the United States also found that greater financial worries were associated with more psychological distress. This was especially the case for people who were unmarried, unemployed, had lower income levels and who were renters.</p> <p>So people who are more vulnerable financially – in an objective sense – are also most likely to experience negative psychological effects from financial stress. </p> <p>However, the perception of your financial situation matters here too. In <a href="https://www.cambridge.org/core/journals/ageing-and-society/article/abs/crossnational-insights-into-the-relationship-between-wealth-and-wellbeing-a-comparison-between-australia-the-united-states-of-america-and-south-korea/AA524919C71EC125CFEA644CD209D3D5">one study</a> of older adults, including Australians, it was not just someone’s financial situation that was linked to their wellbeing, but also how satisfied people were with their wealth.</p> <p>Severe financial stressors, such as being forced to sell your home if unable to meet mortgage payments, can affect <a href="https://reader.elsevier.com/reader/sd/pii/S0277953616302957?token=F74F2A5518F51A8356DD0109748E1DD5633480DC58E2A77EF71BFE7ABAA503B61465634336A38BB9CC623E3872429D32&amp;originRegion=us-east-1&amp;originCreation=20230315042306">both</a>psychological and physical health.</p> <h2>What can I do about it?</h2> <p>While we can’t change the broader financial landscape or some aspects of our financial situation, there are some simple ways to help reduce financial stress and its impacts.</p> <p><strong>1. Take small steps</strong></p> <p>Try to identify elements of your finances you can improve and act on some of them, even if they are small steps. This may include creating and following a budget, cutting some extra costs, applying for available financial assistance, getting quotes for more affordable utilities or insurance, or contemplating a career change. Even little changes can improve your financial state over time. Taking action in a difficult situation can improve wellbeing by giving you a greater sense of agency.</p> <p><strong>2. Check your take on the situation</strong></p> <p>Examine your perspective. Are you often seeing the negative aspects of your situation but ignoring the positive ones? Are you worrying a lot about very unlikely catastrophes far off in the future? It’s worth checking whether your perceptions about your financial situation are accurate and balanced.</p> <p><strong>3. Don’t be too hard on yourself</strong></p> <p>Your financial state does not reflect your value as a person, and <a href="https://pubmed.ncbi.nlm.nih.gov/28903640/">over-identifying</a> with your financial status can lead to further stress. Financial difficulties are the result of many factors, only some of which are under your control. Reminding yourself that your finances do not define you as a person can reduce feelings of sadness, shame or guilt.</p> <p><strong>4. Take care of yourself</strong></p> <p>It’s draining dealing with ongoing financial stress. So focus on self-care and coping strategies that have helped you with past stressors. This may mean taking some time out to relax, deep breathing or meditation, <a href="https://theconversation.com/stress-is-a-health-hazard-but-a-supportive-circle-of-friends-can-help-undo-the-damaging-effects-on-your-dna-171607">talking with others</a> and doing some things for fun. Giving yourself permission to take this time can improve your mood, perspective and wellbeing.</p> <p><strong>5. Ask for help</strong></p> <p>If you are struggling financially or psychologically, seek help. This may take the form of financial advice or assistance to reduce financial difficulties. If you notice yourself feeling persistently down, anxious, or hopeless, reach out to friends or family and get help from a mental health professional.</p> <p><strong><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em></strong></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/how-financial-stress-can-affect-your-mental-health-and-5-things-that-can-help-201557" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Money & Banking

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Lie detection tests have worked the same way for 3,000 years – and they’re still hopelessly inaccurate

<p>Popular culture is fascinated with the ability to detect liars. Lie detector tests are a staple of police dramas, and TV shows such as Poker Face feature “human polygraphs” who detect deception by picking up tell-tale signs in people’s behaviour.</p> <p>Records of attempts to detect lies, whether by technical means or by skilled observers, go back at least 3,000 years. Forensic science lie detection techniques have become <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1541-1338.2005.00166.x">increasingly popular</a> since the invention of the polygraph early in the 20th century, with the latest methods involving advanced brain imaging.</p> <p>Proponents of lie detection technology sometimes <a href="https://www.press.umich.edu/3091709/lying_brain">make grandiose claims</a>, such as a <a href="https://doi.org/10.1007/s11896-022-09566-y">recent paper</a> that said “with the help of forensic science and its new techniques, crimes can be easily solved”.</p> <p>Despite these claims, an infallible lie detection method has yet to be found. In fact, most lie detection methods don’t detect lies at all – instead, they register the physiological or behaviour signs of stress or fear.</p> <h2>From dry rice to red-hot irons</h2> <p>The <a href="https://journals.sagepub.com/doi/10.1177/1529100610390861">earliest recorded lie detection method</a> was used in China, around 1000 BC. It involved suspects placing rice in their mouths then spitting it out: wet rice indicated innocence, while dry rice meant guilty.</p> <p>In India, around 900 BC, <a href="http://scholarlycommons.law.northwestern.edu/cgi/viewcontent.cgi?article=2844&amp;context=jclc">one method</a> used to detect poisoners was observations of shaking. In ancient Greece a rapid pulse rate was taken to indicate deceit.</p> <p>The Middle Ages saw barbaric forms of lie detection used in Europe, such as the red-hot iron method which involved suspected criminals placing their tongue, often multiple times, on a red-hot iron. Here, a burnt tongue indicated guilt.</p> <h2>What the polygraph measures</h2> <p>Historical lie detection methods were based in superstition or religion. However, in the early 20th century a purportedly scientific, objective, lie detection machine was invented: the polygraph.</p> <p>The <a href="https://www.ojp.gov/pdffiles1/nij/grants/228091.pdf">polygraph measures</a> a person’s respiration, heart rate, blood pressure, and skin conductance (sweating) during questioning.</p> <p>Usually a “control question” about a crime is asked, such as “Did you do it?” The person’s response to the control question is then compared to responses to neutral or less provocative questions. Heightened reactions to direct crime questions are taken to indicate guilt on the test.</p> <h2>The overconfidence of law enforcers</h2> <p>Some law enforcement experts claim they don’t even need a polygraph. They can detect lies simply by observing the behaviour of a suspect during questioning.</p> <p>Worldwide research shows that law enforcers are often <a href="https://doi.org/10.5093/apj2022a4">confident they can detect lying</a>. Many assume a suspect’s nonverbal behaviour reveals deceit.</p> <p>A <a href="https://www.emerald.com/insight/content/doi/10.1108/14636641111134314/full/html">2011 study with Queensland police</a> revealed many officers were confident they could detect lying. Most favoured a focus on nonverbal behaviour even over available evidence.</p> <p>However, <a href="https://link.springer.com/chapter/10.1007/978-3-319-96334-1_3">research shows</a> that law enforcers, despite their confidence, are often not very good at detecting lying.</p> <p>Law enforcement officers are not alone in thinking they can spot a liar. <a href="https://journals.sagepub.com/doi/10.1177/0022022105282295">Global studies</a> have found that people around the world believe lying is accompanied by specific nonverbal behaviours such as gaze aversion and nervousness.</p> <h2>What’s really being tested</h2> <p>Many historical and current lie detection methods seem underpinned by the plausible idea that liars will be nervous and display observable physical reactions.</p> <p>These might be shaking (such as in the ancient Indian test for poisoners, and the nonverbal behaviour method used by some investigators), a dry mouth (the rice-chewing test and the hot-iron method), increased pulse rate (the ancient Greek method and the modern polygraph), or overall heightened physiological reactions (the polygraph).</p> <p>However, there are two major problems with using behaviour based on fear or stress to detect lying.</p> <p>The first problem: how does one distinguish fearful innocents from fearful guilty people? It is likely that an innocent person accused of a crime will be fearful or anxious, while a guilty suspect may not be.</p> <p>This is borne out with the polygraph’s <a href="https://nap.nationalacademies.org/read/10420/chapter/10#218">high false-positive rate</a>, meaning innocent people are deemed guilty. Similarly, some police have assumed that <a href="https://cqu-primo.hosted.exlibrisgroup.com/permalink/f/1rb43gr/TN_cdi_informaworld_taylorfrancisbooks_9781843926337">innocent, nervous suspects were guilty</a> based on inaccurate interpretations of behavioural observations.</p> <p>The second major problem with lie detection methods based on nervous behaviour is there is <a href="https://journals.copmadrid.org/apj/art/apj2019a9">no evidence</a> that specific nonverbal behaviours reliably accompany deception.</p> <h2>Miscarriages of justice</h2> <p>Despite what we know about the inaccuracy of polygraph tests, they haven’t gone away.</p> <p>In the US, they are still used in some police interrogations and <a href="https://www.wired.com/story/inside-polygraph-job-screening-black-mirror/">high-security job interviews</a>. In the UK, lie detector tests are used for <a href="https://www.gov.uk/government/publications/domestic-abuse-bill-2020-factsheets/mandatory-polygraph-tests-factsheet">some sex offenders on probation</a>. And in China, the use of polygraphs in law enforcement may <a href="https://www.sciencedirect.com/science/article/abs/pii/S0031938414005964?via%3Dihub">even be increasing</a>.</p> <p>Australia has been less enthusiastic in adopting lie-detection machines. In New South Wales, the use of lie-detector findings was barred from court in 1983, and an attempt to present polygraph evidence to a court in Western Australia in 2003 <a href="https://www.tandfonline.com/doi/abs/10.1375/pplt.2004.11.2.359">also failed</a>.</p> <p>Many historical and current lie detection methods emulate each other and are based on the same assumptions. Often the <a href="https://muse.jhu.edu/book/13865">only difference</a> is the which part of the body or physical reaction they focus on.</p> <p>Using fallible lie detection methods <a href="https://journals.copmadrid.org/apj/art/apj2022a4">contributes to wrongful convictions</a> and miscarriages of justice.</p> <p>Therefore, it is important that criminal-justice practitioners are educated about fallacious lie detection methods, and any new technique grounded in fear or stress-based reactions should be rejected.</p> <p>Despite outward appearances of technological advancement, over many millennia little has changed. Fearful innocents remain vulnerable to wrongful assumptions of guilt, which is good news for the fearless guilty.</p> <p><em>This article originally appeared on <a href="https://theconversation.com/lie-detection-tests-have-worked-the-same-way-for-3-000-years-and-theyre-still-hopelessly-inaccurate-200741" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Images: Getty</em></p>

Technology

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