When Adolescents Give Up Pot, Their Cognition Quickly Improves
Teens Sleeping Too Much, Or Not Enough? Parents Can Help
He Started Vaping As A Teen And Now Says Habit Is 'Impossible To Let Go'
Digital Self-Harm: When Teens Cyberbully Themselves
Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression
Suicide Attempts, Self-Harm in Girls Soar, Says Study
Sleepy High School Students? Campus Nap Pods Might Help
Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned
'Screenagers’ Shows Parents Overwhelmed by Kids' Phone, Computer Use
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That is, at least, not among young people, and not when the activity is learning.\u003c/p>\n\u003cp>A study \u003ca href=\"https://www.psychiatrist.com/JCP/article/Pages/2018/v79/17m11977.aspx\" target=\"_blank\" rel=\"noopener\">published Tuesday\u003c/a> in the \u003cem>Journal of Clinical Psychiatry \u003c/em>finds that when adolescents stop using marijuana — even for just one week — their verbal learning and memory improve. The study contributes to growing\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\" target=\"_blank\" rel=\"noopener\"> evidence that marijuana use in adolescents\u003c/a> is associated with reduced neurocognitive functioning.[contextly_sidebar id=\"gapfFkqeMFkKiddjhmrAPnGjnaQfV5tT\"]\u003c/p>\n\u003cp>More than 14 percent of students in middle school and high school reported using marijuana within the past month, finds a \u003ca href=\"http://www.monitoringthefuture.org/pubs/monographs/mtf-overview2017.pdf\" target=\"_blank\" rel=\"noopener\">National Institutes of Health survey\u003c/a> conducted in 2017. And marijuana use has increased among high-schoolers over the past 10 years, according to the\u003ca href=\"https://www.hhs.gov/ash/oah/adolescent-development/substance-use/marijuana/index.html\" target=\"_blank\" rel=\"noopener\"> U.S. Department of Health & Human Services\u003c/a>.\u003c/p>\n\u003cp>At the same time, the percentage of teens who believe that regular marijuana use poses a great risk to their health has\u003ca href=\"http://www.monitoringthefuture.org/pubs/monographs/mtf-vol2_2016.pdf\" target=\"_blank\" rel=\"noopener\"> dropped sharply since the mid-2000s\u003c/a>. And legalization of marijuana may play a part in shaping how young people think about the drug. One study noted that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5365078/\" target=\"_blank\" rel=\"noopener\">after 2012, when marijuana was legalized\u003c/a> in Washington state, the number of eighth-graders there that believed marijuana posed risks to their health dropped by 14 percent.\u003c/p>\n\u003cp>Researchers are particularly concerned with marijuana use among the young because THC, the active ingredient in marijuana, most sharply affects the parts of the brain that develop during adolescence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The adolescent brain is undergoing significant neurodevelopment well into the 20s, and the regions that are last to develop are those regions that are most populated by cannabis receptors and are also very critical to cognitive functioning,\" says \u003ca href=\"http://www.mghaddictionmedicine.com/about/staff/randi-schuster-ph-d/\" target=\"_blank\" rel=\"noopener\">Randi Schuster\u003c/a>. Schuster is the director of neuropsychology at Massachusetts General Hospital's Center for Addiction Medicine and the study's lead author.[contextly_sidebar id=\"lZELc7PUUZvmD5VTorbXygfap5jLk01F\"]\u003c/p>\n\u003cp>Schuster and the team of researchers set out to determine if cognitive functions that are potentially harmed by marijuana use in adolescents — particularly attention and memory — improve when they abstain from marijuana.\u003c/p>\n\u003cp>They recruited 88 pot-using teens and young adults, ages 16 to 25, and got some of them to agree to stop smoking (or otherwise consuming) marijuana for the month.\u003c/p>\n\u003cp>Schuster says the researchers wanted to recruit a range of participants, not just heavy users or those in a treatment program, for example. Some of the young people smoked once per week; some smoked nearly daily.\u003c/p>\n\u003cp>The researchers randomly assigned the volunteers into an abstaining group and a nonabstaining group. They delivered the bad news to those chosen to be abstainers at the end of their first visit, and Schuster says, they took it surprisingly well.\u003c/p>\n\u003cp>\"People were generally fine,\" she says. \"We kind of went through what the next month would look like and helped them come up with strategies for staying abstinent.\"\u003c/p>\n\u003cp>One motivation for the non-tokers to stick with the program? They received increasing amounts of money each week of the month-long study.\u003c/p>\n\u003cp>The researchers urine-tested both groups on a weekly basis to make sure that the THC levels for the abstinent group were going down, and that the levels for the control group were staying consistent as they continued using.\u003c/p>\n\u003cp>Also at each visit, the participants completed a variety of tasks testing their attention and memory through the\u003ca href=\"http://www.cambridgecognition.com/cantab/\" target=\"_blank\" rel=\"noopener\"> Cambridge Neuropsychological Test Automated Battery\u003c/a>, a validated cognitive assessment tool.\u003c/p>\n\u003cp>The researchers found that after four weeks, there was no noticeable difference in attention scores between the marijuana users and the nonusers. But, the memory scores of the nonusers improved, whereas the users' memories mostly stayed the same.[contextly_sidebar id=\"c4SATwAqatlL4R15kRXVJih13AxNqqVR\"]\u003c/p>\n\u003cp>The verbal memory test challenged participants to learn and recall new words, which \"lets us look both at their ability to learn information the first time the words were presented, as well as the number of words that they're able to retrieve from long-term memory storage after a delay,\" Schuster says.\u003c/p>\n\u003cp>Verbal memory is particularly relevant for adolescents and young adults when they're in the classroom, Schuster says.\u003c/p>\n\u003cp>\"For an adolescent sitting in their history class learning new facts for the first time, we're suspecting that active cannabis users might have a difficult time putting that new information into their long-term memory,\" Schuster says.\u003c/p>\n\u003cp>While this study didn't prove that abstaining from cannabis improves adolescents' attention, other studies have found that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\" target=\"_blank\" rel=\"noopener\">marijuana users fare worse in attention tests\u003c/a> than nonusers. Schuster hypothesizes it might take more than four weeks of abstinence for attention levels to improve.\u003c/p>\n\u003cp>Interestingly, most of the memory improvement for the abstinent group happened during the first week of the study, which leaves the researchers feeling hopeful.\u003c/p>\n\u003cp>\"We were pleasantly surprised to see that at least some of the deficits that we think may be caused by cannabis appear to be reversible, and at least some of them are quickly reversible, which is good news,\" Schuster says.\u003c/p>\n\u003cp>One weakness of this study is its lack of a non-marijuana-using control group, says \u003ca href=\"https://uwm.edu/psychology/people/lisdahl-krista-m/\" target=\"_blank\" rel=\"noopener\">Krista Lisdahl\u003c/a>, an associate professor of psychology at the University of Wisconsin Milwaukee who was not involved with the study but also researches the neuroscience of addiction. Because of this, it's difficult to conclude whether the improvements in memory brought the participants back to their baseline levels prior to using marijuana.\u003c/p>\n\u003cp>Also, because the study lasted only four weeks, it's impossible to draw conclusions about the long-term effects of marijuana usage for young people, such as how marijuana directly affects academic performance, sleep patterns or mood.\u003c/p>\n\u003cp>Lisdahl says that longitudinal studies such as the NIH's\u003ca href=\"https://abcdstudy.org/\" target=\"_blank\" rel=\"noopener\"> Adolescent Brain Cognitive Development Study\u003c/a> could provide more information about what marijuana does to the adolescent brain. It might also reveal what happens if adolescents stop using marijuana and if their brain functioning can completely recover.\u003c/p>\n\u003cp>Lisdahl is helping with the NIH study, which has, to date, enrolled more than 11,000 children ages 9 and 10 and will follow them into young adulthood. It's the largest long-term research study on child brain development in the U.S., and it assesses how everything from screen time to concussions to drugs affect adolescents' brains.\u003c/p>\n\u003cp>In the meantime, Lisdahl says the findings from the new study — that abstinence from marijuana is associated with improvements in adolescents' learning and memory — sends a positive message.\u003c/p>\n\u003cp>\"I remain optimistic that we can show recovery of function with sustained abstinence,\" she says.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Rachel D. Cohen is an intern on NPR's Science Desk.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Adolescents+Give+Up+Pot%2C+Their+Cognition+Quickly+Improves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"When researchers convinced a group of young people to stop smoking pot, their cognition quickly improved. This adds to research warning against teen pot use, despite marijuana's growing acceptance. ","status":"publish","parent":0,"modified":1541016393,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1093},"headData":{"title":"When Adolescents Give Up Pot, Their Cognition Quickly Improves | KQED","description":"When researchers convinced a group of young people to stop smoking pot, their cognition quickly improved. This adds to research warning against teen pot use, despite marijuana's growing acceptance. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"When Adolescents Give Up Pot, Their Cognition Quickly Improves","datePublished":"2018-10-31T20:04:23.000Z","dateModified":"2018-10-31T20:06:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"445318 https://ww2.kqed.org/futureofyou/?p=445318","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/10/31/when-adolescents-give-up-pot-their-cognition-quickly-improves/","disqusTitle":"When Adolescents Give Up Pot, Their Cognition Quickly Improves","source":"DIY Health","nprByline":"Rachel D. Cohen, NPR","nprImageAgency":"BURGER/Canopy/Getty Images","nprStoryId":"662127406","nprApiLink":"http://api.npr.org/query?id=662127406&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/10/30/662127406/when-adolescents-give-up-pot-their-cognition-quickly-improves?ft=nprml&f=662127406","nprRetrievedStory":"1","nprPubDate":"Wed, 31 Oct 2018 09:02:00 -0400","nprStoryDate":"Tue, 30 Oct 2018 13:01:25 -0400","nprLastModifiedDate":"Wed, 31 Oct 2018 09:02:03 -0400","path":"/futureofyou/445318/when-adolescents-give-up-pot-their-cognition-quickly-improves","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Marijuana, it seems, is not a performance-enhancing drug. That is, at least, not among young people, and not when the activity is learning.\u003c/p>\n\u003cp>A study \u003ca href=\"https://www.psychiatrist.com/JCP/article/Pages/2018/v79/17m11977.aspx\" target=\"_blank\" rel=\"noopener\">published Tuesday\u003c/a> in the \u003cem>Journal of Clinical Psychiatry \u003c/em>finds that when adolescents stop using marijuana — even for just one week — their verbal learning and memory improve. The study contributes to growing\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\" target=\"_blank\" rel=\"noopener\"> evidence that marijuana use in adolescents\u003c/a> is associated with reduced neurocognitive functioning.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>More than 14 percent of students in middle school and high school reported using marijuana within the past month, finds a \u003ca href=\"http://www.monitoringthefuture.org/pubs/monographs/mtf-overview2017.pdf\" target=\"_blank\" rel=\"noopener\">National Institutes of Health survey\u003c/a> conducted in 2017. And marijuana use has increased among high-schoolers over the past 10 years, according to the\u003ca href=\"https://www.hhs.gov/ash/oah/adolescent-development/substance-use/marijuana/index.html\" target=\"_blank\" rel=\"noopener\"> U.S. Department of Health & Human Services\u003c/a>.\u003c/p>\n\u003cp>At the same time, the percentage of teens who believe that regular marijuana use poses a great risk to their health has\u003ca href=\"http://www.monitoringthefuture.org/pubs/monographs/mtf-vol2_2016.pdf\" target=\"_blank\" rel=\"noopener\"> dropped sharply since the mid-2000s\u003c/a>. And legalization of marijuana may play a part in shaping how young people think about the drug. One study noted that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5365078/\" target=\"_blank\" rel=\"noopener\">after 2012, when marijuana was legalized\u003c/a> in Washington state, the number of eighth-graders there that believed marijuana posed risks to their health dropped by 14 percent.\u003c/p>\n\u003cp>Researchers are particularly concerned with marijuana use among the young because THC, the active ingredient in marijuana, most sharply affects the parts of the brain that develop during adolescence.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The adolescent brain is undergoing significant neurodevelopment well into the 20s, and the regions that are last to develop are those regions that are most populated by cannabis receptors and are also very critical to cognitive functioning,\" says \u003ca href=\"http://www.mghaddictionmedicine.com/about/staff/randi-schuster-ph-d/\" target=\"_blank\" rel=\"noopener\">Randi Schuster\u003c/a>. Schuster is the director of neuropsychology at Massachusetts General Hospital's Center for Addiction Medicine and the study's lead author.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Schuster and the team of researchers set out to determine if cognitive functions that are potentially harmed by marijuana use in adolescents — particularly attention and memory — improve when they abstain from marijuana.\u003c/p>\n\u003cp>They recruited 88 pot-using teens and young adults, ages 16 to 25, and got some of them to agree to stop smoking (or otherwise consuming) marijuana for the month.\u003c/p>\n\u003cp>Schuster says the researchers wanted to recruit a range of participants, not just heavy users or those in a treatment program, for example. Some of the young people smoked once per week; some smoked nearly daily.\u003c/p>\n\u003cp>The researchers randomly assigned the volunteers into an abstaining group and a nonabstaining group. They delivered the bad news to those chosen to be abstainers at the end of their first visit, and Schuster says, they took it surprisingly well.\u003c/p>\n\u003cp>\"People were generally fine,\" she says. \"We kind of went through what the next month would look like and helped them come up with strategies for staying abstinent.\"\u003c/p>\n\u003cp>One motivation for the non-tokers to stick with the program? They received increasing amounts of money each week of the month-long study.\u003c/p>\n\u003cp>The researchers urine-tested both groups on a weekly basis to make sure that the THC levels for the abstinent group were going down, and that the levels for the control group were staying consistent as they continued using.\u003c/p>\n\u003cp>Also at each visit, the participants completed a variety of tasks testing their attention and memory through the\u003ca href=\"http://www.cambridgecognition.com/cantab/\" target=\"_blank\" rel=\"noopener\"> Cambridge Neuropsychological Test Automated Battery\u003c/a>, a validated cognitive assessment tool.\u003c/p>\n\u003cp>The researchers found that after four weeks, there was no noticeable difference in attention scores between the marijuana users and the nonusers. But, the memory scores of the nonusers improved, whereas the users' memories mostly stayed the same.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The verbal memory test challenged participants to learn and recall new words, which \"lets us look both at their ability to learn information the first time the words were presented, as well as the number of words that they're able to retrieve from long-term memory storage after a delay,\" Schuster says.\u003c/p>\n\u003cp>Verbal memory is particularly relevant for adolescents and young adults when they're in the classroom, Schuster says.\u003c/p>\n\u003cp>\"For an adolescent sitting in their history class learning new facts for the first time, we're suspecting that active cannabis users might have a difficult time putting that new information into their long-term memory,\" Schuster says.\u003c/p>\n\u003cp>While this study didn't prove that abstaining from cannabis improves adolescents' attention, other studies have found that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\" target=\"_blank\" rel=\"noopener\">marijuana users fare worse in attention tests\u003c/a> than nonusers. Schuster hypothesizes it might take more than four weeks of abstinence for attention levels to improve.\u003c/p>\n\u003cp>Interestingly, most of the memory improvement for the abstinent group happened during the first week of the study, which leaves the researchers feeling hopeful.\u003c/p>\n\u003cp>\"We were pleasantly surprised to see that at least some of the deficits that we think may be caused by cannabis appear to be reversible, and at least some of them are quickly reversible, which is good news,\" Schuster says.\u003c/p>\n\u003cp>One weakness of this study is its lack of a non-marijuana-using control group, says \u003ca href=\"https://uwm.edu/psychology/people/lisdahl-krista-m/\" target=\"_blank\" rel=\"noopener\">Krista Lisdahl\u003c/a>, an associate professor of psychology at the University of Wisconsin Milwaukee who was not involved with the study but also researches the neuroscience of addiction. Because of this, it's difficult to conclude whether the improvements in memory brought the participants back to their baseline levels prior to using marijuana.\u003c/p>\n\u003cp>Also, because the study lasted only four weeks, it's impossible to draw conclusions about the long-term effects of marijuana usage for young people, such as how marijuana directly affects academic performance, sleep patterns or mood.\u003c/p>\n\u003cp>Lisdahl says that longitudinal studies such as the NIH's\u003ca href=\"https://abcdstudy.org/\" target=\"_blank\" rel=\"noopener\"> Adolescent Brain Cognitive Development Study\u003c/a> could provide more information about what marijuana does to the adolescent brain. It might also reveal what happens if adolescents stop using marijuana and if their brain functioning can completely recover.\u003c/p>\n\u003cp>Lisdahl is helping with the NIH study, which has, to date, enrolled more than 11,000 children ages 9 and 10 and will follow them into young adulthood. It's the largest long-term research study on child brain development in the U.S., and it assesses how everything from screen time to concussions to drugs affect adolescents' brains.\u003c/p>\n\u003cp>In the meantime, Lisdahl says the findings from the new study — that abstinence from marijuana is associated with improvements in adolescents' learning and memory — sends a positive message.\u003c/p>\n\u003cp>\"I remain optimistic that we can show recovery of function with sustained abstinence,\" she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Rachel D. Cohen is an intern on NPR's Science Desk.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Adolescents+Give+Up+Pot%2C+Their+Cognition+Quickly+Improves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/445318/when-adolescents-give-up-pot-their-cognition-quickly-improves","authors":["byline_futureofyou_445318"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_828","futureofyou_1585","futureofyou_61","futureofyou_1041","futureofyou_872"],"collections":["futureofyou_1093"],"featImg":"futureofyou_445319","label":"source_futureofyou_445318"},"futureofyou_444598":{"type":"posts","id":"futureofyou_444598","meta":{"index":"posts_1591205157","site":"futureofyou","id":"444598","score":null,"sort":[1537711228000]},"guestAuthors":[],"slug":"teens-sleeping-too-much-or-not-enough-parents-can-help","title":"Teens Sleeping Too Much, Or Not Enough? Parents Can Help","publishDate":1537711228,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Within three days of starting high school this year, my ninth-grader could not get into bed before 11 p.m. or wake up by 6 a.m. He complained he couldn't fall asleep but felt foggy during the school day and had to reread lessons a few times at night to finish his homework. And forget morning activities on the weekends — he was in bed.\u003c/p>\n\u003cp>We're not the only family struggling to get restful shut-eye.\u003c/p>\n\u003cp>\"What parents are sharing with us is that the 'normal life' of a typical American high schooler is interfering with sleep,\" says \u003ca href=\"https://chear.org/people/faculty-investigators/sarah-clark\">Sarah Clark\u003c/a>, co-director of C.S. Mott Children's Hospital \u003ca href=\"http://mottnpch.org/\">National Poll on Children's Health\u003c/a> at the University of Michigan.\u003c/p>\n\u003cp>In the \u003ca href=\"https://mottpoll.org/sites/default/files/documents/091718_Sleep.pdf\">poll\u003c/a> of 2,000 parents from various ethnic groups and backgrounds that Clark and her team published this month, 1 in 6 parents say their teen experiences frequent sleep problems — \"having trouble falling asleep or staying asleep 3 or more nights per week.\"\u003c/p>\n\u003cp>More than half the parents say it's because their teens won't get off their electronic devices, and 43 percent blame irregular schedules with homework and activities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A significant percentage of parents say their kids worry about school (31 percent), and 23 percent say their teens stay up worrying about their social lives.\u003c/p>\n\u003cp>It's likely that the numbers of teens who have trouble sleeping is even higher than the poll of parents suggests, Clark says, because kids can hide their nighttime electronics use and parents may not frequently check in on older children.\u003c/p>\n\u003cp>How can parents help? Start with knowing what kids need.\u003c/p>\n\u003cp>The average American teenager gets \u003ca href=\"https://www.nationwidechildrens.org/specialties/sleep-disorder-center/sleep-in-adolescents\">seven hours\u003c/a> of sleep a night, wedging it in between homework, outside activities, dinner and maybe a job. But research \u003ca href=\"https://www.npr.org/sections/health-shots/2012/02/14/146881838/how-much-sleep-do-kids-need-not-such-a-mystery-after-all\">suggests\u003c/a> teens need more like nine hours.\u003c/p>\n\u003cp>Unfortunately, even their bodies work against them, says \u003ca href=\"https://vivo.brown.edu/display/mcarskad\">Mary Carskadon\u003c/a>, a longtime sleep researcher and professor of psychiatry and human behavior at Brown University. As children grow into the middle and teen years, they are naturally inclined to \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130594/\">go to bed later\u003c/a> and sleep later in the morning. But an early school start time doesn't allow it.\u003c/p>\n\u003cp>\"If kids' body clocks are shifting later and the school is starting earlier, there's no time left to recover,\" Carskadon says.\u003c/p>\n\u003cp>She and Clark have evidence-based tips for weary teens and their parents:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Put electronics away and out of reach.\u003c/strong> Research has long shown that screen time interferes with good sleep because \u003ca href=\"https://www.npr.org/sections/health-shots/2016/11/19/502610055/heavy-screen-time-rewires-young-brains-for-better-and-worse\">it's stimulating\u003c/a>, and those \"\u003ca href=\"https://www.npr.org/2017/12/03/568133027/encore-blue-light-and-sleep\">blue light filters\u003c/a>\" that minimize the most troublesome part of the spectrum won't help much if you're stressed out. So do whatever it takes to make sleep hours electronics-free. \"If I were an entrepreneur, my get-rich-quick scheme would be the family tech lockbox,\" says Carskadon. (There are already a few \u003ca href=\"http://www.distractagone.com/\">phone lockers\u003c/a> in the works or \u003ca href=\"https://www.amazon.com/Mounted-Phone-Locker-Storage-Acrylic/dp/B0765C89CY\">on the market\u003c/a> that may do the trick.)\u003c/li>\n\u003cli>\u003cstrong>Instill a regular bedtime routine.\u003c/strong> Try to turn the lights out at around the same time and wake up at the same time, even on weekends, because the evidence shows you can't really \"make up\" missed sleep \u003ca href=\"https://www.npr.org/2018/07/20/630792401/sleep-scientist-warns-against-walking-through-life-in-an-underslept-state\">on the weekends\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Sleep masks are useful, but avoid long naps. \u003c/strong>Sleep masks can help create an environment conducive to sleep, says Carskadon, as can trying to prevent sleepy kids from taking long,\u003cstrong> \u003c/strong>late afternoon naps. A 20-minute nap \u003ca href=\"https://www.npr.org/sections/health-shots/2017/05/15/527952956/stressed-out-high-schoolers-advised-to-take-a-nap-pod\">might be refreshing\u003c/a>, but longer sleep sessions during the day can make it harder to get good rest at night. \"The kids who struggle most at night are the ones who will be falling asleep in school, going to the nurse's office, and pouring a bowl of Cheerios and falling asleep in them,\" Carskadon says.\u003c/li>\n\u003cli>\u003cstrong>Limit caffeine — even more than you already do.\u003c/strong> After school, many teens grab a soda or an energy drink to power through the rest of the afternoon. But this just makes going to bed on time more difficult, which, in turn, makes the next day harder. The disruptions add up. In the Mott survey, 54 percent of parents had their teens limit caffeine in the evening, notes Clark, although she suggests cutting it back earlier in the day or even completely.\u003c/li>\n\u003cli>\u003cstrong>Pull back on the crammed schedule.\u003c/strong> This is antithetical to what many parents of high school students and some students themselves think they should do to get into college. But does your teen really need to star in the school play, run for student council and be the starting quarterback for the high school football team? \"Pick one,\" says Carskadon.\u003c/li>\n\u003cli>\u003cstrong>Teach time management.\u003c/strong> If you don't have four hours straight to get homework done at night, break it up into chunks. \"If you have 45 minutes before your activity, go to the library and get one or two subjects out of the way,\" Clark suggests.\u003c/li>\n\u003cli>\u003cstrong>Before trying a drugstore sleep aid, talk to your doctor.\u003c/strong> The Mott survey suggests parents frequently turn to remedies like melatonin and over-the-counter drugs like Tylenol PM or NyQuil. But Clark encourages parents and teens to discuss these with a physician first. Melatonin isn't always gentle or effective, and scientists still \u003ca href=\"https://nccih.nih.gov/health/melatonin\">don't know much\u003c/a> about its long-term effects, according to the National Institutes of Health. And the heavy use of OTC drugs can be habit-forming and \u003ca href=\"https://www.npr.org/templates/story/story.php?storyId=106167255\">hard on the liver\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Pursue policy changes.\u003c/strong> Most sleep scientists say it would be healthier for older children to \u003ca href=\"https://www.nytimes.com/2018/09/20/opinion/sunday/sleep-school-start-time-screens-teenagers.html?action=click&module=MoreInSection&pgtype=Article®ion=Footer&contentCollection=Opinion\">start school later\u003c/a> in the morning than most U.S. school districts do. The California Legislature \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-may-2018-tired-teens-could-get-to-sleep-in-after-1535779353-htmlstory.html\">passed a bill\u003c/a> last month requiring most middle schools and high schools to start no earlier than 8:30 a.m. by 2021, but Gov. Jerry Brown vetoed it on Thursday. Such a change nationally won't come easily. \"The school start time issue is very fraught,\" Carskadon notes. Many teachers are fighting it, and working parents may not be able to shift their schedules and other child care obligations.\u003c/li>\n\u003c/ul>\n\u003cp>Meanwhile, Clark and Carskadon say, the most effective thing we parents can do is listen to our kids — talk with them about their sleep challenges and help them set a regular sleep schedule. It's never to early (or too late) to find healthy ways to relieve \u003ca href=\"https://www.npr.org/sections/health-shots/2014/07/17/332058265/skimping-on-sleep-can-stress-body-and-brain\">daytime stresses\u003c/a> that can disrupt sleep at night, whatever your age.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Best idea yet, parents: We can set a good example, by putting our own electronics away — really away — at bedtime. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Teens+Sleeping+Too+Much%2C+Or+Not+Enough%3F+Parents+Can+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Though teenagers need about nine hours of rest a night, most get only seven and are suffering. A new survey suggests their parents are struggling, too. Here's how to improve the quality of teen sleep.","status":"publish","parent":0,"modified":1538073730,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":1098},"headData":{"title":"Teens Sleeping Too Much, Or Not Enough? Parents Can Help | KQED","description":"Though teenagers need about nine hours of rest a night, most get only seven and are suffering. A new survey suggests their parents are struggling, too. Here's how to improve the quality of teen sleep.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Teens Sleeping Too Much, Or Not Enough? Parents Can Help","datePublished":"2018-09-23T14:00:28.000Z","dateModified":"2018-09-27T18:42:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444598 https://ww2.kqed.org/futureofyou/?p=444598","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/09/23/teens-sleeping-too-much-or-not-enough-parents-can-help/","disqusTitle":"Teens Sleeping Too Much, Or Not Enough? Parents Can Help","source":"Health","nprByline":"April Fulton","nprStoryId":"650452971","nprApiLink":"http://api.npr.org/query?id=650452971&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/09/23/650452971/teens-sleeping-too-much-or-not-enough-parents-can-help?ft=nprml&f=650452971","nprRetrievedStory":"1","nprPubDate":"Wed, 26 Sep 2018 11:47:00 -0400","nprStoryDate":"Sun, 23 Sep 2018 07:00:28 -0400","nprLastModifiedDate":"Wed, 26 Sep 2018 11:47:16 -0400","path":"/futureofyou/444598/teens-sleeping-too-much-or-not-enough-parents-can-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Within three days of starting high school this year, my ninth-grader could not get into bed before 11 p.m. or wake up by 6 a.m. He complained he couldn't fall asleep but felt foggy during the school day and had to reread lessons a few times at night to finish his homework. And forget morning activities on the weekends — he was in bed.\u003c/p>\n\u003cp>We're not the only family struggling to get restful shut-eye.\u003c/p>\n\u003cp>\"What parents are sharing with us is that the 'normal life' of a typical American high schooler is interfering with sleep,\" says \u003ca href=\"https://chear.org/people/faculty-investigators/sarah-clark\">Sarah Clark\u003c/a>, co-director of C.S. Mott Children's Hospital \u003ca href=\"http://mottnpch.org/\">National Poll on Children's Health\u003c/a> at the University of Michigan.\u003c/p>\n\u003cp>In the \u003ca href=\"https://mottpoll.org/sites/default/files/documents/091718_Sleep.pdf\">poll\u003c/a> of 2,000 parents from various ethnic groups and backgrounds that Clark and her team published this month, 1 in 6 parents say their teen experiences frequent sleep problems — \"having trouble falling asleep or staying asleep 3 or more nights per week.\"\u003c/p>\n\u003cp>More than half the parents say it's because their teens won't get off their electronic devices, and 43 percent blame irregular schedules with homework and activities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A significant percentage of parents say their kids worry about school (31 percent), and 23 percent say their teens stay up worrying about their social lives.\u003c/p>\n\u003cp>It's likely that the numbers of teens who have trouble sleeping is even higher than the poll of parents suggests, Clark says, because kids can hide their nighttime electronics use and parents may not frequently check in on older children.\u003c/p>\n\u003cp>How can parents help? Start with knowing what kids need.\u003c/p>\n\u003cp>The average American teenager gets \u003ca href=\"https://www.nationwidechildrens.org/specialties/sleep-disorder-center/sleep-in-adolescents\">seven hours\u003c/a> of sleep a night, wedging it in between homework, outside activities, dinner and maybe a job. But research \u003ca href=\"https://www.npr.org/sections/health-shots/2012/02/14/146881838/how-much-sleep-do-kids-need-not-such-a-mystery-after-all\">suggests\u003c/a> teens need more like nine hours.\u003c/p>\n\u003cp>Unfortunately, even their bodies work against them, says \u003ca href=\"https://vivo.brown.edu/display/mcarskad\">Mary Carskadon\u003c/a>, a longtime sleep researcher and professor of psychiatry and human behavior at Brown University. As children grow into the middle and teen years, they are naturally inclined to \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130594/\">go to bed later\u003c/a> and sleep later in the morning. But an early school start time doesn't allow it.\u003c/p>\n\u003cp>\"If kids' body clocks are shifting later and the school is starting earlier, there's no time left to recover,\" Carskadon says.\u003c/p>\n\u003cp>She and Clark have evidence-based tips for weary teens and their parents:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Put electronics away and out of reach.\u003c/strong> Research has long shown that screen time interferes with good sleep because \u003ca href=\"https://www.npr.org/sections/health-shots/2016/11/19/502610055/heavy-screen-time-rewires-young-brains-for-better-and-worse\">it's stimulating\u003c/a>, and those \"\u003ca href=\"https://www.npr.org/2017/12/03/568133027/encore-blue-light-and-sleep\">blue light filters\u003c/a>\" that minimize the most troublesome part of the spectrum won't help much if you're stressed out. So do whatever it takes to make sleep hours electronics-free. \"If I were an entrepreneur, my get-rich-quick scheme would be the family tech lockbox,\" says Carskadon. (There are already a few \u003ca href=\"http://www.distractagone.com/\">phone lockers\u003c/a> in the works or \u003ca href=\"https://www.amazon.com/Mounted-Phone-Locker-Storage-Acrylic/dp/B0765C89CY\">on the market\u003c/a> that may do the trick.)\u003c/li>\n\u003cli>\u003cstrong>Instill a regular bedtime routine.\u003c/strong> Try to turn the lights out at around the same time and wake up at the same time, even on weekends, because the evidence shows you can't really \"make up\" missed sleep \u003ca href=\"https://www.npr.org/2018/07/20/630792401/sleep-scientist-warns-against-walking-through-life-in-an-underslept-state\">on the weekends\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Sleep masks are useful, but avoid long naps. \u003c/strong>Sleep masks can help create an environment conducive to sleep, says Carskadon, as can trying to prevent sleepy kids from taking long,\u003cstrong> \u003c/strong>late afternoon naps. A 20-minute nap \u003ca href=\"https://www.npr.org/sections/health-shots/2017/05/15/527952956/stressed-out-high-schoolers-advised-to-take-a-nap-pod\">might be refreshing\u003c/a>, but longer sleep sessions during the day can make it harder to get good rest at night. \"The kids who struggle most at night are the ones who will be falling asleep in school, going to the nurse's office, and pouring a bowl of Cheerios and falling asleep in them,\" Carskadon says.\u003c/li>\n\u003cli>\u003cstrong>Limit caffeine — even more than you already do.\u003c/strong> After school, many teens grab a soda or an energy drink to power through the rest of the afternoon. But this just makes going to bed on time more difficult, which, in turn, makes the next day harder. The disruptions add up. In the Mott survey, 54 percent of parents had their teens limit caffeine in the evening, notes Clark, although she suggests cutting it back earlier in the day or even completely.\u003c/li>\n\u003cli>\u003cstrong>Pull back on the crammed schedule.\u003c/strong> This is antithetical to what many parents of high school students and some students themselves think they should do to get into college. But does your teen really need to star in the school play, run for student council and be the starting quarterback for the high school football team? \"Pick one,\" says Carskadon.\u003c/li>\n\u003cli>\u003cstrong>Teach time management.\u003c/strong> If you don't have four hours straight to get homework done at night, break it up into chunks. \"If you have 45 minutes before your activity, go to the library and get one or two subjects out of the way,\" Clark suggests.\u003c/li>\n\u003cli>\u003cstrong>Before trying a drugstore sleep aid, talk to your doctor.\u003c/strong> The Mott survey suggests parents frequently turn to remedies like melatonin and over-the-counter drugs like Tylenol PM or NyQuil. But Clark encourages parents and teens to discuss these with a physician first. Melatonin isn't always gentle or effective, and scientists still \u003ca href=\"https://nccih.nih.gov/health/melatonin\">don't know much\u003c/a> about its long-term effects, according to the National Institutes of Health. And the heavy use of OTC drugs can be habit-forming and \u003ca href=\"https://www.npr.org/templates/story/story.php?storyId=106167255\">hard on the liver\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>Pursue policy changes.\u003c/strong> Most sleep scientists say it would be healthier for older children to \u003ca href=\"https://www.nytimes.com/2018/09/20/opinion/sunday/sleep-school-start-time-screens-teenagers.html?action=click&module=MoreInSection&pgtype=Article®ion=Footer&contentCollection=Opinion\">start school later\u003c/a> in the morning than most U.S. school districts do. The California Legislature \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-may-2018-tired-teens-could-get-to-sleep-in-after-1535779353-htmlstory.html\">passed a bill\u003c/a> last month requiring most middle schools and high schools to start no earlier than 8:30 a.m. by 2021, but Gov. Jerry Brown vetoed it on Thursday. Such a change nationally won't come easily. \"The school start time issue is very fraught,\" Carskadon notes. Many teachers are fighting it, and working parents may not be able to shift their schedules and other child care obligations.\u003c/li>\n\u003c/ul>\n\u003cp>Meanwhile, Clark and Carskadon say, the most effective thing we parents can do is listen to our kids — talk with them about their sleep challenges and help them set a regular sleep schedule. It's never to early (or too late) to find healthy ways to relieve \u003ca href=\"https://www.npr.org/sections/health-shots/2014/07/17/332058265/skimping-on-sleep-can-stress-body-and-brain\">daytime stresses\u003c/a> that can disrupt sleep at night, whatever your age.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Best idea yet, parents: We can set a good example, by putting our own electronics away — really away — at bedtime. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Teens+Sleeping+Too+Much%2C+Or+Not+Enough%3F+Parents+Can+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444598/teens-sleeping-too-much-or-not-enough-parents-can-help","authors":["byline_futureofyou_444598"],"categories":["futureofyou_1"],"tags":["futureofyou_61","futureofyou_180","futureofyou_872"],"collections":["futureofyou_1093"],"featImg":"futureofyou_444601","label":"source_futureofyou_444598"},"futureofyou_442392":{"type":"posts","id":"futureofyou_442392","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442392","score":null,"sort":[1528390851000]},"guestAuthors":[],"slug":"he-started-vaping-as-a-teen-and-now-says-habit-is-impossible-to-let-go","title":"He Started Vaping As A Teen And Now Says Habit Is 'Impossible To Let Go'","publishDate":1528390851,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>The debate over the health risks of Juul, vaping and e-cigarettes is now spilling into the public square. In one of the most restrictive measures nationwide, San Francisco voters this week upheld by what looks to be a large majority — \u003ca href=\"https://sfelections.sfgov.org/june-5-2018-election-results-summary\" target=\"_blank\" rel=\"noopener\">nearly 70 percent\u003c/a> in a preliminary tally — a ban on the sale of flavored vaping products, as well as conventional menthol cigarettes.[contextly_sidebar id=\"f4ObtobpmJx1JqJ3EOiZHg8edyJcXLTQ\"]\u003c/p>\n\u003cp>Even before that, federal agencies had launched a wave of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/05/02/607466204/federal-government-sends-warning-to-vaping-companies\">crackdowns\u003c/a> against retailers that sell e-cigarettes, including the popular Juul brand, to minors. Public health advocates and officials worry these sales could be an emerging disaster, reversing years of declines in smoking.\u003c/p>\n\u003cp>E-cigarettes are tiny — they look like a pen or flash drive. When someone vapes, there's no fire, ash or smoky odor. Instead, the devices heat up and vaporize a liquid or solid. And vaping appears to have taken off among young people.\u003c/p>\n\u003cp>\"Believe it,\" says 21-year-old Julien Lavandier. \"It's a habit for me, you know — all the time when I set down my schoolwork to do homework, take a rip of the Juul. When I get in my car, take a rip of the Juul.\"\u003c/p>\n\u003cp>Lavandier, now a student at Colorado State University, started vaping when he was a sophomore in high school. He says he'd go to parties where it was common to smoke an e-cigarette.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"At first,\" he says,\"it was a lot of, you know, chasing flavors, or doing smoke tricks and that was really what impressed me. I thought, you know, this is cool, this looks like something fun.\"\u003c/p>\n\u003cp>He says students at his high school vaped in class without teachers knowing. He estimates a quarter of his classmates were habitual e-cigarette users. Lavandier started vaping regularly and later began smoking traditional cigarettes.\u003c/p>\n\u003cp>When Juul arrived on the market, he took that up too, and found it habit-forming. He liked it more than marijuana or alcohol.\u003c/p>\n\u003cp>\"It's impossible to let go once you started using,\" Lavandier says. \"I'll tell you — after even an hour and a half or two, I am chomping at the bit to find my Juul.\"\u003c/p>\n\u003cp>Stores aren't supposed to sell e-cigarettes to minors, but Lavandier says he has been buying them for years and was never once carded. In April, the \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm605432.htm\">FDA asked\u003c/a> the firm behind Juul for documents to see if it's intentionally marketing to underage teens.\u003c/p>\n\u003cp>The company has online testimonials \u003ca href=\"https://www.juul.com/community\" target=\"_blank\" rel=\"noopener\">and has built an online community\u003c/a> around their product. In one video, a woman in her 30s named Lauren says she's constantly \"encouraging people to use this and not smoke your cigarettes.\"[contextly_sidebar id=\"nM2YyjbFQ2MokyLZppniNnryAeUzoXp3\"]\u003c/p>\n\u003cp>Representatives from Juul Labs declined repeated requests for an interview. In a written statement, the company said its product offers a \"true alternative to adult smokers, not anyone else, not minors.\"\u003c/p>\n\u003cp>Other companies that make e-liquids also say their products are not for minors. The companies do offer a wide range of sweet flavors, however, like cotton candy, caramel, cherry, cookies and milk and \u003ca href=\"https://www.electrictobacconist.com/juul-cr%C3%A8me-br%C3%BBl%C3%A9e-flavor-pods-pack-of-4-p831\" target=\"_blank\" rel=\"noopener\">crème brûlée\u003c/a>.\u003c/p>\n\u003cp>\"If it tastes good and a kid might get their hands on it — that's not our goal,\" says Jameson Rodgers, the VP of business development for \u003ca href=\"https://www.newhere.com/\" target=\"_blank\" rel=\"noopener\">NEwhere Inc\u003c/a>, a California-based maker of e-cigarette and vaping products.\u003c/p>\n\u003cp>\"Also,\" Rodgers says, \"I feel like some of the responsibility has to fall on some of the parents of any kid that's deciding to walk into an adult store, whether that's a liquor or a tobacco store.\"\u003c/p>\n\u003cp>The head of Colorado's health department, \u003ca href=\"https://www.colorado.gov/pacific/cdphe/larry-wolk-md-msph\" target=\"_blank\" rel=\"noopener\">Dr. Larry Wolk\u003c/a>, finds it hard to believe industry claims that it isn't marketing to kids.\u003c/p>\n\u003cp>\"I have to call BS on that,\" he says, \"because the flavors are cotton candy, Frutti Tutti and they have cartoon characters on their labels and you can mix flavors and strengths. It's really appealing to kids, whether or not they are intentionally marketing to kids.\"\u003c/p>\n\u003cp>Wolk also points to research that suggests youth vaping leads to traditional smoking. A January \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24952\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the National Academy of Sciences, Engineering and Medicine makes that conclusion. \"Among youth — who use e-cigarettes at higher rates than adults do — there is substantial evidence that e-cigarette use\u003ca href=\"https://www.cpr.org/news/story/e-cigarettes-a-gateway-to-tobacco-addiction-colorados-chief-health-official-says\" target=\"_blank\" rel=\"noopener\"> increases the risk\u003c/a> of transitioning to smoking conventional cigarettes,\" the report finds.\u003c/p>\n\u003cp>One of the benefits of e-cigarettes, according to the industry, is that the devices can help people quit their use of tobacco products. When it comes to that habit, the advice from Ray Story, the founder and CEO of the \u003ca href=\"https://www.tveca.com/about-tveca\" target=\"_blank\" rel=\"noopener\">Tobacco Vapor Electronic Cigarette Association\u003c/a> is \"don't start at all.\"\u003c/p>\n\u003cp>\"But if you're going to smoke or do e-cigarettes, then certainly take an e-cigarette because it's vastly less harmful,\" Story says,\"if you consider both of them contain nicotine, and both of them are addictive. It's vastly less harmful than conventional tobacco.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.childrenscolorado.org/doctors-and-departments/physicians/l/deborah-liptzin/\" target=\"_blank\" rel=\"noopener\">Dr. Deborah Liptzin\u003c/a>, a pediatric pulmonologist at Children's Hospital Colorado, sees the evidence differently. E-cigarettes, she says, have become \"the new way to get kids addicted to nicotine.\" There's been scant e-cigarette research, she notes, including on Juul and the ingredients in the e-liquids used in the devices.\u003c/p>\n\u003cp>\"They specifically use nicotine salts,\" Liptzin says. \"We have no research that I could find on nicotine salts that are inhaled, because it's so new.\"\u003c/p>\n\u003cp>Data from the 2015 Healthy Kids Colorado Survey found nearly half of Colorado high schoolers \u003ca href=\"https://www.colorado.gov/pacific/sites/default/files/PF_Youth_HKCS_Tobacco-Infographic-Digital.pdf\" target=\"_blank\" rel=\"noopener\">reported that they've vaped\u003c/a>. One in four said they had used an e-cigarette in the last month. That's three times the rate of traditional cigarettes, and has raised concerns among public health officials.\u003c/p>\n\u003cp>\"The Juul has definitely been a game changer,\" says Jen Bolcoa, a health education coordinator with Jefferson County Public Schools. The tiny pod of e-liquid in a Juul has the \u003ca href=\"https://support.juul.com/home/learn/faqs/juulpod-basics\" target=\"_blank\" rel=\"noopener\">equivalent nicotine of approximately 20 cigarettes\u003c/a> — an entire pack — according to the company's website.\u003c/p>\n\u003cp>Most educators, parents and students \"don't realize how much nicotine is in there, or that there's even any nicotine,\" she says. \"That's what the research tells us.\"\u003c/p>\n\u003cp>Bolcoa works with students as part of the \u003ca href=\"https://www.denverpost.com/2015/12/01/teens-get-involved-in-anti-tobacco-campaign-through-breathe-easy/\" target=\"_blank\" rel=\"noopener\">Breathe Easy\u003c/a> team, a club at high schools backed by Jefferson County's Tobacco-Free Youth program, to educate students, parents and administrators about the larger risks of tobacco use and Juuls. An educational video the team posted on Facebook tells viewers that \"Juuls and other e-products are disguised to look like pens, flash drives.\"\u003c/p>\n\u003cp>But their video competes with others posted by teens on social media sites. On YouTube, there's a \u003ca href=\"https://www.youtube.com/watch?v=gnM8hqW_2oo\" target=\"_blank\" rel=\"noopener\">video\u003c/a> called the Juul Challenge. Two guys sit in the smoke-filled front seat of a car, competing, pulling on Juuls.\u003c/p>\n\u003cp>\"Cheers guys. Let's see how many hits I can do? You got five,\" one of video performers says. \"How many hits can you do? Write in the comments.\"\u003c/p>\n\u003cp>That video had more than 230,000 views, and 380 comments in seven weeks. Teresa Kenison, a volunteer on the Breathe Easy team, says social media helps drive the vaping trend. She's seen frequent use of the devices in classrooms, bathrooms, and parking lots. All sorts of students are using e-cigarettes and Juuls, from those in AP classes to athletes.\u003c/p>\n\u003cp>\"It's really everywhere,\" she says. \"Students are getting hooked.\"\u003c/p>\n\u003cp>She's even noticed older kids making runs to the convenience store for younger ones.\u003c/p>\n\u003cp>Lavandier can attest to the power of e-cigarettes as a gateway to tobacco use. The college student says he's now hooked on both cigarettes and e-cigarettes. He has tried to quit, but says he now can't go three days without using a Juul. On a typical day, he'll take upwards of 300 puffs.\u003c/p>\n\u003cp>\"So my biggest concern,\" he says, \"is, you know, right now I'm puffing, puffing, happy, worry-free, and then in 20 years I'll have to explain to my kids why I've developed popcorn lung — or some new form of lung cancer,\" Lavandier says. \"Because I didn't know what the risks were of e-cigarettes. It terrifies me.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with Colorado Public Radio and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org\" target=\"_blank\" rel=\"noopener\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 CPR News. To see more, visit \u003ca href=\"http://www.cpr.org/news\">CPR News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Started+Vaping+As+A+Teen+And+Now+Says+Habit+Is+%27Impossible+To+Let+Go%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Public health officials worry vaping is an emerging disaster that could reverse years of decline in smoking by young people. What's the latest evidence that e-cigarettes are a gateway to tobacco?","status":"publish","parent":0,"modified":1528387340,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":36,"wordCount":1417},"headData":{"title":"He Started Vaping As A Teen And Now Says Habit Is 'Impossible To Let Go' | KQED","description":"Public health officials worry vaping is an emerging disaster that could reverse years of decline in smoking by young people. What's the latest evidence that e-cigarettes are a gateway to tobacco?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"He Started Vaping As A Teen And Now Says Habit Is 'Impossible To Let Go'","datePublished":"2018-06-07T17:00:51.000Z","dateModified":"2018-06-07T16:02:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442392 https://ww2.kqed.org/futureofyou/?p=442392","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/07/he-started-vaping-as-a-teen-and-now-says-habit-is-impossible-to-let-go/","disqusTitle":"He Started Vaping As A Teen And Now Says Habit Is 'Impossible To Let Go'","source":"Health","nprByline":"John Daley, NPR","nprImageAgency":"John Daley / CPR News","nprStoryId":"615724991","nprApiLink":"http://api.npr.org/query?id=615724991&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/07/615724991/he-started-vaping-as-a-teen-and-now-says-juul-is-impossible-to-let-go?ft=nprml&f=615724991","nprRetrievedStory":"1","nprPubDate":"Thu, 07 Jun 2018 11:04:00 -0400","nprStoryDate":"Thu, 07 Jun 2018 10:30:00 -0400","nprLastModifiedDate":"Thu, 07 Jun 2018 11:04:14 -0400","path":"/futureofyou/442392/he-started-vaping-as-a-teen-and-now-says-habit-is-impossible-to-let-go","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The debate over the health risks of Juul, vaping and e-cigarettes is now spilling into the public square. In one of the most restrictive measures nationwide, San Francisco voters this week upheld by what looks to be a large majority — \u003ca href=\"https://sfelections.sfgov.org/june-5-2018-election-results-summary\" target=\"_blank\" rel=\"noopener\">nearly 70 percent\u003c/a> in a preliminary tally — a ban on the sale of flavored vaping products, as well as conventional menthol cigarettes.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Even before that, federal agencies had launched a wave of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/05/02/607466204/federal-government-sends-warning-to-vaping-companies\">crackdowns\u003c/a> against retailers that sell e-cigarettes, including the popular Juul brand, to minors. Public health advocates and officials worry these sales could be an emerging disaster, reversing years of declines in smoking.\u003c/p>\n\u003cp>E-cigarettes are tiny — they look like a pen or flash drive. When someone vapes, there's no fire, ash or smoky odor. Instead, the devices heat up and vaporize a liquid or solid. And vaping appears to have taken off among young people.\u003c/p>\n\u003cp>\"Believe it,\" says 21-year-old Julien Lavandier. \"It's a habit for me, you know — all the time when I set down my schoolwork to do homework, take a rip of the Juul. When I get in my car, take a rip of the Juul.\"\u003c/p>\n\u003cp>Lavandier, now a student at Colorado State University, started vaping when he was a sophomore in high school. He says he'd go to parties where it was common to smoke an e-cigarette.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"At first,\" he says,\"it was a lot of, you know, chasing flavors, or doing smoke tricks and that was really what impressed me. I thought, you know, this is cool, this looks like something fun.\"\u003c/p>\n\u003cp>He says students at his high school vaped in class without teachers knowing. He estimates a quarter of his classmates were habitual e-cigarette users. Lavandier started vaping regularly and later began smoking traditional cigarettes.\u003c/p>\n\u003cp>When Juul arrived on the market, he took that up too, and found it habit-forming. He liked it more than marijuana or alcohol.\u003c/p>\n\u003cp>\"It's impossible to let go once you started using,\" Lavandier says. \"I'll tell you — after even an hour and a half or two, I am chomping at the bit to find my Juul.\"\u003c/p>\n\u003cp>Stores aren't supposed to sell e-cigarettes to minors, but Lavandier says he has been buying them for years and was never once carded. In April, the \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm605432.htm\">FDA asked\u003c/a> the firm behind Juul for documents to see if it's intentionally marketing to underage teens.\u003c/p>\n\u003cp>The company has online testimonials \u003ca href=\"https://www.juul.com/community\" target=\"_blank\" rel=\"noopener\">and has built an online community\u003c/a> around their product. In one video, a woman in her 30s named Lauren says she's constantly \"encouraging people to use this and not smoke your cigarettes.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Representatives from Juul Labs declined repeated requests for an interview. In a written statement, the company said its product offers a \"true alternative to adult smokers, not anyone else, not minors.\"\u003c/p>\n\u003cp>Other companies that make e-liquids also say their products are not for minors. The companies do offer a wide range of sweet flavors, however, like cotton candy, caramel, cherry, cookies and milk and \u003ca href=\"https://www.electrictobacconist.com/juul-cr%C3%A8me-br%C3%BBl%C3%A9e-flavor-pods-pack-of-4-p831\" target=\"_blank\" rel=\"noopener\">crème brûlée\u003c/a>.\u003c/p>\n\u003cp>\"If it tastes good and a kid might get their hands on it — that's not our goal,\" says Jameson Rodgers, the VP of business development for \u003ca href=\"https://www.newhere.com/\" target=\"_blank\" rel=\"noopener\">NEwhere Inc\u003c/a>, a California-based maker of e-cigarette and vaping products.\u003c/p>\n\u003cp>\"Also,\" Rodgers says, \"I feel like some of the responsibility has to fall on some of the parents of any kid that's deciding to walk into an adult store, whether that's a liquor or a tobacco store.\"\u003c/p>\n\u003cp>The head of Colorado's health department, \u003ca href=\"https://www.colorado.gov/pacific/cdphe/larry-wolk-md-msph\" target=\"_blank\" rel=\"noopener\">Dr. Larry Wolk\u003c/a>, finds it hard to believe industry claims that it isn't marketing to kids.\u003c/p>\n\u003cp>\"I have to call BS on that,\" he says, \"because the flavors are cotton candy, Frutti Tutti and they have cartoon characters on their labels and you can mix flavors and strengths. It's really appealing to kids, whether or not they are intentionally marketing to kids.\"\u003c/p>\n\u003cp>Wolk also points to research that suggests youth vaping leads to traditional smoking. A January \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24952\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the National Academy of Sciences, Engineering and Medicine makes that conclusion. \"Among youth — who use e-cigarettes at higher rates than adults do — there is substantial evidence that e-cigarette use\u003ca href=\"https://www.cpr.org/news/story/e-cigarettes-a-gateway-to-tobacco-addiction-colorados-chief-health-official-says\" target=\"_blank\" rel=\"noopener\"> increases the risk\u003c/a> of transitioning to smoking conventional cigarettes,\" the report finds.\u003c/p>\n\u003cp>One of the benefits of e-cigarettes, according to the industry, is that the devices can help people quit their use of tobacco products. When it comes to that habit, the advice from Ray Story, the founder and CEO of the \u003ca href=\"https://www.tveca.com/about-tveca\" target=\"_blank\" rel=\"noopener\">Tobacco Vapor Electronic Cigarette Association\u003c/a> is \"don't start at all.\"\u003c/p>\n\u003cp>\"But if you're going to smoke or do e-cigarettes, then certainly take an e-cigarette because it's vastly less harmful,\" Story says,\"if you consider both of them contain nicotine, and both of them are addictive. It's vastly less harmful than conventional tobacco.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.childrenscolorado.org/doctors-and-departments/physicians/l/deborah-liptzin/\" target=\"_blank\" rel=\"noopener\">Dr. Deborah Liptzin\u003c/a>, a pediatric pulmonologist at Children's Hospital Colorado, sees the evidence differently. E-cigarettes, she says, have become \"the new way to get kids addicted to nicotine.\" There's been scant e-cigarette research, she notes, including on Juul and the ingredients in the e-liquids used in the devices.\u003c/p>\n\u003cp>\"They specifically use nicotine salts,\" Liptzin says. \"We have no research that I could find on nicotine salts that are inhaled, because it's so new.\"\u003c/p>\n\u003cp>Data from the 2015 Healthy Kids Colorado Survey found nearly half of Colorado high schoolers \u003ca href=\"https://www.colorado.gov/pacific/sites/default/files/PF_Youth_HKCS_Tobacco-Infographic-Digital.pdf\" target=\"_blank\" rel=\"noopener\">reported that they've vaped\u003c/a>. One in four said they had used an e-cigarette in the last month. That's three times the rate of traditional cigarettes, and has raised concerns among public health officials.\u003c/p>\n\u003cp>\"The Juul has definitely been a game changer,\" says Jen Bolcoa, a health education coordinator with Jefferson County Public Schools. The tiny pod of e-liquid in a Juul has the \u003ca href=\"https://support.juul.com/home/learn/faqs/juulpod-basics\" target=\"_blank\" rel=\"noopener\">equivalent nicotine of approximately 20 cigarettes\u003c/a> — an entire pack — according to the company's website.\u003c/p>\n\u003cp>Most educators, parents and students \"don't realize how much nicotine is in there, or that there's even any nicotine,\" she says. \"That's what the research tells us.\"\u003c/p>\n\u003cp>Bolcoa works with students as part of the \u003ca href=\"https://www.denverpost.com/2015/12/01/teens-get-involved-in-anti-tobacco-campaign-through-breathe-easy/\" target=\"_blank\" rel=\"noopener\">Breathe Easy\u003c/a> team, a club at high schools backed by Jefferson County's Tobacco-Free Youth program, to educate students, parents and administrators about the larger risks of tobacco use and Juuls. An educational video the team posted on Facebook tells viewers that \"Juuls and other e-products are disguised to look like pens, flash drives.\"\u003c/p>\n\u003cp>But their video competes with others posted by teens on social media sites. On YouTube, there's a \u003ca href=\"https://www.youtube.com/watch?v=gnM8hqW_2oo\" target=\"_blank\" rel=\"noopener\">video\u003c/a> called the Juul Challenge. Two guys sit in the smoke-filled front seat of a car, competing, pulling on Juuls.\u003c/p>\n\u003cp>\"Cheers guys. Let's see how many hits I can do? You got five,\" one of video performers says. \"How many hits can you do? Write in the comments.\"\u003c/p>\n\u003cp>That video had more than 230,000 views, and 380 comments in seven weeks. Teresa Kenison, a volunteer on the Breathe Easy team, says social media helps drive the vaping trend. She's seen frequent use of the devices in classrooms, bathrooms, and parking lots. All sorts of students are using e-cigarettes and Juuls, from those in AP classes to athletes.\u003c/p>\n\u003cp>\"It's really everywhere,\" she says. \"Students are getting hooked.\"\u003c/p>\n\u003cp>She's even noticed older kids making runs to the convenience store for younger ones.\u003c/p>\n\u003cp>Lavandier can attest to the power of e-cigarettes as a gateway to tobacco use. The college student says he's now hooked on both cigarettes and e-cigarettes. He has tried to quit, but says he now can't go three days without using a Juul. On a typical day, he'll take upwards of 300 puffs.\u003c/p>\n\u003cp>\"So my biggest concern,\" he says, \"is, you know, right now I'm puffing, puffing, happy, worry-free, and then in 20 years I'll have to explain to my kids why I've developed popcorn lung — or some new form of lung cancer,\" Lavandier says. \"Because I didn't know what the risks were of e-cigarettes. It terrifies me.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with Colorado Public Radio and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org\" target=\"_blank\" rel=\"noopener\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 CPR News. To see more, visit \u003ca href=\"http://www.cpr.org/news\">CPR News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Started+Vaping+As+A+Teen+And+Now+Says+Habit+Is+%27Impossible+To+Let+Go%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442392/he-started-vaping-as-a-teen-and-now-says-habit-is-impossible-to-let-go","authors":["byline_futureofyou_442392"],"categories":["futureofyou_1"],"tags":["futureofyou_1479","futureofyou_61","futureofyou_872","futureofyou_1138","futureofyou_1478"],"featImg":"futureofyou_442393","label":"source_futureofyou_442392"},"futureofyou_440941":{"type":"posts","id":"futureofyou_440941","meta":{"index":"posts_1591205157","site":"futureofyou","id":"440941","score":null,"sort":[1524510027000]},"guestAuthors":[],"slug":"digital-self-harm-when-teens-cyberbully-themselves","title":"Digital Self-Harm: When Teens Cyberbully Themselves","publishDate":1524510027,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>During the stressful teen years, most adolescents experience emotional highs and lows, but for more than \u003ca href=\"https://www.nami.org/learn-more/mental-health-by-the-numbers\" target=\"_blank\" rel=\"noopener\">20 percent\u003c/a> of teenagers, their worries and sad feelings turn into something more serious, like anxiety or depression. \u003ca href=\"https://www.bmj.com/content/349/bmj.g5954\" target=\"_blank\" rel=\"noopener\">Studies\u003c/a> show that 13 percent to 18 percent of distressed teens physically injure themselves via cutting, burning or other forms of self-harm as a way to cope with their pain.[contextly_sidebar id=\"DrtrOIrhwdXvJWg13P3oHysKbwZZeMlt\"]\u003c/p>\n\u003cp>Recent research and clinical psychologists now suggest that some adolescents are engaging in a newer form of self-aggression — \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">digital self-harm\u003c/a>. They're anonymously posting mean and derogatory comments about themselves on social media.\u003c/p>\n\u003cp>Child psychologist \u003ca href=\"http://denverchildtherapy.com/about-us/sheryl-ziegler/\" target=\"_blank\" rel=\"noopener\">Sheryl Gonzalez-Ziegler\u003c/a> of Denver says it's a growing problem among teens whom she counsels. One recent client, an adolescent girl, told Gonzalez-Ziegler that she anonymously cyberbullied herself because, as a gay teen, she felt vulnerable and exposed.\u003c/p>\n\u003cp>\"She set up ghost accounts on Instagram and posted mean comments about herself, saying things like, 'I think you're creepy and gay' and 'Don't sit next to me again,' \" Ziegler says.\u003c/p>\n\u003cp>\"She said these things because she feared being mocked by her peers,\" the psychologist explains. \"She thought their teasing wouldn't be so bad if she beat them to the punch.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to a survey \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">published\u003c/a> late last year in the \u003cem>Journal of Adolescent Health\u003c/em>, teens are bullying themselves online as a way to manage feelings of sadness and self-hatred and to gain attention from their friends. For the study, 5,593 middle and high school students from across the U.S., ages 12 to 17, completed a series of questionnaires that asked about their experiences with digital self-harm and cyberbullying.\u003c/p>\n\u003cp>[contextly_sidebar id=\"HCX9vH8V4cXCVb46T0BO94RkguEqSp86\"]\"We were alarmed to learn that 6 percent of the youth who participated in our study engaged in some form of digital self-harm,\" says \u003ca href=\"http://hinduja.org/\" target=\"_blank\" rel=\"noopener\">Sameer Hinduja\u003c/a>, co-author of the study and a professor of criminology at Florida Atlantic University. He is also the co-director of the \u003ca href=\"https://cyberbullying.org/\" target=\"_blank\" rel=\"noopener\">Cyberbullying Research Center\u003c/a>.\u003c/p>\n\u003cp>Hinduja and a colleague found that more than half the teens who cyberbullied themselves had done so more than once. When asked why they had participated in this behavior, the teens said things like, \"I already felt bad about myself, and I wanted to make myself feel worse\" and \"I wanted to see if someone was really my friend.\"\u003c/p>\n\u003cp>Psychologists have seen inklings of this type of self-aggression before. In a smaller, \u003ca href=\"https://webhost.bridgew.edu/marc/DIGITAL%20SELF%20HARM%20report.pdf\" target=\"_blank\" rel=\"noopener\">2012\u003c/a> study of 617 high school freshmen, researchers found that 9 percent of the teens had bullied themselves online. Teens who participated in that study reported harming themselves as a way to encourage others to worry about them, to prove how \"tough\" they were or to get an adult's attention.\u003c/p>\n\u003cp>[contextly_sidebar id=\"4WLViXQpKTG5m375AY6olZ1s9VjHu8hm\"]\"Because teens' online and offline worlds overlap, digital self-harm is a concern for some youth, making online self-harm an emerging area of research,\" says, \u003ca href=\"https://cehs.unl.edu/edpsych/faculty/susan-swearer/\" target=\"_blank\" rel=\"noopener\">Susan Swearer\u003c/a>, a professor of psychology at the University of Nebraska, Lincoln who also studies bullying.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2664031\" target=\"_blank\" rel=\"noopener\">statistical analysis\u003c/a> by the Centers for Disease Control and Prevention of more than a decade's worth of emergency room visits in the U.S. suggests that since 2009, the number of girls ages 10 to 14 years who are physically harming themselves has been rising steadily.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.apa.org/monitor/2015/07-08/who-self-injures.aspx\" target=\"_blank\" rel=\"noopener\">the American Psychological Association\u003c/a>, teens who physically injure themselves often struggle with depression, post-traumatic stress disorder or difficulties with emotional regulation. Not all adolescents who cyberbully themselves have a psychiatric illness, Ziegler notes, but that doesn't mean their behavior should be taken lightly.\u003c/p>\n\u003cp>\"Similar to teens who self-harm by cutting, kids who cyberbully themselves often suffer silently, feeling like they don't have a friend or adult to confide in,\" says Ziegler.\u003c/p>\n\u003cp>If these teens don't receive mental health treatment, she says, their feelings of loneliness and sadness can cause them to become depressed and, in rare cases, suicidal.\u003c/p>\n\u003cp>Because the advent of social media has changed the way many teens form and experience relationships, normal adolescent feelings of insecurity, anxiety and loneliness can become magnified as they scroll through their peers' social media reels. Hinduja says some teens cope with that distress by turning their angst on themselves online.\u003c/p>\n\u003cp>While some parents are quick to limit a teen's social media use in response, that doesn't adequately address the problem, Hinduja says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the best thing parents can do is to promote open, nonjudgmental lines of communication with their kids,\" he says. \"Validating a teen's experience can encourage them to confide in adults about their distressing experiences — offline or online.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Teens+Cyberbully+Themselves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The latest form of self-harming behavior is a way of managing feelings of sadness or self-loathing.","status":"publish","parent":0,"modified":1524505085,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":788},"headData":{"title":"Digital Self-Harm: When Teens Cyberbully Themselves | KQED","description":"The latest form of self-harming behavior is a way of managing feelings of sadness or self-loathing.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Digital Self-Harm: When Teens Cyberbully Themselves","datePublished":"2018-04-23T19:00:27.000Z","dateModified":"2018-04-23T17:38:05.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"440941 https://ww2.kqed.org/futureofyou/?p=440941","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/04/23/digital-self-harm-when-teens-cyberbully-themselves/","disqusTitle":"Digital Self-Harm: When Teens Cyberbully Themselves","source":"Health","nprImageCredit":"Jasmin Merdan","nprByline":"Juli Fraga\u003cbr />NPR Shots","nprImageAgency":"Getty Images","nprStoryId":"604073315","nprApiLink":"http://api.npr.org/query?id=604073315&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/04/21/604073315/when-teens-cyberbully-themselves?ft=nprml&f=604073315","nprRetrievedStory":"1","nprPubDate":"Sat, 21 Apr 2018 13:03:00 -0400","nprStoryDate":"Sat, 21 Apr 2018 07:00:24 -0400","nprLastModifiedDate":"Sat, 21 Apr 2018 13:03:48 -0400","path":"/futureofyou/440941/digital-self-harm-when-teens-cyberbully-themselves","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>During the stressful teen years, most adolescents experience emotional highs and lows, but for more than \u003ca href=\"https://www.nami.org/learn-more/mental-health-by-the-numbers\" target=\"_blank\" rel=\"noopener\">20 percent\u003c/a> of teenagers, their worries and sad feelings turn into something more serious, like anxiety or depression. \u003ca href=\"https://www.bmj.com/content/349/bmj.g5954\" target=\"_blank\" rel=\"noopener\">Studies\u003c/a> show that 13 percent to 18 percent of distressed teens physically injure themselves via cutting, burning or other forms of self-harm as a way to cope with their pain.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Recent research and clinical psychologists now suggest that some adolescents are engaging in a newer form of self-aggression — \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">digital self-harm\u003c/a>. They're anonymously posting mean and derogatory comments about themselves on social media.\u003c/p>\n\u003cp>Child psychologist \u003ca href=\"http://denverchildtherapy.com/about-us/sheryl-ziegler/\" target=\"_blank\" rel=\"noopener\">Sheryl Gonzalez-Ziegler\u003c/a> of Denver says it's a growing problem among teens whom she counsels. One recent client, an adolescent girl, told Gonzalez-Ziegler that she anonymously cyberbullied herself because, as a gay teen, she felt vulnerable and exposed.\u003c/p>\n\u003cp>\"She set up ghost accounts on Instagram and posted mean comments about herself, saying things like, 'I think you're creepy and gay' and 'Don't sit next to me again,' \" Ziegler says.\u003c/p>\n\u003cp>\"She said these things because she feared being mocked by her peers,\" the psychologist explains. \"She thought their teasing wouldn't be so bad if she beat them to the punch.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a survey \u003ca href=\"http://www.jahonline.org/article/S1054-139X(17)30313-0/fulltext\" target=\"_blank\" rel=\"noopener\">published\u003c/a> late last year in the \u003cem>Journal of Adolescent Health\u003c/em>, teens are bullying themselves online as a way to manage feelings of sadness and self-hatred and to gain attention from their friends. For the study, 5,593 middle and high school students from across the U.S., ages 12 to 17, completed a series of questionnaires that asked about their experiences with digital self-harm and cyberbullying.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"We were alarmed to learn that 6 percent of the youth who participated in our study engaged in some form of digital self-harm,\" says \u003ca href=\"http://hinduja.org/\" target=\"_blank\" rel=\"noopener\">Sameer Hinduja\u003c/a>, co-author of the study and a professor of criminology at Florida Atlantic University. He is also the co-director of the \u003ca href=\"https://cyberbullying.org/\" target=\"_blank\" rel=\"noopener\">Cyberbullying Research Center\u003c/a>.\u003c/p>\n\u003cp>Hinduja and a colleague found that more than half the teens who cyberbullied themselves had done so more than once. When asked why they had participated in this behavior, the teens said things like, \"I already felt bad about myself, and I wanted to make myself feel worse\" and \"I wanted to see if someone was really my friend.\"\u003c/p>\n\u003cp>Psychologists have seen inklings of this type of self-aggression before. In a smaller, \u003ca href=\"https://webhost.bridgew.edu/marc/DIGITAL%20SELF%20HARM%20report.pdf\" target=\"_blank\" rel=\"noopener\">2012\u003c/a> study of 617 high school freshmen, researchers found that 9 percent of the teens had bullied themselves online. Teens who participated in that study reported harming themselves as a way to encourage others to worry about them, to prove how \"tough\" they were or to get an adult's attention.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"Because teens' online and offline worlds overlap, digital self-harm is a concern for some youth, making online self-harm an emerging area of research,\" says, \u003ca href=\"https://cehs.unl.edu/edpsych/faculty/susan-swearer/\" target=\"_blank\" rel=\"noopener\">Susan Swearer\u003c/a>, a professor of psychology at the University of Nebraska, Lincoln who also studies bullying.\u003c/p>\n\u003cp>A \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2664031\" target=\"_blank\" rel=\"noopener\">statistical analysis\u003c/a> by the Centers for Disease Control and Prevention of more than a decade's worth of emergency room visits in the U.S. suggests that since 2009, the number of girls ages 10 to 14 years who are physically harming themselves has been rising steadily.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.apa.org/monitor/2015/07-08/who-self-injures.aspx\" target=\"_blank\" rel=\"noopener\">the American Psychological Association\u003c/a>, teens who physically injure themselves often struggle with depression, post-traumatic stress disorder or difficulties with emotional regulation. Not all adolescents who cyberbully themselves have a psychiatric illness, Ziegler notes, but that doesn't mean their behavior should be taken lightly.\u003c/p>\n\u003cp>\"Similar to teens who self-harm by cutting, kids who cyberbully themselves often suffer silently, feeling like they don't have a friend or adult to confide in,\" says Ziegler.\u003c/p>\n\u003cp>If these teens don't receive mental health treatment, she says, their feelings of loneliness and sadness can cause them to become depressed and, in rare cases, suicidal.\u003c/p>\n\u003cp>Because the advent of social media has changed the way many teens form and experience relationships, normal adolescent feelings of insecurity, anxiety and loneliness can become magnified as they scroll through their peers' social media reels. Hinduja says some teens cope with that distress by turning their angst on themselves online.\u003c/p>\n\u003cp>While some parents are quick to limit a teen's social media use in response, that doesn't adequately address the problem, Hinduja says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the best thing parents can do is to promote open, nonjudgmental lines of communication with their kids,\" he says. \"Validating a teen's experience can encourage them to confide in adults about their distressing experiences — offline or online.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=When+Teens+Cyberbully+Themselves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440941/digital-self-harm-when-teens-cyberbully-themselves","authors":["byline_futureofyou_440941"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_26","futureofyou_204","futureofyou_35","futureofyou_872"],"featImg":"futureofyou_440942","label":"source_futureofyou_440941"},"futureofyou_439794":{"type":"posts","id":"futureofyou_439794","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439794","score":null,"sort":[1519675376000]},"guestAuthors":[],"slug":"leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","title":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","publishDate":1519675376,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>Only about 50 percent of adolescents with depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11430842\" target=\"_blank\" rel=\"noopener\">get diagnosed\u003c/a> before reaching adulthood. And as many as 2 in 3 depressed teens don't get the care that could help them.\u003c/p>\n\u003cp>\"It's a huge problem,\" says \u003ca href=\"https://www.columbiapsychiatry.org/profile/rachel-zuckerbrot-md\" target=\"_blank\" rel=\"noopener\">Dr. Rachel Zuckerbrot\u003c/a>, a board-certified child and adolescent psychiatrist and associate professor at Columbia University.[contextly_sidebar id=\"efpc6ttGwJCppmSgRyb1Z8vZfGFJ86rV\"]\u003c/p>\n\u003cp>To address this divide, the American Academy of Pediatrics has\u003ca href=\"http://pediatrics.aappublications.org/content/pediatrics/120/5/e1299.full.pdf?ck=nck\"> issued\u003c/a> updated guidelines this week that call for universal screening for depression.\u003c/p>\n\u003cp>\"What we're endorsing is that everyone, 12 and up, be screened ... at least once a year,\" Zuckerbrot says. The screening, she says, could be done during a well-visit, a sports' physical or during another office visit.\u003c/p>\n\u003cp>Zuckerbrot helped write the guidelines, which have been in development for a while. The U.S. Preventive Services Task Force also \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1\">recommends\u003c/a> depression screening, and many pediatricians have already woven the screenings into their practices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Teenagers are often more honest when they're not looking somebody in the face who's asking questions,\" about their emotional health Zuckerbrot says. So, most pediatricians use a self-reported questionnaire that teens fill out themselves, either on an electronic device or on paper.[contextly_sidebar id=\"EqP0dmqjnqMOlo0gJdMgB0IK322g3bSk\"]\u003c/p>\n\u003cp>\"It's an opportunity for the adolescent to answer questions about themselves privately,\" she says.\u003c/p>\n\u003cp>The questionnaires contain a range of questions. For instance, one version, \u003ca href=\"http://www.cqaimh.org/pdf/tool_phq2.pdf\">asks\u003c/a>: 'Over the past two weeks, how often have you been bothered by any of the following problems: feeling down, depressed or hopeless? Or, little interest or pleasure in doing things?' Teens are also asked questions such as, 'Are you having difficulty with sleep, either too much or too little?' 'Any problems with eating?'\u003c/p>\n\u003cp>The new recommendations also call for families with a depressed teen to develop a safety plan to restrict the young person's access to lethal means of harm. Suicide is a leading cause of death for children aged 10 to 17, and \"adolescent suicide risk is strongly associated with firearm availability,\" \u003ca href=\"http://pediatrics.aappublications.org/content/130/5/e1416.full\" target=\"_blank\" rel=\"noopener\">according\u003c/a> to an AAP report.\u003c/p>\n\u003cp>There's growing awareness in the U.S. of the need for young people to have good access to mental health care\u003cstrong>, \u003c/strong>says \u003ca href=\"https://www.linkedin.com/in/douglas-newton-md-mph-99544a109\" target=\"_blank\" rel=\"noopener\">Dr. Doug Newton\u003c/a>, a child psychiatrist at Kaiser Permanente in Colorado. \"As a nation this has become part of the dialogue; it increasing\"\u003c/p>\n\u003cp>\"People are aware of what's happening in our schools and the importance of mental health,\" Newton says. Kaiser Permanente has a stigma-reduction campaign called\u003ca href=\"https://share.kaiserpermanente.org/article/find-your-words-to-fight-stigma-around-depression/\" target=\"_blank\" rel=\"noopener\"> Find Your Words\u003c/a>.\u003c/p>\n\u003cp>\"Stigma is a huge challenge,\" he says, \"specifically for adolescents. Often times they're not coming in to get help because of the stigma attached.\"\u003c/p>\n\u003cp>It's not easy to talk about depression, yet the problem is fairly common. During the teenage years, there's about a 20 percent [chance] of having depression or anxiety, research suggests.\u003c/p>\n\u003cp>\"It's highly prevalent,\" Newton says. The goal of the \"Find Your Words\" campaign is to help make depression easier for everyone to talk about.\u003c/p>\n\u003cp>Another challenge to diagnosis is that families often don't detect depression, or they confuse it for something else.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Sometimes teens are acting out or misbehaving,\" Zuckerbrot says. They're seen as being hostile or bad. \"When, instead, they're really suffering from depression.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Call+For+Universal+Depression+Screening+For+Teens&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The nation's top group of pediatricians has updated its guidelines for tackling teen mental health.","status":"publish","parent":0,"modified":1519675376,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":549},"headData":{"title":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression | KQED","description":"The nation's top group of pediatricians has updated its guidelines for tackling teen mental health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","datePublished":"2018-02-26T20:02:56.000Z","dateModified":"2018-02-26T20:02:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439794 https://ww2.kqed.org/futureofyou/?p=439794","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/02/26/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression/","disqusTitle":"Leading Pediatrics Group Wants Every Teen in America to be Screened for Depression","nprImageCredit":"Johner Bildbyra","nprByline":"Allison Aubrey\u003cbr />NPR Shots","nprImageAgency":"Getty Images","nprStoryId":"588334959","nprApiLink":"http://api.npr.org/query?id=588334959&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/02/26/588334959/pediatrians-call-for-universal-depression-screening-for-teens?ft=nprml&f=588334959","nprRetrievedStory":"1","nprPubDate":"Mon, 26 Feb 2018 09:57:00 -0500","nprStoryDate":"Mon, 26 Feb 2018 00:03:00 -0500","nprLastModifiedDate":"Mon, 26 Feb 2018 05:56:42 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/02/20180226_me_pediatricians_call_for_universal_depression_screening_for_teens.mp3?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","nprAudioM3u":"http://api.npr.org/m3u/1588776322-f5b332.m3u?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","path":"/futureofyou/439794/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/02/20180226_me_pediatricians_call_for_universal_depression_screening_for_teens.mp3?orgId=1&topicId=1128&d=144&p=3&story=588334959&ft=nprml&f=588334959","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Only about 50 percent of adolescents with depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11430842\" target=\"_blank\" rel=\"noopener\">get diagnosed\u003c/a> before reaching adulthood. And as many as 2 in 3 depressed teens don't get the care that could help them.\u003c/p>\n\u003cp>\"It's a huge problem,\" says \u003ca href=\"https://www.columbiapsychiatry.org/profile/rachel-zuckerbrot-md\" target=\"_blank\" rel=\"noopener\">Dr. Rachel Zuckerbrot\u003c/a>, a board-certified child and adolescent psychiatrist and associate professor at Columbia University.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>To address this divide, the American Academy of Pediatrics has\u003ca href=\"http://pediatrics.aappublications.org/content/pediatrics/120/5/e1299.full.pdf?ck=nck\"> issued\u003c/a> updated guidelines this week that call for universal screening for depression.\u003c/p>\n\u003cp>\"What we're endorsing is that everyone, 12 and up, be screened ... at least once a year,\" Zuckerbrot says. The screening, she says, could be done during a well-visit, a sports' physical or during another office visit.\u003c/p>\n\u003cp>Zuckerbrot helped write the guidelines, which have been in development for a while. The U.S. Preventive Services Task Force also \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/depression-in-children-and-adolescents-screening1\">recommends\u003c/a> depression screening, and many pediatricians have already woven the screenings into their practices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Teenagers are often more honest when they're not looking somebody in the face who's asking questions,\" about their emotional health Zuckerbrot says. So, most pediatricians use a self-reported questionnaire that teens fill out themselves, either on an electronic device or on paper.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"It's an opportunity for the adolescent to answer questions about themselves privately,\" she says.\u003c/p>\n\u003cp>The questionnaires contain a range of questions. For instance, one version, \u003ca href=\"http://www.cqaimh.org/pdf/tool_phq2.pdf\">asks\u003c/a>: 'Over the past two weeks, how often have you been bothered by any of the following problems: feeling down, depressed or hopeless? Or, little interest or pleasure in doing things?' Teens are also asked questions such as, 'Are you having difficulty with sleep, either too much or too little?' 'Any problems with eating?'\u003c/p>\n\u003cp>The new recommendations also call for families with a depressed teen to develop a safety plan to restrict the young person's access to lethal means of harm. Suicide is a leading cause of death for children aged 10 to 17, and \"adolescent suicide risk is strongly associated with firearm availability,\" \u003ca href=\"http://pediatrics.aappublications.org/content/130/5/e1416.full\" target=\"_blank\" rel=\"noopener\">according\u003c/a> to an AAP report.\u003c/p>\n\u003cp>There's growing awareness in the U.S. of the need for young people to have good access to mental health care\u003cstrong>, \u003c/strong>says \u003ca href=\"https://www.linkedin.com/in/douglas-newton-md-mph-99544a109\" target=\"_blank\" rel=\"noopener\">Dr. Doug Newton\u003c/a>, a child psychiatrist at Kaiser Permanente in Colorado. \"As a nation this has become part of the dialogue; it increasing\"\u003c/p>\n\u003cp>\"People are aware of what's happening in our schools and the importance of mental health,\" Newton says. Kaiser Permanente has a stigma-reduction campaign called\u003ca href=\"https://share.kaiserpermanente.org/article/find-your-words-to-fight-stigma-around-depression/\" target=\"_blank\" rel=\"noopener\"> Find Your Words\u003c/a>.\u003c/p>\n\u003cp>\"Stigma is a huge challenge,\" he says, \"specifically for adolescents. Often times they're not coming in to get help because of the stigma attached.\"\u003c/p>\n\u003cp>It's not easy to talk about depression, yet the problem is fairly common. During the teenage years, there's about a 20 percent [chance] of having depression or anxiety, research suggests.\u003c/p>\n\u003cp>\"It's highly prevalent,\" Newton says. The goal of the \"Find Your Words\" campaign is to help make depression easier for everyone to talk about.\u003c/p>\n\u003cp>Another challenge to diagnosis is that families often don't detect depression, or they confuse it for something else.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Sometimes teens are acting out or misbehaving,\" Zuckerbrot says. They're seen as being hostile or bad. \"When, instead, they're really suffering from depression.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pediatricians+Call+For+Universal+Depression+Screening+For+Teens&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439794/leading-pediatrics-group-wants-every-teen-in-america-to-be-screened-for-depression","authors":["byline_futureofyou_439794"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_592","futureofyou_204","futureofyou_1258","futureofyou_872"],"collections":["futureofyou_1093"],"featImg":"futureofyou_439795","label":"futureofyou_1093"},"futureofyou_437269":{"type":"posts","id":"futureofyou_437269","meta":{"index":"posts_1591205157","site":"futureofyou","id":"437269","score":null,"sort":[1511292797000]},"guestAuthors":[],"slug":"suicide-attempts-self-harm-in-girls-soar-says-study","title":"Suicide Attempts, Self-Harm in Girls Soar, Says Study","publishDate":1511292797,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Attempted suicides, drug overdoses, cutting and other types of self-injury have increased substantially in U.S. girls, a 15-year study of emergency room visits found.\u003c/p>\n\u003cp>It's unclear why, but some mental health experts think cyberbullying, substance abuse and economic stress from the recent recession might be contributing.\u003c/p>\n\u003cp>The rising rates \"should be of concern to parents, teachers, and pediatricians. One important reason to focus on reducing self-harm is that it is key risk factor for suicide,\" said Dr. Mark Olfson, a Columbia University psychiatry professor who was not involved in the study.\u003c/p>\n\u003cp>The sharpest increase occurred among girls aged 10 to 14, nearly tripling from 2009 to 2015, from about 110 visits per 100,000 to almost 318 per 100,000.\u003c/p>\n\u003cp>Older teen girls had the highest rates — 633 visits per 100,000 in 2015, but the increase after 2008 was less steep.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Drug overdoses and other self-poisonings were the most common method among girls and boys, followed by intentional cutting with sharp objects. The study doesn't include information on which methods were most common by age nor on how many injuries were severe or required hospitalization.\u003c/p>\n\u003cp>Not all were intentional, but the study lacks information on how many were accidental.\u003c/p>\n\u003cp>The study by the U.S. Centers for Disease Control and Prevention was published Tuesday in the Journal of the American Medical Association. The trend parallels rising reports of teen depression and suicide, the researchers noted..\u003c/p>\n\u003cp>The researchers analyzed 2001-2015 data on nonfatal self-inflicted injuries treated in emergency rooms among ages 10 to 24. Nearly 29,000 girls with self-inflicted injuries and about 14,000 boys were treated in emergency rooms during the study years.\u003c/p>\n\u003cp>Rates among boys didn't change much during those years. Rates in girls were also stable until around 2008. ER visits for self-injury among young women aged 20 to 24 also increased but at a slower pace, rising from 228 per 100,000 in 2001 to 346 per 100,000 in 2015.\u003c/p>\n\u003cp>The results underestimate the problem since they don't include self-injuries treated in doctors' offices or elsewhere, said lead author Melissa Mercado.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers said the findings underscore the need to beef up prevention efforts including finding ways to help at-risk kids feel less isolated and more connected to their peers, and teaching coping and problem-solving skills.\u003c/p>\n\n","blocks":[],"excerpt":"Attempted suicides, drug overdoses, cutting and other types of self-injury have increased substantially in U.S. girls, a 15-year study of emergency room visits found.","status":"publish","parent":0,"modified":1511292797,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":400},"headData":{"title":"Suicide Attempts, Self-Harm in Girls Soar, Says Study | KQED","description":"Attempted suicides, drug overdoses, cutting and other types of self-injury have increased substantially in U.S. girls, a 15-year study of emergency room visits found.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Suicide Attempts, Self-Harm in Girls Soar, Says Study","datePublished":"2017-11-21T19:33:17.000Z","dateModified":"2017-11-21T19:33:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"437269 https://ww2.kqed.org/futureofyou/?p=437269","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/11/21/suicide-attempts-self-harm-in-girls-soar-says-study/","disqusTitle":"Suicide Attempts, Self-Harm in Girls Soar, Says Study","nprByline":"Lindsey Tanner\u003cbr />Associated Press","path":"/futureofyou/437269/suicide-attempts-self-harm-in-girls-soar-says-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Attempted suicides, drug overdoses, cutting and other types of self-injury have increased substantially in U.S. girls, a 15-year study of emergency room visits found.\u003c/p>\n\u003cp>It's unclear why, but some mental health experts think cyberbullying, substance abuse and economic stress from the recent recession might be contributing.\u003c/p>\n\u003cp>The rising rates \"should be of concern to parents, teachers, and pediatricians. One important reason to focus on reducing self-harm is that it is key risk factor for suicide,\" said Dr. Mark Olfson, a Columbia University psychiatry professor who was not involved in the study.\u003c/p>\n\u003cp>The sharpest increase occurred among girls aged 10 to 14, nearly tripling from 2009 to 2015, from about 110 visits per 100,000 to almost 318 per 100,000.\u003c/p>\n\u003cp>Older teen girls had the highest rates — 633 visits per 100,000 in 2015, but the increase after 2008 was less steep.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Drug overdoses and other self-poisonings were the most common method among girls and boys, followed by intentional cutting with sharp objects. The study doesn't include information on which methods were most common by age nor on how many injuries were severe or required hospitalization.\u003c/p>\n\u003cp>Not all were intentional, but the study lacks information on how many were accidental.\u003c/p>\n\u003cp>The study by the U.S. Centers for Disease Control and Prevention was published Tuesday in the Journal of the American Medical Association. The trend parallels rising reports of teen depression and suicide, the researchers noted..\u003c/p>\n\u003cp>The researchers analyzed 2001-2015 data on nonfatal self-inflicted injuries treated in emergency rooms among ages 10 to 24. Nearly 29,000 girls with self-inflicted injuries and about 14,000 boys were treated in emergency rooms during the study years.\u003c/p>\n\u003cp>Rates among boys didn't change much during those years. Rates in girls were also stable until around 2008. ER visits for self-injury among young women aged 20 to 24 also increased but at a slower pace, rising from 228 per 100,000 in 2001 to 346 per 100,000 in 2015.\u003c/p>\n\u003cp>The results underestimate the problem since they don't include self-injuries treated in doctors' offices or elsewhere, said lead author Melissa Mercado.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers said the findings underscore the need to beef up prevention efforts including finding ways to help at-risk kids feel less isolated and more connected to their peers, and teaching coping and problem-solving skills.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/437269/suicide-attempts-self-harm-in-girls-soar-says-study","authors":["byline_futureofyou_437269"],"categories":["futureofyou_1061"],"tags":["futureofyou_1258","futureofyou_872"],"featImg":"futureofyou_437278","label":"futureofyou"},"futureofyou_391502":{"type":"posts","id":"futureofyou_391502","meta":{"index":"posts_1591205157","site":"futureofyou","id":"391502","score":null,"sort":[1495562162000]},"guestAuthors":[],"slug":"sleepy-high-school-students-campus-naps-pods-might-help","title":"Sleepy High School Students? Campus Nap Pods Might Help","publishDate":1495562162,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>When 18-year-old Hannah Vanderkooy feels extremely tired or anxious, she heads to a spacelike capsule for a nap — during school. Like many teens struggling to get good grades and maybe even a college scholarship, Vanderkooy doesn't get enough sleep.\u003c/p>\n\u003cp>And she's not alone. Various studies indicate that chronically sleepy and stressed-out teenagers might be the new normal among U.S. adolescents who are competing for grades, colleges and, eventually, jobs.\u003c/p>\n\u003cp>Studies have shown teenagers actually need between \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/sdd/howmuch\">nine and 10 hours\u003c/a> of sleep a night. But the vast majority (69 percent) \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6513a1.htm\">aren't\u003c/a> getting it.\u003c/p>\n\u003cp>Enter \"napping pods.\" They're essentially egg-shaped lounge chairs that recline, with a circular lid that can be pulled over the chest to shield against light.\u003c/p>\n\u003cp>\"It just sort of envelops you in a really nice darkness, with soft lighting behind you,\" says Vanderkooy, a frequent user of the pods. She says she typically gets only four to five hours of sleep a night.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There's soft music playing in the pod and \"you just feel extremely relaxed,\" she says. The 20-minute experience is a wonderful \"oasis\" amid all the worry and stress of school, she says.\u003c/p>\n\u003cp>\"Being a senior, I have to apply for scholarships, do all my homework,\" she says — noting that she's taking three advanced placement courses. \"So my sleep cycle has just sort of become this night-owl life, and it's just kind of the new normal.\"\u003c/p>\n\u003cp>A nap can't substitute for a good night's sleep, but it certainly can help, says \u003ca href=\"http://www.aasmnet.org/articles.aspx?id=6126\">Dr. Nitun Verma\u003c/a>, a sleep specialist and spokesperson for the American Academy of Sleep Medicine.\u003c/p>\n\u003cp>A short nap for a teenager \"can give a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/16931152\">boost\u003c/a> to memory and attention during the day, and it can increase school performance,\" he says, adding that in a perfect world, schools would roll back their start times.\u003c/p>\n\u003cp>As it is now, the average school starts at 7:30 in the morning while the start time \u003ca href=\"https://www.cdc.gov/media/releases/2015/p0806-school-sleep.html\">recommended\u003c/a> by researchers at the Centers for Disease Control and Prevention is 8:30 a.m. or later. On top of that, teens' \u003ca href=\"https://sleepfoundation.org/sleep-topics/sleep-drive-and-your-body-clock\">circadian rhythms\u003c/a> work against them — coaxing them to stay up late and then sleep late. So they are already sleep-deprived and \"waking up much earlier than normal,\" Verma says.\u003c/p>\n\u003cp>Several public schools in New Mexico are trying to tackle the problem by providing napping pods for their students.\u003c/p>\n\u003cp>\"We know lack of sleep changes \u003ca href=\"https://www.researchgate.net/publication/260760446_The_behavioral_and_health_consequences_of_sleep_deprivation_among_US_high_school_students_Relative_deprivation_matters\">mood\u003c/a> and makes you more anxious,\" says family nurse practitioner \u003ca href=\"https://schoolofnursing.nmsu.edu/sonfaculty/linda-summers-phd-msn-ma-mph-cfnp/\">Linda Summers\u003c/a>, who is an associate professor at New Mexico State University's school of nursing in Las Cruces.\u003c/p>\n\u003cp>Summers also works with the nearby Las Cruces High School health center, and has seen firsthand the effects of sleep deprivation on students there. So she decided to apply for a federal health grant to buy the \u003ca href=\"http://www.metronaps.com/\">pods\u003c/a>, which, at the time, cost $14,000 each. They were installed in four high schools.\u003c/p>\n\u003cp>And while the Las Cruces school napping pods were bought to remedy sleep deprivation, Summers says, \"it also turns out to be good for anger and stress.\"\u003c/p>\n\u003cp>Even if kids don't fall asleep, but simply \"zone out,\" she says, they emerge saying they feel \"refreshed and calm.\" This led Summers to embark on a study looking at the emotional impact of pods.\u003c/p>\n\u003cp>She recruited students who reported feeling \"agitated or upset about something,\" and had them describe their feelings before and after spending 20 minutes in the pod.\u003c/p>\n\u003cp>\"They all felt more rested, happier and more in control of their emotions,\" she says, \"after just 20 minutes.\" Summers now writes prescriptions for the nap pod for students who are anxious, angry or just plain sleepy.\u003c/p>\n\u003cp>The findings haven't been published yet, but they have been accepted for publication by a peer-reviewed journal. Summers says the teachers and school nurses she works with already see the pods as a big success. Each capsule is sort of a \"therapeutic study hall,\" she says, that helps students focus better when they're in the classroom.\u003c/p>\n\u003cp>Vanderkooy recalls falling asleep in one of her classes and being told by her teacher that she \"really, really\" needed to go take a nap.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I came back and I was awake and attentive,\" she says, able to take out her notes and proceed — \"just like a normal class.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Stressed-Out+High+Schoolers+Advised+To+Try+A+Nap+Pod&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A high school in New Mexico is experimenting with light-shielding lounge chairs where frazzled students can rest. Research suggests it leads to calmer, less anxious teens who do better in school.","status":"publish","parent":0,"modified":1495566535,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":744},"headData":{"title":"Sleepy High School Students? Campus Nap Pods Might Help | KQED","description":"A high school in New Mexico is experimenting with light-shielding lounge chairs where frazzled students can rest. Research suggests it leads to calmer, less anxious teens who do better in school.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Sleepy High School Students? Campus Nap Pods Might Help","datePublished":"2017-05-23T17:56:02.000Z","dateModified":"2017-05-23T19:08:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"391502 https://ww2.kqed.org/futureofyou/?p=391502","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/05/23/sleepy-high-school-students-campus-naps-pods-might-help/","disqusTitle":"Sleepy High School Students? Campus Nap Pods Might Help","customPermalink":"2017/05/16/sleep-teenagers/","nprByline":"Patti Neighmond\u003cbr />NPR Shots","nprImageAgency":"Joe Suarez for NPR","nprStoryId":"527952956","nprApiLink":"http://api.npr.org/query?id=527952956&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/05/15/527952956/stressed-out-high-schoolers-advised-to-take-a-nap-pod?ft=nprml&f=527952956","nprRetrievedStory":"1","nprPubDate":"Mon, 15 May 2017 12:54:00 -0400","nprStoryDate":"Mon, 15 May 2017 04:38:00 -0400","nprLastModifiedDate":"Mon, 15 May 2017 12:54:14 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/05/20170515_me_stressed-out_high_schoolers_advised_to_take_a_nap_pod.mp3?orgId=1&topicId=1066&d=199&p=3&story=527952956&t=progseg&e=528407670&seg=11&ft=nprml&f=527952956","nprAudioM3u":"http://api.npr.org/m3u/1528419790-dc47a4.m3u?orgId=1&topicId=1066&d=199&p=3&story=527952956&t=progseg&e=528407670&seg=11&ft=nprml&f=527952956","path":"/futureofyou/391502/sleepy-high-school-students-campus-naps-pods-might-help","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/05/20170515_me_stressed-out_high_schoolers_advised_to_take_a_nap_pod.mp3?orgId=1&topicId=1066&d=199&p=3&story=527952956&t=progseg&e=528407670&seg=11&ft=nprml&f=527952956","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When 18-year-old Hannah Vanderkooy feels extremely tired or anxious, she heads to a spacelike capsule for a nap — during school. Like many teens struggling to get good grades and maybe even a college scholarship, Vanderkooy doesn't get enough sleep.\u003c/p>\n\u003cp>And she's not alone. Various studies indicate that chronically sleepy and stressed-out teenagers might be the new normal among U.S. adolescents who are competing for grades, colleges and, eventually, jobs.\u003c/p>\n\u003cp>Studies have shown teenagers actually need between \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/sdd/howmuch\">nine and 10 hours\u003c/a> of sleep a night. But the vast majority (69 percent) \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6513a1.htm\">aren't\u003c/a> getting it.\u003c/p>\n\u003cp>Enter \"napping pods.\" They're essentially egg-shaped lounge chairs that recline, with a circular lid that can be pulled over the chest to shield against light.\u003c/p>\n\u003cp>\"It just sort of envelops you in a really nice darkness, with soft lighting behind you,\" says Vanderkooy, a frequent user of the pods. She says she typically gets only four to five hours of sleep a night.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There's soft music playing in the pod and \"you just feel extremely relaxed,\" she says. The 20-minute experience is a wonderful \"oasis\" amid all the worry and stress of school, she says.\u003c/p>\n\u003cp>\"Being a senior, I have to apply for scholarships, do all my homework,\" she says — noting that she's taking three advanced placement courses. \"So my sleep cycle has just sort of become this night-owl life, and it's just kind of the new normal.\"\u003c/p>\n\u003cp>A nap can't substitute for a good night's sleep, but it certainly can help, says \u003ca href=\"http://www.aasmnet.org/articles.aspx?id=6126\">Dr. Nitun Verma\u003c/a>, a sleep specialist and spokesperson for the American Academy of Sleep Medicine.\u003c/p>\n\u003cp>A short nap for a teenager \"can give a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/16931152\">boost\u003c/a> to memory and attention during the day, and it can increase school performance,\" he says, adding that in a perfect world, schools would roll back their start times.\u003c/p>\n\u003cp>As it is now, the average school starts at 7:30 in the morning while the start time \u003ca href=\"https://www.cdc.gov/media/releases/2015/p0806-school-sleep.html\">recommended\u003c/a> by researchers at the Centers for Disease Control and Prevention is 8:30 a.m. or later. On top of that, teens' \u003ca href=\"https://sleepfoundation.org/sleep-topics/sleep-drive-and-your-body-clock\">circadian rhythms\u003c/a> work against them — coaxing them to stay up late and then sleep late. So they are already sleep-deprived and \"waking up much earlier than normal,\" Verma says.\u003c/p>\n\u003cp>Several public schools in New Mexico are trying to tackle the problem by providing napping pods for their students.\u003c/p>\n\u003cp>\"We know lack of sleep changes \u003ca href=\"https://www.researchgate.net/publication/260760446_The_behavioral_and_health_consequences_of_sleep_deprivation_among_US_high_school_students_Relative_deprivation_matters\">mood\u003c/a> and makes you more anxious,\" says family nurse practitioner \u003ca href=\"https://schoolofnursing.nmsu.edu/sonfaculty/linda-summers-phd-msn-ma-mph-cfnp/\">Linda Summers\u003c/a>, who is an associate professor at New Mexico State University's school of nursing in Las Cruces.\u003c/p>\n\u003cp>Summers also works with the nearby Las Cruces High School health center, and has seen firsthand the effects of sleep deprivation on students there. So she decided to apply for a federal health grant to buy the \u003ca href=\"http://www.metronaps.com/\">pods\u003c/a>, which, at the time, cost $14,000 each. They were installed in four high schools.\u003c/p>\n\u003cp>And while the Las Cruces school napping pods were bought to remedy sleep deprivation, Summers says, \"it also turns out to be good for anger and stress.\"\u003c/p>\n\u003cp>Even if kids don't fall asleep, but simply \"zone out,\" she says, they emerge saying they feel \"refreshed and calm.\" This led Summers to embark on a study looking at the emotional impact of pods.\u003c/p>\n\u003cp>She recruited students who reported feeling \"agitated or upset about something,\" and had them describe their feelings before and after spending 20 minutes in the pod.\u003c/p>\n\u003cp>\"They all felt more rested, happier and more in control of their emotions,\" she says, \"after just 20 minutes.\" Summers now writes prescriptions for the nap pod for students who are anxious, angry or just plain sleepy.\u003c/p>\n\u003cp>The findings haven't been published yet, but they have been accepted for publication by a peer-reviewed journal. Summers says the teachers and school nurses she works with already see the pods as a big success. Each capsule is sort of a \"therapeutic study hall,\" she says, that helps students focus better when they're in the classroom.\u003c/p>\n\u003cp>Vanderkooy recalls falling asleep in one of her classes and being told by her teacher that she \"really, really\" needed to go take a nap.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I came back and I was awake and attentive,\" she says, able to take out her notes and proceed — \"just like a normal class.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Stressed-Out+High+Schoolers+Advised+To+Try+A+Nap+Pod&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/391502/sleepy-high-school-students-campus-naps-pods-might-help","authors":["byline_futureofyou_391502"],"categories":["futureofyou_1062"],"tags":["futureofyou_180","futureofyou_872"],"featImg":"futureofyou_391503","label":"futureofyou"},"futureofyou_341839":{"type":"posts","id":"futureofyou_341839","meta":{"index":"posts_1591205157","site":"futureofyou","id":"341839","score":null,"sort":[1488925852000]},"guestAuthors":[],"slug":"dont-get-ekg-happy-say-docs-as-heart-screening-for-teens-questioned","title":"Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned","publishDate":1488925852,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Dozens of not-for-profit organizations have formed in the past decade to promote free or low-cost heart screenings for teens. The groups often claim such tests save lives by finding abnormalities that might pose a risk of sudden cardiac death.\u003c/p>\n\u003cp>But the efforts are raising concerns. There's no evidence that screening adolescents with \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Electrocardiogram-ECG-or-EKG_UCM_309050_Article.jsp#.WKc4HTsrKUk\" target=\"_blank\">electrocardiograms\u003c/a> prevents deaths. Sudden cardiac death is rare in young people, and some physicians worry screening kids with no symptoms or family history of disease could do more harm than good. The tests can set off false alarms that can lead to follow-up tests and risky interventions or force some kids to quit sports unnecessarily.\u003c/p>\n\u003cp>\"There are harms that I don't think a lot of people realize,\" said Dr. Kristin Burns, who oversees a two-year-old \u003ca href=\"https://www.nhlbi.nih.gov/news/spotlight/fact-sheet/frequently-asked-questions-about-sudden-death-young-case-registry\">registry\u003c/a> at the National Institute of Health of sudden deaths in people under 20. It's one of several efforts aimed at gathering better data about cardiac abnormalities in kids.\u003c/p>\n\u003cp>Studies using limited data have found between \u003ca href=\"http://heartsmartekg.org/sites/ekgyourteen/files/SCD%20in%20the%20Young%20article.pdf\" target=\"_blank\">one and four sudden cardiac deaths\u003c/a> occur annually per 100,000 kids between ages 1 and 18. By comparison, 22 in 100,000 U.S. teens are killed each year in accidents, including those involving motor vehicles; 9 in 100,000 commit suicide, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Some screening advocates believe sudden cardiac deaths are underreported and that not enough is being done to spare families from the fate of losing a child. \"We have to acknowledge that every kid who drops dead, they've been failed by the current system,\" said Darren Sudman, who founded \u003ca href=\"http://www.simonsfund.org/\" target=\"_blank\">Simon's Fund\u003c/a>, a screening effort in greater Philadelphia in memory of his infant son, who died of an arrhythmia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Screening programs say they're educating parents about the risks. \"What we want to emphasize is, make sure your kid is heart-safe,\" said Dr. Jonathan Drezner, a sports and family medicine specialist at \u003ca href=\"http://www.uwmedicine.org/bios/jonathan-drezner\">UW Medicine\u003c/a> and medical director of the Seattle-area \u003ca href=\"http://nickoftimefoundation.org/\">Nick of Time Foundation\u003c/a>.\u003c/p>\n\u003cp>Enthusiasm for EKGs, which measure the electrical activity in the heart to detect abnormalities, grew after a 2006 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17018804\">study\u003c/a> showed they lowered death rates among athletes in Italy. But research in other countries hasn't yielded similar results, and the Italian researchers recently \u003ca href=\"http://www.bmj.com/content/353/bmj.i2208\" target=\"_blank\">were accused of\u003c/a> refusing to share their data so it could be evaluated independently.\u003c/p>\n\u003cp>Some 60,000 to 70,000 U.S. teens were screened with EKGs in 2016, most by foundations created by families who lost a child to sudden cardiac death, said Sudman, who runs the online directory \u003ca href=\"http://www.screenacrossamerica.org/\" target=\"_blank\">Screen Across America\u003c/a>. It's unclear whether high school athletes face higher risk than nonathletes, so screening programs usually invite everybody.\u003c/p>\n\u003cp>Screenings typically are held in high schools and overseen by volunteer cardiologists, with funding from individuals and businesses including hospitals. A handful of hospitals and for-profit companies also run screenings.\u003c/p>\n\u003cp>It may be presumptuous to claim EKGs save lives, but parents often believe they do, said Sudman. \"If I find a heart condition, I promise you there are parents who are thanking me for savings their kid's life,\" he said.\u003c/p>\n\u003cp>That perception is stoked by tragic stories in the media of children who died suddenly after never reporting a symptom.\u003c/p>\n\u003cp>Meanwhile, the drawbacks of EKGs are seldom depicted. As many as 1 in 10 EKGs detects a potential abnormality, and the emotional and financial toll of such a finding can be significant — especially when they turn out to be wrong.\u003c/p>\n\u003cp>Following a screening EKG and echocardiogram last fall, Daniel Garza, 16, a talented sophomore basketball player in San Antonio, was told he had \u003ca href=\"https://medlineplus.gov/ency/article/000192.htm\">hypertrophic cardiomyopathy\u003c/a>, a thickening of the heart muscle and the most common cause of sudden cardiac death in young people. He was advised to quit all exercise, at least temporarily.\u003c/p>\n\u003cp>\"We were shocked, just shocked,\" said his mother, Denise. She said her son became depressed when he couldn't play the sport he enjoyed and excelled at. \"He came home and cried himself to sleep. He said, 'Mom, why did God give me this gift to take it away?' \"\u003c/p>\n\u003cp>The Garzas traveled to the Mayo Clinic in Rochester, Minn., where further tests indicated his enlarged heart was a benign condition known as athletic heart, a result of intense training. His mother estimates that correcting the misdiagnosis cost more than $20,000, including medical costs, travel and lost work.\u003c/p>\n\u003cp>Daniel has returned to the basketball court. Still, Denise Garza said the emotional toll was rough: \"It was one of the hardest things my family has ever endured.\"\u003c/p>\n\u003cp>Several cardiologists said they often see cases like this — or worse. Even after follow-up testing, it can be unclear which cases are life-threatening, so kids with low risk could be restricted from exercise or given life-altering interventions such as implantable defibrillators, surgery or anti-arrhythmic medications.\u003c/p>\n\u003cp>Medical groups have wrestled with the issue. The American Heart Association and the American College of Cardiology \u003ca href=\"http://circ.ahajournals.org/content/130/15/1303\" target=\"_blank\">recommended\u003c/a> in 2014 against mass ECG screening, noting that sudden cardiac death is rare in teens and false positives generate \"excessive and costly second-tier testing.\" ECGs also miss at least 1 in 10 cases of hypertrophic cardiomyopathy and more than 9 in 10 cases of congenital anomalies, the second-most-common cause.\u003c/p>\n\u003cp>But the medical panel accepted voluntary screening \"in relatively small cohorts,\" if there's physician involvement, quality control and a recognition of unreliable results and ancillary costs.\u003c/p>\n\u003cp>Efforts are underway to improve the accuracy of the screening programs. Some are adding \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Echocardiogram%E2%80%94-Echo_UCM_451485_Article.jsp#.WKc5rjsrKUk\" target=\"_blank\">echocardiograms\u003c/a>, which use ultrasound to produce images of the heart, to assess potential abnormalities. Advocates say false positives have dropped as a result of better interpretation guidelines, known as the \u003ca href=\"https://www.amssm.org/BMJ_ECGModules.php\" target=\"_blank\">Seattle Criteria\u003c/a>, which are expected to soon be endorsed by cardiology societies in revised form.\u003c/p>\n\u003cp>But the criteria aren't perfect, and there's a \"giant gap\" in training cardiologists to use them, said Drezner, one of the developers. He's also a medical adviser for \u003ca href=\"https://parentheartwatch.org/\" target=\"_blank\">Parent Heart Watch\u003c/a>, a consortium of foundations. \"If I was a parent, I'd want to know about the experience of the (cardiologists) and what they're going to do to help my kid if they have a positive screen.\"\u003c/p>\n\u003cp>One problem with EKGs is a lack of good data.\u003c/p>\n\u003cp>\"There's no evidence we have that [EKG] screening saves lives,\" said Dr. Jonathan Kaltman of the National Heart, Lung, and Blood Institute. \"There's never been a controlled clinical trial, which is the only way to answer that question.\"\u003c/p>\n\u003cp>At the urging of screening advocates, the NIH partnered with the Centers for Disease Control and Prevention to rigorously track cardiac deaths as part of a Sudden Death in the Young Case Registry. So far a handful of states and counties have joined the effort, which helps local health departments collect better data. The goal is to standardize death investigations and get a firm handle on how often kids die from heart abnormalities as well as the role of factors such as genetics. Initial findings are expected to be available in about two years. The NIH is also funding three university-based research groups to answer key questions about sudden cardiac death in the young.\u003c/p>\n\u003cp>Some screening organizations are getting behind a nascent initiative with the \u003ca href=\"http://cardiac-safety.org/\" target=\"_blank\">Cardiac Safety Research Consortium\u003c/a> to harness their own screening data for research. It would require standardizing their practices and tracking outcomes, which organizations aren't now equipped to do.\u003c/p>\n\u003cp>\"Screening is happening. We can't avoid that,\" said Dr. Salim Idriss, director of pediatric electrophysiology at Duke University and co-chair of the initiative. \"We have a really good opportunity to get the data we need to make it better.\"\u003c/p>\n\u003cp>Separately, the UT Southwestern Medical Center in Dallas recently began a \u003ca href=\"http://www.utsouthwestern.edu/newsroom/news-releases/year-2016/september/ecg-athletes-levine.html\" target=\"_blank\">four-year pilot study \u003c/a>involving athletes and band members at eight high schools to determine the feasibility of a full-scale randomized controlled trial.\u003c/p>\n\u003cp>A valid finding on the overarching question of whether EKG screening saves lives could require at least 800,000 participants and a cost of $15 million, said Dr. Benjamin Levine, a cardiologist and the lead researcher.\u003c/p>\n\u003cp>The pilot is partly a response to legislation that would mandate EKGs for student athletes in Texas. A similar bill was also introduced in South Carolina. Both bills failed, but it's expected there will be more attempts to mandate EKGs, leaving state legislators looking for better guidance.\u003c/p>\n\u003cp>\"We're not going to solve this by having more debates, but by having more data,\" Levine said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.\u003c/em> \u003cem>Mary Chris Jaklevic is a freelance health and environment writer based in Chicago. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/mcjaklevic\">@mcjaklevic\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Screening+For+Teens+May+Cause+More+Problems+Than+It+Solves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"There's no evidence that screening adolescents with electrocardiograms prevents deaths, yet the heart tests have become widespread despite the false alarms they often cause.","status":"publish","parent":0,"modified":1488925890,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1480},"headData":{"title":"Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned | KQED","description":"There's no evidence that screening adolescents with electrocardiograms prevents deaths, yet the heart tests have become widespread despite the false alarms they often cause.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned","datePublished":"2017-03-07T22:30:52.000Z","dateModified":"2017-03-07T22:31:30.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"341839 https://ww2.kqed.org/futureofyou/?p=341839","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/03/07/dont-get-ekg-happy-say-docs-as-heart-screening-for-teens-questioned/","disqusTitle":"Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned","source":"KQED Future of You","nprImageCredit":"Robert Hanson","nprByline":"Mary Chris Jaklevic\u003cbr />Kaiser Health News","nprImageAgency":"Ikon Images/Getty Images","nprStoryId":"516406346","nprApiLink":"http://api.npr.org/query?id=516406346&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/02/22/516406346/heart-screening-for-teens-may-cause-more-problems-than-it-solves?ft=nprml&f=516406346","nprRetrievedStory":"1","nprPubDate":"Wed, 22 Feb 2017 11:27:00 -0500","nprStoryDate":"Wed, 22 Feb 2017 10:30:00 -0500","nprLastModifiedDate":"Wed, 22 Feb 2017 11:27:16 -0500","path":"/futureofyou/341839/dont-get-ekg-happy-say-docs-as-heart-screening-for-teens-questioned","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dozens of not-for-profit organizations have formed in the past decade to promote free or low-cost heart screenings for teens. The groups often claim such tests save lives by finding abnormalities that might pose a risk of sudden cardiac death.\u003c/p>\n\u003cp>But the efforts are raising concerns. There's no evidence that screening adolescents with \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Electrocardiogram-ECG-or-EKG_UCM_309050_Article.jsp#.WKc4HTsrKUk\" target=\"_blank\">electrocardiograms\u003c/a> prevents deaths. Sudden cardiac death is rare in young people, and some physicians worry screening kids with no symptoms or family history of disease could do more harm than good. The tests can set off false alarms that can lead to follow-up tests and risky interventions or force some kids to quit sports unnecessarily.\u003c/p>\n\u003cp>\"There are harms that I don't think a lot of people realize,\" said Dr. Kristin Burns, who oversees a two-year-old \u003ca href=\"https://www.nhlbi.nih.gov/news/spotlight/fact-sheet/frequently-asked-questions-about-sudden-death-young-case-registry\">registry\u003c/a> at the National Institute of Health of sudden deaths in people under 20. It's one of several efforts aimed at gathering better data about cardiac abnormalities in kids.\u003c/p>\n\u003cp>Studies using limited data have found between \u003ca href=\"http://heartsmartekg.org/sites/ekgyourteen/files/SCD%20in%20the%20Young%20article.pdf\" target=\"_blank\">one and four sudden cardiac deaths\u003c/a> occur annually per 100,000 kids between ages 1 and 18. By comparison, 22 in 100,000 U.S. teens are killed each year in accidents, including those involving motor vehicles; 9 in 100,000 commit suicide, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Some screening advocates believe sudden cardiac deaths are underreported and that not enough is being done to spare families from the fate of losing a child. \"We have to acknowledge that every kid who drops dead, they've been failed by the current system,\" said Darren Sudman, who founded \u003ca href=\"http://www.simonsfund.org/\" target=\"_blank\">Simon's Fund\u003c/a>, a screening effort in greater Philadelphia in memory of his infant son, who died of an arrhythmia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Screening programs say they're educating parents about the risks. \"What we want to emphasize is, make sure your kid is heart-safe,\" said Dr. Jonathan Drezner, a sports and family medicine specialist at \u003ca href=\"http://www.uwmedicine.org/bios/jonathan-drezner\">UW Medicine\u003c/a> and medical director of the Seattle-area \u003ca href=\"http://nickoftimefoundation.org/\">Nick of Time Foundation\u003c/a>.\u003c/p>\n\u003cp>Enthusiasm for EKGs, which measure the electrical activity in the heart to detect abnormalities, grew after a 2006 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17018804\">study\u003c/a> showed they lowered death rates among athletes in Italy. But research in other countries hasn't yielded similar results, and the Italian researchers recently \u003ca href=\"http://www.bmj.com/content/353/bmj.i2208\" target=\"_blank\">were accused of\u003c/a> refusing to share their data so it could be evaluated independently.\u003c/p>\n\u003cp>Some 60,000 to 70,000 U.S. teens were screened with EKGs in 2016, most by foundations created by families who lost a child to sudden cardiac death, said Sudman, who runs the online directory \u003ca href=\"http://www.screenacrossamerica.org/\" target=\"_blank\">Screen Across America\u003c/a>. It's unclear whether high school athletes face higher risk than nonathletes, so screening programs usually invite everybody.\u003c/p>\n\u003cp>Screenings typically are held in high schools and overseen by volunteer cardiologists, with funding from individuals and businesses including hospitals. A handful of hospitals and for-profit companies also run screenings.\u003c/p>\n\u003cp>It may be presumptuous to claim EKGs save lives, but parents often believe they do, said Sudman. \"If I find a heart condition, I promise you there are parents who are thanking me for savings their kid's life,\" he said.\u003c/p>\n\u003cp>That perception is stoked by tragic stories in the media of children who died suddenly after never reporting a symptom.\u003c/p>\n\u003cp>Meanwhile, the drawbacks of EKGs are seldom depicted. As many as 1 in 10 EKGs detects a potential abnormality, and the emotional and financial toll of such a finding can be significant — especially when they turn out to be wrong.\u003c/p>\n\u003cp>Following a screening EKG and echocardiogram last fall, Daniel Garza, 16, a talented sophomore basketball player in San Antonio, was told he had \u003ca href=\"https://medlineplus.gov/ency/article/000192.htm\">hypertrophic cardiomyopathy\u003c/a>, a thickening of the heart muscle and the most common cause of sudden cardiac death in young people. He was advised to quit all exercise, at least temporarily.\u003c/p>\n\u003cp>\"We were shocked, just shocked,\" said his mother, Denise. She said her son became depressed when he couldn't play the sport he enjoyed and excelled at. \"He came home and cried himself to sleep. He said, 'Mom, why did God give me this gift to take it away?' \"\u003c/p>\n\u003cp>The Garzas traveled to the Mayo Clinic in Rochester, Minn., where further tests indicated his enlarged heart was a benign condition known as athletic heart, a result of intense training. His mother estimates that correcting the misdiagnosis cost more than $20,000, including medical costs, travel and lost work.\u003c/p>\n\u003cp>Daniel has returned to the basketball court. Still, Denise Garza said the emotional toll was rough: \"It was one of the hardest things my family has ever endured.\"\u003c/p>\n\u003cp>Several cardiologists said they often see cases like this — or worse. Even after follow-up testing, it can be unclear which cases are life-threatening, so kids with low risk could be restricted from exercise or given life-altering interventions such as implantable defibrillators, surgery or anti-arrhythmic medications.\u003c/p>\n\u003cp>Medical groups have wrestled with the issue. The American Heart Association and the American College of Cardiology \u003ca href=\"http://circ.ahajournals.org/content/130/15/1303\" target=\"_blank\">recommended\u003c/a> in 2014 against mass ECG screening, noting that sudden cardiac death is rare in teens and false positives generate \"excessive and costly second-tier testing.\" ECGs also miss at least 1 in 10 cases of hypertrophic cardiomyopathy and more than 9 in 10 cases of congenital anomalies, the second-most-common cause.\u003c/p>\n\u003cp>But the medical panel accepted voluntary screening \"in relatively small cohorts,\" if there's physician involvement, quality control and a recognition of unreliable results and ancillary costs.\u003c/p>\n\u003cp>Efforts are underway to improve the accuracy of the screening programs. Some are adding \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Echocardiogram%E2%80%94-Echo_UCM_451485_Article.jsp#.WKc5rjsrKUk\" target=\"_blank\">echocardiograms\u003c/a>, which use ultrasound to produce images of the heart, to assess potential abnormalities. Advocates say false positives have dropped as a result of better interpretation guidelines, known as the \u003ca href=\"https://www.amssm.org/BMJ_ECGModules.php\" target=\"_blank\">Seattle Criteria\u003c/a>, which are expected to soon be endorsed by cardiology societies in revised form.\u003c/p>\n\u003cp>But the criteria aren't perfect, and there's a \"giant gap\" in training cardiologists to use them, said Drezner, one of the developers. He's also a medical adviser for \u003ca href=\"https://parentheartwatch.org/\" target=\"_blank\">Parent Heart Watch\u003c/a>, a consortium of foundations. \"If I was a parent, I'd want to know about the experience of the (cardiologists) and what they're going to do to help my kid if they have a positive screen.\"\u003c/p>\n\u003cp>One problem with EKGs is a lack of good data.\u003c/p>\n\u003cp>\"There's no evidence we have that [EKG] screening saves lives,\" said Dr. Jonathan Kaltman of the National Heart, Lung, and Blood Institute. \"There's never been a controlled clinical trial, which is the only way to answer that question.\"\u003c/p>\n\u003cp>At the urging of screening advocates, the NIH partnered with the Centers for Disease Control and Prevention to rigorously track cardiac deaths as part of a Sudden Death in the Young Case Registry. So far a handful of states and counties have joined the effort, which helps local health departments collect better data. The goal is to standardize death investigations and get a firm handle on how often kids die from heart abnormalities as well as the role of factors such as genetics. Initial findings are expected to be available in about two years. The NIH is also funding three university-based research groups to answer key questions about sudden cardiac death in the young.\u003c/p>\n\u003cp>Some screening organizations are getting behind a nascent initiative with the \u003ca href=\"http://cardiac-safety.org/\" target=\"_blank\">Cardiac Safety Research Consortium\u003c/a> to harness their own screening data for research. It would require standardizing their practices and tracking outcomes, which organizations aren't now equipped to do.\u003c/p>\n\u003cp>\"Screening is happening. We can't avoid that,\" said Dr. Salim Idriss, director of pediatric electrophysiology at Duke University and co-chair of the initiative. \"We have a really good opportunity to get the data we need to make it better.\"\u003c/p>\n\u003cp>Separately, the UT Southwestern Medical Center in Dallas recently began a \u003ca href=\"http://www.utsouthwestern.edu/newsroom/news-releases/year-2016/september/ecg-athletes-levine.html\" target=\"_blank\">four-year pilot study \u003c/a>involving athletes and band members at eight high schools to determine the feasibility of a full-scale randomized controlled trial.\u003c/p>\n\u003cp>A valid finding on the overarching question of whether EKG screening saves lives could require at least 800,000 participants and a cost of $15 million, said Dr. Benjamin Levine, a cardiologist and the lead researcher.\u003c/p>\n\u003cp>The pilot is partly a response to legislation that would mandate EKGs for student athletes in Texas. A similar bill was also introduced in South Carolina. Both bills failed, but it's expected there will be more attempts to mandate EKGs, leaving state legislators looking for better guidance.\u003c/p>\n\u003cp>\"We're not going to solve this by having more debates, but by having more data,\" Levine said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.\u003c/em> \u003cem>Mary Chris Jaklevic is a freelance health and environment writer based in Chicago. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/mcjaklevic\">@mcjaklevic\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Screening+For+Teens+May+Cause+More+Problems+Than+It+Solves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/341839/dont-get-ekg-happy-say-docs-as-heart-screening-for-teens-questioned","authors":["byline_futureofyou_341839"],"categories":["futureofyou_452","futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_819","futureofyou_742","futureofyou_872"],"featImg":"futureofyou_341841","label":"source_futureofyou_341839"},"futureofyou_146536":{"type":"posts","id":"futureofyou_146536","meta":{"index":"posts_1591205157","site":"futureofyou","id":"146536","score":null,"sort":[1461168266000]},"guestAuthors":[],"slug":"screenagers-shows-parents-overwhelmed-by-kids-phone-computer-use","title":"'Screenagers’ Shows Parents Overwhelmed by Kids' Phone, Computer Use","publishDate":1461168266,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>My mom once tried to set a limit on the amount of time I spent watching TV. Indignant, I just about threatened to organize a march on Washington. Armed with no scientific studies or even parental playground chatter about the potential harm of watching thousands of hours of moving images per year, she caved.\u003c/p>\n\u003cp>That was the early 1970s. Today, when it comes to setting television limits for my own daughter, allowing her unfettered access to TV seems about as rational as buying her cigarettes. Times, naturally, change.\u003c/p>\n\u003cp>[contextly_sidebar id=\"nGL1cTUVq0UzgKkz872p1U0KnlfbW97S\"]Or do they? As any parent with a middle-schooler knows, kids today carry their TVs \u003cem>with\u003c/em> them -- all day, every day. And not just TVs -- movie theaters, libraries, arcades, newspapers, magazines, friends family, and strangers, too.\u003c/p>\n\u003cp>Smartphones. They hold more potential distractions than a carnival. And more potential for family conflicts, as well.\u003c/p>\n\u003cp>That's the subject of \"\u003ca href=\"http://www.screenagersmovie.com/\" target=\"_blank\">Screenagers\u003c/a>,\" directed by Delaney Ruston, a primary care doctor and filmmaker who took up the topic in the midst of conflicts over screen time in her own family. In the film, Ruston discusses the issue with parents, academics, mental health professionals and kids, including her own, in an attempt to get a handle on the enormous shift taking place in how tweens and teens interact with the world and each other.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>You won't find the movie in theaters or online. Instead, \"Screenagers\" is being licensed to schools and groups \u003ca href=\"http://www.screenagersmovie.com/find-a-screening/\" target=\"_blank\">around the U.S.\u003c/a> in hopes of fostering community-wide discussions.\u003c/p>\n\u003cp>Ruston appeared on \u003ca href=\"http://www.kqed.org/tv/programs/newsroom/\" target=\"_blank\">KQED Newsroom\u003c/a> last Friday to discuss the film and the issue of kids and screens. (See the video below.) Afterward, she told me the genesis of the film was the conflicts she was having with her kids over the amount of time they devoted to electronic gadgets.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=AXOzVhjnQy4\u003cbr>\n\"There was anxiety and tension that I was feeling daily with my two teenagers, who were suddenly wanting more and more screen time, in a way that I felt out of control,\" she said. \"I was getting so mad at them, and then feeling incredibly guilty about the way I acted.\"\u003c/p>\n\u003cp>In talking with other parents for the film, she said, two big issues emerged:\u003c/p>\n\u003cul>\n\u003cli>Smartphones have become so affordable, it's now commonplace for even sixth-graders to carry them all day.\u003c/li>\n\u003cli>Policing what kids do online is increasingly difficult, because they routinely do their homework on computers.\u003c/li>\n\u003c/ul>\n\u003cp>\"Which ultimately equates to Internet, video games and TV and everything else,\" Ruston said. Meaning, kids often keep multiple tabs open and do their work simultaneously with other activities. \"Knowing that, parents are suddenly feeling bombarded.\"\u003c/p>\n\u003cp>In the face of this ubiquitous allure of the online world, many parents have given up, Ruston said. \"So often I would hear parents say, 'Cat's out of the bag, really nothing I can do.'\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'When we see our kids building something super cool, or talking to their grandparent and having a deep conversation ... those things warm our heart. When we see them on the screen, we don’t get that.'\u003ccite>Dr. Delaney Ruston, Filmmaker\u003c/cite>\u003c/aside>\n\u003cp>But she has found that instituting rules can work. If she had one to pick, it would be to take electronic devices out of kids' bedrooms at night. because \u003ca href=\"http://www.wiserd.ac.uk/files/3014/4248/3874/Sleep_paper.pdf\" target=\"_blank\">research\u003c/a> has shown nighttime access \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978406/\" target=\"_blank\">impedes their sleep\u003c/a>. (This \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\" target=\"_blank\">goes for adults\u003c/a>, too.)\u003c/p>\n\u003cp>Another rule: Don't be a hypocrite -- which is how \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/03/11/kids-think-parents-are-hypocrites-when-it-comes-to-rules-on-screen-time-study-says/\" target=\"_blank\">one study\u003c/a> found many kids think of their parents when it comes to screen-time rules. \"They can't help themselves from imitating a lot of what we do,\" Ruston said. For example, if we're checking our phones at stoplights, and then we try to drill into our children not to text and drive, that is not going to be effective.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=LQx2X0BXgZg\u003c/p>\n\u003cp>\u003cstrong>Is this Really a Problem?\u003c/strong>\u003c/p>\n\u003cp>A \u003ca href=\"https://www.commonsensemedia.org/sites/default/files/uploads/research/census_executivesummary.pdf\" target=\"_blank\">report\u003c/a> last year by Common Sense Media, a nonprofit organization that focuses on kids, media and technology, said 57 percent of 13-to-18-year-olds spend more than four hours per day in front of screen media -- TV, movies, online videos, and social media. The daily consumption of 8-to-12-year olds is about four-and-a-half hours.\u003c/p>\n\u003cp>Still, you may be surprised to find \u003ca href=\"http://fivethirtyeight.com/features/screen-time-for-kids-is-probably-fine/\" target=\"_blank\">not everyone is even convinced \u003c/a>lots of garden variety TV is a bad thing. And when I asked Ruston what the \u003ca href=\"https://www.commonsensemedia.org/sites/default/files/uploads/research/census_executivesummary.pdf\" target=\"_blank\">studies say\u003c/a> about the current levels of electronic immersion, she said \"not a lot of research\" has been done on just how much is too much.\u003c/p>\n\u003cp>But she did point to several studies she believes are damning:\u003c/p>\n\u003cul>\n\u003cli>A \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0747563214003227\" target=\"_blank\">study\u003c/a> that found sixth-graders who took a five-day break from their smartphones could read social cues substantially better than a control group.\u003c/li>\n\u003cli>\u003ca href=\"http://www.livescience.com/17033-gamer-brain-reward-system.html\" target=\"_blank\">Research\u003c/a> that found an enlarged part of the brain, which is associated with addiction and obsessive-compulsive behavior, in 14-year-olds who spend more than nine hours per week playing video games. (Which came first, however, the big brain part or the excessive game-playing, was not determined.)\u003c/li>\n\u003cli>A \u003ca href=\"https://www.csudh.edu/psych/Out_of_sight_is_not_out_of_mind-Cheever,Rosen,Carrier,Chavez_2014.pdf\" target=\"_blank\">study \u003c/a>that found university students who had to sit quietly without their mobile devices becoming progressively more anxious, with more anxiety experienced in those who used the devices more heavily.\u003c/li>\n\u003c/ul>\n\u003cp>But in Ruston's opinion, we don't need a team of researchers to validate the common sense conclusions of what parents have been observing in their kids.\u003c/p>\n\u003cp>“I think we already have enough data,\" she said. \"When we see our kids building something super cool, or talking to their grandparent and having a deep conversation, or struggling to make something and they make it, those things warm our heart. When we see them on the screen, we don’t get that.\"\u003c/p>\n\u003cp>By the way, the annual \u003ca href=\"http://www.screenfree.org/\" target=\"_blank\">Screen-Free Week\u003c/a>, sponsored by Campaign for a Commercial-Free Childhood, starts May 2.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Good luck with that.\u003c/p>\n\n","blocks":[],"excerpt":"Documentary tackles the challenges of families who must contend with the explosion of kids' online activity. ","status":"publish","parent":0,"modified":1476852632,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1044},"headData":{"title":"'Screenagers’ Shows Parents Overwhelmed by Kids' Phone, Computer Use | KQED","description":"Documentary tackles the challenges of families who must contend with the explosion of kids' online activity. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"'Screenagers’ Shows Parents Overwhelmed by Kids' Phone, Computer Use","datePublished":"2016-04-20T16:04:26.000Z","dateModified":"2016-10-19T04:50:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"146536 http://ww2.kqed.org/futureofyou/?p=146536","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/04/20/screenagers-shows-parents-overwhelmed-by-kids-phone-computer-use/","disqusTitle":"'Screenagers’ Shows Parents Overwhelmed by Kids' Phone, Computer Use","path":"/futureofyou/146536/screenagers-shows-parents-overwhelmed-by-kids-phone-computer-use","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>My mom once tried to set a limit on the amount of time I spent watching TV. Indignant, I just about threatened to organize a march on Washington. Armed with no scientific studies or even parental playground chatter about the potential harm of watching thousands of hours of moving images per year, she caved.\u003c/p>\n\u003cp>That was the early 1970s. Today, when it comes to setting television limits for my own daughter, allowing her unfettered access to TV seems about as rational as buying her cigarettes. Times, naturally, change.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Or do they? As any parent with a middle-schooler knows, kids today carry their TVs \u003cem>with\u003c/em> them -- all day, every day. And not just TVs -- movie theaters, libraries, arcades, newspapers, magazines, friends family, and strangers, too.\u003c/p>\n\u003cp>Smartphones. They hold more potential distractions than a carnival. And more potential for family conflicts, as well.\u003c/p>\n\u003cp>That's the subject of \"\u003ca href=\"http://www.screenagersmovie.com/\" target=\"_blank\">Screenagers\u003c/a>,\" directed by Delaney Ruston, a primary care doctor and filmmaker who took up the topic in the midst of conflicts over screen time in her own family. In the film, Ruston discusses the issue with parents, academics, mental health professionals and kids, including her own, in an attempt to get a handle on the enormous shift taking place in how tweens and teens interact with the world and each other.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>You won't find the movie in theaters or online. Instead, \"Screenagers\" is being licensed to schools and groups \u003ca href=\"http://www.screenagersmovie.com/find-a-screening/\" target=\"_blank\">around the U.S.\u003c/a> in hopes of fostering community-wide discussions.\u003c/p>\n\u003cp>Ruston appeared on \u003ca href=\"http://www.kqed.org/tv/programs/newsroom/\" target=\"_blank\">KQED Newsroom\u003c/a> last Friday to discuss the film and the issue of kids and screens. (See the video below.) Afterward, she told me the genesis of the film was the conflicts she was having with her kids over the amount of time they devoted to electronic gadgets.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=AXOzVhjnQy4\u003cbr>\n\"There was anxiety and tension that I was feeling daily with my two teenagers, who were suddenly wanting more and more screen time, in a way that I felt out of control,\" she said. \"I was getting so mad at them, and then feeling incredibly guilty about the way I acted.\"\u003c/p>\n\u003cp>In talking with other parents for the film, she said, two big issues emerged:\u003c/p>\n\u003cul>\n\u003cli>Smartphones have become so affordable, it's now commonplace for even sixth-graders to carry them all day.\u003c/li>\n\u003cli>Policing what kids do online is increasingly difficult, because they routinely do their homework on computers.\u003c/li>\n\u003c/ul>\n\u003cp>\"Which ultimately equates to Internet, video games and TV and everything else,\" Ruston said. Meaning, kids often keep multiple tabs open and do their work simultaneously with other activities. \"Knowing that, parents are suddenly feeling bombarded.\"\u003c/p>\n\u003cp>In the face of this ubiquitous allure of the online world, many parents have given up, Ruston said. \"So often I would hear parents say, 'Cat's out of the bag, really nothing I can do.'\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'When we see our kids building something super cool, or talking to their grandparent and having a deep conversation ... those things warm our heart. When we see them on the screen, we don’t get that.'\u003ccite>Dr. Delaney Ruston, Filmmaker\u003c/cite>\u003c/aside>\n\u003cp>But she has found that instituting rules can work. If she had one to pick, it would be to take electronic devices out of kids' bedrooms at night. because \u003ca href=\"http://www.wiserd.ac.uk/files/3014/4248/3874/Sleep_paper.pdf\" target=\"_blank\">research\u003c/a> has shown nighttime access \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978406/\" target=\"_blank\">impedes their sleep\u003c/a>. (This \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\" target=\"_blank\">goes for adults\u003c/a>, too.)\u003c/p>\n\u003cp>Another rule: Don't be a hypocrite -- which is how \u003ca href=\"http://ww2.kqed.org/futureofyou/2016/03/11/kids-think-parents-are-hypocrites-when-it-comes-to-rules-on-screen-time-study-says/\" target=\"_blank\">one study\u003c/a> found many kids think of their parents when it comes to screen-time rules. \"They can't help themselves from imitating a lot of what we do,\" Ruston said. For example, if we're checking our phones at stoplights, and then we try to drill into our children not to text and drive, that is not going to be effective.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/LQx2X0BXgZg'\n title='//www.youtube.com/embed/LQx2X0BXgZg'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Is this Really a Problem?\u003c/strong>\u003c/p>\n\u003cp>A \u003ca href=\"https://www.commonsensemedia.org/sites/default/files/uploads/research/census_executivesummary.pdf\" target=\"_blank\">report\u003c/a> last year by Common Sense Media, a nonprofit organization that focuses on kids, media and technology, said 57 percent of 13-to-18-year-olds spend more than four hours per day in front of screen media -- TV, movies, online videos, and social media. The daily consumption of 8-to-12-year olds is about four-and-a-half hours.\u003c/p>\n\u003cp>Still, you may be surprised to find \u003ca href=\"http://fivethirtyeight.com/features/screen-time-for-kids-is-probably-fine/\" target=\"_blank\">not everyone is even convinced \u003c/a>lots of garden variety TV is a bad thing. And when I asked Ruston what the \u003ca href=\"https://www.commonsensemedia.org/sites/default/files/uploads/research/census_executivesummary.pdf\" target=\"_blank\">studies say\u003c/a> about the current levels of electronic immersion, she said \"not a lot of research\" has been done on just how much is too much.\u003c/p>\n\u003cp>But she did point to several studies she believes are damning:\u003c/p>\n\u003cul>\n\u003cli>A \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0747563214003227\" target=\"_blank\">study\u003c/a> that found sixth-graders who took a five-day break from their smartphones could read social cues substantially better than a control group.\u003c/li>\n\u003cli>\u003ca href=\"http://www.livescience.com/17033-gamer-brain-reward-system.html\" target=\"_blank\">Research\u003c/a> that found an enlarged part of the brain, which is associated with addiction and obsessive-compulsive behavior, in 14-year-olds who spend more than nine hours per week playing video games. (Which came first, however, the big brain part or the excessive game-playing, was not determined.)\u003c/li>\n\u003cli>A \u003ca href=\"https://www.csudh.edu/psych/Out_of_sight_is_not_out_of_mind-Cheever,Rosen,Carrier,Chavez_2014.pdf\" target=\"_blank\">study \u003c/a>that found university students who had to sit quietly without their mobile devices becoming progressively more anxious, with more anxiety experienced in those who used the devices more heavily.\u003c/li>\n\u003c/ul>\n\u003cp>But in Ruston's opinion, we don't need a team of researchers to validate the common sense conclusions of what parents have been observing in their kids.\u003c/p>\n\u003cp>“I think we already have enough data,\" she said. \"When we see our kids building something super cool, or talking to their grandparent and having a deep conversation, or struggling to make something and they make it, those things warm our heart. When we see them on the screen, we don’t get that.\"\u003c/p>\n\u003cp>By the way, the annual \u003ca href=\"http://www.screenfree.org/\" target=\"_blank\">Screen-Free Week\u003c/a>, sponsored by Campaign for a Commercial-Free Childhood, starts May 2.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Good luck with that.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/146536/screenagers-shows-parents-overwhelmed-by-kids-phone-computer-use","authors":["80"],"categories":["futureofyou_1061"],"tags":["futureofyou_1423","futureofyou_803","futureofyou_864","futureofyou_872"],"featImg":"futureofyou_149070","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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