psychology

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Mental health startup eQuoo will be distributed by Unilever in new global youth campaign

Last December (yes, in the before-times) U.K.-based mental health startup eQuoo had a round of announcements, becoming the NHS-approved mental health game, as well as signing Barmer, the largest insurance company in Germany, as a client.

It has now been selected as the Mental Health App for Unilever’s new global initiative aimed at the mental health of young people. The move came after Unilever’s People Data Centre (PDC) selected eQuoo out of all the mental health games on the Google Play store, being, as it is, one of the few backed by scientific research. Unilever’s new brand campaign, which will feature eQuoo app, will be marketed to over 70,000 18 to 35-year-olds.

“eQuoo teaches important skills in a fun and engaging way,” said Unilever’s Global PDC Search and Social Analyst, Janelle Tomayo. “The game teaches you how to become a better communicator using fictional characters to navigate through difficult circumstances with skills and storylines empirically based on current psychological research.”

Silja Litvin, founder and CEO of eQuoo said: “1 in 3 young adults experience an anxiety disorder, crippling and harming too many people at the cusp of their adult lives. Together eQuoo and Unilever will equip thousands of people with the personal resilience to manage the pressures of today’s world.”

PsycApps, which makes eQuoo, is a digital mental health startup that is using gamification, cognitive behavioral therapy (CBT), positive psychology and AI to treat mental illness, using evidence-based features. It has achieved a top rating at ORCHA, the leading health app assessment platform, and is also available through the GP EMIS data bank, meaning that NHS doctors can now refer their patients to eQuoo to improve their mental health and well-being.

The market for mental health-oriented games and apps is increasing considerably. AKILI, the first ADHD game for children, attained FDA approval. In June, the European Medicines Agency approved Akili’s digital therapy for attention deficit hyperactivity disorder (ADHD), which uses a video game to treat the underlying cause of the condition. The European Commission has granted a CE mark for the game called EndeavorRx, allowing the product to be marketed in Europe.

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Eight Sleep CEO says his startup is more than a mattress company

Matteo Franceschetti, CEO of Eight Sleep, would prefer that you don’t call his startup a mattress company.

Eight Sleep does sell mattresses, albeit smart ones packed with sensors and temperature regulation controls. The company has raised north of $70 million from backers including Founders Fund and Khosla Ventures. A great deal of this funding surrounds the idea that there is more untapped potential in the sleep economy than existing players in the space have been able to imagine.

While Franceschetti says he intends for his company to remain private for the “foreseeable future,” Eight Sleep is in a less-than-comfortable spot following Casper’s botched IPO last week. Though Casper’s stock popped on its first day of trading, the process of pricing its shares ended up leaving its private investors a bit less than ecstatic. Casper debuted trading at a value of $575 million, a far cry from the $1.1 billion private market valuation it had previously achieved.

Franceschetti has been aiming to transform Eight Sleep into a company more focused on a robust tech platform than your average bed-in-a-box company. The startup’s initial effort, a smart sleep cover for your existing mattress, evolved into a mattress with a layer of sensors that then transformed into a sensor-laden mattress with a heating and cooling unit, called “The Pod.” The company’s product development has aimed to build out a more end-to-end platform for sleep, something Franceschetti says has made him reticent to compare his company to other direct-to-consumer mattress companies.

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When someone great is gone: How to address grief in the workplace with empathy

Tamar Lucien
Contributor

Tamar Lucien is CEO of MentalHappy, lives in the Bay Area and enjoys spending time hiking, cooking new vegetarian recipes, meditating and dancing to 90’s music!

Birthday cakes, gift cards, free lunches, snacks, movie tickets, and other perks are generously bestowed on employees to celebrate life’s happy moments. This is an improvement from the industrial approach to management, but can we go deeper for our work-family members?

Life’s darker moments hold the greatest opportunity to exemplify a genuine and caring 21st-century workplace culture. One which fosters empathy and camaraderie. Employee turnover is highest when employees take leave, claim FMLA, or use PTO. According to Global Studies, 79% of employees report their reason for quitting was simply due to feeling unnoticed (lack of appreciation).

Appreciation for your employees is best demonstrated as an act of kindness in moments that really matter, like the loss of a family member. Acknowledging that someone great is gone, instead of ignoring the uncomfortable aspects of grief, is a valuable way to embed empathy into your workplace culture.

Recently, while working with a mid-sized (500+ employees) tech company, I asked what they were doing to support employees during the negative life moments. The HR Director replied, “um, nothing really”.

Once realizing how crappy that sounded, another executive countered her by saying he sent an employee a t-shirt and card after a miscarriage. I later learned that the employee he was referring to had been with the company for over 5 years, so it’s safe to assume that she had a couple of company swag t-shirts in her collection prior to getting one as a get well gift.

Even in the largest and most notable companies, where a variety of employee amenities and benefits are offered, the concept and practice of empathy is often neglected. Perhaps you haven’t come across such extreme examples of indifference in your workplace, but you may have participated in signing a generic condolences card or chipping in for some flowers.

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Youper, a chatbot that helps users navigate their emotions, raises $3 million in seed funding

Youper, a mental health app with a chatbot it calls an “emotional health assistant,” has raised $3 million in seed funding from Goodwater Capital. The funds will be used to accelerate development of Youper’s artificial intelligence-based capabilities and grow its user base.

Based in San Francisco, Youper was co-founded in 2016 by Dr. Jose Hamilton. For a decade, Hamilton worked as a psychiatrist in clinical settings, seeing more than 3,000 patients. While talking to them, he realized that a handful of barriers kept many people from seeking help earlier, even if they had dealt with anxiety or depression for years.

“The first one is fear, taking care of yourself, talking about your mental health, understanding your mental health,” he tells TechCrunch. “Seeing a therapist or psychiatrist is super intimidating. That’s why all of my patients used to say the same things. The second barrier is cost, of course. Psychiatrists and therapists are super expensive.”

Hamilton teamed up with co-founders Diego Couto, the startup’s chief product and growth officer, and Thiago Marafon, its CTO, to create an app that would make mental healthcare less intimidating and more accessible. They originally created an app that did not have a conversational interface. Instead, Hamilton says it took a similar approach to Calm and Headspace. But that resulted in a very low user engagement rate and, after a year, the team realized Youper needed to provide a more personalized experience, matching users to the right psychological techniques, including cognitive behavioral techniques and mindfulness, for their needs.

Youper is part of a growing roster of apps that use AI-based chatbots to help users improve their emotional health, including Woebot, Wysa and X2’s Tess. Hamilton says Youper wants to differentiate with its focus on personalization, combining mental health research and user data to match the right psychological techniques with users.

Screenshots from Youper, an app for emotional well-being.

Screenshots from Youper, an app for emotional well-being.

The startup claims Youper has been downloaded more than one million times so far. Most of its users are young adults, and there are more women than men who use Youper.

“I think that’s because women are facing new challenges in our society by conquering new spaces and assuming new roles, and that poses an emotional toll. Another reason is that women are more tuned into self-care than men,” he says. “Sometimes I feel that we men wait for too long suffering in silence.”

For users who have never consulted with a provider, Youper provides a gentle introduction to the types of questions and exercises they might experience in therapy. The questions and exercises given by Youper’s chatbot are meant to help users achieve a better understanding of their emotions, thoughts and behavior.

Youper’s chatbot asks users to focus on their thoughts and identify how they are feeling from a menu of descriptive words. Then a scale lets them rate the strength of that emotion from “slightly” to “extremely.” More questions help them narrow down what is causing those feelings and track their mood. Users are also given options for mindfulness exercises and journaling prompts.

Hamilton says that the average time users spend during each session with its chatbot is about seven minutes, with 80% reporting a reduction in negative moods after one conversation. The startup also claims that after 30 days, a quarter of people who signed up for Youper are still active users.

Youper is currently free, though the company may test a freemium model in the future with premium features. It uses anonymized user data in its own research to improve Youper, but keeps it private and does not share or sell user data or information.

Of course, an app is not a replacement for seeing a therapist or psychiatrist, but Youper presents a much lower barrier to entry for people who worried about the stigma of seeing a professional. Hamilton says he hopes using Youper will encourage more people to seek medical treatment sooner if they need it by making them more comfortable with the idea of discussing their emotional health.

“On average, it takes 10 years for someone to finally talk to a health provider. This could become 10 minutes with an app like Youper,” Hamilton says. “Having an app with a super low barrier to entry, no stigma, something that is about emotional health and taking care of yourself, shows that you don’t need to be afraid.”

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We finally started taking screen time seriously in 2018

At the beginning of this year, I was using my iPhone to browse new titles on Amazon when I saw the cover of “How to Break Up With Your Phone” by Catherine Price. I downloaded it on Kindle because I genuinely wanted to reduce my smartphone use, but also because I thought it would be hilarious to read a book about breaking up with your smartphone on my smartphone (stupid, I know). Within a couple of chapters, however, I was motivated enough to download Moment, a screen time tracking app recommended by Price, and re-purchase the book in print.

Early in “How to Break Up With Your Phone,” Price invites her readers to take the Smartphone Compulsion Test, developed by David Greenfield, a psychiatry professor at the University of Connecticut who also founded the Center for Internet and Technology Addiction. The test has 15 questions, but I knew I was in trouble after answering the first five. Humbled by my very high score, which I am too embarrassed to disclose, I decided it was time to get serious about curtailing my smartphone usage.

Of the chapters in Price’s book, the one called “Putting the Dope in Dopamine” resonated with me the most. She writes that “phones and most apps are deliberately designed without ‘stopping cues’ to alert us when we’ve had enough—which is why it’s so easy to accidentally binge. On a certain level, we know that what we’re doing is making us feel gross. But instead of stopping, our brains decide the solution is to seek out more dopamine. We check our phones again. And again. And again.”

Gross was exactly how I felt. I bought my first iPhone in 2011 (and owned an iPod Touch before that). It was the first thing I looked at in the morning and the last thing I saw at night. I would claim it was because I wanted to check work stuff, but really I was on autopilot. Thinking about what I could have accomplished over the past eight years if I hadn’t been constantly attached to my smartphone made me feel queasy. I also wondered what it had done to my brain’s feedback loop. Just as sugar changes your palate, making you crave more and more sweets to feel sated, I was worried that the incremental doses of immediate gratification my phone doled out would diminish my ability to feel genuine joy and pleasure.

Price’s book was published in February, at the beginning of a year when it feels like tech companies finally started to treat excessive screen time as a liability (or at least do more than pay lip service to it). In addition to the introduction of Screen Time in iOS 12 and Android’s digital wellbeing tools, Facebook, Instagram and YouTube all launched new features that allow users to track time spent on their sites and apps.

Early this year, influential activist investors who hold Apple shares also called for the company to focus on how their devices impact kids. In a letter to Apple, hedge fund Jana Partners and California State Teachers’ Retirement System (CalSTRS) wrote “social media sites and applications for which the iPhone and iPad are a primary gateway are usually designed to be as addictive and time-consuming as possible, as many of their original creators have publicly acknowledged,” adding that “it is both unrealistic and a poor long-term business strategy to ask parents to fight this battle alone.”

The growing mound of research

Then in November, researchers at Penn State released an important new study that linked social media usage by adolescents to depression. Led by psychologist Melissa Hunt, the experimental study monitored 143 students with iPhones from the university for three weeks. The undergraduates were divided into two groups: one was instructed to limit their time on social media, including Facebook, Snapchat and Instagram, to just 10 minutes each app per day (their usage was confirmed by checking their phone’s iOS battery use screens). The other group continued using social media apps as they usually did. At the beginning of the study, a baseline was established with standard tests for depression, anxiety, social support and other issues, and each group continued to be assessed throughout the experiment.

The findings, published in the Journal of Social and Clinical Psychology, were striking. The researchers wrote that “the limited use group showed significant reductions in loneliness and depression over three weeks compared to the control group.”

Even the control group benefitted, despite not being given limits on their social media use. “Both groups showed significant decreases in anxiety and fear of missing out over baselines, suggesting a benefit of increased self-monitoring,” the study said. “Our findings strongly suggest that limiting social media use to approximately 30 minutes a day may lead to significant improvement in well-being.”

Other academic studies published this year added to the growing roster of evidence that smartphones and mobile apps can significantly harm your mental and physical wellbeing.

A group of researchers from Princeton, Dartmouth, the University of Texas at Austin, and Stanford published a study in the Journal of Experimental Social Psychology that found using smartphones to take photos and videos of an experience actually reduces the ability to form memories of it. Others warned against keeping smartphones in your bedroom or even on your desk while you work. Optical chemistry researchers at the University of Toledo found that blue light from digital devices can cause molecular changes in your retina, potentially speeding macular degeneration.

So over the past 12 months, I’ve certainly had plenty of motivation to reduce my screen time. In fact, every time I checked the news on my phone, there seemed to be yet another headline about the perils of smartphone use. I began using Moment to track my total screen time and how it was divided between apps. I took two of Moment’s in-app courses, “Phone Bootcamp” and “Bored and Brilliant.” I also used the app to set a daily time limit, turned on “tiny reminders,” or push notifications that tell you how much time you’ve spent on your phone so far throughout the day, and enabled the “Force Me Off When I’m Over” feature, which basically annoys you off your phone when you go over your daily allotment.

At first I managed to cut my screen time in half. I had thought some of the benefits, like a better attention span mentioned in Price’s book, were too good to be true. But I found my concentration really did improve significantly after just a week of limiting my smartphone use. I read more long-form articles, caught up on some TV shows, and finished knitting a sweater for my toddler. Most importantly, the nagging feeling I had at the end of each day about frittering all my time away diminished, and so I lived happily after, snug in the knowledge that I’m not squandering my life on memes, clickbait and makeup tutorials.

Just kidding.

Holding my iPod Touch in 2010, a year before I bought my first smartphone and back when I still had an attention span.

After a few weeks, my screen time started creeping up again. First I turned off Moment’s “Force Me Off” feature, because my apartment doesn’t have a landline and I needed to be able to check texts from my husband. I kept the tiny reminders, but those became easier and easier to ignore. But even as I mindlessly scrolled through Instagram or Reddit, I felt the existentialist dread of knowing that I was misusing the best years of my life. With all that at stake, why is limiting screen time so hard?

I wish I knew how to quit you, small device

I decided to talk to the CEO of Moment, Tim Kendall, for some insight. Founded in 2014 by UI designer and iOS developer Kevin Holesh, Moment recently launched an Android version, too. It’s one of the best known of a genre that includes Forest, Freedom, Space, Off the Grid, AntiSocial and App Detox, all dedicated to reducing screen time (or at least encouraging more mindful smartphone use).

Kendall told me that I’m not alone. Moment has 7 million users and “over the last four years, you can see that average usage goes up every year,” he says. By looking at overall data, Moment’s team can tell that its tools and courses do help people reduce their screen time, but that often it starts creeping up again. Combating that with new features is one of the company’s main goals for next year.

“We’re spending a lot of time investing in R&D to figure out how to help people who fall into that category. They did Phone Bootcamp, saw nice results, saw benefits, but they just weren’t able to figure out how to do it sustainably,” says Kendall. Moment already releases new courses regularly (recent topics have included sleep, attention span, and family time) and recently began offering them on a subscription basis.

“It’s habit formation and sustained behavior change that is really hard,” says Kendall, who previously held positions as president at Pinterest and Facebook’s director of monetization. But he’s optimistic. “It’s tractable. People can do it. I think the rewards are really significant. We aren’t stopping with the courses. We are exploring a lot of different ways to help people.”

As Jana Partners and CalSTRS noted in their letter, a particularly important issue is the impact of excessive smartphone use on the first generation of teenagers and young adults to have constant access to the devices. Kendall notes that suicide rates among teenagers have increased dramatically over the past two decades. Though research hasn’t explicitly linked time spent online to suicide, the link between screen time and depression has been noted many times already, as in the Penn State study.

But there is hope. Kendall says that the Moment Coach feature, which delivers short, daily exercises to reduce smartphone use, seems to be particularly effective among millennials, the generation most stereotypically associated with being pathologically attached to their phones. “It seems that 20- and 30-somethings have an easier time internalizing the coach and therefore reducing their usage than 40- and 50-somethings,” he says.

Kendall stresses that Moment does not see smartphone use as an all-or-nothing proposition. Instead, he believes that people should replace brain junk food, like social media apps, with things like online language courses or meditation apps. “I really do think the phone used deliberately is one of the most wonderful things you have,” he says.

Researchers have found that taking smartphone photos and videos during an experience may decrease your ability to form memories of it. (Steved_np3/Getty Images)

I’ve tried to limit most of my smartphone usage to apps like Kindle, but the best solution has been to find offline alternatives to keep myself distracted. For example, I’ve been teaching myself new knitting and crochet techniques, because I can’t do either while holding my phone (though I do listen to podcasts and audiobooks). It also gives me a tactile way to measure the time I spend off my phone because the hours I cut off my screen time correlate to the number of rows I complete on a project. To limit my usage to specific apps, I rely on iOS Screen Time. It’s really easy to just tap “Ignore Limit,” however, so I also continue to depend on several of Moment’s features.

While several third-party screen time tracking app developers have recently found themselves under more scrutiny by Apple, Kendall says the launch of Screen Time hasn’t significantly impacted Moment’s business or sign ups. The launch of their Android version also opens up a significant new market (Android also enables Moment to add new features that aren’t possible on iOS, including only allowing access to certain apps during set times).

The short-term impact of iOS Screen Time has “been neutral, but I think in the long-term it’s really going to help,” Kendall says. “I think in the long-term it’s going to help with awareness. If I were to use a diet metaphor, I think Apple has built a terrific calorie counter and scale, but unfortunately they have not given people nutritional guidelines or a regimen. If you talk to any behavioral economist, not withstanding all that’s been said about the quantified self, numbers don’t really motivate people.”

Guilting also doesn’t work, at least not for the long-term, so Moment tries to take “a compassionate voice,” he adds. “That’s part of our brand and company and ethos. We don’t think we’ll be very helpful if people feel judged when we use our product. They need to feel cared for and supported, and know that the goal is not perfection, it’s gradual change.”

Many smartphone users are probably in my situation: alarmed by their screen time stats, unhappy about the time they waste, but also finding it hard to quit their devices. We don’t just use our smartphones to distract ourselves or get a quick dopamine rush with social media likes. We use it to manage our workload, keep in touch with friends, plan our days, read books, look up recipes, and find fun places to go. I’ve often thought about buying a Yondr bag or asking my husband to hide my phone from me, but I know that ultimately won’t help.

As cheesy as it sounds, the impetus for change must come from within. No amount of academic research, screen time apps, or analytics can make up for that.

One thing I tell myself is that unless developers find more ways to force us to change our behavior or another major paradigm shift occurs in mobile communications, my relationship with my smartphone will move in cycles. Sometimes I’ll be happy with my usage, then I’ll lapse, then I’ll take another Moment course or try another screen time app, and hopefully get back on track. In 2018, however, the conversation around screen time finally gained some desperately needed urgency (and in the meantime, I’ve actually completed some knitting projects instead of just thumbing my way through #knittersofinstagram).

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Limiting social media use reduced loneliness and depression in new experiment

The idea that social media can be harmful to our mental and emotional well-being is not a new one, but little has been done by researchers to directly measure the effect; surveys and correlative studies are at best suggestive. A new experimental study out of Penn State, however, directly links more social media use to worse emotional states, and less use to better.

To be clear on the terminology here, a simple survey might ask people to self-report that using Instagram makes them feel bad. A correlative study would, for example, find that people who report more social media use are more likely to also experience depression. An experimental study compares the results from an experimental group with their behavior systematically modified, and a control group that’s allowed to do whatever they want.

This study, led by Melissa Hunt at Penn State’s psychology department, is the latter — which despite intense interest in this field and phenomenon is quite rare. The researchers only identified two other experimental studies, both of which only addressed Facebook use.

One hundred and forty-three students from the school were monitored for three weeks after being assigned to either limit their social media use to about 10 minutes per app (Facebook, Snapchat and Instagram) per day or continue using it as they normally would. They were monitored for a baseline before the experimental period and assessed weekly on a variety of standard tests for depression, social support and so on. Social media usage was monitored via the iOS battery use screen, which shows app use.

The results are clear. As the paper, published in the latest Journal of Social and Clinical Psychology, puts it:

The limited use group showed significant reductions in loneliness and depression over three weeks compared to the control group. Both groups showed significant decreases in anxiety and fear of missing out over baseline, suggesting a benefit of increased self-monitoring.

Our findings strongly suggest that limiting social media use to approximately 30 minutes per day may lead to significant improvement in well-being.

It’s not the final word in this, however. Some scores did not see improvement, such as self-esteem and social support. And later follow-ups to see if feelings reverted or habit changes were less than temporary were limited because most of the subjects couldn’t be compelled to return. (Psychology, often summarized as “the study of undergraduates,” relies on student volunteers who have no reason to take part except for course credit, and once that’s given, they’re out.)

That said, it’s a straightforward causal link between limiting social media use and improving some aspects of emotional and social health. The exact nature of the link, however, is something at which Hunt could only speculate:

Some of the existing literature on social media suggests there’s an enormous amount of social comparison that happens. When you look at other people’s lives, particularly on Instagram, it’s easy to conclude that everyone else’s life is cooler or better than yours.

When you’re not busy getting sucked into clickbait social media, you’re actually spending more time on things that are more likely to make you feel better about your life.

The researchers acknowledge the limited nature of their study and suggest numerous directions for colleagues in the field to take it from here. A more diverse population, for instance, or including more social media platforms. Longer experimental times and comprehensive follow-ups well after the experiment would help, as well.

The 30-minute limit was chosen as a conveniently measurable one, but the team does not intend to say that it is by any means the “correct” amount. Perhaps half or twice as much time would yield similar or even better results, they suggest: “It may be that there is an optimal level of use (similar to a dose response curve) that could be determined.”

Until then, we can use common sense, Hunt suggested: “In general, I would say, put your phone down and be with the people in your life.”

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Wired For Extremes

Namibia Chris McNamara stood at the overhang of what would be his final wingsuit BASE jump (parachuting or wingsuit flying from a fixed structure: building, antenna, span and Earth). A 1,500-foot drop was a conservative risk in a community that saw around 30 deaths last year. “After I took flight I had never realized how much physical strength was required in wingsuit BASE. I wasn’t nervous… Read More

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