Saturday, April 27, 2019

Despite the widespread belief that the moon impacts peoples’ mental health and subsequently psychiatric treatment, this study provides no evidence of our celestial neighbour influence

Is it the moon? Effects of the lunar cycle on psychiatric admissions, discharges and length of stay. Gupta Rahula, Nolan Daniele R., Bux Donald A., Schneeberger Andres R. Swiss Med Wkly. 2019;149:w20070. Apr 23 2019, https://doi.org/10.4414/smw.2019.20070

Summary
BACKGROUND: There is an ongoing debate concerning the connection between lunar cycle and psychiatric illness.

AIMS OF THE STUDY: The purpose of the present study was to evaluate the rates of admission to and discharge from psychiatric inpatient treatment, as well as the length of stay, in relation to the lunar cycle, including 20 different categories of phases of the moon.

METHODS: The data of 17,966 cases of people treated in an inpatient setting were analysed. Routine clinical data and data about admission and discharge were used. The lunar calendar was obtained from the website of the US Naval Observatory and was used to calculate the dates of the full moon according to the geographic location of the clinics. The clinics are located in the Canton Grisons in Switzerland. The following phases of the moon throughout the lunar cycle were defined: (a) full moon, (b) quarter waxing moon, (c) new moon, and (d) quarter waning moon. In addition, we coded one day and two days preceding every lunar phase as well as the two days following the respective phases of the moon.

RESULTS: The lunar cycles showed no connection with either admission or discharge rates of psychiatric inpatients, nor was there a relationship with the length of stay.

CONCLUSIONS: Despite the widespread belief that the moon impacts peoples’ mental health and subsequently psychiatric treatment, this study provides no evidence that our celestial neighbour influences our mental well-being.

Keywords: psychiatric illness, inpatient, hospitalisation, phases of the moon, full moon

Introduction

The belief that the moon influences human lives, emotions, and welfare is deeply anchored in human history, dating back to the ancient cultures of Assyria, Babylonia and Egypt [1, 2]. Medieval European mythology and superstition held that humans were transformed into werewolves or vampires under the influence of a full moon [3]. The antiquated and potentially offensive colloquial word “lunatic” derives from the Latin lunaticus (originally derived from Luna – moon), a term that originally referred mainly to epilepsy and madness, because those diseases were at one time thought to be caused by the moon [1].

To date, there is an ongoing debate concerning the connection between lunar cycle and psychiatric illness [4, 5]. The literature presents conflicting results, with the majority of studies showing no relationship between lunar cycle and either psychiatric admissions or emergency evaluations [6–9], psychiatric inpatient admissions [10], use of community psychiatry services [11, 12], violent behaviour [13–17], suicide [18, 19], or sleep disturbances [20, 21]. However, some studies do show relationships between the lunar cycle various psychiatric phenomena. For example, in a study of 17 healthy individuals Cajochen et al. [22] demonstrated under laboratory conditions that around the full moon, electroencephalogram (EEG) delta activity during non-REM sleep (an indicator of deep sleep) decreased by 30%, time to fall asleep increased by 5 minutes, and EEG-assessed total sleep duration was reduced by 20 minutes. These results presented a possible explanation for morning fatigue associated with a full moon [23]. In a prospective study involving 91 psychiatric inpatients, Calver et al. [4] observed an increase of violent and acute behavioural disturbances during the full moon among patients with severe forms of behavioural disturbance at admission. Another study, focused on gender differences regarding distress phone calls, showed that distress calls by women were more strongly linked to the lunar month than were those by men [24]. Family practitioners have also found a correlation between general practice consultation and the lunar cycle [25]. A large prospective case series of 2281 patients similarly showed an increase in frequency of outpatient psychiatric visits for non-affective psychosis during the full moon [26].

Parmar et al. [5] highlighted the importance of a clear operationalisation of the stages of the lunar cycle for scientific study; in their work, they observed significantly different outcomes regarding psychiatric emergency department presentations during different phases of the moon. Other authors have postulated associations, not only with the full moon, but also different lunar phases, showing sudden changes on the day of the full moon including crisis calls, suicide, and psychiatric admission rates as well as significant differences between the quarter waning and quarter waxing moon, including increases in homicides and crisis calls [27]. The authors presented positive findings regarding the relationship between lunar cycles and psychopathology, violence and admission to psychiatric institutions, highlighting the importance of using a more detailed approach than just the full moon. In addition, they suggest analyses should be stratified by gender and diagnostic categories.

People are overconfident about their attractiveness even at high stakes; do not provide honest face-to-face feedback to less attractive participants; and are more honest when feedback is anonymous

A must lie situation – avoiding giving negative feedback. Uri Gneezy, Christina Gravert, Silvia Saccardo, Franziska Tausche. Games and Economic Behavior, Volume 102, March 2017, Pages 445-454. https://doi.org/10.1016/j.geb.2017.01.008

Highlights
•    We examine under what conditions people provide accurate feedback to others.
•    People are overconfident about their attractiveness even at high stakes.
•    People do not provide honest face-to-face feedback to less attractive participants.
•    People are more honest when feedback is anonymous.

Abstract: We examine under what conditions people provide accurate feedback to others. We use feedback regarding attractiveness, a trait people care about, and for which objective information is hard to obtain. Our results show that people avoid giving accurate face-to-face feedback to less attractive individuals, even if lying in this context comes at a monetary cost to both the person who gives the feedback and the receiver. A substantial increase of these costs does not increase the accuracy of feedback. However, when feedback is provided anonymously, the aversion to giving negative feedback is reduced.

We find statistically significant gaps by race and ethnicity in interest rates, but are exactly offset by differences in discount points; we find no differences in total fees by race or ethnicity

Bhutta, Neil and Hizmo, Aurel, Do Minorities Pay More for Mortgages? (March 14, 2019). SSRN, http://dx.doi.org/10.2139/ssrn.3352876

Abstract: We test for discrimination against minority borrowers in the prices charged by mortgage lenders. We construct a unique dataset of federally-guaranteed loans where we observe all three dimensions of a mortgage’s price: the interest rate, discount points, and fees. While we find statistically significant gaps by race and ethnicity in interest rates, these gaps are exactly offset by differences in discount points. We trace out point-rate price schedules and show that minorities and whites face identical schedules, but sort to different locations on the schedule. Such sorting likely reflects differences in liquidity or preferences, rather than lender steering. Indeed, we also provide evidence that lenders generate the same expected revenue from minorities and whites. Finally, we find no differences in total fees by race or ethnicity.

Keywords: Discrimination, Fair Lending, Mortgage, Points, Interest Rate, FHA, Consumer Protection, High-Cost Mortgage
JEL Classification: G21, G28

Neighborhoods in the Philippines pass anti-gossip ordinances

A Small Town Takes a Stand: It Banned Gossip. James Hookway. Wall Street Journal, April 25, 2019.
Neighborhoods in the Philippines pass anti-gossip ordinances; ‘you’d think people would have something better to do’.
https://www.wsj.com/articles/a-small-town-takes-a-stand-it-banned-gossip-11556204479

A three-hour drive north of the Philippine capital Manila, local leaders have drawn a line in the sand against a swelling tide of scuttlebutt and innuendo.

They outlawed gossip.

In a world awash with fake news and online rumors, more than half a dozen neighborhoods in Binalonan have introduced an anti-gossip ordinance to put an end to too much idle chitchat. Town Mayor Ramon Guico III says the worst time is during the summer, when the scorching heat pushes people to huddle beneath the broad branches of century-old acacia trees, sipping soft drinks or munching on snacks in the shade.

“That’s how it starts,” he complains.

The chin-wagging usually revolves around who might be cheating on their spouse or running up debts. Facebook and messaging apps worsened the problem, but Mr. Guico says the really damaging stuff is gossip— the sort of thing your mother might have warned you about...

The first offense starts with a fine of 500 pesos, or around $10, followed by an embarrassing afternoon spent picking up trash.

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How many times has this happened in history? I bet that hundreds and hundreds.