Thursday, June 30, 2022

Informal access to medical expertise and services (like being parents of a doctor) is not an important cause of differences in health care use and mortality

Artmann, Elisabeth, Hessel Oosterbeek and Bas van der Klaauw. 2022. "Do Doctors Improve the Health Care of Their Parents? Evidence from Admission Lotteries." American Economic Journal: Applied Economics, 14(3):164-84. DOI: 10.1257/app.20190629

Abstract: To assess the importance of unequal access to medical expertise and services, we estimate the causal effects of having a child who is a doctor on parents' mortality and health care use. We use data from parents of almost 22,000 participants in admission lotteries to medical school in the Netherlands. Our findings indicate that informal access to medical expertise and services is not an important cause of differences in health care use and mortality.


Sleep deprivation led to larger impairments in those with higher fluid intelligence, evident for arithmetic ability, episodic memory, and a trend for spatial working memory

Balter, Leonie J., Tina Sundelin, Benjamin C. Holding, Predrag Petrovic, and John Axelsson. 2022. “Intelligence Predicts Better Cognitive Performance After Normal Sleep but Larger Vulnerability to Sleep Deprivation.” PsyArXiv. June 28. doi:10.31234/osf.io/qenm4

Abstract: It has been proposed that intelligence allows some people to cope better with stress than others. However, whether those with higher intelligence are also more resilient to the cognitive effects of insufficient sleep remains unclear. Participants (N = 182) were randomized to either a normal night of sleep or a night of total sleep deprivation. The Raven's Standard Progressive Matrices Test set E was used to estimate fluid intelligence prior to the experimental night. A sleepiness measure and a cognitive test battery were completed at 22:30h (serving as the baseline session for both groups), and the following day at 08:00h, 12:30h, and 16:30h after sleep manipulation. As per preregistration, sleepiness and measures of arithmetic ability, episodic word memory, simple attention, and spatial working memory were analyzed. At baseline, higher fluid intelligence was associated with fewer errors and faster calculations on the arithmetic test, and fewer episodic memory errors, but was not associated with spatial working memory performance, simple attention, or sleepiness. Sleep deprivation led to larger impairments in those with higher fluid intelligence, evident for arithmetic ability, episodic memory, and a trend for spatial working memory. Fluid intelligence did not predict vulnerability on any of the other tests or sleepiness. These data indicate that fluid intelligence is related to superior higher-order cognitive functioning under optimal sleep condition, but it does not protect against the deleterious cognitive effects of insufficient sleep. Further studies may test whether the cognitive benefits of intelligence are primarily limited to optimal situations.


To receive credit and to create favorable impressions, individuals need to share information about their past accomplishments; claiming credit to demonstrate competence, however, can harm perceptions of warmth and likability

VanEpps, Eric and Hart, Einav and Hart, Einav and Schweitzer, Maurice E., Dual-promotion: Bragging Better by Promoting Peers (June 3, 2022). SSRN: http://dx.doi.org/10.2139/ssrn.4128132

Abstract: To receive credit and to create favorable impressions, individuals need to share information about their past accomplishments. Claiming credit to demonstrate competence, however, can harm perceptions of warmth and likability. In fact, prior work has conceptualized self-promotion as a hydraulic challenge: tactics that boost perceptions along one dimension (e.g., competence) harm perceptions along the other dimensions (e.g., warmth). In this work, we identify a novel approach to self-promotion: We show that by combining other-promotion (promoting others) and self-promotion, which we term “dual-promotion”, individuals can project both warmth and competence to make better impressions on observers. In two pre-registered pilot studies, including annual reports from members of Congress and an interactive lab study, we demonstrate that even when motivated to create a favorable impression, people rely heavily upon self-promotion. Yet across four experiments using workplace and political contexts (N = 1,510, pre-registered), we show that individuals who engage in dual-promotion consistently create more favorable impressions than those who only engage in self-promotion, an effect mediated by enhanced perceptions of both warmth and competence. These benefits also extend to behavioral intentions. In addition, we show that regardless of what colleagues and peers do, dual-promotion creates more favorable impressions than self-promotion, suggesting that sharing credit can be an optimal strategy across a variety of contexts.

Keywords: Self-promotion, Bragging, Credit sharing, Communication strategies, Open science
JEL Classification: D01, D03, D74, D81, D84


Wednesday, June 29, 2022

Reading language of the eyes

Reading language of the eyes. Marina A. Pavlova, Arseny A. Sokolov. Neuroscience & Biobehavioral Reviews, June 25 2022, 104755. https://doi.org/10.1016/j.neubiorev.2022.104755

Highlights

• In neurotypical individuals, RMET scores are tightly correlated with other social cognition skills;

• The RMET assesses recognition of facial affect, but also relies on receptive language comprehension and memory;

• RMET performance is underwritten by the large-scale ensembles of neural networks well-outside the social brain;

• The RMET is limited in its capacity to differentiate between neuropsychiatric conditions as well as between stages and severity of a single disorder;

• Merely gender rather than neurobiological sex impacts performance on the RMET.

Abstract: The need for assessment of social skills in clinical and neurotypical populations has led to the widespread, and still increasing use of the ‘Reading the Mind in the Eyes Test’ (RMET) developed more than two decades ago by Simon Baron-Cohen and colleagues for evaluation of social cognition in autism. By analyzing most recent clinical and brain imaging data, we illuminate a set of factors decisive for using the RMET. Converging evidence indicates: (i) In neurotypical individuals, RMET scores are tightly correlated with other social skills (empathy, emotional intelligence, and body language reading); (ii) The RMET assesses recognition of facial affect, but also heavily relies on receptive language skills, semantic knowledge, and memory; (iii) RMET performance is underwritten by the large-scale ensembles of neural networks well-outside the social brain; (iv) The RMET is limited in its capacity to differentiate between neuropsychiatric conditions as well as between stages and severity of a single disorder, though it reliably distinguishes individuals with altered social cognition or elevated pathological traits from neurotypical persons; (v) Merely gender (as a social construct) rather than neurobiological sex influences performance on the RMET; (vi) RMET scores do not substantially decline in healthy aging, and they are higher with higher education level, cognitive abilities, literacy, and mental well-being; (vii) Accuracy on the RMET, and engagement of the social brain, are greater when emotions are expressed and recognized by individuals with similar cultural/ethnic background. Further research is required to better inform usage of the RMET as a tool for swift and reliable examination of social cognition. In light of comparable visual input from the RMET images and faces covered by masks due to COVID-19 regulations, the analysis is of value for keeping efficient social interaction during the current pandemic, in particular, in professional settings related to social communication.

Keywords: Reading the Mind in the Eyes Test (RMET)visual social cognitionfacial affectsocial brainbrain imagingneuropsychiatrygender and sexclinical studieshealthy aging


Sexual humor was used to distinguish between primary and secondary sexual rewards; the amygdala serves as a reward hub, especially in processing sexual humor appreciation

Differential Neural Substrates for Responding to Monetary, Sexual Humor, and Erotic Rewards. lYu-Chen Chan, Wei-Chin Hsu, Tai-LiChou. Biological Psychology, June 28 2022, 108385. https://doi.org/10.1016/j.biopsycho.2022.108385


Highlights

• Sexual humor was used to distinguish between primary and secondary sexual rewards.

• The amygdala serves as a reward hub, especially in processing sexual humor appreciation.

• Sexual versus monetary rewards have been identified in the OFC along a postero-anterior axis.

• The pOFC-amygdala coupling was found for sexual humor appreciation and erotic pleasure.

• The NAc-midbrain coupling was active for anticipation of monetary rewards.


Abstract: Sexual humor involves neural mechanisms related to both humor and sexual arousal. However, evidence on the role of the amygdala in processing sexual humor is lacking. Unlike erotic stimuli that directly involve a biological drive, sexual humor gains its value through learned associations. Processes related to responding to erotic versus monetary rewards have been identified in the lateral orbitofrontal cortex (lOFC) along a postero-anterior axis, but it is less clear whether these processes are also active during the appreciation of sexual humor. Results showed the processing of sexual humor appreciation in the amygdala. Psychophysiological interaction (PPI) analysis further identified functional connectivity in the amygdala-midbrain coupling during sexual humor versus monetary gains appreciation. The present study provides evidence demonstrating roles for the posterior OFC (pOFC) and anterior OFC (aOFC) in distinguishing between sexual (sexual humor and erotic) and non-sexual (monetary) rewards. The experience of sexual pleasure induced by erotic rewards involves phylogenetically and ontogenetically older regions in the pOFC, while the experience of receiving monetary gains involves the aOFC. This study also provides additional insights into sexual humor appreciation in the pOFC, with findings of a postero-anterior dissociation in the processing of sexual humor appreciation. PPI analysis revealed functional connectivity in the pOFC-amygdala coupling in response to both types of sexual rewards versus monetary rewards. Together, our results suggest that the amygdala serves as a reward hub, especially in processing sexual humor versus monetary gains appreciation. Functional connectivity analysis showed amygdala-midbrain and pOFC-amygdala coupling during the appreciation of sexual humor.


Keywords: fMRIsexual rewardsamygdalaorbitofrontal cortexnucleus accumbens


4. Discussion

Sexual humor involves neural mechanisms related to both humor processing and sexual arousal. The amygdala has been found to play a key role in humor. However, evidence on the role of the amygdala in processing sexual humor is unclear. Many studies have focused on humor appreciation using cartoon stimuli (Bartolo et al., 2006Goel and Dolan, 2001Goel and Dolan, 2007Mobbs et al., 2003Samson et al., 2008Samson et al., 2009Wild et al., 2006). Humor does more than just make people laugh; it can serve numerous social functions as a ‘social glue’ (Bartolo et al., 2021Chan et al., 2016Goel and Dolan, 2007). However, few studies have made use of humor as a social reward (Chan et al., 2018a).

In this study, sexual humor was used as a reward to make it possible to distinguish between sexual humor and non-humor rewards (erotic and monetary). A large body of research has shown that the amygdala plays a core role in humor appreciation (Chan et al., 2012Chan et al., 2013Mobbs et al., 2003Vrticka et al., 2013). However, empirical evidence on the role of the amygdala in processing sexual humor is lacking. As predicted, our results show that sexual humor rewards involve the bilateral amygdala during the experience of amusement (Fig. 3). The amygdala showed differentially greater activation to sexual humor rewards. This is consistent with a view in which the amygdala plays a crucial role in the ‘hedonic brain’ during the appreciation of humor rewards (Chan et al., 2018a). Based on the salience theory of humor (Ruch & Hehl, 1988), the amygdala, part of the ventral salience network (SN), may be involved in focusing attention on salient sexual and humor stimuli and then integrating cognitive and affective information related to the stimuli (Beaty et al., 2015Beaty et al., 2019Beaty et al., 2021Menon and Uddin, 2010).

The first aim of this study was to investigate reward-related brain activity during the consumption of sexual humor and non-humor (erotic and monetary) rewards. The segregated response to sexual humor versus erotic outcomes (HO > EO) in the left amygdala suggests a functional division in the experience of humor-related amusement, perhaps related to hedonic value representation during humor appreciation. Sexual humor involves sexual arousal and humor appreciation (Chapman and Gadfield, 1976Ruch and Hehl, 1988), while erotic stimuli involve primarily sexual arousal (Sescousse et al., 2010). Therefore, compared to the consumption of erotic rewards, the amygdala plays a core role in “humor appreciation” during the consumption of sexual humor rewards. This is consistent with previous findings that the amygdala contributes to humor appreciation (Chan, in pressChan et al., 2012Chan et al., 2013Farkas et al., 2021Mobbs et al., 2003Vrticka et al., 2013). Additionally, the segregated responses to sexual humor appreciation versus monetary gains (HO > MO) in the bilateral amygdala suggest a role for reward-specific regions in the experience of amusement related to sexual humor. Together, our results support a key role for the amygdala in the hedonic enjoyment of sexual humor.

Psychophysiological interaction (PPI) analysis further revealed amygdala-midbrain coupling and amygdala-ACC coupling in response to sexual humor appreciation when compared with the response to the non-reward baseline (HO > NO). The amygdala seed of the salience network showed positive correlations with another salience network (the ACC and midbrain). The results are consistent with the Freudian theory of humor and sexual arousal. Sexual humor appears to be funnier (Chan et al., 2016). The contrast between erotic rewards and sexual humor rewards (EO > HO) suggests increased biological drive supported by the functional coupling of the NAc-ACC (Fig. 5). Additionally, the contrast between sexual humor rewards and monetary rewards (HO > MO) revealed increased sexual arousal and amusement in the amygdala-midbrain coupling. The results of the present study are consistent with previous findings on amygdala-midbrain coupling for the consumption of humor versus monetary rewards (HO > MO) (Chan et al., 2018a). In sum, the appreciation of sexual humor rewards elicited sexual arousal and amusement via amygdala-midbrain connectivity.

The second aim of this study was to investigate reward-related brain activity during the consumption of sexual (sexual humor and erotic) and non-sexual (monetary) rewards. In this study, sexual humor and erotic stimuli were used as sexual rewards to make it possible to distinguish between sexual and non-sexual rewards. The lOFC is known to play a key role in encoding reward-related value, memory, and semantic processing (Sescousse et al., 2010Zald et al., 2014). Previous studies have shown that reward value processing during the consumption of erotic versus monetary rewards in the lateral OFC (lOFC) occurs along a postero-anterior axis (Li et al., 2015Sescousse et al., 2013). In the outcome phase, the processing of erotic pleasure has been found in phylogenetically and ontogenetically older parts of the posterior lOFC (pOFC, MNI (x y z), -30, 33, -15), while the processing of monetary gains has been found in phylogenetically more recent parts of the anterior lOFC (aOFC, -30, 51, 0) (Sescousse et al., 2010). The present study further used sexual humor rewards and found that the processing of reward value coding in the outcome phase for sexual humor appreciation versus monetary gains can be identified in the posterior lOFC (pOFC).

Visual sexual stimuli as rewards may trigger autonomic sexual arousal for humans (Putkinen et al., 2022). As predicted, processing related to hedonic experiences by reward-specific brain networks along a postero-anterior axis appears to be what is reflected in value-related lOFC activity during the outcome phase (Fig. 4). The pleasure of sexual arousal (in response to both sexual humor and erotic stimuli) revealed increased activation in the posterior part of the lOFC (pOFC), while processing for monetary gains showed increased activation in the anterior part of the lOFC (aOFC). In term of sexual rewards, sexual humor appreciation versus monetary gains (HO > MO) specifically recruited activation in the bilateral pOFC (MNI = -42, 28, -8 and MNI = 34, 30, -16), while erotic pleasure versus monetary gains (EO > MO) elicited activation in the left pOFC (-28, 30, -12). In term of non-sexual rewards, monetary versus sexual humor rewards (MO > HO) elicited greater activation in the aOFC (34, 54, -4); monetary versus erotic rewards (MO > EO) similarly elicited more aOFC activation (34, 54, -2). The postero-anterior distinction of the lOFC was shown. The more complex or abstract rewards (e.g., monetary gain or loss) showed increased activation in the aOFC, while less complex rewards (e.g., erotic or taste stimuli) showed increased activation in the pOFC (Kringelbach, 2005Kringelbach and Rolls, 2004).

Previous studies have used happy faces (Spreckelmeyer et al., 2009), social feedback (e.g., praise or compliments) (Fussner et al., 2018), social decision making (Izuma et al., 2008), and affective touch (Korb et al., 2020) as social rewards. Humor is another type of reward that plays an important role in social relations (Chan et al., 2018a). The present study used sexual humor as a social reward. The results of the present study identified a role in sexual humor appreciation for the pOFC during the outcome phase. In contrast, previous studies have shown processing of social rewards in a similar aOFC region (Izuma et al., 2008). A possible interpretation for the results of the present study is that sexual humor rewards involve both sexual arousal and humor appreciation. This may be consistent with previous findings that the pOFC contributes to the experience of sexual arousal related to erotic rewards (Sescousse et al., 2010). Sescousse et al.’s study showed increased activation for monetary gains versus erotic pleasure in the left aOFC (-30, 51, 0) during the outcome phase (Sescousse et al., 2010). However, the present study showed activation for both monetary gains versus erotic rewards (MO > EO) and monetary gains versus sexual humor rewards (MO > HO) in the bilateral aOFC, especially increased activation in the right aOFC (MNI = 34, 54, -4 and MNI = 34, 54, -2). Future studies might further examine the neural mechanisms related to processing monetary gains in the left or right aOFC with different types of rewards.

Another interesting question relates to how to interpret differences in functional connectivity between sexual reward conditions. Our PPI analysis demonstrated the functional connectivity of the pOFC (-42, 28, -8) as a seed, showing pOFC-amygdala, pOFC-NAc, and pOFC-ACC couplings in response to sexual humor appreciation versus monetary gains (HO > MO) during the outcome phase, while the functional connectivity of the pOFC (-28, 30, -12) as a seed showed pOFC-amygdala and pOFC-ACC couplings in response to erotic pleasure versus monetary gains (EO > MO) during the outcome phase (Fig. 6). Taken together, it appears that sexual rewards elicit sexual pleasure via pOFC-amygdala and pOFC-ACC connectivity.

Our findings implicate the pOFC in sexual pleasure related to both sexual humor and erotic stimuli. Also, the hypothalamus, which plays a core role in human sexual motivation and pleasure, is known to be particularly sensitive to the presentation of visual erotic stimuli (Sescousse et al., 2013). In our study, the erotic versus monetary rewards conditions (EO > MO) revealed greater activation in the hypothalamus (-8, -6, -4) during the outcome or consumption phase. This is consistent with previous studies on sexual arousal and sexual pleasure (Karama et al., 2002Sescousse et al., 2013).

Finally, the third aim of this study was to investigate reward-related brain activity during monetary and non-monetary (sexual humor and erotic stimuli) motivation. The present study investigated neural mechanisms for cue-triggered motivation during the anticipation phase. We used a range of monetary rewards (10 to 12 New Taiwan Dollars) for successfully completed trials and showed cumulative earnings at the end of each monetary reward trial, in order to provide immediate feedback (as in the tasks with other reward types). During the anticipation phase, as predicted, we found the most prominent modulation in response to monetary cues, indicating the NAc’s role as a ‘monetary incentive center’ (Fig. 2; Chan et al., 2018a; Knutson et al., 2001a). The present study provided additional support related to the role of the NAc in motivating responses to monetary incentives in the anticipation of monetary rewards versus sexual humor rewards (MA > HA) and monetary rewards versus erotic rewards (MA > EA). 

In termites: Ancestral sex-role plasticity facilitates the evolution of same-sex sexual behaviour

Ancestral sex-role plasticity facilitates the evolution of same-sex sexual behaviour. Nobuaki Mizumoto, Thomas Bourguignon, Nathan W. Bailey. bioRxiv Jun 22 2022. https://doi.org/10.1101/2022.06.20.496918

Abstract: Recent attempts to explain the evolutionary prevalence of same-sex sexual behaviour (SSB) have focused on the role of indiscriminate mating. However, in many cases, SSB involves plastically adjusting sex roles to achieve successful courtship or pairing. To evaluate this overlooked factor, we tested whether ancestral sex-role plasticity facilitated the evolution of SSB in the termite Reticulitermes speratus. Male termites follow females in paired tandems before mating, and movement patterns are sexually dimorphic. Adaptive same-sex tandems occur in both sexes. We show that in such cases, one partner adopts the other sexs movement patterns, resulting in behavioural dimorphism. Data-based simulations confirmed that this socially-cued plasticity contributes to pair maintenance because dimorphic movements improve reunion success upon accidental separation. Phylogenetic analysis indicated that the ancestors of modern termites lack consistent sex roles during pairing, indicating that R. speratus inherited the plasticity from the ancestor. Socio-environmental induction of ancestral behavioural potential may be of widespread importance to the evolutionary maintenance of SSB.

Tuesday, June 28, 2022

The replication supports the claim that it is possible to plant a false memory of a childhood event

Murphy, Gillian, Caroline Dawson, Lisa Ballantyne, Liz Barrett, Conor Cowman, Christopher Fitzsimons, Charlotte Huston, et al. 2022. “Lost in the Mall Again: A Preregistered Direct Replication of Loftus & Pickrell (1995).” PsyArXiv. June 28. doi:10.31234/osf.io/nh3zq

Abstract: The seminal Lost in the Mall study (Loftus & Pickrell, 1995) has been enormously influential in psychology and is still cited in many legal cases. The current study directly replicated this paper, addressing key methodological weaknesses including increasing the sample size and preregistering detailed analysis plans. Participants (N = 123) completed a survey and two interviews where they discussed real and fabricated childhood events, based on information provided by an older relative. We replicated the findings of the original study, with 35% of participants reporting a false memory for getting lost in a mall as a child (compared to 25% in the original study). However, using a novel self-report measure, just 14% of participants declared that they remembered the fake event occurring, with a further 52% stating that they believed the fake event had occurred. The replication supports the claim that it is possible to plant a false memory of a childhood event.


Participants for whom religion was “not at all important” in their lives had a tenfold risk of developing Parkinson's disease (vs. very important); plus there was a dose–response relationship between decreasing religiosity & more PD risk

Religiosity and Risk of Parkinson’s Disease in England and the USA. Abidemi I. Otaiku. Journal of Religion and Health, Jun 28 2022. https://rd.springer.com/article/10.1007/s10943-022-01603-8

Abstract: Parkinson’s disease (PD) is associated with low religiosity cross-sectionally. Whether low religiosity might be associated with an increased risk for developing PD is unknown. This study investigated whether low religiosity in adulthood is associated with increased risk for developing PD. A population-based prospective cohort study was conducted. Participants from the English Longitudinal Study of Aging and the Midlife in the United States study who were free from PD at baseline (2004–2011) and completed questionnaires on self-reported religiosity, were included in a pooled analysis. Incident PD was based on self-report. Multivariable logistic regression was used to estimate odds ratios (OR) for developing PD according to baseline religiosity, with adjustment for sociodemographic characteristics, health and lifestyle factors and engagement in religious practices. Among 9,796 participants in the pooled dataset, 74 (0.8%) cases of incident PD were identified during a median follow-up of 8.1 years. In the fully adjusted model, compared with participants who considered religion very important in their lives at baseline, it was found that participants who considered religion “not at all important” in their lives had a tenfold risk of developing PD during follow-up (OR, 9.99; 95% CI 3.28–30.36). Moreover, there was a dose–response relationship between decreasing religiosity and increasing PD risk (P < 0.001 for trend). These associations were similar when adjusting for religious upbringing and when cases occurring within the first two years of follow-up were excluded from the analysis. The association was somewhat attenuated when religious practices were removed from the model as covariates, though it remained statistically significant (OR for “not at all important” vs. “very important”, 2.26; 95% CI 1.03–4.95) (P < 0.029 for trend). This longitudinal study provides evidence for the first time that low religiosity in adulthood may be a strong risk factor for developing PD.

Discussion

Using prospective data from two population-based cohort studies in England and the USA, the current study shows for the first time that low religiosity in adulthood may be associated with an increased risk for developing PD, accounting for a wide range of potential confounders.

The findings of this longitudinal study are consistent with previous cross-sectional studies, which showed a robust association between PD and low religiosity (Boussac et al., 2021; Butler et al., 2010; Butler et al., 2011; Giaquinto et al., 2011; Kéri & Kelemen, 2016; McNamara et al., 2006; Pham et al., 2021), case-reports showing improvement of parkinsonism after intense religious experiences (Moreno & de Yebenes, 2009) and theoretical work, that has offered biologically plausible mechanisms by which religiosity could confer neuroprotection in PD (Yulug et al., 2015). The results are also in keeping with a recent neuroimaging study (Ferguson et al., 2022), which showed that brain lesions causing parkinsonism, intersect brain regions associated with religiosity.

It is noteworthy that participants who considered spirituality very important in their lives but not religion, had a higher risk for developing PD than participants who considered religion very important, and also participants who considered neither spirituality nor religion very important. This finding is consistent with an earlier study, which showed that individuals with PD, though less likely to have religious beliefs than matched controls, are on the other hand more likely than controls to have spiritual beliefs (Giaquinto et al., 2011). As such, this study corroborates previous research which suggests that individuals who have a spiritual understanding of life in the absence of a religious framework, may be more vulnerable to developing neuropsychiatric disorders (King et al., 2013; Vitorino et al., 2018).

These results are also in agreement with previous studies, which found higher religiosity to be associated with lower risk of developing a wide range of physical (Ahrenfeldt et al., 20172019; Li et al., 2016), mental (Edlund et al., 2010; Miller et al., 2012; Opsahl et al., 2019) and cognitive disorders (Lin et al., 2015). However, the magnitude of the association found in this study is considerably higher than for any physical health condition previously reported, and therefore requires explanation. A recent study identified that individuals with high self-reported intrinsic religiosity may have significantly higher levels of brain-derived neurotrophic factor (BDNF) than individuals with low self-reported intrinsic religiosity (Mosqueiro et al., 2019). Given that BDNF has been shown to enhance the survival of dopaminergic neurons in animal models of PD (Palasz et al., 2020) and BDNF levels are significantly reduced in patients diagnosed with PD (Jiang et al., 2019), it is plausible that differences in BDNF levels among healthy adults with different levels of religiosity, could partially explain the dose–response relationship with PD risk observed in this study. In addition, there is accumulating evidence that dopaminergic pathways play a central role in mediating religious experience (Previc, 2006; van Elk & Aleman., 2017). A recent SPECT study found significant changes in dopamine transporter binding in the basal ganglia after attendance at a one-week Christian retreat (Newberg et al., 2018). Earlier studies showed increased dopamine release in the ventral striatum during certain forms of meditation (Kjaer, et al., 2002) and increased blood flow to the caudate nucleus during silent religious prayer (Schjødt et al., 2008). These studies suggest that habitual engagement in religious activities could modify dopamine levels in brain regions linked to PD pathology. Therefore, given strong preclinical evidence that enhancing dopamine neurotransmission with dopamine agonists confers neuroprotection in PD (Schapira & Olanow, 2003); it is plausible that individuals with higher religiosity, also have higher midbrain dopamine levels, and consequently have more protection against developing PD.

It is important to note however, that these results do not necessarily imply that religious participation should now be promoted by public health agencies as a preventative measure for PD; given that people’s religious beliefs and commitments are highly personal, and are not usually arrived at based on health concerns. Moreover, further studies are still required to confirm the exact biological mechanisms linking lower religiosity and PD.

Also, seemingly in contrast to the present findings, previous studies have repeatedly shown that clergy and religious workers—who are presumably high in religiosity—have a higher risk for developing PD compared to adults in the general population (Park et al., 2005; Schulte et al., 1996; Tanner et al., 2009). Although, this association is attenuated when the total number of years having worked in a religious occupation is adjusted for (Tanner et al., 2009). The most parsimonious explanation for this observation, would be that the increased risk for PD is confined to individuals with a religious occupation who subsequently experience a decline in religiosity. However, this suggestion is speculative and future studies will be required to confirm this hypothesis.

In addition, future studies are warranted to determine which aspects of religiosity are most associated with the risk of PD, especially given the striking change in the estimates when religious practices (particularly religious service attendance) were included as covariates in this analysis. On the surface, this would seem to imply that religious practices were harmful, i.e., participants with higher religiosity had a lower risk of developing PD despite engaging in more frequent religious practices. However, this would contradict the previously mentioned literature which seems to suggest that religious practices might be protective. Alternatively, it is possible that participants who engaged in more frequent religious practices, but considered religion relatively unimportant in their daily lives, may have exhibited low intrinsic religiosity—but high extrinsic religiosity. If so, it may be the case that having high extrinsic religiosity in the presence of low intrinsic religiosity, is an even stronger risk factor for developing PD than having consistently low religiosity (i.e., low intrinsic and extrinsic religiosity). Accordingly, adjusting for religious practices might have made the association more apparent—by isolating the effects of intrinsic religiosity on PD. Intriguingly, this theory may be in line with a recent cross-sectional study, which showed that newly diagnosed people with PD had lower intrinsic religiosity than age-and sex- matched healthy controls, despite the two groups being similar for frequency of religious practices (Kéri & Kelemen, 2016). Thus, if this theory is confirmed to be true, this might further explain why some clergy and religious workers are at higher risk of developing PD.

Strengths and Limitations

This study has several strengths, including the prospective design, long follow-up period, use of two large and well-documented population-representative cohorts, inclusion of a wide range of potential confounders, measurement of religiosity at two different time periods in two different continents and employment of a variety of sensitivity analyses. Furthermore, the participants were not selected on the basis of religiosity or PD diagnosis. Several limitations also warrant discussion. Following previous published studies (Kamel et al., 2007; Leng et al., 20182020) this study relied on self-reporting to determine incident PD and therefore may have missed or misclassified some cases. Second, the small number of cases within each level of religiosity led to wide confidence intervals. It is also difficult to fully exclude the possibility of reverse causality, as low religiosity might be an early sign of undiagnosed PD, rather than a risk factor for developing PD (given that PD often has a long latency from motor symptom onset to diagnosis) (Breen et al., 2013). However, the long follow-up period coupled with the findings from the 2-year time lag analysis, suggest that low religiosity preceded the development of clinical PD. This would also be consistent with a recent longitudinal study, which showed that PD does not cause religiosity to decline (Redfern et al., 2020). Moreover, the analysis using 10-year changes in religiosity showed that becoming more religious over time reduced the subsequent risk of developing PD, which implies that low religiosity may cause PD. Previous studies have shown that PD patients with symptoms beginning on the left-side of their body, are less religious on average than PD patients whose symptoms begin on their right-side (Butler et al., 2011; Giaquinto et al., 2011). As information on PD characteristics were not available in this study, it was not possible to confirm whether individuals with low religiosity were more likely to develop left-onset PD. Finally, the findings from this study might not be generalizable to predominantly non-Christian populations (Lin et al., 2015).

If I Could Do It, So Can They: Among the Rich, Those With Humbler Origins are Less Sensitive to the Difficulties of the Poor

If I Could Do It, So Can They: Among the Rich, Those With Humbler Origins are Less Sensitive to the Difficulties of the Poor. Hyunjin J. Koo, Paul K. Piff, Azim F. Shariff. Social Psychological and Personality Science, June 27, 2022. https://doi.org/10.1177/19485506221098921

Abstract: Americans venerate rags-to-riches stories. Here we show that people view those who became rich more positively than those born rich and expect the Became Rich to be more sympathetic toward social welfare (Studies 1a and b). However, we also find that these intuitions are misguided. Surveys of wealthy individuals (Studies 2a and b) reveal that, compared with the Born Rich, the Became Rich perceive improving one’s socioeconomic conditions as less difficult, which, in turn, predicts less empathy for the poor, less perceived sacrifices by the poor, more internal attributions for poverty, and less support for redistribution. Corroborating this, imagining having experienced upward mobility (vs. beginning and staying at the top) causes people to view such mobility as less difficult, reducing empathy and support for those failing to move up (Study 3). These findings suggest that becoming rich may shift views about the poor in ways that run counter to common intuitions and cultural assumptions.

Keywords: rich, social mobility, socioeconomic status, attitudes toward the poor, redistribution

Across five preregistered studies, we found that people expect the Became Rich to hold more sympathetic attitudes toward the poor than the Born Rich (Studies 1a and b). However, our subsequent studies showed these intuitions to be misguided. In reality, the Became Rich thought it less difficult to improve one’s socioeconomic conditions than the Born Rich, views that were negatively linked to redistribution support and various sympathetic attitudes toward the poor (Studies 2a and b). Corroborating this, those induced to feel that they had moved up within an organization (vs. having a stationary high position) thought it less difficult to improve one’s position in the company, which in turn predicted reduced sympathetic attitudes toward others struggling to move up (Study 3). Contrary to lay expectations, people who have successfully achieved upward social mobility may, in fact, be less sensitive to the plight of the poor than those born into privilege.

The current study has several limitations that call for future investigation. First, we cannot definitively draw the conclusion that it is the experience of upward mobility itself that causes shifts in perceptions of difficulty. Although Study 3 is supportive of the possibility, experiencing upward mobility in the workplace may not be the same as experiencing upward mobility in real life—the latter may involve longer time periods and multiple pathways (e.g., own effort, personal connections, luck, and marriage). It will be important to more directly test our findings in future studies by using, for instance, longitudinal approaches to confirm the effect of experienced upward mobility on attitudes toward social welfare. Second, although we targeted rich individuals in the United States, online survey samples do not typically include multimillionaires and billionaires. Revisiting our findings among the super wealthy would be an important next step, given the sociopolitical influence they wield. Third, our methods included information-sparse descriptions of our targets, but in reality, people are identified with specific races and genders (Hester & Gray, 2020). Our results may vary as a function of whether the race or gender, alongside class, of the target is made salient as well as the demographics of the perceivers (Craig & Richeson, 2014). Finally, there could be factors—beyond perceived hard work—that may influence how people view wealthy individuals. For instance, positive perceptions of wealthy targets may be attenuated when wealth is perceived as less deserved, for example via means perceived to be due to luck or unethicality.

The current study has certain methodological limitations. For example, we used several single-item self-report measures to capture our core constructs, and it will be important to extend our findings using more multifaceted and behavioral measures (e.g., Piff, Wiwad et al., 2020). Furthermore, it is important to note that our samples were exclusively made up of Americans. Given the uniquely powerful place that mobility plays in the ethos of the American Dream (Kluegel & Smith, 2017), there is reason to believe that the effects found in our studies may be weaker in other countries. Future studies can explore how universal or culturally contingent our effects are.

Our findings can contribute to the literature in several ways. Prior work finds that social mobility beliefs influence various political and economic attitudes (e.g., redistribution and economic inequality; Alesina et al., 2018Shariff et al., 2016). However, little is known about how individuals’ own social mobility experience can impact their worldviews (Gugushvili, 2016b)—a question made all the more imperative, given the prevalence of social mobility in many modern societies (World Economic Forum, 2020). Here we show that in the United States, for those who are rich, having experienced upward mobility can lead to viewing upward mobility as less difficult, which in turn, shapes attitudes toward those struggling in society. Future studies should extend these results by exploring how other types of mobility experiences (e.g., downward, no mobility) influence people’s beliefs about the social realm.

Previous research has shown a disconnect between people’s perceptions and socioeconomic realities (e.g., the level of income inequality and chances for upward social mobility; Davidai & Gilovich, 2015Norton & Ariely, 2011). Here we show that people may also view individuals who have become rich as more sympathetic than they actually are. It will be important to explore the social and political ramifications of these misperceptions. For example, are the Became Rich viewed as being more charitable, favored more for political office, or forgiven more for their transgressions?

Finally, there is emerging literature on how SES shapes beliefs, attitudes, and emotions (Piff et al., 2018), and how people view various SES groups in society (Fiske et al., 2002Wu et al., 2018). However, much of this work conceptualizes SES as relatively static over the life course. Our work contributes to a growing call in the field to conceptualize SES as dynamic and changing (see Côté et al., 2021). Movements up or down the socioeconomic hierarchy shape attitudes in ways that simple assessments of current class will miss. Ultimately, people’s social views are not only shaped by their current class position but also by the confluence of life forces that led them there.