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cover of episode What Experts Say about ADHD-Tok

What Experts Say about ADHD-Tok

2025/3/21
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Short Wave

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Eric Jarvis
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Michael Long
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Vasilija Karasava
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Vasilija Karasava: 我认为,人们渴望了解自己和自身的经历是人之常情。然而,依赖 TikTok 上的 ADHD 信息进行自我诊断可能弊大于利。许多 TikTok 视频缺乏足够的准确性和细致的解释,可能会导致人们对自身症状产生错误的认知,并阻碍他们寻求专业的医疗帮助。如果人们坚信自己患有 ADHD,仅仅是因为在 TikTok 上看到了相关信息,这可能会导致他们错过诊断和治疗其他潜在问题的机会,例如抑郁症或焦虑症。因此,我建议大家如果对自身的心理健康状况有任何疑虑,都应该寻求专业医生的帮助。 Regina Barber & Burleigh McCoy: 我们研究发现,很多关于 ADHD 的 TikTok 视频的准确性不足。在对一百个最受欢迎的 ADHD 视频进行评估后,我们发现只有不到一半的说法与精神疾病诊断与统计手册 (DSM) 相符。没有一个视频获得了临床医生满分的评价。许多视频缺乏细致的解释,例如,仅仅因为你反复听同一首歌或者忘记回复朋友的短信,并不一定意味着你患有 ADHD。这可能是由多种因素造成的,例如压力、睡眠问题或学习障碍。因此,我们提醒大家,在 TikTok 上获取心理健康信息时,务必谨慎,并寻求专业人士的指导。 Regina Barber & Burleigh McCoy: 我们的研究还发现,即使年轻人对那些不准确的 ADHD 视频评价较低,他们仍然认为视频内容比临床医生评估的更准确。这表明,人们很容易受到 TikTok 上信息的影响,即使这些信息并不准确。此外,我们还发现,观看过多关于心理健康问题的 TikTok 视频,可能会让人们对自身症状感觉更糟。因此,我们建议大家在使用 TikTok 获取信息时,要保持批判性思维,并注意信息的来源和可靠性。

Deep Dive

Chapters
This chapter explores the accuracy of TikTok videos on ADHD. Researchers found that less than half of the claims in popular videos aligned with the DSM, and even those who don't have ADHD rated the videos as more accurate than clinicians did. The potential negative impact on seeking professional help is discussed.
  • Less than half of TikTok ADHD claims aligned with the DSM.
  • Videos lacked nuance; common behaviors aren't exclusive to ADHD.
  • Those with and without ADHD rated videos higher than clinicians.

Shownotes Transcript

Translations:
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Hey Shore Wavers, Regina Barber here. And Burleigh McCoy. With our bi-weekly science news roundup featuring the Mary Louise Kelly of all things considered. Hi, I hear we are going to talk about, among other things, the accuracy of TikTok videos about ADHD.

And how life may have come from little bits of lightning. And why parakeets might be a good model for studying human speech. I feel like there's some kind of joke about bird brains in there, but here we go. All that on this episode of Shortwave, the science podcast from NPR. This message comes from Thrive Market. The food industry is a multi-billion dollar industry, but not everything on the shelf is made with your health in mind.

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Okay, let's tackle them in order, which means we're starting with ADHD, so attention deficit hyperactivity disorder. I mean, I'll start by asking, is that actually a common topic of discussion on TikTok? Yeah, it's super common. So here's just a little sampling of what you might hear. For those of you who have ADHD, who is your favorite? Five less well-known ADHD behaviors with doodles. Let's go.

Number one. ADHD behaviors you didn't know about, part two. Yeah, and researchers wanted to take a closer look at some of these videos to see how accurate they were. And how did they go about doing that?

So they had clinical psychologists rate the 100 most popular ADHD videos at the time on accuracy, and they found less than half of the claims made in these videos aligned with the Diagnostic and Statistical Manual of Mental Disorders, or the DSM. This is a tool that mental health experts use to help diagnose and treat their patients.

Yeah, and none of the videos got a perfect score from clinicians. Many lack nuance, like just because you listen to a song on repeat or you forget to text your friend back does not necessarily mean you have ADHD. It could be a lot of things like stress or sleep issues or a learning disability. Sure. So what is the concern here? Is it that people are going to these videos, going to TikTok, trying to get real information about their mental health and finding stuff that is not necessarily actual real information?

Yeah, well, the researchers also looked at how accurate young adults with and without ADHD perceived these videos to be. And even though they gave the less accurate videos correspondingly lower ratings, they still believed the content in the video was more accurate than the clinicians said it was.

So the researchers published the details this week in the journal PLOS One, and the lead author, Vasilija Karasava, she's from the University of British Columbia, said this can be problematic. They can create tension between the healthcare professionals and the people who come in for help.

She says that if people are adamant they have ADHD based on these videos, it could prevent them from getting the help they need, since these symptoms could be rooted in, say, depression or anxiety. What is the guidance then for people who have been going to TikTok for mental health advice? Well, first she says see a therapist if you can. A lot of times people are going to TikTok because it's easy, free, and it builds community.

She also cautions against watching too much TikTok because her team also found that people who consumed more TikTok are more likely to feel worse about their own symptoms. And she says, check the credentials of the TikTokers who are sharing medical advice. Check the credentials. Excellent advice for all kinds of things. Okay. Yes. Next topic, let's talk about lightning creating life.

Yeah, so a recent study in the journal Science Advances gives new life to like an old hypothesis on how life was created on Earth with a spark of lightning. It's based on the Miller-Urey experiment from the 1950s. In this experiment, Stanley Miller and Harold Urey tried to recreate like a mini version of our atmosphere in a glass bulb.

And this had hydrogen, methane, and ammonia and water vapor. And then they shot sparks into that mixture. And over time, chemical reactions created some of the building blocks of life, like amino acids. But there are problems with this hypothesis. Hmm. Cue moody music. Okay, what are the problems with the hypothesis?

Well, lightning is intermittent and unpredictable. And the atmosphere is really, really big. So all of those new amino acids created could have just dissipated. Okay, so let's bring in the new study. Which way is in here, I'm guessing? Yeah, totally. So scientists at Stanford noticed that when water breaks into droplets...

like the spray of a hose or a crashing wave, those droplets become charged. You get bigger droplets that are positively charged and smaller ones that are negatively charged. And this difference in charge can result in a spark that lead researcher Richard Zare coined as micro-lightning. And you might think, well, everything about water is known. Well, no.

It's never been seen before. So micro lightning is a spin on that old Miller-Urey experiment that demonstrates a kind of lightning could be partially responsible for the beginnings of life. I hear the emphasis on could be partially responsible. Sounds like we still got a ways to go before we get a definitive answer about how life first came to be here on Earth. Yeah, we do want to stress that there are other hypotheses that could have contributed to the origins of life on Earth.

maybe more than micro lightning. Some scientists think asteroid strikes or hydrothermal vents played a role. Plus, nobody knows the exact combo of gases in the early atmosphere. So how life began on Earth is still a very highly debated question. Third item, and I'm not going to lie, I have been looking forward to this one. The final story, why are neuroscientists studying parakeets?

So researchers have been trying to find an animal model they can use to study human speech because millions of Americans have some kind of communication disorder, be it difficulty producing words or planning out sentences in the brain. And a new study in the journal Nature says parakeets, that's type of parrot, could help highlight what happens when these systems break down. I am already learning because I will confess I did not know parakeets were a type of parrot. I am.

Are we talking, I don't know, like Polly want a cracker type stuff? Okay, not quite. The parakeets roamed around these like little arenas doing their usual squawks and chirps like this. And as the parakeets squawked, the scientists recorded the birds' brain activity.

One of the study authors at NYU Langone Health, neuroscientist Michael Long, said one of the big questions was whether a parakeet's brain had any similarities to humans when it came to the production of sound. And the answer resoundingly was it looked more like...

More like the kinds of brain circuits we use. What are the similarities between my brain and a parrot brain? So for the parakeets, there seem to be brain cells that represent different vowel sounds and brain cells that represent different consonant sounds.

Michael compared it to a keyboard. So these keys, or neurons, allow the bird to produce specific vocal sounds. And they were looking at this activity in a cluster of neurons in the parrot brain that connects to motor neurons. And in humans, Michael says, we have a similar structure where different sounds correspond with different parts of these quote-unquote keys.

And they found that the activity in the parrots' brains while they were making sounds was more similar to what happens when humans make sounds than it was to the other bird they looked at, zebra finches. So how useful a model might this be for studying human speech? We talked to a neurogeneticist in the field who wasn't involved in the work, Eric Jarvis. He was excited about the paper and says it helps move us closer to finding the most useful model for human speech and

He did say spoken language exists on a spectrum, though. Spoken language is a continuum. The parrot species they looked at is further along that continuum, closer to humans, than zebra finches are. But it's not like these principles are absent in the zebra finch. Which means future research may find another bird with a brain even more similar to humans. But again, this is a great step toward better understanding human speech.

Mary Louise, thank you so much for having fun with us today. It was a pleasure. Thank you so much for having me. Always fun. You can hear more of Mary Louise Kelly on Consider This, NPR's afternoon podcast about what the news means for you. This episode was produced by Rachel Carlson and Elena Burnett. It was edited by our showrunner, Rebecca Ramirez and Christopher Anteliotta.

Tyler Jones checked the facts. Jimmy Keeley and Hannah Glevna were the audio engineers. I'm Burleigh McCoy. And I'm Regina Barber. Thanks for listening to Shortwave, the science podcast from NPR.

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