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Surprising 16-year-long ADHD study reveals opposite of what researchers expected

The findings shed new light on how we might one day understand and manage ADHD.

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There's still so much to learn.

Our understanding of ADHD has come a long way in just a few short years. Though it wasn't even formally recognized as a medical condition until the 1960s, by the time the 90s rolled around, diagnoses and stimulant prescriptions were extremely prevalent. Today, diagnoses and treatment are a lot more thoughtful and individualized, and there are more options for treatment and therapy. Even with all these advancements, though, we still have more to learn.

A new long-term study published in the Journal of Clinical Psychiatry has proven to be an excellent next step in getting a better understanding of the disorder.

Researchers studied 483 participants who were diagnosed with ADHD in childhood and continued to assess them for a period of 16 years. The study's authors wanted to get a sense of how ADHD symptoms might change over time.

What the researchers found surprised them. In most participants, symptoms of ADHD fluctuated greatly over the years. What surprised them even more were the environmental factors that seemed to play a role in those fluctuations.


a close up of a human brain on a white backgroundUnderstanding our brains is an ongoing process. Photo by BUDDHI Kumar SHRESTHA on Unsplash

Researchers expected that greater life demands—like more responsibility at work, a heavier workload at school, major life changes, etc.—would exacerbate ADHD symptoms. What they found was the opposite.

It makes sense that a person that struggles with inattention or hyperactivity might have more trouble focusing when they have more "going on" and more distractions to pull them in different directions. It was a huge surprise to the researchers that, actually, people's ADHD symptoms seemed to ease up when life got hectic.

“We expected the relationship between environmental demands and ADHD symptoms to be the opposite of what we found,” study author, professor, and clinical psychologist Margaret H. Sibley explained. “We hypothesized that when life demands and responsibilities increased, this might exacerbate people’s ADHD, making it more severe. In fact, it was the opposite. The higher the demands and responsibilities one was experiencing, the milder their ADHD.”

I have a 4-year-old with ADHD and the findings totally track for me.

We find it's actually easier to be in perpetual motion sometimes—out running errands, doing activities, visiting friends and family—versus staying put too long. When we're just relaxing at home, that's when she tends to start bouncing off the walls!

Doing nothing or doing very little is not often a restful state for people with ADHD. Typically, people with ADHD experience more background noise than neurotypical brains—so a quiet, seemingly restful environment can sometimes amplify racing thoughts, negative self-talk, and impulsive behavior versus dampening it. Of course, as always in science, you have to be careful assuming causation from the findings.

a boy doing schoolwork at wooden deskQuiet can make it hard to focus. Annie Spratt/Unsplash

It's important to note that the results of the study don't definitively prove that being busy causes a decrease in ADHD symptoms. “This might mean that people with ADHD perform their best in more demanding environments (perhaps environments that have stronger immediate consequences, like needing to put food on the table for a family or pay rent monthly). It also might mean that people with ADHD take more on their plate when their symptoms are relatively at bay," Sibley says. Either way, the correlation is certainly strong and worthy of more study.

In the meantime, the study's authors think the results could be viewed in a hopeful light for people just learning to manage their ADHD. “If you’re a doctor talking with a patient who is first getting diagnosed with ADHD, it’s a huge help for that person to hear the message that, ‘You’re going to have good years and not-so-good years, but things can go really well for you if you can get the right factors in place,'” Sibley said.

We're learning more and more about what those factors are—what might exacerbate symptoms and what types of things can help—and we're starting to get a clearer picture of how people can manage this challenging disorder.


This article originally appeared last year.

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A juice company dumped orange peels in a national park. Here's what it looks like now.

12,000 tons of food waste and 21 years later, this forest looks totally different.

In 1997, ecologists Daniel Janzen and Winnie Hallwachs approached an orange juice company in Costa Rica with an off-the-wall idea. In exchange for donating a portion of unspoiled, forested land to the Área de Conservación Guanacaste — a nature preserve in the country's northwest — the park would allow the company to dump its discarded orange peels and pulp, free of charge, in a heavily grazed, largely deforested area nearby.

One year later, one thousand trucks poured into the national park, offloading over 12,000 metric tons of sticky, mealy, orange compost onto the worn-out plot. The site was left untouched and largely unexamined for over a decade. A sign was placed to ensure future researchers could locate and study it.


16 years later, Janzen dispatched graduate student Timothy Treuer to look for the site where the food waste was dumped.

Treuer initially set out to locate the large placard that marked the plot — and failed.

The first deposit of orange peels in 1996.

Photo by Dan Janzen.

"It's a huge sign, bright yellow lettering. We should have been able to see it," Treuer says. After wandering around for half an hour with no luck, he consulted Janzen, who gave him more detailed instructions on how to find the plot.

When he returned a week later and confirmed he was in the right place, Treuer was floored. Compared to the adjacent barren former pastureland, the site of the food waste deposit was "like night and day."

The site of the orange peel deposit (L) and adjacent pastureland (R).

Photo by Leland Werden.

"It was just hard to believe that the only difference between the two areas was a bunch of orange peels. They look like completely different ecosystems," he explains.

The area was so thick with vegetation he still could not find the sign.

Treuer and a team of researchers from Princeton University studied the site over the course of the following three years.

The results, published in the journal "Restoration Ecology," highlight just how completely the discarded fruit parts assisted the area's turnaround.

The ecologists measured various qualities of the site against an area of former pastureland immediately across the access road used to dump the orange peels two decades prior. Compared to the adjacent plot, which was dominated by a single species of tree, the site of the orange peel deposit featured two dozen species of vegetation, most thriving.

Lab technician Erik Schilling explores the newly overgrown orange peel plot.

Photo by Tim Treuer.

In addition to greater biodiversity, richer soil, and a better-developed canopy, researchers discovered a tayra (a dog-sized weasel) and a giant fig tree three feet in diameter, on the plot.

"You could have had 20 people climbing in that tree at once and it would have supported the weight no problem," says Jon Choi, co-author of the paper, who conducted much of the soil analysis. "That thing was massive."

Recent evidence suggests that secondary tropical forests — those that grow after the original inhabitants are torn down — are essential to helping slow climate change.

In a 2016 study published in Nature, researchers found that such forests absorb and store atmospheric carbon at roughly 11 times the rate of old-growth forests.

Treuer believes better management of discarded produce — like orange peels — could be key to helping these forests regrow.

In many parts of the world, rates of deforestation are increasing dramatically, sapping local soil of much-needed nutrients and, with them, the ability of ecosystems to restore themselves.

Meanwhile, much of the world is awash in nutrient-rich food waste. In the United States, up to half of all produce in the United States is discarded. Most currently ends up in landfills.

The site after a deposit of orange peels in 1998.

Photo by Dan Janzen.

"We don't want companies to go out there will-nilly just dumping their waste all over the place, but if it's scientifically driven and restorationists are involved in addition to companies, this is something I think has really high potential," Treuer says.

The next step, he believes, is to examine whether other ecosystems — dry forests, cloud forests, tropical savannas — react the same way to similar deposits.

Two years after his initial survey, Treuer returned to once again try to locate the sign marking the site.

Since his first scouting mission in 2013, Treuer had visited the plot more than 15 times. Choi had visited more than 50. Neither had spotted the original sign.

In 2015, when Treuer, with the help of the paper's senior author, David Wilcove, and Princeton Professor Rob Pringle, finally found it under a thicket of vines, the scope of the area's transformation became truly clear.

The sign after clearing away the vines.

Photo by Tim Treuer.

"It's a big honking sign," Choi emphasizes.

19 years of waiting with crossed fingers had buried it, thanks to two scientists, a flash of inspiration, and the rind of an unassuming fruit.


This article originally appeared eight years ago.

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Americans see gardening changes as 'plant hardiness zones' shift across half the U.S.

Here's a quick tool to find out if your zone has changed due to warmer temperatures.

Photo by Jonathan Kemper on Unsplash, Map by USDA-ARS and Oregon State University (Public Domain)

The USDA has issued a new Plant Hardiness Zone Map

Millions of American households have a garden of some sort, whether they grow vegetables, fruits, flowers, or other plants. Gardening has always been a popular hobby, but more Americans turned to tending plants during the height of the COVID-19 pandemic for both stress relief and to grow their own food so they could make less trips to the store. For many people, it's a seasonal ritual that's therapeutic and rewarding.

But a shift is occurring in the gardening world. Now, due to rising temperature data, half the country find themselves in a different "plant hardiness zone"—the zones that indicate what plants work well in an area and when to plant them. Gardeners rely on knowing their hardiness zone to determine what to plant and when, but they haven't been updated since 2012.

The U.S. Department of Agriculture updated its Plant Hardiness Zone Map in late 2023, months before people in most of the country start planning their planting. We saw the 10 hottest summers ever recorded in 174 years of climate data between 2014 and 2023, but hardiness zones are actually determined by the coldest winter temperatures each year. Winters are warming at an even faster pace than summers, according to nonpartisan research and communications group Climate Central, but that may or may not be the entire reason behind the zone changes.

The USDA acknowledges that some of the zone shifts could be due to climate change but cautions against using them as hard evidence for it since factors such as improved data collection also contribute to changes in the map.

people planting flowers

Gardening can be a solo or community endeavor.

Photo by Kenny Eliason on Unsplash

"Temperature updates to plant hardiness zones are not necessarily reflective of global climate change because of the highly variable nature of the extreme minimum temperature of the year, as well as the use of increasingly sophisticated mapping methods and the inclusion of data from more weather stations," the USDA wrote in November 2023. "Consequently, map developers involved in the project cautioned against attributing temperature updates made to some zones as reliable and accurate indicators of global climate change (which is usually based on trends in overall average temperatures recorded over long time periods)."

At the same time, Chris Daly, director of the PRISM Climate Group at Oregon State University who developed the map with the USDA, told NPR, "Over the long run, we will expect to see a slow shifting northward of zones as climate change takes hold."

As an example of zone shifting, Dallas, Texas, was classified as Zone 8a in 2012, when data showed the coldest winter temperature in the city was between 10 and 15 degrees Fahrenheit on average. In 2023, with data showing the coldest winter temps falling between 15 and 20 degrees Fahrenheit, it's been shifted to Zone 8b.

Some zone shifts resulted in moving to an entirely new zone number, such as Seattle shifting from Zone 8b to Zone 9a. The overall trend was for zones to be pushed northward, but not all areas saw a shift. NPR has a helpful tool here in which you can enter your zip code, see what zone your city was previously in, what zone it's in now, and the temperature changes that caused the shift.

The bottom line is if you have a gardening book with a hardiness zones map printed before 2024, it's time for an updated map, or check online to see what zone you fall in now to give your garden the best chance of thriving this year.


This article originally appeared last year.

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Awesome chart shows you how far you can drive on empty

Every car is different.

Photo from Pixabay.

Running on empty.

There are two types of people in this world—those who panic and fill up their cars with gas when the needle hits 25% or so, and people like me who wait until the gas light comes on, then check the odometer so you can drive the entire 30 miles to absolute empty before coasting into a gas station on fumes.

I mean…it's not empty until it's empty, right?

But just how far can you drive your car once that gas light comes on? Should you trust your manual?

Now, thanks to a post from industry leader in automobile repair Your Mechanic, you can know exactly how far you can go on empty. Of course, as people who care a lot about the health of your car, we've gotta note that Your Mechanic does warn that driving on a low fuel level or running out of gas can really damage your car.

Proceed at your own risk.

fuel efficiency graph

How far you can go on empty.

Graph from Your Mechanic.

Here's a link to a larger version of the chart.

These are, of course, approximations that depend on several factors, including how you drive, your car's condition, etc. So don't automatically blame Your Mechanic if you find yourself stranded on the side of the road.


This article originally appeared four years ago.

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