Wednesday, January 8, 2014

To Stop Procrastinating, Look to Science of Mood Repair - Wall Street Journal

To Stop Procrastinating, Look to Science of Mood Repair

http://online.wsj.com/news/articles/SB10001424052702303933104579306664120892036?mod=e2fb

Jan. 7, 2014 8:03 p.m. ET
Several new studies help explain what's happening in the brain when people procrastinate. WSJ's Sue Shellenbarger unpacks the latest research and software engineer Sean Gilbertson shares his story. Photo: Getty Images.
Procrastinators, take note: If you've tried building self-discipline and you're still putting things off, maybe you need to try something different. One new approach: Check your mood.
Often, procrastinators attempt to avoid the anxiety or worry aroused by a tough task with activities aimed at repairing their mood, such as checking Facebook or taking a nap. But the pattern, which researchers call "giving in to feel good," makes procrastinators feel worse later, when they face the consequences of missing a deadline or making a hasty, last-minute effort, says Timothy Pychyl (rhymes with Mitchell), an associate professor of psychology at Carleton University in Ottawa, Canada, and a researcher on the topic.
Increasingly, psychologists and time-management consultants are focusing on a new strategy: helping procrastinators see how attempts at mood repair are sabotaging their efforts and learn to regulate their emotions in more productive ways.
Time Travel: If you are rebelling against the feeling of having to work, try projecting yourself into the future. Imagine the good feelings you will have if you stop procrastinating and finish a project (or the bad feelings you will have if you don't finish). Kyle T. Webster
'Just Get Started': If you are feeling frightened of possible failure, just get started. Tell yourself you don't have to do the whole project. Just do the first one or two steps on it. Kyle T. Webster
Forgive Yourself: If you are feeling guilty about procrastinating, stop beating yourself up. Replace the negative thoughts with something more positive. Kyle T. Webster
Easy Things First: If you are feeling a lot of dread about one task in particular on your to-do list, start with something else, preferably the task you feel most like doing. The momentum you gain will help you start the toughest task later. Kyle T. Webster

Vote and Comment

The new approach is based on several studies in the past two years showing that negative emotions can derail attempts at self-control. It fills a gap among established time-management methods, which stress behavioral changes such as adopting a new organizing system or doing exercises to build willpower.
Gisela Chodos had a habit of procrastinating on cleaning the interior of her car until it became so littered with toys, snack wrappers, fast-food bags, pencils and other stuff that she was embarrassed to park it in a public lot or offer anyone a ride, says Ms. Chodos, a Salt Lake City mother of two school-age children and part-time computer-science student.
She came across podcasts by Dr. Pychyl in 2012 and realized she was just trying to make herself feel better when she told herself she would feel more like tackling a task later. She says, "I am trying to run away from the feelings and avoid the discomfort"—the anxiety she often feels that her work won't be good enough or that someone will disapprove.
"Emotion is at the core," Ms. Chodos says. "Just knowing that gives me a little bit of fight, to say, 'Fine, I'm feeling discomfort, but I'm going to feel more discomfort later' " if the job is left undone. The insight has helped her get around to cleaning her car more often, she says; "it's been a long time since my car was so bad that I freaked out at the thought someone might look inside."
Researchers have come up with a playbook of strategies to help procrastinators turn mood repair to their advantage. Some are tried-and-true classics: Dr. Pychyl advises procrastinators to "just get started, and make the threshold for getting started quite low." Procrastinators are more likely to put the technique to use when they understand how mood repair works, says Dr. Pychyl, author of a 2013 book, "Solving the Procrastination Puzzle." He adds, "A real mood boost comes from doing what we intend to do—the things that are important to us."
He also advises procrastinators to practice "time travel"—projecting themselves into the future to imagine the good feelings they will have after finishing a task, or the bad ones they will have if they don't. This remedies procrastinators' tendency to get so bogged down in present anxieties and worries that they fail to think about the future, says Fuschia Sirois, a psychology professor at Bishop's University in Sherbrooke, Quebec, and author of a forthcoming 4,000-person study on the topic.
Kyle T. Webster
Sean Gilbertson read an earlier book by Dr. Pychyl in 2012 after trying other time-management techniques such as keeping a daily log of his attitudes. The Minneapolis software engineer says the techniques didn't go deep enough to help him see how his emotions were blocking action and shift them in a more positive direction. Using the time-travel technique, he asks himself, "What negative things will happen if I procrastinate? Will it come up in my review? How will it affect my reputation? Will it affect my raise and bonuses?"
He used the technique recently when programming a prototype of a medical device to help doctors prevent pressure sores in wheelchair-bound patients. He imagined the good feelings he would have after completing the project well and pleasing his client and his employer. He envisioned patients "living happily and feeling better." The resulting positive feelings gave him the energy to de-bug the device faster and finish the three-month project on time. The client was so pleased that "just talking to them is a pleasure," he says.
About 20% of adults claim to be chronic procrastinators, based on research by Joseph Ferrari, a psychology professor at DePaul University, Chicago, and others. Other studies suggest the rate among college students may be as high as 70%. The habit predicts lower salaries and a higher likelihood of unemployment, according to a recent study of 22,053 people co-authored by Dr. Ferrari.
Procrastination also predicts such long-term problems as failing to save for retirement and neglecting preventive health care. Studies show men are worse procrastinators than women, and researchers suspect the habit plays a role in men's tendency to complete fewer years of education.
Most procrastinators beat themselves up even as they put things off, repeating negative thoughts such as, "Why can't I do what I should be doing?" or, "I should be more responsible," says Gordon Flett, a psychology professor at York University in Toronto. "That negative internal dialogue reflects concerns and doubts about themselves," Dr. Flett says.
One mood-repair strategy, self-forgiveness, is aimed at dispelling the guilt and self-blame. University freshmen who forgave themselves for procrastinating on studying for the first exam in a course procrastinated less on the next exam, according to a 2010 study led by Michael Wohl, an associate professor of psychology at Carleton.

Thomas Flint learned about the technique by reading research on self-regulation, including studies by Dr. Sirois and Dr. Pychyl. He put it to use after his family moved recently to a new house in Sewell, N.J. Instead of beating himself up for failing to unpack all the boxes stacked in his garage right away, Mr. Flint decided to forgive himself and start with a single step. "I'd say, 'OK, I'm going to take an hour, with a goal of getting the TV set up, and that's it,' " he says; then he watched a TV show as a reward. Allowing himself to do the task in stages, he says, is "a victory."

Umbilical Cord Draws Focus From More Scientists Seeking Cures - Wall Street Journal

Researchers see new potential for using blood found in the umbilical cord of newborns to treat a range of diseases.


http://online.wsj.com/news/articles/SB10001424052702303933104579304423948184180?mod=e2fb


By 
PETER LOFTUS 
CONNECT
Jan. 6, 2014 7:21 p.m. ET
Researchers see new potential for using blood found in the umbilical cord of newborns to treat a range of diseases. Transplants using the stem-cell-rich blood have already become lifesaving treatments for certain cancers and disorders of the blood, but these studies focus on a wider range of conditions.
Scientists are studying whether cord blood or cord tissues can treat certain autoimmune disorders such as Type 1 diabetes and rheumatoid arthritis, as well as congenital heart disease and cerebral palsy. Experts caution that more studies are needed to prove whether cord blood is safe and effective for these uses, but some see initial signs of hope.
"The early data look very promising that this could be a useful new source of cells that could benefit a larger number of people," said John Wagner, a professor of pediatrics and director of the blood and marrow transplant program at the University of Minnesota.
Cord blood is found in the placenta and umbilical cord of newborns, and contains stem cells, general-purpose cells that can proliferate and generate more specialized cells.
Jennifer Jones Austin benefitted from a cord-blood transplant. Rob White Photography
Hematopoietic stem cells, which are similar to stem cells found in bone marrow, are one of the researchers' areas of focus. Cord-blood transplants replenish the hematopoietic stem cells that are destroyed by chemotherapy and radiation given to people with certain leukemias, lymphomas and other diseases. More than 30,000 cord-blood transplants have been performed since the first reported procedure in 1988.
Cord blood can be collected with no risk to the mother or child and can be frozen and stored for many years. Bone marrow must be extracted from a donor in an invasive procedure. It has been the standard option for stem-cell transplants, but cord blood is increasingly viewed as a viable alternative in certain cases. "It's a disposable item that Mother Nature provides us with," said William Shearer, a professor of pediatrics and immunology at Baylor College of Medicine. "It's a renewable source. It's free and why not use it?"
Cord blood doesn't need to be as exact a match as bone marrow, making it easier for unrelated donors and recipients.
Dr. Wagner also sees broader applications for cord blood in autoimmune diseases, in which the body's immune system mistakenly attacks healthy tissue. These could include Type 1 diabetes, multiple sclerosis and inflammatory bowel diseases.
Studies of this approach in humans have been limited. Some found that giving children with Type 1 diabetes their own cord blood was safe but failed to significantly slow disease progression. Another study showed the technique reversed diabetes in mice, but it is often hard to replicate results from animal studies in humans. Other studies in human Type 1 diabetes are ongoing.
Timothy Nelson, a physician at the Mayo Clinic in Rochester, Minn., is testing whether injecting cord-blood stem cells can help rebuild heart muscle in children born with a congenital heart defect called hypoplastic left heart syndrome. The condition leaves babies without a pumping chamber on the left side of the heart.
Dr. Nelson is studying whether injection of cord-blood stem cells can strengthen the right-side heart chamber. The stem cells are taken from the child's own cord blood, banked at birth. The hypothesis is that the stem cells could stimulate tissue repair in the heart.
Another potential application for cord blood is cerebral palsy. The movement and muscle disorder is caused by an abnormality in brain development, often from an injury before or around a child's birth. Joanne Kurtzberg, who heads the pediatric blood and marrow transplant program at Duke University Medical Center, is running a trial testing whether intravenous infusion of cord blood lessens symptoms of cerebral palsy in pediatric patients, using their own cord blood banked at birth. A prior study showed the method was safe, but the continuing study is designed to compare the efficacy of cord blood with a placebo.
Public cord-blood banks have been created around the country to accept donated cord blood, which is used for transplants in unrelated patients. Donated cord-blood units comprise the vast majority of transplants conducted so far. More than 200 hospitals actively collect cord blood from babies whose mothers consent, and in some cases cord blood from babies born at nonparticipating hospitals can be collected in a kit and sent to public storage banks.
Some parents choose to pay fees of about $2,000 upfront and more than $100 a year thereafter to store their baby's cord blood with private, for-profit banks, for use by the baby or family members later in life, if a disease treatable by cord blood arises. But the use of privately banked cord blood in transplants has been relatively low so far, and experts say the likelihood that a newborn would need his or her own cord blood to treat a disease is low.
The American Academy of Pediatrics recommends that public cord-blood donations should be encouraged and private banking discouraged in most cases.
Dr. Shearer, a co-author of the policy, says donated cord blood is of more help to others in need for a proven use, whereas blood stored privately is unlikely to be used. This could change over time if some new experimental uses prove workable.
Cord Blood Registry, a for-profit operator of a private cord-blood bank, has released cord-blood units for established and experimental medical treatments, Chief Executive Geoff Crouse said.
Mr. Crouse said some families choose private banking for later use by their baby or another family member to be assured that they would have a close or exact match in the event of needing a cord-blood transplant.
One limitation of cord blood is that each donated unit typically contains relatively few usable cells. As a result, they have been primarily used in transplants for pediatric patients or small adults, though there is evidence that giving an adult two units of cord blood—from two different babies—can be effective.
Jennifer Jones Austin, 45, received a cord-blood transplant from two babies in 2010 after undergoing chemotherapy and radiation to treat acute myeloid leukemia. The leader of a New York nonprofit had tried unsuccessfully to find a suitable match for a bone-marrow transplant, so her doctors turned to cord blood.
She experienced a difficult recovery in the first few months after the transplant, but is now living cancer-free.
She has returned to her full-time job and took a volunteer position as co-chair of the transition team for New York's new mayor, Bill de Blasio. She also joined the board of trustees of the New York Blood Center, which operates a public cord-blood bank. "I think those are good signs that I'm kind of back in business," she said.