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Using psychological network analysis, this study explored the heterogeneity of the network structure between extracurricular time-use and delinquency using a nationally representative longitudinal survey of at-school students in China (N = 10,279, 47.3% female, average age 13.6, 91.2% Han ethnicity). The results are threefold: First, time stimulation of activities occurs on weekdays, while time displacement and stimulation occur on weekends. Second, delinquent behaviors are positively correlated, forming a problem behavior syndrome. Smoking or drinking is the central delinquent behavior. Third, negative consequences of specific time-use behaviors are more likely to occur on weekends than on weekdays, and time-use behavior may function differently on weekdays versus weekends. Among them, going to coffeenets or game-centers serves as the bridge with the highest potential of triggering delinquency.
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Comportamento do Adolescente , Delinquência Juvenil , Humanos , Feminino , Masculino , Adolescente , Delinquência Juvenil/psicologia , Instituições Acadêmicas , Estudantes/psicologia , Estudos Longitudinais , China , Comportamento do Adolescente/psicologiaRESUMO
White matter hyperintensities (WMH) are common in elderly individuals and cause brain network deficits. However, it is still unclear how the global brain network is affected by the focal WMH. We aimed to investigate the diffusion of WMH-related deficits along the connecting white matters (WM). Brain magnetic resonance imaging data and neuropsychological evaluations of 174 participants (aged 74 ± 5 years) were collected and analyzed. For each participant, WMH lesions were segmented using a deep learning method, and 18 major WM tracts were reconstructed using automated quantitative tractography. The diffusion characteristics of distal WM tracts (with the WMH penumbra excluded) were calculated. Multivariable linear regression analysis was performed. We found that a high burden of tract-specific WMH was related to worse diffusion characteristics of distal WM tracts in a wide range of WM tracts, including the forceps major (FMA), forceps minor (FMI), anterior thalamic radiation (ATR), cingulum cingulate gyrus (CCG), corticospinal tract (CST), inferior longitudinal fasciculus (ILF), superior longitudinal fasciculus-parietal (SLFP), superior longitudinal fasciculus-temporal (SLFT), and uncinate fasciculus (UNC). Furthermore, a higher mean diffusivity (MD) of distal tracts was linked to worse attention and executive function in the FMI, right CCG, left ILF, SLFP, SLFT, and UNC. The effect of WMH on the microstructural integrity of WM tracts may propagate along tracts to distal regions beyond the penumbra and might eventually affect attention and executive function.
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Envelhecimento/patologia , Imagem de Tensor de Difusão/métodos , Fibras Nervosas Mielinizadas/patologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/patologia , Substância Branca/diagnóstico por imagem , Substância Branca/patologia , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Atenção/fisiologia , Aprendizado Profundo , Função Executiva/fisiologia , Feminino , Humanos , Interpretação de Imagem Assistida por Computador , Leucoaraiose/diagnóstico por imagem , Leucoaraiose/patologia , Masculino , Tratos Piramidais/diagnóstico por imagem , Tratos Piramidais/patologiaRESUMO
We experimentally demonstrate temporal pumping of elastic waves in an electromechanical waveguide. Temporal pumping exploits a virtual dimension mapped to time, enabling the generation and control of edge states, typical of two-dimensional systems, in a one-dimensional waveguide. We show experimentally that the temporal modulation of the stiffness drives the transfer of edge states from one boundary of the waveguide to the other. The considered implementation, that consists of an elastic waveguide coupled with tunable electrical impedances, allows the pumping to occur in a controllable manner. The framework presented herein opens new avenues for the manipulation and transport of information through elastic waves, with potential technological applications for digital delay lines and digitally controlled waveguides. This Letter also explores higher-dimensional topological physics using virtual dimensions mapped to time in electromechanical systems.
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Berry's bidimensional acculturation model categorizes acculturation status (integration, assimilation, separation, marginalization) by preference toward host and origin cultures. According to Berry's theory, different acculturation strategies yield different health outcomes, and age at migration moderates the relationship between acculturation and health outcome. Previous research has applied this model to understand acculturation's influence on international migrants' health outcomes, but rarely for internal migrants. This research examines these relationships using a national survey on Chinese internal migrants. Using propensity score weighting, the results align with previous findings that integration strategy-using migrants reported optimal health status, separation/assimilation strategy-using migrants reported suboptimal health, and marginalization strategy-using migrants reported the worst health, suggesting the model can explain health disparities among internal migrants. Moreover, older age at migration deteriorates health outcomes and moderates health disparities among migrants employing different acculturation strategies. However, age at migration's moderating effect is significant only among inter-provincial migrants. Embracing the host society inhibits health deterioration among inter-provincial migrants with older age at migration, whereas rejecting or embracing both societies facilitates health deterioration among intra-provincial migrants.
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Aculturação , Migrantes , China , Emprego , Nível de Saúde , HumanosRESUMO
Elastic waveguides with time-modulated stiffness feature a frequency-periodic dispersion spectrum, where branches merge at multiple integers of half the modulation frequency and over a finite wave number range. In this range, frequency becomes complex, with its real part remaining constant. The vanishing group velocity associated with these flat bands leads to frequency-selective reflection at an interface between a nonmodulated medium and a time-modulated one, which converts a broadband input into a narrow-band output centered at the half modulation frequency. This behavior is illustrated in an elastic waveguide in transverse motion, where modulation is implemented experimentally by an array of piezoelectric patches shunted through a negative electrical capacitance controlled by a switching circuit. The switching schedule defines the modulation frequency and allows the selection of the output frequency. This implementation is suitable for the investigation of numerous properties of time-space modulated elastic metamaterials, such as nonreciprocity and one-way propagation, and can lead to the implementation of novel functionalities for acoustic wave devices operating on piezoelectric substrates.
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Background: This study assesses the psychometric properties of the Chinese version of the Zimbardo Time Perspective Inventory (C-ZTPI-20) in an adolescent population. Methods: The investigation encompasses a sample of 2634 middle school students from China and aims to evaluate the instrument's reliability, structural validity, measurement invariance, criterion validity, and network structure attributes. Results: First, descriptive analysis revealed satisfactory reliabilities for four out of five C-ZTPI-20 dimensions, with Present Fatalistic (PF) exhibiting relatively low reliability. Moreover, Confirmatory Factor Analysis (CFA) supported the 5-dimensional structure across all samples and sexes, albeit with a modest Tucker-Lewis Index (TLI) for girls. Furthermore, measurement invariance analysis underscores unbiased assessment across sexes. Sex differences emerge in the Present Hedonistic (PH) dimension, where boys showed higher scores. Furthermore, criteria validity analysis revealed that Past Positive (PP) and Future (F) were positively associated with extraversion, agreeableness, conscientiousness, openness, grit, and mental health, while they were negatively associated with neuroticism. Past Negative (PN) and PF showed inverse trends, while PH perspective demonstrated complex, varied correlations with these psychological traits, underscoring the multifaceted nature of time perspectives. Finally, network analysis revealed positive inter-correlations within dimensions and significant edge differences between sexes, particularly in inter-dimension connections. Despite differing rankings, the most central and marginal items remained consistent between boys and girls in network models. Conclusion: These findings contribute to understanding the C-ZTPI-20's effectiveness in assessing adolescent time perspectives and inform interventions promoting psychological well-being and coping strategies.
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Background: Cerebral pulsatility is thought to reflect arterial stiffness and downstream microvascular resistance. Although previous studies indicated cerebral pulsatility might closely relate to development of cerebral small vessel disease (SVD), yet evidence remain controversial and longitudinal data are rare. Objective: We aimed to explore relationships of cerebral pulsatility with severity and progression of various SVD imaging markers among the community-dwelling elderly. Design: A longitudinal cohort study. Methods: As part of the prospective community-based Shanghai Aging Study cohort, dementia- and stroke-free elderly were recruited for baseline assessment of cerebral pulsatility and SVD severity during 2010-2011 and traced for SVD progression during 2016-2017. Cerebral pulsatility was quantified for both anterior and posterior circulation with transcranial Doppler ultrasound. SVD imaging markers were measured with brain magnetic resonance imaging (MRI) including white matter hyperintensities (WMHs), enlarged perivascular spaces (ePVS), lacunes, and microbleeds. The cross-sectional and longitudinal relationships between cerebral pulsatility and SVD were analyzed by univariable and multivariable regression models. Results: Totally, 188 eligible subjects were included at baseline and out of them, 100 (53.19%) returned for a 7-year follow-up. At baseline, increased pulsatility of posterior circulation was independently associated with more periventricular WMH (PWMH) and ePVS in basal ganglia (BG-ePVS) but not with other SVD markers. Longitudinally, higher posterior pulsatility predicted greater PWMH progression in participants with hypertension (ß = 2.694, standard error [SE] = 1.112, p = 0.020), whereas pulsatility of anterior circulation was shown to prevent BG-ePVS progression among followed-up elderly (ß = -6.737, SE = 2.685, p = 0.012). However, no significant relationship was found between cerebral pulsatility and burden of lacunes or cerebral microbleeds. Conclusion: Higher pulsatility of posterior circulation could worsen PWMH progression, especially for participants with hypertension. But for development of ePVS, increased cerebral pulsatility could play a compensatory role among several healthy elderly. The distinct relationships between cerebral pulsatility and various SVD markers emphasized the importance of individualized SVD management.
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The problem of corruption has long been a societal focus in China. Agnew's general strain theory (GST) offers a good explanation of the drive to engage in corruption; that is, offenders are likely to be driven by various types of strains and engage in corrupt behavior as a coping mechanism. However, whether and how an official's rank moderates the effect of strain on corrupt behavior has yet to be explored. The current study surveyed 687 inmates from 60 prisons in China who had been convicted of corrupt behaviors. The results show that although different levels of officials experience different types of strain, nearly all types of strains are significantly and positively associated with the frequency of corrupt behavior. As for the conditional effect, officials' ranks significantly moderate the relationship between work-related strain and the frequency of corrupt behavior; that is, work-related strain is shown to have a more significant effect on officials at the clerk level (a higher rank) than on officials at non-clerk level (a lower rank). This research is believed to further expand on the applicability of GST to corruption in non-Western societies.
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Background: The novel coronavirus disease pandemic is still proliferating and is not expected to end any time soon. Several lockdowns and social distancing measures might be implemented in the future. A growing body of research has explored the effect of personality on individuals' psychological wellbeing during the pandemic. However, most prior studies have not discussed the dynamic and reciprocal transactions between personality and psychological distress in various situations. Therefore, this study aims to explore the internal mechanisms of the ways in which certain personality traits triggered specific symptoms during and after college lockdown, by using network analysis. Methods: Based on survey data from 525 university students in China, the study detected the connection between individual personality and psychological distress through network analysis. Of the participants, 70.1% were female, and 20.9% were male. The mean age of the participants was 19.701 (SD = 1.319) years. We estimated networks via two steps: First, two networks that only contain the Big Five personality traits and the six symptoms of psychological distress during and after the lockdown measure were estimated. Second, we add control variables and re-estimated the networks to check whether the linkages among the Big Five personality traits and the six symptoms of psychological distress observed in the first step were stable. Moreover, we employed strength centrality as the key indicator to present the potential significance of diverse variables within a network. Results: The findings demonstrate that, first, "depress" was the central symptom in the network during the college lockdown, while "efforts" was the central symptom after the lockdown. Second, the symptoms of "restless" and "worthless" significantly declined after the lockdown. Third, we found that there is an internal mechanism through which personality affected certain psychological symptoms during and after lockdowns. Specifically, neuroticism triggered certain symptoms during and after the lockdown, while extraversion and conscientiousness suppressed certain symptoms. Substantial evidence on internal linkages is imperative to develop effective interventions. Conclusion: This study explores the internal mechanisms of the ways in which certain personality traits trigger specific symptoms. Overall, our results provide empirical evidence that personality traits play a key role in how individuals with certain traits respond to college lockdown during a pandemic. The study makes a significant contribution to the literature because it is among the first few studies which explores the effects of personality traits on individual psychological distress using network analysis during the pandemic.
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Objectives: This study aimed to examine the mediating effect of perceived isolation and the moderating effect of COVID-19 related concerns in the relationship between social disconnectedness and mental health problems during the COVID-19 pandemic in China. Methods: A cross-sectional online survey of 11,682 Chinese residents were conducted during the COVID-19 outbreak. Conditional process analysis was performed to test the mediating effect of perceived isolation and the moderating effect of COVID-19 related concerns. Results: Social disconnectedness was positively related to mental health problems, and perceived isolation significantly mediated their relationship. COVID-19 related concerns exacerbated the direct link between social disconnectedness and mental health problems as well as the indirect link via perceived isolation. Conclusion: Social disconnectedness was a key predictor of mental health problems during the COVID-19 outbreak. The direct and indirect effects of social disconnectedness on mental health problems were stronger for respondents who had more COVID-19 related concerns. Understanding the underlying mechanisms by which social disconnectedness is related to mental health problems has important practical implications for the prevention of mental health problems during the COVID-19 pandemic.
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COVID-19 , COVID-19/epidemiologia , China/epidemiologia , Estudos Transversais , Humanos , Saúde Mental , PandemiasRESUMO
Previous research has showed that Chinese rural-to-urban migrant adolescents are at high risk for discrimination, negative emotions, and aggression. However, little is known about how discrimination, negative emotions, and aggression are interrelated and whether social support addressing the emotional needs of the adolescents would moderate the relationship of discrimination to aggression. This study attempts to fill these gaps. Based on prior research, it is proposed that perceived discrimination relates to reactive aggression by increasing negative emotions that foster aggressive responses to stressful events. Considering the central role that negative emotions may play, it is also hypothesized that socioemotional support provided by family, friends, and community mitigates the impact of perceived discrimination on reactive aggression by reducing negative emotions. The results obtained from the analysis of two-wave survey data collected from a probability sample of 470 migrant students aged 11-17 (46.17% female; mean age = 13.49) in China supported these hypotheses. The findings indicate that perceived discrimination fosters negative emotions, which in turn increase reactive aggression. Additionally, socioemotional support reduces the adverse impact of perceived discrimination on reactive aggression by weakening the link between perceived discrimination and negative emotions. Practical and policy implications of these findings are discussed.
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BACKGROUND AND AIMS: During the COVID-19 lockdown, problematic Internet use (PIU) has become a serious issue among residential college students, who remain physically isolated from off-campus society. This study constructs an integrated model to investigate the influencing mechanisms of internal locus of control (LOC) and objective peer effects. METHODS: Residential college students (n = 494) were surveyed from a single department of a Chinese university. An item from the World Value Survey was employed to measure internal LOC, while objective peer effects were assessed via friends' mutual nominations. Finally, PIU was measured using Young's Internet Addiction Tests, while a social network analysis and logit regression were combined to estimate various factors' effects on PIU. RESULTS: In our sample, the prevalence rate of PIU was 30.6%, and while internal LOC was a protective factor for PIU, its protective role was diluted when exposed to a peer environment with high PIU prevalence. Furthermore, indegree performed contrasting roles on PIU under various network conditions. It acted as a protective factor when exposed to a low prevalence of PIU in a peer environment; however, it became a risk factor when PIU peers were prevalent. Lastly, the protective efficacy of betweenness was activated when individuals had more than one PIU friend. DISCUSSION AND CONCLUSIONS: Further intervention studies focusing on individuals with a weak internal LOC are recommended during the lockdown. Additionally, interventions that consider the network structures carefully, may enhance the prevention of PIU.
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Comportamento Aditivo , COVID-19 , Comportamento Aditivo/epidemiologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis , Humanos , Internet , Uso da Internet , Análise de Rede Social , EstudantesRESUMO
BACKGROUND: The cut-off for hypertension was lowered to blood pressure (BP) over 130/80 mmHg in the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guideline. Whether the new definition of hypertension remains a potent risk factor of cerebral microbleeds (CMBs) is uncertain. We aimed to analyze the relationship between the new definition of hypertension and incident CMBs in a 7-year longitudinal community study. METHODS: This study is a sub-study of the Shanghai Aging Study (SAS). A total of 317 participants without stroke or dementia were included at baseline (2009-2011), and were invited to repeated clinical examinations and cerebral magnetic resonance imaging (MRI) at follow-up (2016-2018). CMBs at baseline and follow-up were evaluated on T2*-weighted gradient recalled echo (GRE) and susceptibility-weighted angiography (SWAN) sequence of MRI. We classified baseline BP into four categories: normal BP, elevated systolic BP, stage 1 hypertension and stage 2 hypertension according to the ACC/AHA guideline. We assessed the associations between BP categories and incident CMBs by generalized linear models. RESULTS: A total of 159 participants (median age, 67 years) completed follow-up examinations with a mean interval of 6.9 years. Both stage 1 and stage 2 hypertension at baseline were significantly related with a higher risk of incident CMBs (IRR 2.77, 95% CI, 1.11-6.91, P=0.028; IRR 3.04, 95% CI, 1.29-7.16, P=0.011, respectively), indicating dose-response effects across BP categories. Participants with ≥5 incident CMBs or incident CMBs in the deep locations all had baseline stage 1 and 2 hypertension. CONCLUSIONS: Participants with baseline stage 1 and stage 2 hypertension had a significantly higher risk of incident CMBs in this 7-year longitudinal community cohort.
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BACKGROUND: This study investigated the underlying determinants of the relationship between social integration and three dimensions of psychological wellbeing in a nationally representative sample of emerging adult migrants in China. METHODS: Data on 6,084 migrants aged 18-29 years in the 2014 China Migrants Dynamic Survey were analyzed. A conditional process analysis tested hypotheses regarding the influence of social integration on self-rated health, life satisfaction, and mental illness. Perceived stress was tested as a mediator, and the locus of control was tested as a moderator. RESULTS: Social integration negatively related to mental illness (ß= -0.10, p < 0.001), and it positively related to self-rated health (ß = 0.24, p < 0.001) and life satisfaction (ß = 0.14, p < 0.001). Perceived stress had significant mediating effects on the influence of social integration on the dimensions of psychological wellbeing. The locus of control not only moderated the influence of social integration on perceived stress (ß = -0.02, p < 0.05), it moderated the influence of perceived stress on the mental illness dimension of psychological wellbeing (ß = -0.03, p < 0.001). LIMITATIONS: The cross-sectional design impeded the ability to draw causal inferences. CONCLUSIONS: Social integration was a key predictor of psychological wellbeing among emerging adult migrants in China. Perceived stress significantly mediated that relationship. The locus of control moderated the indirect effect of social integration on psychological wellbeing by weakening the buffering effect of social integration on perceived stress. Furthermore, the locus of control also buffered the negative effects of perceived stress.
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Migrantes , Adolescente , Adulto , China , Estudos Transversais , Humanos , Controle Interno-Externo , Integração Social , Estresse Psicológico/epidemiologia , Adulto JovemRESUMO
Empirical research on the relationship between authoritative parenting and crime victimization has been sparse, although this style of parenting has been identified as an effective parenting practice for inhibiting offending behavior among children and adolescents. The current research aims at filling this gap by examining the influences of authoritative parenting on juvenile delinquency and crime victimization, as well as the mechanisms connecting the processes. Using two-wave survey data collected from a probability sample of 1066 Chinese adolescents, the current study employed a structural equation modeling analysis to test the relationships. The results indicated that authoritative parenting negatively predicted juvenile delinquency and crime victimization. Further, adolescent mental health problems and delinquent peer association partially mediated the influence of authoritative parenting on delinquency, while adolescent mental health problems, delinquent peer association, and juvenile delinquency fully mediated the relationship between authoritative parenting and crime victimization. The results also showed that juvenile delinquency positively predicted future crime victimization. Overall, this study demonstrated that authoritative parenting operated as a protective factor against juvenile delinquency and crime victimization.
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Comportamento do Adolescente , Autoritarismo , Vítimas de Crime , Delinquência Juvenil , Poder Familiar , Adolescente , Criança , China , Feminino , Humanos , Estudos Longitudinais , Masculino , Grupo AssociadoRESUMO
The mechanisms through which conflicting parental relationship and parenting practices influence adolescent antisocial behavior have not been adequately understood. To bring more understanding to the mechanisms, this study investigates how marital discord interrelates with interparental inconsistency in parenting practices, and how these family conditions influence juvenile delinquency through their spillover effects on mental health problems, parental attachment and delinquent peer association among Chinese adolescents. Findings obtained from a structural equation modeling analysis of survey data collected from a probability sample of 2,496 adolescents (mean age = 15.16 years) are generally consistent with the spillover effect hypothesis. The results demonstrate that mental health problems, parental attachment, and delinquent peer association operate as critical mediators linking marital discord and interparental inconsistency to juvenile delinquency.
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Comportamento do Adolescente/psicologia , Conflito Familiar/psicologia , Delinquência Juvenil/psicologia , Saúde Mental , Apego ao Objeto , Poder Familiar/psicologia , Grupo Associado , Adolescente , Criança , China/epidemiologia , Feminino , Humanos , Análise de Classes Latentes , Masculino , Pais , Autorrelato , Estudantes , Adulto JovemRESUMO
Previous studies have identified coercive parenting as a prevalent parenting style in Chinese society. They suggested that this style of parenting could promote prosocial behavior and school commitment when combined with close monitoring and proper training, but it could also undermine mental health. This study critically examines these claims. Based on the existing theory and research, it is predicted that the influences of coercive parenting on adolescent development vary according to adolescent personal attributes including empathic concern and perception of social rejection. Through the analysis of two-wave survey data collected from a probability sample of 1085 Chinese adolescents, this study found that adolescents with higher levels of empathic concern and perceived social rejection reported less delinquency and stronger school commitment than their peers with lower levels of such attributes, when coercive parenting was low to moderate. However, under the condition of excessive coercive control, these adolescents demonstrated more delinquency and weaker school commitment. Empathic concern and perception of social rejection, on the other hand, played no or limited role in moderating the relationship between coercive parenting and depression. These results suggest that the influences of coercive parenting are dynamic and are subject to change as they interact with adolescent personal characteristics across different developmental domains.
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Comportamento do Adolescente , Desenvolvimento do Adolescente , Empatia , Poder Familiar , Adolescente , Adulto , Humanos , Relações Pais-Filho , Distância PsicológicaRESUMO
Predicting recurrent intracerebral hemorrhage (ICH) related to cerebral amyloid angiopathy (CAA) currently relies on brain images. We aimed to investigate whether blood neurodegenerative biomarkers predict disease severity and ICH recurrence in CAA. We recruited 68 first probable CAA-ICH cases from a Chinese prospective cohort, and 95 controls. We used the single-molecule array to measure acute phase blood amyloid-40, amyloid-42, total tau and neurofilament light chain (NfL). We used multivariable Cox regression models to assess the association between blood biomarkers and CAA-ICH recurrence, and used the concordance (c-) index to assess prediction models. Blood amyloid-42/40, total tau, and NfL levels changed in CAA-ICH cases than controls. During a median follow-up of 2.4 years, NfL was associated with CAA-ICH recurrence (adjusted hazard ratio 2.14, 95% CI 1.57-2.93) independent of MRI burden of small vessel disease (SVD). The performance of a model to predict CAA-ICH recurrence using MRI burden of SVD alone (c-index 0.77) increased with the addition of NfL (c-index 0.88, 95% CI 0.73-1.00, p=0.019). Further, NfL was associated with baseline ICH volume, NIHSS and 6-month mRS score. Blood NfL is associated with severity and prognosis of CAA-ICH and is a promising addition to MRI burden of SVD to predict CAA-ICH recurrence.
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Angiopatia Amiloide Cerebral/sangue , Hemorragia Cerebral/sangue , Proteínas de Neurofilamentos/sangue , Idoso , Idoso de 80 Anos ou mais , Peptídeos beta-Amiloides/sangue , Biomarcadores/sangue , Estudos de Casos e Controles , Angiopatia Amiloide Cerebral/complicações , Angiopatia Amiloide Cerebral/diagnóstico por imagem , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/etiologia , China , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Fragmentos de Peptídeos/sangue , Valor Preditivo dos Testes , Prognóstico , Estudos Prospectivos , Recidiva , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença , Proteínas tau/sangueRESUMO
We aimed to explore the role of white matter hyperintensities (WMH) in progression of cerebral small vessel disease (CSVD) in an urban community in China over a period of 7 years, and to investigate associations between WMH volume (baseline and progression) and cognitive impairment. CSVD markers and neuropsychological tests at baseline and follow-up of 191 participants of the Shanghai Aging Study (SAS) were assessed. WMH volume were assessed by automatic segmentation based on U-net model. Lacunes, cerebral microbleeds (CMBs) and enlarged perivascular spaces (ePVS) were rated manually. Small vessel disease (SVD) score was rated as the total burden of CSVD markers. Global cognitive function and 5 main cognitive domains (memory, language, spatial construction, attention and executive function) were evaluated by neuropsychological tests. We performed multivariable linear regression and binominal logistic regression. Participants with higher baseline WMH volume developed more progression of WMH volume, increased risk of incident lacunes, incident CMBs, and ePVS progression. WMH (baseline and progression) were associated with decline of executive function. WMH were associated with progression of cerebral small vessel disease and decline of executive function in a Chinese urban community study over a period of 7 years.
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Hemorragia Cerebral/diagnóstico por imagem , Doenças de Pequenos Vasos Cerebrais/diagnóstico por imagem , Cognição , Substância Branca/diagnóstico por imagem , Idoso , Hemorragia Cerebral/complicações , Doenças de Pequenos Vasos Cerebrais/complicações , Doenças de Pequenos Vasos Cerebrais/psicologia , China , Disfunção Cognitiva/diagnóstico por imagem , Disfunção Cognitiva/etiologia , Progressão da Doença , Feminino , Humanos , Modelos Lineares , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Testes Neuropsicológicos , Estudos Prospectivos , Fatores de RiscoRESUMO
The extent of disaster exposure is a crucial predictor of both negative and constructive changes influenced by natural disasters. Posttraumatic growth (PTG) is the typical psychological growth that is defined by significant changes for the better in self-view, relationships, and life philosophy as a result of exposure to a traumatic incident. However, findings of previous studies examining the effects of disaster exposure on PTG are inconsistent. The primary aim of this study was to re-examine the nature of the association between the extent of disaster exposure and PTG in a sample of 1,000 adult survivors of the 5.12 Wenchuan earthquake (occurred in 2008) over 10 years ago in China. The results indicated that, after controlling for the effects of demographic factors (i.e., gender, age, residential area site, and marital status) and socioeconomic status (i.e., educational background and annual household income), disaster exposure showed weak linear but strong inverted U-shaped relationships with different PTG domains. In other words, participants who had been exposed to low or high levels of disaster showed low levels of PTG, while those exposed to moderate levels of disaster exhibited high levels of PTG. The result of the study not only enhanced current understanding of the consequences of disaster exposure but also outlined a long-term support system for post-disaster construction activities.