Psychological Factors Associated with Functional Disability in Patients with Hip and Knee Osteoarthritis.

Several studies have shown an association between psychosocial variables and functional capacity in chronic pain processes such as osteoarthritis. The aim of this study was to test a structural equations model that shows the predictive weight of certain variables such as catastrophizing, self-efficacy and kinesiophobia on functional pain and WOMAC subscales scores of pain and physical function of older patients diagnosed with hip and knee osteoarthritis. We also assessed the specific weight of age in terms of the factors. The study was conducted on a sample of 170 patients (142 women and 28 men mean age, 74.44 years range, 50-96 years). The main variables evaluated were WOMAC subscales scores of pain and physical function, self-efficacy, catastrophizing and kinesiophobia. To assess these variables, we used the Spanish validated version of the Western Ontario and McMaster Universities questionnaire, the Chronic Pain Self-Efficacy Scale, the Pain Catastrophizing Scale and the Tampa Scale for Kinesiophobia, respectively. We tested a structural equations model (IBM SPSS Amos version 22). The results showed the predominant predictive weight (both direct and indirect) of catastrophizing while simultaneously ruling out the relevance of age as a predictor of WOMAC subscales scores of pain and physical function. This study provides data of interest on the explanatory mechanisms that underlie the direct and inverse relationships between the studied psychological variables.

Validation of the cross-cultural dementia screening test in Alzheimer's disease and Parkinson's disease.

Objective: The Cross-Cultural Dementia (CCD) is a new screening tool to evaluate cognitive impairment based on a cross-cultural perspective to reduce the bias of education, and language and cultural differences. We aimed to evaluate the diagnostic properties of the CCD in Spaniards for the assessment of patients with Alzheimer's disease in mild cognitive impairment (AD-MCI) and mild dementia stages (AD-D) and patients with mild cognitive impairment associated with Parkinson's disease (PD-MCI). Methods: Sixty participants with AD (50% MCI) and thirty with PD-MCI were enrolled. Each clinical group was compared against a healthy control group (HC) with the same number of participants and no significant differences in age, education, and sex. A comprehensive neuropsychological test battery and CCD were completed. Intergroup comparisons, ROC curves, and cut-off scores were calculated for the study of diagnostic properties. Results: Intergroup differences were found in accordance with the cognitive profile of each clinical condition. Memory measures (Objects test) were especially relevant for the classification between AD and HC. Memory and executive function scores (Sun-Moon and Dots tests) were useful in the case of PD-MCI and HC. Furthermore, CCD described differences in executive functions and speed scores comparing AD-MCI and PD-MCI. Correlations between standardized neuropsychological tests and CCD measures supported the convergent validity of the test. Conclusion: CCD showed good discrimination properties and cut-off scores for dementia and extended its application to a sample of prodromal stages of AD and PD with mild cognitive impairment.

Cultural Adaptation of the Modified Version of the Conflicts Tactics Scale (M-CTS) in Mexican Adolescents.

Several scales are used in Dating Violence studies assuming cross-cultural invariance and equivalence of the measures without making the proper validation in the intended populations. This study focuses on the importance of adapting existing dating violence psychological instruments (as the widely recognized Modified Version of the Conflict Tactics Scale, M-CTS) in diverse adolescent populations adjusting to international validation procedures that ensure the cultural fit of the instrument and the measurement invariance of the construct. We sought to adapt the M-CTS in Mexican adolescents (N = 1861; 57.5% woman) following the ITC Guidelines for Translating and Adapting Test. We made an analysis of the linguistic and cultural variables, followed by a Confirmatory Factor Analysis, and the evaluation of Construct and Known Groups Validities. We culturally modified six items and verified the four-factorial structure of the questionnaire proposed in previous studies (argumentation, psychological aggression, mild physical aggression, and sever physical aggression). We also found significant correlations in between the scores of the M-CTS and the Aggression Questionnaire (AQ) and the Dominating and Jealous Tactics Scale (DJTS), verifying the Construct Validity of the M-CTS to measure aggressive behaviors. Conclusion: the cultural adaptation of the M-CTS offered adequate reliability and validity scores in Mexican population expanding the possibilities of comparing prevalences of the problem between nations with a reliable instrument based on the same theoretical and methodological perspectives.