Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 61
Filtrar
1.
Soc Psychiatry Psychiatr Epidemiol ; 58(12): 1819-1831, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33970300

RESUMO

PURPOSE: Experiences of reported trauma are common and are associated with a range of mental health problems. Sex differences in how reported traumas are experienced over the life course in relation to mental health require further exploration. METHODS: 157,358 participants contributed data for the UK Biobank Mental Health Questionnaire (MHQ). Stratified Latent Class Analysis (LCA) was used to analyse combinations of reported traumatic experiences in males and females separately, and associations with mental health. RESULTS: In females, five trauma classes were identified: a low-risk class (58.6%), a childhood trauma class (13.5%), an intimate partner violence class (12.9%), a sexual violence class (9.1%), and a high-risk class (5.9%). In males, a three-class solution was preferred: a low-risk class (72.6%), a physical and emotional trauma class (21.9%), and a sexual violence class (5.5%). In comparison to the low-risk class in each sex, all trauma classes were associated with increased odds of current depression, anxiety, and hazardous/harmful alcohol use after adjustment for covariates. The high-risk class in females and the sexual violence class in males produced significantly increased odds for recent psychotic experiences. CONCLUSION: There are sex differences in how reported traumatic experiences co-occur across a lifespan, with females at the greatest risk. However, reporting either sexual violence or multiple types of trauma was associated with increased odds of mental health problems for both males and females. Findings emphasise the public mental health importance of identifying and responding to both men and women's experiences of trauma, including sexual violence.


Assuntos
Violência por Parceiro Íntimo , Traumatismo Múltiplo , Humanos , Feminino , Masculino , Saúde Mental , Caracteres Sexuais , Bancos de Espécimes Biológicos , Reino Unido
2.
Alzheimers Dement ; 17(2): 251-254, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33075205

RESUMO

As the world navigates unchartered territories and witnesses the overwhelming impact of COVID-19, investigators face important challenges to ensure continuity of research studies in a scientifically sound manner. Given the susceptibility of the older population to COVID-19, research in the field of aging and dementia may be more severely impacted than other areas. With in-person testing halted, researchers are considering remote testing to collect data on questionnaires and functioning, including cognitive functioning. This is not without challenges. Here, we discuss psychometric properties of the scales that need to be considered and evaluated when implementing remote testing to ensure the quality of the studies is preserved. We encourage the community to join efforts to improve practice sharing and facilitating access to item-level data.


Assuntos
Pesquisa Biomédica , Testes Neuropsicológicos , Psicometria/tendências , Reprodutibilidade dos Testes , Projetos de Pesquisa , Telemedicina , COVID-19 , Cognição , Feminino , Humanos , Estudos Longitudinais , Masculino , Inquéritos e Questionários
3.
BMC Ecol ; 20(1): 56, 2020 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-33059667

RESUMO

BACKGROUND: Landscape genetics is an interdisciplinary field that combines tools and techniques from population genetics with the spatially explicit principles from landscape ecology. Spatial variation in genotypes is used to test hypotheses about how landscape pattern affects dispersal in a wide range of taxa. Lichens, symbiotic associations between mycobionts and photobionts, are an entity for which little is known about their dispersal mechanism. Our objective was to infer the dispersal mechanism in the semi-aquatic lichen Dermatocarpon luridum using spatial models and the spatial variation of the photobiont, Diplosphaera chodatii. We sequenced the ITS rDNA and the ß-actin gene regions of the photobiont and mapped the haplotype spatial distribution in Payuk Lake. We subdivided Payuk Lake into subpopulations and applied four spatial models based on the topography and hydrology to infer the dispersal mechanism. RESULTS: Genetic variation corresponded with the topography of the lake and the net flow of water through the waterbody. A lack of isolation-by-distance suggests high gene flow or dispersal within the lake. We infer the dispersal mechanism in D. luridum could either be by wind and/or water based on the haplotype spatial distribution of its photobiont using the ITS rDNA and ß-actin markers. CONCLUSIONS: We inferred that the dispersal mechanism could be either wind and/or water dispersed due to the conflicting interpretations of our landscape hypotheses. This is the first study to use spatial modelling to infer dispersal in semi-aquatic lichens. The results of this study may help to understand lichen dispersal within aquatic landscapes, which can have implications in the conservation of rare or threatened lichens.


Assuntos
Líquens , Fluxo Gênico , Genética Populacional , Genótipo , Líquens/genética , Simbiose
4.
J Pers ; 88(3): 415-429, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31309560

RESUMO

OBJECTIVE: Sex differences in personality are a matter of continuing debate. In a study on the United States standardization sample of Cattell's 16PF (fifth edition), Del Giudice and colleagues (2012; PLoS ONE, 7, e29265) estimated global sex differences in personality with multigroup covariance and mean structure analysis. The study found a surprisingly large multivariate effect, D = 2.71. Here we replicated the original analysis with an open online dataset employing an equivalent version of the 16PF. METHOD: We closely replicated the original MG-MCSA analysis on N = 21,567 U.S. participants (63% females, age 16-90); for robustness, we also analyzed N = 31,637 participants across English-speaking countries (61% females, age 16-90). RESULTS: The size of global sex differences was D = 2.06 in the United States and D = 2.10 across English-speaking countries. Parcel-allocation variability analysis showed that results were robust to changes in parceling (U.S.: median D = 2.09, IQR [1.89, 2.37]; English-speaking countries: median D = 2.17, IQR [1.98, 2.47]). CONCLUSIONS: Our results corroborate the original study (with a comparable if somewhat smaller effect size) and provide new information on the impact of parcel allocation. We discuss the implications of these and similar findings for the psychology of sex differences.


Assuntos
Determinação da Personalidade/estatística & dados numéricos , Personalidade , Psicometria/estatística & dados numéricos , Caracteres Sexuais , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Conjuntos de Dados como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Personalidade/fisiologia , Adulto Jovem
5.
Dev Sci ; 22(1): e12721, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30156362

RESUMO

Previous studies have hinted at sex differences in developmental trajectories in ADHD symptoms; however, little is known about the nature or cause of these differences and their implications for clinical practice. We used growth mixture modelling in a community-ascertained cohort of n = 1,571 participants to study sex differences in ADHD symptom developmental trajectories across the elementary and secondary school years. Participants were measured at ages 7, 8, 9, 10, 11, 12, 13, and 15. We found that females were more likely to show large symptom increases in early adolescence while males were more likely to show elevated symptoms from childhood. For both males and females, early adolescence represented a period of vulnerability characterized by relatively sudden symptom increases. Females affected by hyperactivity/impulsivity may be more likely to be excluded from diagnosis due to current age of onset criteria. More attention should be paid to early adolescence as a period of risk for hyperactivity/impulsivity symptom onset or worsening.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Adolescente , Fatores Etários , Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Criança , Estudos de Coortes , Feminino , Humanos , Comportamento Impulsivo , Masculino , Fatores Sexuais
6.
Prev Sci ; 20(8): 1265-1273, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-30847752

RESUMO

School-based psychosocial interventions are a widely used approach to prevent or reduce externalising behaviour. However, evaluating the effects of such interventions is complicated by the fact that the interventions may not only change the target behaviour, but also the way that informants report on that behaviour. For example, teachers may become more aware of bullying behaviour after delivering lessons on the topic, resulting in increased teacher reports of the behaviour. In this study, we used multi-group confirmatory factor analysis to evaluate whether teachers exposed to the Promoting Alternative Thinking Strategies (PATHS) intervention changed the way they reported on child externalising behaviour. Using data from the z-proso study (802 participants; 51% male; 69 teachers), teacher reports of aggressive behaviour, attention deficit hyperactivity disorder and non-aggressive conduct disorder symptoms were compared pre- and post- intervention and across the intervention and control conditions. There was no evidence that teacher reporting was affected by exposure to the intervention. This helps bolster the interpretation of intervention effects as reflecting changes in child behaviour, rather than in the manner of informant reporting.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/prevenção & controle , Transtornos do Comportamento Infantil/prevenção & controle , Transtorno da Conduta/prevenção & controle , Serviços de Saúde Escolar/organização & administração , Professores Escolares/psicologia , Agressão , Criança , Comportamento Infantil/psicologia , Currículo , Feminino , Humanos , Masculino
7.
J Pers Assess ; 101(6): 631-643, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29787294

RESUMO

Whether or not importance should be placed on an all-encompassing general factor of psychopathology (or p factor) in classifying, researching, diagnosing, and treating psychiatric disorders depends (among other issues) on the extent to which comorbidity is symptom-general rather than staying largely within the confines of narrower transdiagnostic factors such as internalizing and externalizing. In this study, we compared three methods of estimating p factor strength. We compared omega hierarchical and explained common variance calculated from confirmatory factor analysis (CFA) bifactor models with maximum likelihood (ML) estimation, from exploratory structural equation modeling/exploratory factor analysis models with a bifactor rotation, and from Bayesian structural equation modeling (BSEM) bifactor models. Our simulation results suggested that BSEM with small variance priors on secondary loadings might be the preferred option. However, CFA with ML also performed well provided secondary loadings were modeled. We provide two empirical examples of applying the three methodologies using a normative sample of youth (z-proso, n = 1,286) and a university counseling sample (n = 359).


Assuntos
Mecanismos de Defesa , Transtornos Mentais/diagnóstico , Modelos Psicológicos , Inquéritos e Questionários/normas , Teorema de Bayes , Comorbidade , Análise Fatorial , Feminino , Humanos , Análise de Classes Latentes , Funções Verossimilhança , Masculino , Escalas de Graduação Psiquiátrica , Psicopatologia
8.
Hum Brain Mapp ; 39(2): 622-632, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29139161

RESUMO

OBJECTIVE: To assess brain structural connectivity in relation to cognitive abilities in healthy ageing, and the mediating effects of white matter hyper-intensity (WMH) volume. METHODS: MRI data were analysed in 558 members of the Lothian Birth Cohort 1936. Brains were segmented into 85 regions and combined with tractography to generate structural connectomes. WMH volume was quantified. Relationships between whole-brain connectivity, assessed using graph theory metrics, and four major domains of cognitive ability (visuospatial reasoning, verbal memory, information processing speed and crystallized ability) were investigated, as was the mediating effects of WMH volume on these relationships. RESULTS: Visuospatial reasoning was associated with network strength, mean shortest path length, and global efficiency. Memory was not associated with any network connectivity metric. Information processing speed and crystallized ability were associated with all network measures. Some relationships were lost when adjusted for mean network FA. WMH volume mediated 11%-15% of the relationships between most network measures and information processing speed, even after adjusting for mean network FA. CONCLUSION: Brain structural connectivity relates to visuospatial reasoning, information processing speed and crystallized ability, but not memory, in this relatively healthy age-homogeneous cohort of 73 year olds. When adjusted for mean FA across the network, most relationships are lost, except with information processing speed suggesting that the underlying topological network structure is related to this cognitive domain. Moreover, the connectome-processing speed relationship is partly mediated by WMH volume in this cohort. Hum Brain Mapp 39:622-632, 2018. © 2017 The Authors Human Brain Mapping Published by Wiley Periodicals, Inc.


Assuntos
Envelhecimento/fisiologia , Envelhecimento/psicologia , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Processos Mentais , Idoso , Envelhecimento/patologia , Encéfalo/anatomia & histologia , Conectoma , Feminino , Humanos , Imageamento Tridimensional , Estudos Longitudinais , Imageamento por Ressonância Magnética , Masculino , Processos Mentais/fisiologia , Vias Neurais/anatomia & histologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Testes Neuropsicológicos , Substância Branca/anatomia & histologia , Substância Branca/diagnóstico por imagem , Substância Branca/fisiologia
9.
J Pers Assess ; 98(3): 319-31, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26549278

RESUMO

When self-report items with a Likert-type scale include a middle response option (e.g., Unsure, Neither agree nor disagree, or ?), this middle option is assumed to measure a level of the trait intermediate between the high and low response categories. In this study, we tested this assumption in the 16 Personality Factor Questionnaire, Version 5 (16PF5) by fitting Bock's nominal response model in the U.S. and UK standardization samples of the 16PF5. We found that in many cases, the middle option was indicative of higher levels of the latent trait than the ostensibly highest response option. In certain other cases, it was indicative of lower levels of the latent trait than the ostensibly lowest response option. This undermines the use of a simple successive integer scoring scheme where responses in adjacent response categories are assigned scores of 0, 1, and 2. Recommendations for alternative scoring schemes are provided. Results also suggested that certain personality traits, especially neurotic traits, are associated with a tendency toward selecting the middle option.


Assuntos
Modelos Psicológicos , Psicometria/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Intelligence ; 51: 47-56, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26240470

RESUMO

People with larger brains tend to score higher on tests of general intelligence (g). It is unclear, however, how much variance in intelligence other brain measurements would account for if included together with brain volume in a multivariable model. We examined a large sample of individuals in their seventies (n = 672) who were administered a comprehensive cognitive test battery. Using structural equation modelling, we related six common magnetic resonance imaging-derived brain variables that represent normal and abnormal features-brain volume, cortical thickness, white matter structure, white matter hyperintensity load, iron deposits, and microbleeds-to g and to fluid intelligence. As expected, brain volume accounted for the largest portion of variance (~ 12%, depending on modelling choices). Adding the additional variables, especially cortical thickness (+~ 5%) and white matter hyperintensity load (+~ 2%), increased the predictive value of the model. Depending on modelling choices, all neuroimaging variables together accounted for 18-21% of the variance in intelligence. These results reveal which structural brain imaging measures relate to g over and above the largest contributor, total brain volume. They raise questions regarding which other neuroimaging measures might account for even more of the variance in intelligence.

11.
Neuroimage ; 95: 136-50, 2014 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-24657781

RESUMO

Combining datasets across independent studies can boost statistical power by increasing the numbers of observations and can achieve more accurate estimates of effect sizes. This is especially important for genetic studies where a large number of observations are required to obtain sufficient power to detect and replicate genetic effects. There is a need to develop and evaluate methods for joint-analytical analyses of rich datasets collected in imaging genetics studies. The ENIGMA-DTI consortium is developing and evaluating approaches for obtaining pooled estimates of heritability through meta-and mega-genetic analytical approaches, to estimate the general additive genetic contributions to the intersubject variance in fractional anisotropy (FA) measured from diffusion tensor imaging (DTI). We used the ENIGMA-DTI data harmonization protocol for uniform processing of DTI data from multiple sites. We evaluated this protocol in five family-based cohorts providing data from a total of 2248 children and adults (ages: 9-85) collected with various imaging protocols. We used the imaging genetics analysis tool, SOLAR-Eclipse, to combine twin and family data from Dutch, Australian and Mexican-American cohorts into one large "mega-family". We showed that heritability estimates may vary from one cohort to another. We used two meta-analytical (the sample-size and standard-error weighted) approaches and a mega-genetic analysis to calculate heritability estimates across-population. We performed leave-one-out analysis of the joint estimates of heritability, removing a different cohort each time to understand the estimate variability. Overall, meta- and mega-genetic analyses of heritability produced robust estimates of heritability.


Assuntos
Encéfalo , Variação Genética , Metanálise como Assunto , Substância Branca , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anisotropia , Criança , Imagem de Tensor de Difusão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
12.
Pers Soc Psychol Bull ; : 1461672241253637, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38829006

RESUMO

Most Five-Factor Model (FFM) questionnaire items contain unique variance that is partly heritable, stable, and consensually observable, demonstrates consistent associations with age and sex, and predicts life outcomes beyond higher order factors. Extending these findings to the HEXACO model, we meta-analyzed single-item cross-rater agreement, heritability, and 2-year stability using samples from six countries. We analyzed raw item scores and their residual variance and adjusted the estimates for measurement unreliability. The median cross-rater agreement, heritability, and stability estimates were, respectively, .30, .30, and .57, for raw items and .10, .16, and .39, for item residuals. Adjusted for reliability, the respective medians were .46 and .25 for cross-rater agreement, .46 and .39 for heritability, and .87 and .94 for stability. These results are strikingly consistent with FFM-based findings, providing nondismissible evidence that single items index a partly unique level of the trait hierarchy-personality nuances-with trait properties comparable to those of higher-order traits.

13.
Am J Hum Biol ; 25(4): 538-43, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23754497

RESUMO

OBJECTIVES: To investigate and replicate a multisystem model of biological risk, or allostatic load, in a sample of generally healthy older adults. METHODS: Multigroup confirmatory factor analysis (MG-CFA) was applied to data from the Lothian Birth Cohort 1936 (n = 726). Blood samples were taken at a physical examination. Three markers of inflammation (fibrinogen, interleukin-6, and C-reactive protein), five metabolic markers (high- and low-density lipoprotein, body mass index, glycated hemoglobin, and triglyceride), and blood pressure (mean sitting systolic and diastolic blood pressure) were used to estimate a second-order CFA model of allostatic load. Our sample was split into those taking antihypertensive, anti-inflammatory, lipid-lowering, and diabetes medications (n = 470), and those who were not (n = 256), in order to test the stability of the CFA model across groups. RESULTS: In the nonmedicated sample, a second-order allostatic load model showed good fit to the data. However, the second-order model failed to estimate in the medicated group. The factor correlations between blood pressure and inflammation and metabolism were smaller in magnitude in the medicated group. Invariance analysis on the first-order measurement model suggested significant differences across groups in the associations of low-density lipoprotein and HbA1c with metabolism. CONCLUSIONS: Reliable measurement of allostatic load is possible in ageing samples free of medications but is complicated in the presence of medications. MG-CFA represents a highly versatile method for the analysis of allostatic load.


Assuntos
Envelhecimento/metabolismo , Alostase/fisiologia , Mediadores da Inflamação/metabolismo , Idoso , Envelhecimento/sangue , Anti-Inflamatórios/administração & dosagem , Anti-Hipertensivos/administração & dosagem , Biomarcadores , Pressão Sanguínea , Índice de Massa Corporal , Proteína C-Reativa/análise , Proteína C-Reativa/metabolismo , Estudos de Coortes , Análise Fatorial , Feminino , Fibrinogênio/análise , Fibrinogênio/metabolismo , Hemoglobinas Glicadas/análise , Humanos , Hipoglicemiantes/administração & dosagem , Hipolipemiantes/administração & dosagem , Mediadores da Inflamação/sangue , Interleucina-6/sangue , Interleucina-6/metabolismo , Lipídeos/sangue , Masculino , Escócia
14.
Neurosci Biobehav Rev ; 148: 105145, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36996993

RESUMO

Further understanding of the associations between personality traits and allostatic load (AL) may be important for predicting, addressing, and optimizing health outcomes. This review synthesized the existing literature reporting the association between the Big Five personality traits and AL in adults to identify the generalizability and robustness of relationships, potential mechanisms underlying the associations, and study characteristics that may be contributing to inconsistencies in the field. Published and unpublished empirical reports were included if at least one of the Big Five traits was examined and an AL index was constructed using at least two biomarkers in a sample of adults. The methodological plan and standardized coding guide were pre-registered and reported (https://osf.io/rxw5a). Based on 11 studies that met eligibility, meta-analysis of correlation coefficients indicated a small but significant positive association between neuroticism and AL, and small but significant inverse associations between both conscientiousness and openness with AL. This review identifies strengths and limitations within the field, as well as several avenues for future research.


Assuntos
Alostase , Personalidade , Adulto , Humanos , Idoso , Biomarcadores , Fenótipo , Neuroticismo
16.
PLoS One ; 17(1): e0262465, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35025932

RESUMO

Despite the widespread use of the HEXACO model as a descriptive taxonomy of personality traits, there remains limited information on the test-retest reliability of its commonly-used inventories. Studies typically report internal consistency estimates, such as alpha or omega, but there are good reasons to believe that these do not accurately assess reliability. We report 13-day test-retest correlations of the 100- and 60-item English HEXACO Personality Inventory-Revised (HEXACO-100 and HEXACO-60) domains, facets, and items. In order to test the validity of test-retest reliability, we then compare these estimates to correlations between self- and informant-reports (i.e., cross-rater agreement), a widely-used validity criterion. Median estimates of test-retest reliability were .88, .81, and .65 (N = 416) for domains, facets, and items, respectively. Facets' and items' test-retest reliabilities were highly correlated with their cross-rater agreement estimates, whereas internal consistencies were not. Overall, the HEXACO Personality Inventory-Revised demonstrates test-retest reliability similar to other contemporary measures. We recommend that short-term retest reliability should be routinely calculated to assess reliability.


Assuntos
Inventário de Personalidade/estatística & dados numéricos , Psicometria/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Personalidade/classificação , Inventário de Personalidade/normas , Testes de Personalidade/estatística & dados numéricos , Reprodutibilidade dos Testes , Pesquisadores
17.
Assessment ; 29(2): 296-308, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-33256467

RESUMO

Ecological momentary assessment (EMA) holds significant potential within aggression research. It affords researchers the possibility of collecting data in ecological context, in near real time. However, there is a lack of measures of aggression that have been developed and validated for use in EMA contexts. In this study, we report on the validation of a measure specifically designed to address this need: the Aggression-ES-A. Building on a previous pilot study, we evaluate the within- and between-person reliability, nomological net and associations with a validated trait measure of aggression of the Aggression-ES-A in a sample of N = 255 emerging adults from the Zurich Project on Social Development from Childhood to Adulthood (z-proso). Using multilevel confirmatory factor analysis and structural equation modeling, we found support for the factorial validity, reliability, and concurrent validity of the Aggression-ES-A scores. Results support the use of the Aggression-ES-A in EMA studies utilizing community-ascertained samples.


Assuntos
Agressão , Avaliação Momentânea Ecológica , Adolescente , Adulto , Criança , Humanos , Projetos Piloto , Reprodutibilidade dos Testes , Adulto Jovem
18.
Skeletal Radiol ; 40(12): 1505-13, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20658285

RESUMO

Advances in imaging and the development of commercially available enzyme therapy have significantly altered the traditional radiology of Gaucher disease. The cost of treatment and need for monitoring response to therapy have magnified the importance of imaging. There are no recent comprehensive reviews of the radiology of this relatively common lysosomal storage disease. This article describes the modern imaging, techniques and radiological manifestations of Gaucher disease.


Assuntos
Doenças Ósseas Metabólicas/diagnóstico , Doença de Gaucher/diagnóstico , Absorciometria de Fóton , Doenças Ósseas Metabólicas/diagnóstico por imagem , Doença de Gaucher/diagnóstico por imagem , Doença de Gaucher/fisiopatologia , Humanos , Imageamento por Ressonância Magnética , Cintilografia , Ultrassonografia
19.
Psychiatry Res ; 303: 114059, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34214710

RESUMO

Previous research suggests that aggression is associated with ADHD symptoms and this may partly reflect problems with emotional regulation. Using data from the D2M study (n=260) we found that ADHD symptoms were associated with both emotional lability and aggression, but emotional lability did not mediate the ADHD-aggression association. Results suggest that other factors may be more important for explaining elevated levels of aggression in ADHD.


Assuntos
Agressão , Transtorno do Deficit de Atenção com Hiperatividade , Sintomas Afetivos , Avaliação Momentânea Ecológica , Emoções , Humanos
20.
Alzheimers Res Ther ; 13(1): 26, 2021 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-33451358

RESUMO

BACKGROUND: Whether in the context of monitoring disease progression or in assessing the effects of interventions, a major challenge in dementia research is determining when an individual has undergone meaningful change in symptoms and other relevant outcomes such as cognitive test performance. The challenge lies in differentiating genuine improvement or deterioration from change in scores due to random and systematic error. BODY: In this review, we discuss the advantages and limitations of available methods for assessing individual-level change in the context of key challenges, including imperfect and differential reliability of scores, and practice effects. We discuss indices of reliable change and the use of composite and item response theory (IRT) scores. CONCLUSION: We conclude that IRT-based approaches hold particular promise because they have the flexibility to accommodate solutions to a wide range of issues that influence the accuracy of judgements of meaningful change. We close by discussing the practical implications of adopting IRT-based approaches.


Assuntos
Demência , Demência/diagnóstico , Demência/terapia , Progressão da Doença , Humanos , Testes Neuropsicológicos , Reprodutibilidade dos Testes
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA