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1.
Psychometrika ; 89(2): 687-716, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38532229

RESUMO

Spearman (Am J Psychol 15(1):201-293, 1904. https://doi.org/10.2307/1412107 ) marks the birth of factor analysis. Many articles and books have extended his landmark paper in permitting multiple factors and determining the number of factors, developing ideas about simple structure and factor rotation, and distinguishing between confirmatory and exploratory factor analysis (CFA and EFA). We propose a new model implied instrumental variable (MIIV) approach to EFA that allows intercepts for the measurement equations, correlated common factors, correlated errors, standard errors of factor loadings and measurement intercepts, overidentification tests of equations, and a procedure for determining the number of factors. We also permit simpler structures by removing nonsignificant loadings. Simulations of factor analysis models with and without cross-loadings demonstrate the impressive performance of the MIIV-EFA procedure in recovering the correct number of factors and in recovering the primary and secondary loadings. For example, in nearly all replications MIIV-EFA finds the correct number of factors when N is 100 or more. Even the primary and secondary loadings of the most complex models were recovered when the sample sizes were at least 500. We discuss limitations and future research areas. Two appendices describe alternative MIIV-EFA algorithms and the sensitivity of the algorithm to cross-loadings.


Assuntos
Modelos Estatísticos , Psicometria , Análise Fatorial , Humanos , Simulação por Computador
2.
Multivariate Behav Res ; : 1-20, 2023 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-37611153

RESUMO

In psychology, the use of portable technology and wearable devices to ease participant burden in data collection is on the rise. This creates increased interest in collecting real-time or near real-time data from individuals within their natural environments. As a result, vast amounts of observational time series data are generated. Often, motivation for collecting this data hinges on understanding within-person processes that underlie psychological phenomena. Motivated by the body of Dr. Peter Molenaar's life work calling for analytical approaches that consider potential heterogeneity and non-ergodicity, the focus of this paper is on using idiographic analyses to generate population inferences for within-person processes. Meta-analysis techniques using one-stage and two-stage random effects meta-analysis as implemented in single-case experimental designs are presented. The case for preferring a two-stage approach for meta-analysis of single-subject observational time series data is made and demonstrated using an empirical example. This provides a novel implementation of the methodology as prior implementations focus on applications to short time series with experimental designs. Inspired by Dr. Molenaar's work, we describe how an approach, two-stage random effects meta-analysis (2SRE-MA), aligns with recent calls to consider idiographic approaches when making population-level inferences regarding within-person processes.

3.
Multivariate Behav Res ; : 1-11, 2023 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-37427807

RESUMO

With the increased use of time series data in human research, ranging from ecological momentary assessments to data passively obtained, researchers can explore dynamic processes more than ever before. An important question researchers must ask themselves is, do I think all individuals have similar processes? If not, how different, and in what ways? Dr. Peter Molenaar's work set the foundation to answer these questions by providing insight into individual-level analysis for processes that are assumed to differ across individuals in at least some aspects. Currently, such assumptions do not have a clear taxonomy regarding the degree of homogeneity in the patterns of relations among variables and the corresponding parameter values. This paper provides the language with which researchers can discuss assumptions inherent in their analyses. We define strict homogeneity as the assumption that all individuals have an identical pattern of relations as well as parameter values; pattern homogeneity assumes the same pattern of relations but parameter values can differ; weak homogeneity assumes there are some (but not all) generalizable aspects of the process; and no homogeneity explicitly assumes no population-level similarities in dynamic processes across individuals. We demonstrate these assumptions with an empirical data set of daily emotions in couples.

4.
Artigo em Inglês | MEDLINE | ID: mdl-37276084

RESUMO

OBJECTIVE: Behavioral activation (BA) is a brief intervention for depression encouraging gradual and systematic re-engagement with rewarding activities and behaviors. Given this treatment focus, BA may be particularly beneficial for adolescents with prominent anhedonia, a predictor of poor treatment response and common residual symptom. We applied group iterative multiple model estimation (GIMME) to ecological momentary assessment (EMA) treatment data to investigate common and person-specific processes during BA for anhedonic adolescents. METHOD: Thirty-nine adolescents (Mage = 15.7 years old, 67% female, 81% White) with elevated anhedonia (Snaith-Hamilton Pleasure Scale) were enrolled in a 12-week BA trial, with weekly anhedonia assessments. EMA surveys were triggered every other week (2-3 surveys per day) throughout treatment assessing current positive affect (PA) and negative affect (NA), engagement in pleasurable activities and social interactions, anticipatory pleasure, rumination, and recent pleasurable and stressful experiences. RESULTS: A multilevel model revealed significant decreases in anhedonia, t(25.5) = -4.76, p < .001, over the 12-week trial. GIMME results indicated substantial heterogeneity in variable networks across patients. PA was the variable with the greatest number (22% of all paths vs. 11% for NA) of predictive paths to other symptoms (i.e., highest out-degree). Higher PA (but not NA) out-degree was associated with greater anhedonia improvement, t(25.8) = -2.22, p = .035. CONCLUSIONS: Results revealed substantial heterogeneity in variable relations across patients, which may obscure the search for common processes of change in BA. PA may be a particularly important treatment target for anhedonic adolescents in BA. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

5.
Psychometrika ; 88(2): 434-455, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36892726

RESUMO

Significant heterogeneity in network structures reflecting individuals' dynamic processes can exist within subgroups of people (e.g., diagnostic category, gender). This makes it difficult to make inferences regarding these predefined subgroups. For this reason, researchers sometimes wish to identify subsets of individuals who have similarities in their dynamic processes regardless of any predefined category. This requires unsupervised classification of individuals based on similarities in their dynamic processes, or equivalently, in this case, similarities in their network structures of edges. The present paper tests a recently developed algorithm, S-GIMME, that takes into account heterogeneity across individuals with the aim of providing subgroup membership and precise information about the specific network structures that differentiate subgroups. The algorithm has previously provided robust and accurate classification when evaluated with large-scale simulation studies but has not yet been validated on empirical data. Here, we investigate S-GIMME's ability to differentiate, in a purely data-driven manner, between brain states explicitly induced through different tasks in a new fMRI dataset. The results provide new evidence that the algorithm was able to resolve, in an unsupervised data-driven manner, the differences between different active brain states in empirical fMRI data to segregate individuals and arrive at subgroup-specific network structures of edges. The ability to arrive at subgroups that correspond to empirically designed fMRI task conditions, with no biasing or priors, suggests this data-driven approach can be a powerful addition to existing methods for unsupervised classification of individuals based on their dynamic processes.


Assuntos
Encéfalo , Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/métodos , Psicometria , Encéfalo/diagnóstico por imagem , Simulação por Computador , Algoritmos , Mapeamento Encefálico/métodos
6.
Psychol Methods ; 28(2): 379-400, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34941327

RESUMO

Unified structural equation modeling (uSEM) implemented in the group iterative multiple model estimation (GIMME) framework has recently been widely used for characterizing within-person network dynamics of behavioral and functional neuroimaging variables. Previous studies have established that GIMME accurately recovers the presence of relations between variables. However, recovery of relation directionality is less consistent, which is concerning given the importance of directionality estimates for many research questions. There is evidence that strong autoregressive relations may aid directionality recovery and indirect evidence that a novel version of GIMME allowing for multiple solutions could improve recovery when such relations are weak, but it remains unclear how these strategies perform under a range of study conditions. Using comprehensive simulations that varied the strength of autoregressive relations among other factors, this study evaluated the directionality recovery of two GIMME search strategies: (a) estimating autoregressive relations by default in the null model (GIMME-AR) and (b) generating multiple solution paths (GIMME-MS). Both strategies recovered directionality best-and were roughly equivalent in performance-when autoregressive relations were strong (e.g., ß = .60). When they were weak (ß ≤ .10), GIMME-MS displayed an advantage, although overall directionality recovery was modest. Analyses of empirical data in which autoregressive relations were characteristically strong (resting state functional MRI) versus weak (daily diary) mirrored simulation results and confirmed that these strategies can disagree on directionality when autoregressive relations are weak. Findings have important implications for psychological and neuroimaging applications of uSEM/GIMME and suggest specific scenarios in which researchers might or might not be confident in directionality results. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Neuroimagem , Humanos , Simulação por Computador
7.
Psychol Methods ; 28(1): 189-206, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35420853

RESUMO

Researchers across varied fields increasingly are collecting and analyzing intensive longitudinal data (ILD) to examine processes across time at the individual level. Two types of relations are typically examined: lagged and contemporaneous. Lagged relations capture how variables at a prior time point can be used to explain variance in variables at a later time point. These are always modeled using auto- and cross-regressions by means of vector autoregression (VAR). By contrast, there are two types of relations commonly used to model the contemporaneous relations, which model how variables relate instantaneously. Until now, researchers must opt to either model contemporaneous relations as undirected relations among residuals (e.g., partial or full correlations) or as directed relations among the variables (e.g., paths or regressions). The choice for how to model contemporaneous relations has implications for inferences as well as the potential to introduce bias in the VAR lagged relations if the wrong type of relation is used. This article introduces a novel data-driven method, hybrid-group iterative multiple model estimation (GIMME), that provides a solution to the problem of having to choose one or the other type of contemporaneous relation to model. The modeling framework utilized in hybrid-GIMME allows for both types of contemporaneous relations in addition to the standard VAR relations. Both simulated and empirical data were used to test the performance of hybrid-GIMME. Results suggest this is a robust method for recovering contemporaneous relations in an exploratory manner, particularly with an ample number of time points per person. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Modelos Estatísticos , Humanos , Fatores de Tempo , Interpretação Estatística de Dados
8.
Soc Cogn Affect Neurosci ; 18(1)2023 02 23.
Artigo em Inglês | MEDLINE | ID: mdl-36287067

RESUMO

The motivation to socially connect with peers increases during adolescence in parallel with changes in neurodevelopment. These changes in social motivation create opportunities for experiences that can impact risk for psychopathology, but the specific motivational presentations that confer greater psychopathology risk are not fully understood. To address this issue, we used a latent profile analysis to identify the multidimensional presentations of self-reported social goals in a sample of 220 girls (9-15 years old, M = 11.81, SD = 1.81) that was enriched for internalizing symptoms, and tested the association between social goal profiles and psychopathology. Associations between social goals and brain network connectivity were also examined in a subsample of 138 youth. Preregistered analyses revealed four unique profiles of social goal presentations in these girls. Greater psychopathology was associated with heightened social goals such that higher clinical symptoms were related to a greater desire to attain social competence, avoid negative feedback and gain positive feedback from peers. The profiles endorsing these excessive social goals were characterized by denser connections among social-affective and cognitive control brain regions. These findings thus provide preliminary support for adolescent-onset changes in motivating factors supporting social engagement that may contribute to risk for psychopathology in vulnerable girls.


Assuntos
Objetivos , Transtornos Mentais , Feminino , Humanos , Adolescente , Criança , Psicopatologia , Encéfalo , Motivação
9.
Behav Res Methods ; 55(6): 3026-3054, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-36018483

RESUMO

Using traces of behaviors to predict outcomes is useful in varied contexts ranging from buyer behaviors to behaviors collected from smart-home devices. Increasingly, higher education systems have been using Learning Management System (LMS) digital data to capture and understand students' learning and well-being. Researchers in the social sciences are increasingly interested in the potential of using digital log data to predict outcomes and design interventions. Using LMS data for predicting the likelihood of students' success in for-credit college courses provides a useful example of how social scientists can use these techniques on a variety of data types. Here, we provide a primer on how LMS data can be feature-mapped and analyzed to accomplish these goals. We begin with a literature review summarizing current approaches to analyzing LMS data, then discuss ethical issues of privacy when using demographic data and equitable model building. In the second part of the paper, we provide an overview of popular machine learning algorithms and review analytic considerations such as feature generation, assessment of model performance, and sampling techniques. Finally, we conclude with an empirical example demonstrating the ability of LMS data to predict student success, summarizing important features and assessing model performance across different model specifications.


Assuntos
Privacidade , Estudantes , Humanos , Universidades
10.
Soc Cogn Affect Neurosci ; 17(11): 995-1006, 2022 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-35445241

RESUMO

In the present study, we used an unsupervised classification algorithm to reveal both consistency and degeneracy in neural network connectivity during anger and anxiety. Degeneracy refers to the ability of different biological pathways to produce the same outcomes. Previous research is suggestive of degeneracy in emotion, but little research has explicitly examined whether degenerate functional connectivity patterns exist for emotion categories such as anger and anxiety. Twenty-four subjects underwent functional magnetic resonance imaging (fMRI) while listening to unpleasant music and self-generating experiences of anger and anxiety. A data-driven model building algorithm with unsupervised classification (subgrouping Group Iterative Multiple Model Estimation) identified patterns of connectivity among 11 intrinsic networks that were associated with anger vs anxiety. As predicted, degenerate functional connectivity patterns existed within these overarching consistent patterns. Degenerate patterns were not attributable to differences in emotional experience or other individual-level factors. These findings are consistent with the constructionist account that emotions emerge from flexible functional neuronal assemblies and that emotion categories such as anger and anxiety each describe populations of highly variable instances.


Assuntos
Encéfalo , Emoções , Humanos , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Emoções/fisiologia , Imageamento por Ressonância Magnética/métodos , Ira/fisiologia , Redes Neurais de Computação , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia
12.
J Psychopathol Clin Sci ; 131(3): 221-234, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35357844

RESUMO

Altered stress-reactivity may represent a general risk factor for psychopathology. In a broad at-risk sample, we examined (a) how stress and mild, daily expressions of psychopathology were interrelated over time, (b) whether we could detect subgroups with similar dynamics between stress and daily expressions of psychopathology (i.e., stress-reactivity), and (c) whether stress-reactivity was associated with psychopathology and social functioning. One hundred twenty-two young adults (43.4% women, mean age 23.6) at risk for developing a wide range of psychopathology completed a 6-month daily diary study. We used group iterative multiple model estimation (GIMME) to identify temporal associations between event stress and 11 mild expressions of psychopathology (e.g., feeling down, restlessness) at group, subgroup, and individual levels. Stress was associated with feeling irritated during the same day for >70% of individuals, and with feeling down and worrying during the same day for >50% of individuals. No stable subgroups characterized by similar daily stress-reactivity were identified. Instead, we observed 71 different stress-reactivity patterns in 122 individuals. Average daily event stress, but not overall stress-reactivity (weighted stress-response), was associated with psychopathology severity and social dysfunction. This study showed important similarities, as well as many differences between individuals, in terms of the impact of stress on mild expressions of psychopathology in daily life. Clustering based on similar stress-reactivity did not lead to stable subgroups. Finally, average daily stress levels, but not daily stress-reactivity, were associated with psychopathologic severity and social dysfunction. Findings highlight the importance of considering heterogeneity in stress-reactivity, but also challenges for identifying generalizable processes in doing so. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Emoções , Estresse Psicológico , Adulto , Ansiedade , Emoções/fisiologia , Feminino , Humanos , Masculino , Psicopatologia , Fatores de Risco , Adulto Jovem
13.
Soc Cogn Affect Neurosci ; 17(11): 1007-1020, 2022 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-35348787

RESUMO

Social learning theory posits that adolescents learn to adopt social norms by observing the behaviors of others and internalizing the associated outcomes. However, the underlying neural processes by which social learning occurs is less well-understood, despite extensive neurobiological reorganization and a peak in social influence sensitivity during adolescence. Forty-four adolescents (Mage = 12.2 years) completed an fMRI scan while observing their older sibling within four years of age (Mage = 14.3 years) of age complete a risky decision-making task. Group iterative multiple model estimation (GIMME) was used to examine patterns of directional brain region connectivity supporting social learning. We identified group-level neural pathways underlying social observation including the anterior insula to the anterior cingulate cortex and mentalizing regions to social cognition regions. We also found neural states based on adolescent sensitivity to social learning via age, gender, modeling, differentiation, and behavior. Adolescents who were more likely to be influenced elicited neurological up-regulation whereas adolescents who were less likely to be socially influenced elicited neurological down-regulation during risk-taking. These findings highlight patterns of how adolescents process information while a salient influencer takes risks, as well as salient neural pathways that are dependent on similarity factors associated with social learning theory.


Assuntos
Comportamento do Adolescente , Aprendizado Social , Adolescente , Humanos , Mapeamento Encefálico , Irmãos , Assunção de Riscos , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Imageamento por Ressonância Magnética , Comportamento do Adolescente/fisiologia
14.
Multivariate Behav Res ; 57(1): 134-152, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33025834

RESUMO

Researchers collecting intensive longitudinal data (ILD) are increasingly looking to model psychological processes, such as emotional dynamics, that organize and adapt across time in complex and meaningful ways. This is also the case for researchers looking to characterize the impact of an intervention on individual behavior. To be useful, statistical models must be capable of characterizing these processes as complex, time-dependent phenomenon, otherwise only a fraction of the system dynamics will be recovered. In this paper we introduce a Square-Root Second-Order Extended Kalman Filtering approach for estimating smoothly time-varying parameters. This approach is capable of handling dynamic factor models where the relations between variables underlying the processes of interest change in a manner that may be difficult to specify in advance. We examine the performance of our approach in a Monte Carlo simulation and show the proposed algorithm accurately recovers the unobserved states in the case of a bivariate dynamic factor model with time-varying dynamics and treatment effects. Furthermore, we illustrate the utility of our approach in characterizing the time-varying effect of a meditation intervention on day-to-day emotional experiences.


Assuntos
Algoritmos , Modelos Estatísticos , Simulação por Computador , Humanos , Método de Monte Carlo
15.
Psychol Methods ; 26(6): 743-773, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33793268

RESUMO

Deep learning has revolutionized predictive modeling in topics such as computer vision and natural language processing but is not commonly applied to psychological data. In an effort to bring the benefits of deep learning to psychologists, we provide an overview of deep learning for researchers who have a working knowledge of linear regression. We first discuss several benefits of the deep learning approach to predictive modeling. We then present three basic deep learning models that generalize linear regression: the feedforward neural network (FNN), the recurrent neural network (RNN), and the convolutional neural network (CNN). We include concrete toy examples with R code to demonstrate how each model may be applied to answer prediction-focused research questions using common data types collected by psychologists. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Aprendizado Profundo , Humanos , Processamento de Linguagem Natural , Redes Neurais de Computação
16.
Psychometrika ; 86(2): 404-441, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33840003

RESUMO

There recently has been growing interest in the study of psychological and neurological processes at an individual level. One goal in such endeavors is to construct person-specific dynamic assessments using time series techniques such as Vector Autoregressive (VAR) models. However, two problems exist with current VAR specifications: (1) VAR models are restricted in that contemporaneous relations are typically modeled either as undirected relations among residuals or directed relations among observed variables, but not both; (2) current estimation frameworks are limited by the reliance on stepwise model building procedures. This study adopts a new modeling approach. We first extended the current unified SEM (uSEM) framework, a widely used structural VAR model, to a hybrid representation (i.e., "huSEM") to include both undirected and directed contemporaneous effects, and then replaced the stepwise modeling with a LASSO-type regularization for a global search of the optimal sparse model. Our simulation study showed that regularized huSEM performed uniformly the best over alternative VAR representations and/or modeling approaches, with respect to accurately recovering the presence and directionality of hybrid relations and reliably removing false relations when the data are generated to have two types of contemporaneous relations. The present study to our knowledge is the first application of the recently developed regularized SEM technique to the estimation of huSEM, which points to a promising future for statistical learning in psychometric models.


Assuntos
Modelos Estatísticos , Simulação por Computador , Humanos , Análise de Classes Latentes , Psicometria
17.
Brain Connect ; 11(6): 418-429, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33478367

RESUMO

Introduction: Group iterative multiple model estimation (GIMME) has proven to be a reliable data-driven method to arrive at functional connectivity maps that represent associations between brain regions across time in groups and individuals. However, to date, GIMME has not been able to model time-varying task-related effects. This article introduces HRF-GIMME, an extension of GIMME that enables the modeling of the direct and modulatory effects of a task on functional magnetic resonance imaging data collected by using event-related designs. Critically, hemodynamic response function (HRF)-GIMME incorporates person-specific modeling of the HRF to accommodate known variability in onset delay and shape. Methods: After an introduction of the technical aspects of HRF-GIMME, the performance of HRF-GIMME is evaluated via both a simulation study and application to empirical data. The simulation study assesses the sensitivity and specificity of HRF-GIMME by using data simulated from one slow and two rapid event-related designs, and HRF-GIMME is then applied to two empirical data sets from similar designs to evaluate performance in recovering known neural circuitry. Results: HRF-GIMME showed high sensitivity and specificity across all simulated conditions, and it performed well in the recovery of expected relations between convolved task vectors and brain regions in both simulated and empirical data, particularly for the slow event-related design. Conclusion: Results from simulated and empirical data indicate that HRF-GIMME is a powerful new tool for obtaining directed functional connectivity maps of intrinsic and task-related connections that is able to uncover what is common across the sample as well as crucial individual-level path connections and estimates. Impact statement Group iterative multiple model estimation (GIMME) is a reliable method for creating functional connectivity maps of the connections between brain regions across time, and it is able to detect what is common across the sample and what is shared between subsets of participants, as well as individual-level path estimates. However, historically, GIMME does not model task-related effects. The novel HRF-GIMME algorithm enables the modeling of direct and modulatory task effects through individual-level estimation of the hemodynamic response function (HRF), presenting a powerful new tool for assessing task effects on functional connectivity networks in functional magnetic resonance imaging data.


Assuntos
Encéfalo , Imageamento por Ressonância Magnética , Algoritmos , Encéfalo/diagnóstico por imagem , Simulação por Computador , Hemodinâmica , Humanos
18.
Behav Res Methods ; 53(3): 1276-1288, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33037600

RESUMO

Data-driven model searches provide the opportunity to quantify person-specific processes using ambulatory assessment data. Here, the search space typically includes all potential relations among variables, meaning that all variables can potentially explain variability in all other variables. Oftentimes, this is unrealistic. For example, weather is unlikely to be predicted by someone's emotional state, whereas the reverse might be true. Allowing for specification of exogenous variables, or variables that are not predicted within the system, permits more realistic models and allows the researcher to model contextual change processes via the use of moderation variables. We use two sets of daily diary data to demonstrate the capabilities of allowing for the specification of exogenous variables in GIMME (Group Iterative Multiple Model Estimation), a model search algorithm that allows for models with idiographic, individual-level as well as subgroup- and group-level processes with intensive longitudinal data. First, using data collected from individuals diagnosed with personality disorders, we show results where weather-related and temporal basis variables are specified as exogenous, and reports on affect and behavior are endogenous. Next, we demonstrate the modeling of treatment effects in an intervention study, looking at data from a 6-week meditation workshop in midlife adults. Finally, we use the meditation intervention data to demonstrate modeling moderation effects, where relationships between two endogenous variables are dependent on the current stage of the study for a given participant (i.e., currently attending meditation classes or not). We end by presenting adaptive LASSO as a method for probing results obtained from GIMME.


Assuntos
Algoritmos , Projetos de Pesquisa , Adulto , Humanos
19.
Health Psychol ; 39(7): 600-616, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32281824

RESUMO

Objective: Skin cancer is the most frequently diagnosed cancer and rates are increasing because of global warming. This article reports a meta-analysis of randomized controlled trials of behavioral interventions to reduce exposure to ultraviolet radiation (UVR). The review aimed to (a) quantify the magnitude of intervention effects on indoor tanning, sun exposure, and sunscreen use, and (b) determine which intervention strategies maximize behavior change. Method: Out of 17,437 records identified via literature searches, 190 independent tests (N = 89,365) met the inclusion criteria. Sample, intervention, and methodological characteristics, and change techniques were coded, and random effects meta-analyses and metaregressions were conducted. Results: The sample-weighted average effect size across all studies was d+ = .193 (95% confidence interval, CI [.161, .226]), and there were significant effects on indoor tanning, sun exposure, and sunscreen use (d+ = .080, .149, and .196, respectively). However, there was evidence of publication bias, and trim and fill analyses indicated that the corrected effects for sun exposure and sunscreen use were of very small magnitude (d+ ~ .06) and were not significantly different from zero for indoor tanning (d+ = -.011, 95% CI [-.096, .074]). Metaregression analyses identified several intervention strategies that predicted effect sizes. For instance, interventions delivered individually that promoted alternatives to tanning were associated with larger effect sizes for indoor tanning. Conclusion: Interventions to date have had only a modest impact on behavioral exposure to UVR. The present findings offer new insights into how the effectiveness of future interventions can be improved. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Banho de Sol/normas , Protetores Solares/uso terapêutico , Raios Ultravioleta/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
20.
J Consult Clin Psychol ; 88(3): 240-254, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32068425

RESUMO

OBJECTIVE: Psychopathology research has relied on discrete diagnoses, which neglects the unique manifestations of each individual's pathology. Borderline personality disorder combines interpersonal, affective, and behavioral regulation impairments making it particularly ill-suited to a "one size fits all" diagnosis. Clinical assessment and case formulation involve understanding and developing a personalized model for each patient's contextualized dynamic processes, and research would benefit from a similar focus on the individual. METHOD: We use group iterative multiple model estimation, which estimates a model for each individual and identifies general or shared features across individuals, in both a mixed-diagnosis sample (N = 78) and a subsample with a single diagnosis (n = 24). RESULTS: We found that individuals vary widely in their dynamic processes in affective and interpersonal domains both within and across diagnoses. However, there was some evidence that dynamic patterns relate to transdiagnostic baseline measures. We conclude with descriptions of 2 person-specific models as an example of the heterogeneity of dynamic processes. CONCLUSIONS: The idiographic models presented here join a growing literature showing that the individuals differ dramatically in the total patterning of these processes, even as key processes are shared across individuals. We argue that these processes are best estimated in the context of person-specific models, and that so doing may advance our understanding of the contextualized dynamic processes that could identify maintenance mechanisms and treatment targets. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Transtorno da Personalidade Borderline/psicologia , Humanos , Masculino , Modelos Psicológicos
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