Risk of diabetes and hypertension in a population with alcohol use disorders.

BACKGROUND: A population-based follow-up study assessing the risk of developing hypertension and diabetes associated with alcohol use disorder (AUD) is crucial. We investigated this relationship by using insurance claims data from Taiwan. METHODS: From the claims data, an AUD cohort (N = 60,590) diagnosed between 2000 and 2006 and a non-AUD comparison cohort (N = 60,590) without the diagnosis of hypertension or diabetes at baseline were established and matched by propensity scores estimated by baseline demographic status and the Charlson comorbidity index (CCI). We assessed the incidence rates of hypertension and/or diabetes at the end of 2016 and used Cox's method to estimate the related hazard ratios (HRs) and 95% confidence intervals (CIs). RESULTS: Relative to the comparison cohort, the AUD cohort had an approximately 1.70-fold higher incidence of hypertension (35.1 vs. 20.7 per 1,000 person-years), with an adjusted HR (aHR) of 1.72 (95% CI: 1.68-1.76), 2.16-fold higher incidence of diabetes (20.2 vs. 9.36 per 1,000 person-years), with an aHR of 2.18 (95% CI: 2.11-2.24), and 1.91-fold higher incidence of both diabetes and hypertension (10.3 vs. 5.38 per 1,000 person-years) with an aHR of 2.02 (95% CI: 1.94-2.10). The incidence rates of all outcomes were greater in men than in women, whereas the HRs were greater for AUD in women than for AUD in men relative to the respective comparison patients. The risk increased further for subjects with CCI ≥ 1, which was higher in the AUD cohort. CONCLUSIONS: The increased risk of developing diabetes and hypertension in patients with AUD, especially the differences noted according to gender, indicates that clinicians should address potential comorbidities in these patients.

Children's cross-cultural categorizations of racially ambiguous faces in Taiwan and the U.S.

OBJECTIVES: Racially ambiguous face categorization research is growing in prominence, and yet the majority of this work has focused on White and Western samples and has primarily used biracial Black/White stimuli. Past findings suggest that biracial Black/White faces are more often seen as Black than White, but without testing these perceptions with other groups, generalizability cannot be guaranteed. METHODS: We tested 3-7-year-old Asian children living in Taiwan-an Eastern cultural context (N = 74)-and Asian children living in the U.S.-a Western cultural context (N = 65) to explore the role that cultural group membership may play in biracial perceptions. Children categorized 12 racially ambiguous biracial Black/White faces and 12 biracial Asian/White faces in a dichotomous forced-choice task and completed a racial constancy measurement. RESULTS: Regarding biracial Black/White faces, Taiwanese and Asian American children both categorized the faces as White significantly more often compared to chance levels, regardless of racial constancy beliefs. For biracial Asian/White faces, Taiwanese children with racial constancy beliefs categorized the faces significantly more often as White, whereas Taiwanese children without racial constancy beliefs categorized the faces significantly more often as Asian. However, Asian American children did not show a bias in categorizing biracial Asian/White faces. CONCLUSIONS: Results suggest that hyperdescent over hypodescent for more commonly studied biracial Black/White faces generalizes in both cultural contexts. However, biracial Asian/White stimuli may be perceived in more fixed-like patterns in predominately Asian contexts, since only Taiwanese children showed increased outgroup categorizations once racial constancy beliefs were endorsed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Investigating Medical Cost and Mortality Among Psychiatric Patients Involuntary Admissions: A Nationwide Propensity Score-Matched Study.

OBJECTIVE: Involuntary admission to psychiatric inpatient care can protect both patients with severe mental illnesses and individuals around them. This study analyzed annual healthcare costs per person for involuntary psychiatric admission and examined categories of mental disorders and other factors associated with mortality. METHODS: This retrospective cohort study collected 1 million randomly sampled beneficiaries from the National Health Insurance Database for 2002-2013. It identified and matched 181 patients with involuntary psychiatric admissions (research group) with 724 patients with voluntary psychiatric admissions (control group) through 1:4 propensity-score matching for sex, age, comorbidities, mental disorder category, and index year of diagnosis. RESULTS: Mean life expectancy of patients with involuntary psychiatric admissions was 33.13 years less than the general population. Average annual healthcare costs per person for involuntary psychiatric admissions were 3.94 times higher compared with voluntary admissions. The general linear model demonstrated that average annual medical costs per person per compulsory hospitalization were 5.8 times that of voluntary hospitalization. Survival analysis using the Cox proportional hazards model found no significant association between type of psychiatric admission (involuntary or voluntary) and death. CONCLUSION: This study revealed no significant difference in mortality between involuntary and voluntary psychiatric admissions, indicating involuntary treatment's effectiveness.

Multi-cultural cities reduce disadvantages in recognizing naturalistic images of other-race faces: evidence from a novel face learning task.

People often find it more difficult to recognize other- than own-race faces. This other-race effect is robust across numerous ethnic groups. Yet, it remains unclear how this effect changes in people who live in a multiracial environment, and in immigrants whose lifetime perceptual experience changes over time. In the present study, we developed a novel face recognition test that approximates face recognition in the real world. We tested five groups of White and East Asian adults (n = 120) living in racially homogeneous versus heterogeneous cities and East Asians who immigrated to a multiracial city between infancy and adulthood. Multiracial cities reduce the other-race effect. The magnitude of the other-race effect changes as a function of experience, mirroring the racial diversity in perceivers' living environment. Our study highlights the challenge of forming reliable face representations across naturalistic facial variability and suggests a facilitative role of multiracial environments in eliminating the other-race effect.

Impairments in face discrimination and emotion recognition are related to aging and cognitive dysfunctions in Parkinson's disease with dementia.

Patients with Parkinson's disease (PD) suffer from motor and non-motor symptoms; 40% would develop dementia (PD-D). Impaired face and emotion processing in PD has been reported; however, the deficits of face processing in PD-D remain unclear. We investigated three essential aspects of face processing capacity in PD-D, and the associations between cognitive, neuropsychiatric assessments and task performances. Twenty-four PD-D patients (mean age: 74.0 ± 5.55) and eighteen age-matched healthy controls (HC) (mean age: 71.0 ± 6.20) received three computerized tasks, morphing-face discrimination, dynamic facial emotion recognition, and expression imitation. Compared to HC, PD-D patients had lower sensitivity (d') and greater neural internal noises in discriminating faces; responded slower and had difficulties with negative emotions; imitated some expressions but with lower strength. Correlation analyses revealed that patients with advancing age, slow mentation, and poor cognition (but not motor symptoms) showed stronger deterioration in face perception. Importantly, these correlations were absent in the age-matched HC. The present study is among the first few examined face processing in patients with PD-D, and found consistent deficits correlated with advancing age and slow mentation. We propose that face discrimination task could be included as a potential test for the early detection of dementia in PD.

Categorizing Two Taiwanese Major Political Parties From Their Faces: The Influence of Provincial Appearance.

People go beyond the inferences afforded by a person's observable features to make guesses about personality traits or even social memberships such as political affiliations. The present study extended Hu et al. (2016) to further investigate the influence of provincial appearance on differentiating KMT (Kuomintang) and DPP (Democratic Progressive Party) candidates by headshot photos with three experiments. In Experiment 1 (Membership categorization task), participants categorized the photos from the pilot study (where the difference between the perceived age of KMT and DPP candidates was reduced) and divided into four blocks by their perceived age. We found that participants were able to distinguish KMT from DPP candidates significantly better than chance, even when the perceived age difference between the two parties was minimized. In Experiment 2 (Trait rating task), we asked young and middle-aged adults to rate six traits on candidate's photos. We found that "provincial appearance" is the core trait differentiating the two parties for both young and older participants, while "facial maturity" is another trait for older participants only. In Experiment 3 (Double categorization task), we asked participants to categorize the photos from the Exp. 1 on their membership (KMT or DPP) and on provincial appearance (mainlander or native Taiwanese) in two separate sessions. Results showed that young adults were likely to use the "provincial appearance" as the main characteristic cue to categorize candidates' political membership. In sum, our study showed that Taiwanese adults could categorize the two parties by their headshot photos when age cue was eliminated. Moreover, provincial appearance was the most critical trait for differentiating between KMT and DPP candidates, which may reflect a piece of significant history during the development of the two parties.

The development of the own-race advantage in school-age children: A morphing face paradigm.

Previous studies examining the other-race effect in school-age children mostly focused on recognition memory performance. Here we investigated perceptual discriminability for Asian-like versus Caucasian-like morph faces in school-age Taiwanese children and adults. One-hundred-and-two 5- to 12-year-old children and twenty-three adults performed a sequential same/different face matching task, where they viewed an Asian- or a Caucasian-parent face followed by either the same parent face or a different morphed face (containing 15%, 30%, 45%, or 60% contribution from the other parent face) and judged if the two faces looked the same. We computed the d' as the sensitivity index for each age groups. We also analyzed the group mean rejection rates as a function of the morph level and fitted with a cumulative normal distribution function. Results showed that the adults and the oldest 11-12-year-old children exhibited a greater sensitivity (d') and a smaller discrimination threshold (µ) in the Asian-parent condition than those in the Caucasian-parent condition, indicating the presence of an own-race advantage. On the contrary, 5- to 10-year-old children showed an equal sensitivity and similar discrimination thresholds for both conditions, indicating an absence of the own-race advantage. Moreover, a gradual development in enhancing the discriminability for the Asian-parent condition was observed from age 5 to 12; however, the progression in the Caucasian-parent condition was less apparent. In sum, our findings suggest that expertise in face processing may take the entire childhood to develop, and supports the perceptual learning view of the other-race effect-the own-race advantage seen in adulthood likely reflects a result of prolonged learning specific to faces most commonly seen in one's visual environment such as own-race faces.

Developing the Own-Race Advantage in 4-, 6-, and 9-Month-Old Taiwanese Infants: A Perceptual Learning Perspective.

Previous infant studies on the other-race effect have favored the perceptual narrowing view, or declined sensitivities to rarely exposed other-race faces. Here we wish to provide an alternative possibility, perceptual learning, manifested by improved sensitivity for frequently exposed own-race faces in the first year of life. Using the familiarization/visual-paired comparison paradigm, we presented 4-, 6-, and 9-month-old Taiwanese infants with oval-cropped Taiwanese, Caucasian, Filipino faces, and each with three different manipulations of increasing task difficulty (i.e., change identity, change eyes, and widen eye spacing). An adult experiment was first conducted to verify the task difficulty. Our results showed that, with oval-cropped faces, the 4 month-old infants could only discriminate Taiwanese "change identity" condition and not any others, suggesting an early own-race advantage at 4 months. The 6 month-old infants demonstrated novelty preferences in both Taiwanese and Caucasian "change identity" conditions, and proceeded to the Taiwanese "change eyes" condition. The 9-month-old infants demonstrated novelty preferences in the "change identity" condition of all three ethnic faces. They also passed the Taiwanese "change eyes" condition but could not extend this refined ability of detecting a change in the eyes for the Caucasian or Philippine faces. Taken together, we interpret the pattern of results as evidence supporting perceptual learning during the first year: the ability to discriminate own-race faces emerges at 4 months and continues to refine, while the ability to discriminate other-race faces emerges between 6 and 9 months and retains at 9 months. Additionally, the discrepancies in the face stimuli and methods between studies advocating the narrowing view and those supporting the learning view were discussed.

Taiwanese Political Parties can be Categorized by Face, by Those Who Reported Making Face-To-Trait Inferences.

The present study aims to replicate and extend Rule and Ambady (2010a)'s findings that Republicans and Democrats could be differentiated by face. In Experiment 1, undergraduates categorized 50 gray-scale full-face photos of candidates of the two major political parties in Taiwan, the Kuomingtang (KMT) and the Democratic Progressive Party (DPP). Using identical stimuli and procedure, Experiment 2 tested 25- to 57-year-olds. Experiment 3 tested undergraduates with cropped photos, Experiment 4, with photos devoid of the mouth and chin area. At the end of each Experiment, we interviewed the participants about the strategies used. Results showed that undergraduates could categorize KMT and DPP with accuracies significantly higher than chance in full-face photos (Experiment 1), M = 0.524, p = 0.045, cropped photos (Experiment 3), M = 0.534, p = 0.016, and photos devoid of the mouth-and-chin area (Experiment 4), M = 0.530, p = 0.048. Adults aged between 25 and 57 could also categorize full-face photos (Experiment 2), M = 0.557, p < 0.001. Analysis on strategy use revealed that the better-than-chance performance may be a unique contribution of those who reported making face-to-trait inferences. In sum, we replicated Rule and Ambady's (2010a) results in East Asian and found that face-to-trait inferences may be essential.

With or without a hole: young infants' sensitivity for topological versus geometric property.

Evidence from adult psychophysics, brain imaging, and honeybee's behaviour has been reported to support the notion that topological properties are the primitives of visual representation (Chen, 1982 Science 218 699-700). Here, we ask how the sensitivity to topological property might originate during development. Specifically, we tested 1.5- to 6-month-old infants' visual sensitivity for topological versus geometric properties with the forced-choice novelty preference technique. A disk and a ring were used in the topologically different condition (experiment 1), while a disk and a triangle were used in the geometrically different condition (experiment 2). Spontaneous preferences for the disk, the ring, and the triangle were measured pairwise using the preferential looking-time technique (experiment 3). The results showed that infants could reliably discriminate stimuli based on topological differences, but failed to do so with geometric differences. Moreover, in the generalisation task, infants showed higher novelty preference for the topologically different figure (the ring). In addition, the results of both experiments cannot be attributed to a spontaneous preference for the ring or for the disk. Further analysis on individual infants' age and performance revealed two distinct developmental trends. Infants seem to be sensitive to topological differences as young as 1.5 months, while their ability to discriminate geometric differences was at chance before 3 months and gradually improved with age. Taken together, our findings suggested an early sensitivity for topological property, at least for the detection of stimuli with or without a hole.

No more top-heavy bias: infants and adults prefer upright faces but not top-heavy geometric or face-like patterns.

A non-specific "top-heavy" configuration bias has been proposed to explain neonatal face preference (F. Simion, E. Valenza, V. Macchi Cassia, C. Turati, & C. Umiltà, 2002). Using an eye tracker (Tobii T60), we investigated whether the top-heavy bias is still present in 3- to 5.5-month-old infants and in adults as a comparison group. Each infant and adult viewed three classes of stimuli: simple geometric patterns, face-like figures, and photographs of faces. Using area of interest analyses on fixation duration, we computed a top-heavy bias index (a number between -1 and 1) for each individual. Our results showed that the indices for the geometric and face-like patterns were about zero in infants, indicating no consistent bias for the "top-heavy" configuration. In adults, the indices for the geometric and face-like patterns were also close to zero except for the T-shaped figure and the ones that had higher rating on facedness. Moreover, the indices for photographs of faces were positive in both infants and adults, indicating significant preferences for upright natural faces over inverted ones. Taken together, we found no evidence for the top-heavy configuration bias in both infants and adults. The absence of top-heavy bias plus a clear preference for photographed upright faces in infants seem to suggest an early cognitive specialization process toward face representation.

The Munker-White effect and chromatic induction share similar nonlinear response properties.

The brightness or color appearance of a region may be altered by the presence of a pattern surrounding it in the visual field. The Munker-White effect (grating surround) and brightness or color induction from concentric annuli ('bull's-eye' surround) are two examples. We examined whether these two phenomena share similar properties. In the asymmetric matching experiment, the task of an observer was to adjust the appearance of a matching patch to match the appearance of a test patch embedded in one of the two types (square wave grating or concentric annuli) of inducing surrounds (inducers). The inducer modulated in one of three color directions (isochromatic: +/-(L + M + S) and isoluminance: +/-(L - M) or +/-S). Each inducer type and color direction had two opposing phases and four contrast levels. The results show that the induced appearance shift increases as a power function of the inducer contrast, regardless of the spatial configuration of the inducer. Further analysis showed that a sensitivity modulation model of lateral interaction could explain both induction effects.

Discriminating "top-heavy" versus "bottom-heavy" geometric patterns in 2- to 4.5-month-old infants.

Simion, Valenza, Macchi Cassia, Turati, and Umiltà (2002) suggested that newborns preferred "top-heavy" stimuli and such bias may account for neonatal face preference. However, convergent evidence for the discriminability between the top-heavy versus bottom-heavy patterns has not been demonstrated. We used a modified familiarization/novelty procedure (Chien, Palmer, & Teller, 2003) to assess basic discriminability between "top-heavy" and "bottom-heavy" geometric patterns in 2- to 4.5-month-old infants. Each infant was tested with three types of top-heavy and bottom-heavy geometric figures and received both familiarized-to-top-heavy and familiarized-to-bottom-heavy conditions. If infants of this age can discriminate the two configurations and there is no intrinsic bias toward either pattern, we expected to see significant and about equal novelty effects in both familiarization conditions. If there is a strong intrinsic bias for the top-heavy configuration, we expect to see a greater preference for the top-heavy patterns in the familiarization-to-bottom-heavy condition. Our results (N=24) showed significant and equal novelty preferences in both familiarization conditions across age and figure types, suggesting a reliable discriminability between top-heavy and bottom-heavy configurations and there is no intrinsic bias towards either configuration at this age.

A model of users' satisfaction with Taiwan's Government website.

Taiwan's Government web portal has been the sole communication link between citizens and E-Government since being launched in 2002 to provide citizens with government-related information promptly via effective classification. The assessment of the service quality and citizens' satisfaction with E-Government has rarely been explored. The present study explored how the service quality of E-Government subsequently affects the users' psychological and behavioral responses. A structural model was proposed that contained four constructs: service quality, service value, users' satisfaction, and behavioral intention as well as their interrelations. A survey was used to collect users' ratings. Structural equation modeling was applied to verify the factor analysis of the obtained data and fit of a model. Analyses indicated adequate fit of model as follows: E-Government service quality --> service value --> users' satisfaction --> behavioral intention.

Lightness constancy in 4-month-old infants.

In the present study, discrete trial familiarization/novelty techniques were used to study lightness constancy in 4-month-old infants. The test stimuli were real objects (paper smiley faces) of two different reflectances, dark gray (17% reflectance) and light gray (54% reflectance). In Experiment 1, the test stimuli were viewed against a white (90% reflectance) surround, and in Experiment 2, against a black (4.6% reflectance) surround. In Experiments 1 and 2, the illumination was changed between familiarization and test phases of each trial. In Experiment 3, the reflectance of the surround was changed from white to mid gray (28.5% reflectance) between familiarization and test phases of each trial. With the white surround, the infants preferred the face with the novel reflectance, consistent with the presence of lightness constancy. With the black surround, the infants showed no preference between faces with novel reflectance vs. novel luminance. With the changing surround, the infants showed a small preference for the stimulus with the novel ratio, as opposed to the stimulus with the novel reflectance and the novel luminance. The results are discussed in the context of adult cues for lightness constancy, including white anchor points and local luminance ratios.

Achromatic contrast effects in infants: adults and 4-month-old infants show similar deviations from Wallach's ratio rule.

When adults view a disk of light embedded in a higher luminance surround, the perceived lightness of the disk is largely determined by the surround to disk luminance ratio (Wallach's ratio rule). In the present study, both adult and infant subjects were tested with multiple discrete trial procedures in which the surround luminance was decreased between the study and test phases of each trial. Tested with sequential lightness matching, adult subjects showed an approximate ratio rule, with a small but consistent deviation in the direction of a luminance match. Tested with a forced-choice novelty preference technique in combination with a cross-familiarization paradigm, 4-month-old infants showed preference minima that fell closer to the mean adult match than to the ratio rule. This finding suggests that, at least for a relatively simple visual display, 4-month-old infants' looking preferences are governed by an adult-like achromatic contrast system.

Infant lightness perception: do 4-month-old infants follow Wallach's ratio rule?

When adults view a test disk embedded in a higher-luminance surround, the perceived lightness of the disk is largely determined by the surround-to-disk (S/D) luminance ratio (Wallach's ratio rule). Performance of 4-month-old infants tested with a forced-choice novelty-preference technique was consistent with predictions based on Wallach's ratio rule. This result suggests that the ability to extract and maintain information about local luminance ratios is present early in infancy. This ability is likely to contribute to the development of lightness constancy.