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Psychologists and other behavioral scientists are frequently interested in whether a questionnaire measures a latent construct. Attempts to address this issue are referred to as construct validation. We describe and extend nonparametric hypothesis testing procedures to assess matrix structures, which can be used for construct validation. These methods are based on a quadratic assignment framework and can be used either by themselves or to check the robustness of other methods. We investigate the performance of these matrix structure tests through simulations and demonstrate their use by analyzing a big five personality traits questionnaire administered as part of the Health and Retirement Study. We also derive rates of convergence for our overall test to better understand its behavior.
Beliefs come in degrees, and we often represent those degrees with numbers. We might say, for example, that we are 90% confident in the truth of some scientific hypothesis, or only 30% confident in the success of some risky endeavour. But what do these numbers mean? What, in other words, is the underlying psychological reality to which the numbers correspond? And what constitutes a meaningful difference between numerically distinct representations of belief? In this Element, we discuss the main approaches to the measurement of belief. These fall into two broad categories-epistemic and decision-theoretic-with divergent foundations in the theory of measurement. Epistemic approaches explain the measurement of belief by appeal to relations between belief states themselves, whereas decision-theoretic approaches appeal to relations between beliefs and desires in the production of choice and preferences.
Studies suggest that bilingualism may be associated with better cognition, but the role of active bilingualism, the daily use of two languages, on cognitive trajectories remains unclear. One hypothesis is that frequent language switching may protect cognitive trajectories against effects of brain atrophy. Here, we examined interaction effects between language and brain variables on cognition among Hispanic participants at baseline (N = 153) and longitudinally (N = 84). Linguistic measures included self-reported active Spanish–English bilingualism or Spanish monolingualism. Brain measures included, at baseline, regions of gray matter (GM) thickness strongly correlated with cross-sectional episodic memory and executive function and longitudinally, tissue atrophy rates correlated with episodic memory and executive function change. Active Spanish–English bilinguals showed reduced association strength between cognition and gray matter thickness cross-sectionally, β=0.303, p < .01 but not longitudinally, β=0.024, p = 0.105. Thus, active bilingualism may support episodic memory and executive function despite GM atrophy cross-sectionally, but not longitudinally.
Obstructive sleep apnea (OSA) is a sleep disorder with no widely accepted pharmacological therapy. Cannabinoids have been suggested to reduce OSA severity in small human studies. The purpose of this retrospective cohort study was to explore the association of self-reported cannabis use on OSA severity and sleep parameters in a large cohort of adults undergoing in-laboratory polysomnography.
Methods:
Sleep and medication data were collected for all consecutive adults who completed diagnostic polysomnography at Sunnybrook Health Sciences Centre from 2010 to 2022. Multivariable linear regression models were employed that adjusted for age, sex, and BMI (minimally adjusted model), as well as medication and comorbidity data (maximally adjusted model). An exploratory subgroup analysis was additionally run in patients with moderate to severe OSA.
Results:
Of 6,958 individuals (mean age 54.7 ± 16.3, BMI 29.1 ± 6.8, 51.0% female), 71 reported cannabis use. In our minimally adjusted models, cannabis use predicted a reduced respiratory disturbance index (RDI) (β: −4.8 [95% CI: −9.4, −0.2]; p = 0.042); this association became nonsignificant in the fully adjusted models. In an exploratory analysis of patients with moderate to severe OSA (n = 613), cannabis use (n = 7) predicted increased stage N3 sleep (β: 33.5 [95% CI: 15.6, 51.4]; p < 0.001) and decreased REM sleep (β: 16.0 [95% CI: 0.3, 31.7]; p = 0.046).
Conclusion:
Self-reported cannabis use was not associated with OSA severity after adjusting for confounders. In an exploratory subgroup analysis of patients with moderate to severe OSA, cannabis use impacted sleep architecture. Future studies should further explore these findings.
Plumboperloffite, PbMn2+2Fe3+2(PO4)3(OH)3, is a new mineral and member of the bjarebyite group from Wiperaminga Hill West Quarry, Boolcoomatta Reserve, Olary Province, South Australia, Australia. The mineral was found in a single cavity in triplite–barbosalite matrix associated with fluorapatite, phosphosiderite, natrodufrénite and fluorite. The mineral forms intergrowths of subparallel, thin tabular to bladed crystals. Individual crystals are up to 40 μm in length. Plumboperloffite is brownish orange in colour with a vitreous lustre. The mineral has brittle tenacity, an excellent cleavage on {100} and uneven fracture. The calculated density is 4.416 g/cm3. Plumboperloffite is biaxial (+), α = 1.87(1), β = 1.88(1) and γ = 1.89(1) as measured in white light. The measured 2V is 88(1)°. Dispersion is apparently strong, based on extinction colours and the orientation is Y = b. The pleochroism in shades of yellow brown is X < Z < Y. Electron microprobe analysis gave the empirical formula (based on 15 O apfu) (Pb0.92Ca0.04Ba0.01K0.01)Σ0.98(Mn2+1.84Fe2+0.13)Σ1.97(Fe3+1.97Al0.03)Σ2.00(P3.01O11.94)(OH)Σ3.06. Plumboperloffite is monoclinic, space group P21/m with a = 9.1765(18), b = 12.340(3), c = 5.0092(10) Å, β = 101.01(3)°, V = 556.8(2) Å3 and Z = 2. The crystal structure has been refined using X-ray single-crystal data to a final R1 = 0.0207 on the basis of 1417 reflections with Fo > 4σ(Fo). The mineral is isostructural with members of the bjarebyite-group minerals.
The hypothesis that chemical remanent magnetization (CRM) in argillaceous rocks may be due to release of Fe during smectite illitization has been tested by study of spatial and temporal relationships of CRM acquisition, smectite illitization, and organic-matter maturation to deformation in the Montana Disturbed Belt. New K-Ar ages and stacking order and percentages of illite layers in illite-smectite (I-S) are consistent with conclusions from previous studies that smectite illitization of bentonites in Subbelts I and II of the Disturbed Belt was produced by thrust-sheet burial resulting from the Laramide Orogeny. Internally concordant, early Paleogene, K-Ar age values (55–57 Ma) were obtained from clay subfractions of thick bentonites which were significantly different in terms of their ages (i.e. Jurassic Ellis Formation and late Cretaceous Marias River Shale), further supporting a model of smectite illitization as a result of the Laramide Orogeny. Internally concordant K-Ar ages were found also for clay sub-fractions from a thick bentonite at Pishkun Canal (54 Ma) and from an undeformed bentonite near Vaughn on the Sweetgrass Arch (48 Ma). In Subbelts I and II, a greater degree of smectite illitization corresponds to increased thermal maturation, increased natural remanent magnetization intensity, and increased deformation (dip of beds). A dissolution-precipitation model over a short duration is proposed for the formation of illite layers in Subbelts I and II. A characteristic remanent magnetization was developed before or just after folding began in the early Paleogene. More smectite-rich I-S, low thermal maturity, and the absence of a CRM were noted in one outcrop of an undeformed rock on the Sweetgrass Arch. Strontium isotope data allow for the possibility that internal or externally derived fluids may have influenced illitization, but the K-Ar age values suggest that illitization was probably in response to conductive heating after the overthrusting had occurred. The differences in K-Ar dates among the bentonites studied herein may be due to differences in the timing of peak temperature related to differences in distance below the overthrust slab, in rates of burial and exhumation, and in initial temperature.
The clay fractions of Jurassic marls in the Great Estuarine Group in southern Isle of Skye are composed of mixed-layered illite-smectite (I-S) with large percentages (>85%) of illite layers, kaolinite, and generally smaller amounts of chlorite. These marls have not been buried to the depths normally required to convert smectite to illite-rich I-S, so it is possible that the conversion was in response to heat and hydrothermal fluids from nearby early Tertiary igneous activity ∼55 Ma ago. The large percentages of illite layers in I-S, the Środoń intensity ratios, and the Kübler index values appear to be consistent with the formation of diagenetic I-S as a result of relatively brief heating caused by igneous activity. The Jurassic rocks in southern Skye contain a secondary chemical remanent magnetization (CRM) that resides in magnetite and formed at approximately the same time as the Tertiary igneous rocks on Skye. K-Ar age values for I-S based on illite age analysis have been determined to test the hypothesis that the CRM was acquired coincidently with the smectite-to-illite conversion. However, linear extrapolation of K-Ar age vs. percentage of 2M1 polytype (detrital illite) from one marl (EL-6) yields an estimate for the age of diagenetic illite of 106 Ma, which is close to the measured age of the finest subfraction (108 Ma). These estimated and measured age values, however, could be substantially greater than the true age of the diagenetic illite in I-S because of the presence of detrital 1Md illite that was recycled from early Paleozoic shales and whose abundance relative to the diagenetic I-S may have been enhanced because the diagenetic fluid had a low K/Na ratio, limiting the amount of diagenetic illite formed. Nevertheless, most of the illite in the Elgol marls (80% or more in the finest fractions) must be diagenetic and probably formed in response to the early Tertiary magmatism.
Bimbowrieite, NaMgFe3+5(PO4)4(OH)6⋅2H2O, is a new mineral found in a mineralogically zoned rare-element bearing pegmatite at the White Rock No.2 quarry, Bimbowrie Conservation Park, South Australia, Australia. Crystals are dark olive green to greenish brown and are bladed with dimensions of up to 150 μm. Crystals occur as aggregates up to 0.4 mm across associated with ushkovite, bermanite, leucophosphite and sellaite. Bimbowrieite is pleochroic, biaxial (+), with α = 1.785(5), β = 1.795(5), γ = 1.805(5) and 2V(meas.) = 89.4(5)°. The average of 28 chemical analyses gave the empirical formula: (Na0.81Ca0.19)Σ1.00(Mg0.75Mn2+0.19Fe2+0.05)Σ0.99(Fe3+4.99Al0.01)Σ5.00(PO4)3.97(OH)5.88⋅2.05 H2O based on 24 oxygen atoms. Bimbowrieite is monoclinic, space group C2/c with a = 25.944(5), b = 5.1426(10), c = 13.870(3 Å, β = 111.60(3)°, V = 1720.4(7) Å3 and Z = 4. The crystal structure was refined to R1 = 1.97% for 1060 observed reflections with F0 > 4σ(F0). Bimbowrieite is isostructural with dufrénite. The structure is based on a trimer of face-sharing octahedra in which an M2 octahedra shares two trans faces with two M4 octahedra. Trimers link in the c-direction by sharing corners with two M3 octahedra and with T1 and T2 tetrahedra. Linkage in the a-direction is via corner-sharing M1 octahedra and linkage in the b-direction is via corner-sharing T1 and T2 tetrahedra.
Childhood adversities (CAs) predict heightened risks of posttraumatic stress disorder (PTSD) and major depressive episode (MDE) among people exposed to adult traumatic events. Identifying which CAs put individuals at greatest risk for these adverse posttraumatic neuropsychiatric sequelae (APNS) is important for targeting prevention interventions.
Methods
Data came from n = 999 patients ages 18–75 presenting to 29 U.S. emergency departments after a motor vehicle collision (MVC) and followed for 3 months, the amount of time traditionally used to define chronic PTSD, in the Advancing Understanding of Recovery After Trauma (AURORA) study. Six CA types were self-reported at baseline: physical abuse, sexual abuse, emotional abuse, physical neglect, emotional neglect and bullying. Both dichotomous measures of ever experiencing each CA type and numeric measures of exposure frequency were included in the analysis. Risk ratios (RRs) of these CA measures as well as complex interactions among these measures were examined as predictors of APNS 3 months post-MVC. APNS was defined as meeting self-reported criteria for either PTSD based on the PTSD Checklist for DSM-5 and/or MDE based on the PROMIS Depression Short-Form 8b. We controlled for pre-MVC lifetime histories of PTSD and MDE. We also examined mediating effects through peritraumatic symptoms assessed in the emergency department and PTSD and MDE assessed in 2-week and 8-week follow-up surveys. Analyses were carried out with robust Poisson regression models.
Results
Most participants (90.9%) reported at least rarely having experienced some CA. Ever experiencing each CA other than emotional neglect was univariably associated with 3-month APNS (RRs = 1.31–1.60). Each CA frequency was also univariably associated with 3-month APNS (RRs = 1.65–2.45). In multivariable models, joint associations of CAs with 3-month APNS were additive, with frequency of emotional abuse (RR = 2.03; 95% CI = 1.43–2.87) and bullying (RR = 1.44; 95% CI = 0.99–2.10) being the strongest predictors. Control variable analyses found that these associations were largely explained by pre-MVC histories of PTSD and MDE.
Conclusions
Although individuals who experience frequent emotional abuse and bullying in childhood have a heightened risk of experiencing APNS after an adult MVC, these associations are largely mediated by prior histories of PTSD and MDE.
Clinical research staff play a critical role in recruiting families for pediatric research, but their views are not well described. We aimed to describe how pediatric research staff build trusting research relationships with patients and their families.
Methods:
We interviewed research staff at one pediatric research institution and its affiliated academic medical center between November 2020 and February 2021. Staff were eligible if they conducted participant recruitment, consent, and/or enrollment for clinical research. We developed our semi-structured interview guide based on a framework for trusting researcher-community partnerships.
Results:
We interviewed 28 research staff, with a median age of 28 years (range 22–50) and a median of 5 years of experience (range 1–29). Interviewees identified factors relevant to relationship building across three levels: the individual staff member, the relational interaction with the family, and the institutional or other structural backdrop. Individual factors included how staff developed recruitment skills, their perceived roles, and their personal motivations. Relational factors spanned four stages of recruitment: before the approach, forming an initial connection with a family, building the connection, and following up. Structural factors were related to access and diversity, clinical interactions, and the COVID-19 pandemic.
Conclusions:
Research staff discussed tensions and supports with various actors, challenges with the integration of research and clinical care, the importance of voluntariness for building trust, and multiple contributors to inequities in research. These findings reveal the importance of ensuring research staff have a voice in institutional policies and are supported to advocate for patients and families.
Major depressive disorder (MDD) was previously associated with negative affective biases. Evidence from larger population-based studies, however, is lacking, including whether biases normalise with remission. We investigated associations between affective bias measures and depressive symptom severity across a large community-based sample, followed by examining differences between remitted individuals and controls.
Methods
Participants from Generation Scotland (N = 1109) completed the: (i) Bristol Emotion Recognition Task (BERT), (ii) Face Affective Go/No-go (FAGN), and (iii) Cambridge Gambling Task (CGT). Individuals were classified as MDD-current (n = 43), MDD-remitted (n = 282), or controls (n = 784). Analyses included using affective bias summary measures (primary analyses), followed by detailed emotion/condition analyses of BERT and FAGN (secondary analyses).
Results
For summary measures, the only significant finding was an association between greater symptoms and lower risk adjustment for CGT across the sample (individuals with greater symptoms were less likely to bet more, despite increasingly favourable conditions). This was no longer significant when controlling for non-affective cognition. No differences were found for remitted-MDD v. controls. Detailed analysis of BERT and FAGN indicated subtle negative biases across multiple measures of affective cognition with increasing symptom severity, that were independent of non-effective cognition [e.g. greater tendency to rate faces as angry (BERT), and lower accuracy for happy/neutral conditions (FAGN)]. Results for remitted-MDD were inconsistent.
Conclusions
This suggests the presence of subtle negative affective biases at the level of emotion/condition in association with depressive symptoms across the sample, over and above those accounted for by non-affective cognition, with no evidence for affective biases in remitted individuals.
This article is a clinical guide which discusses the “state-of-the-art” usage of the classic monoamine oxidase inhibitor (MAOI) antidepressants (phenelzine, tranylcypromine, and isocarboxazid) in modern psychiatric practice. The guide is for all clinicians, including those who may not be experienced MAOI prescribers. It discusses indications, drug-drug interactions, side-effect management, and the safety of various augmentation strategies. There is a clear and broad consensus (more than 70 international expert endorsers), based on 6 decades of experience, for the recommendations herein exposited. They are based on empirical evidence and expert opinion—this guide is presented as a new specialist-consensus standard. The guide provides practical clinical advice, and is the basis for the rational use of these drugs, particularly because it improves and updates knowledge, and corrects the various misconceptions that have hitherto been prominent in the literature, partly due to insufficient knowledge of pharmacology. The guide suggests that MAOIs should always be considered in cases of treatment-resistant depression (including those melancholic in nature), and prior to electroconvulsive therapy—while taking into account of patient preference. In selected cases, they may be considered earlier in the treatment algorithm than has previously been customary, and should not be regarded as drugs of last resort; they may prove decisively effective when many other treatments have failed. The guide clarifies key points on the concomitant use of incorrectly proscribed drugs such as methylphenidate and some tricyclic antidepressants. It also illustrates the straightforward “bridging” methods that may be used to transition simply and safely from other antidepressants to MAOIs.
Kingsgateite, ZrMo6+2O7(OH)2⋅2H2O, is a new supergene mineral from the Old 25 Pipe, Kingsgate, Gough Co., New South Wales, Australia. The mineral occurs in cavities in a quartz, muscovite matrix associated with molybdenite, gelosaite and mambertiite. It forms yellowish green to bluish grey, square tabular crystals to 0.12 mm across. Kingsgateite has a white streak and a vitreous lustre. Cleavage was not observed and the fracture is uneven. The calculated density is 3.74 g/cm–3 based on the empirical formula. Kingsgateite is optically biaxial (+), the calculated indices of refraction are α = 1.88, β = 1.89, γ = 1.96 and 2Vcalc = 42.6°. The pleochroism is X = light orange, Y = light yellow and Z = red brown; Y < X < Z. The mineral is tetragonal, space group I41cd, a = 11.4626(16), c = 12.584(3) Å, V = 1653.4(6) Å3 and Z = 8. Electron microprobe analysis yielded ZrO2 23.09, UO2 1.14, ThO2 0.76, FeO 0.62, MoO3 59.27, P2O5 0.29, SO3 1.25, Cl 0.16, H2O 11.62, O=Cl –0.04, total 98.16 wt.%. The empirical formula on the basis of 11 anions per formula unit is Zr0.88U6+0.02Th0.01Fe2+0.04Mo6+1.94S0.07P0.02O6.90Cl0.02OH2.08⋅2.00H2O. The crystal structure of kingsgateite, refined using synchrotron single-crystal data [R1 = 4.53% for 1159 reflections with Fo > 4σ(Fo)], is a framework of edge- and corner-sharing ZrO5(OH)2 pentagonal bipyramids and MoO4(OH)(H2O) octahedra. Kingsgateite is isostructural with the synthetic compound ZrMo6+2O7(OH)2⋅2H2O.
Racial and ethnic groups in the USA differ in the prevalence of posttraumatic stress disorder (PTSD). Recent research however has not observed consistent racial/ethnic differences in posttraumatic stress in the early aftermath of trauma, suggesting that such differences in chronic PTSD rates may be related to differences in recovery over time.
Methods
As part of the multisite, longitudinal AURORA study, we investigated racial/ethnic differences in PTSD and related outcomes within 3 months after trauma. Participants (n = 930) were recruited from emergency departments across the USA and provided periodic (2 weeks, 8 weeks, and 3 months after trauma) self-report assessments of PTSD, depression, dissociation, anxiety, and resilience. Linear models were completed to investigate racial/ethnic differences in posttraumatic dysfunction with subsequent follow-up models assessing potential effects of prior life stressors.
Results
Racial/ethnic groups did not differ in symptoms over time; however, Black participants showed reduced posttraumatic depression and anxiety symptoms overall compared to Hispanic participants and White participants. Racial/ethnic differences were not attenuated after accounting for differences in sociodemographic factors. However, racial/ethnic differences in depression and anxiety were no longer significant after accounting for greater prior trauma exposure and childhood emotional abuse in White participants.
Conclusions
The present findings suggest prior differences in previous trauma exposure partially mediate the observed racial/ethnic differences in posttraumatic depression and anxiety symptoms following a recent trauma. Our findings further demonstrate that racial/ethnic groups show similar rates of symptom recovery over time. Future work utilizing longer time-scale data is needed to elucidate potential racial/ethnic differences in long-term symptom trajectories.
To investigate associations of egg intake with blood pressure (BP) and the role of dietary variables and other macro- and micro-nutrients in the association.
Design:
We used cross-sectional data for the USA as part of the INTERnational study on MAcro/micronutrients and blood Pressure (INTERMAP). INTERMAP was surveyed between 1996 and 1999, including four 24-h dietary recalls, two 24-h urine collections and eight measurements of systolic BP and diastolic BP (SBP, DBP). Average egg intake (g/d) was calculated. Multivariable linear regression models were used to estimate the association between egg intake (per each 50 g/d or per quintile) and BP. The roles of dietary variables and other macro- and micro-nutrients in this association were also investigated.
Setting:
In the USA.
Participants:
In total, 2195 US INTERMAP men and women aged 40–59 years.
Results:
Participants were 50 % female, 54 % non-Hispanic White and 16 % non-Hispanic Black. Mean egg intake (sd) in men and women was 30·4(29·8) and 21·6(20·5) g/d, respectively. Adjusting for demographics, socio-economics, lifestyle and urinary Na:K excretion ratios, we found non-linear associations with BP in non-obese women (P-quadratic terms: 0·004 for SBP and 0·035 for DBP).The associations remained after adjusting for dietary variables, macro/micro nutrients or minerals. Dietary cholesterol was highly correlated with egg intake and may factor in the association. No association was found in obese women and in obese or non-obese men.
Conclusion:
Egg intake was non-linearly associated with SBP and DBP in non-obese women, but not in obese women or men. Underlying mechanisms require additional study regarding the role of obesity and sex.
Substantial progress has been made in the standardization of nomenclature for paediatric and congenital cardiac care. In 1936, Maude Abbott published her Atlas of Congenital Cardiac Disease, which was the first formal attempt to classify congenital heart disease. The International Paediatric and Congenital Cardiac Code (IPCCC) is now utilized worldwide and has most recently become the paediatric and congenital cardiac component of the Eleventh Revision of the International Classification of Diseases (ICD-11). The most recent publication of the IPCCC was in 2017. This manuscript provides an updated 2021 version of the IPCCC.
The International Society for Nomenclature of Paediatric and Congenital Heart Disease (ISNPCHD), in collaboration with the World Health Organization (WHO), developed the paediatric and congenital cardiac nomenclature that is now within the eleventh version of the International Classification of Diseases (ICD-11). This unification of IPCCC and ICD-11 is the IPCCC ICD-11 Nomenclature and is the first time that the clinical nomenclature for paediatric and congenital cardiac care and the administrative nomenclature for paediatric and congenital cardiac care are harmonized. The resultant congenital cardiac component of ICD-11 was increased from 29 congenital cardiac codes in ICD-9 and 73 congenital cardiac codes in ICD-10 to 318 codes submitted by ISNPCHD through 2018 for incorporation into ICD-11. After these 318 terms were incorporated into ICD-11 in 2018, the WHO ICD-11 team added an additional 49 terms, some of which are acceptable legacy terms from ICD-10, while others provide greater granularity than the ISNPCHD thought was originally acceptable. Thus, the total number of paediatric and congenital cardiac terms in ICD-11 is 367. In this manuscript, we describe and review the terminology, hierarchy, and definitions of the IPCCC ICD-11 Nomenclature. This article, therefore, presents a global system of nomenclature for paediatric and congenital cardiac care that unifies clinical and administrative nomenclature.
The members of ISNPCHD realize that the nomenclature published in this manuscript will continue to evolve. The version of the IPCCC that was published in 2017 has evolved and changed, and it is now replaced by this 2021 version. In the future, ISNPCHD will again publish updated versions of IPCCC, as IPCCC continues to evolve.