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A confirmatory factor analysis of the Caregiving Appraisal Scale for caregivers of home-based ventilator-assisted individuals.

OBJECTIVE: To confirm the underlying dimensions of the Caregiving Appraisal Scale (CAS) with use of data collected from caregivers of home-based ventilator-assisted individuals (VAIs). DESIGN: Cross-sectional survey. SETTING: Residences of home-based VAIs. SAMPLE: Two hundred seventy-seven primary family caregivers of VAIs. MEASURES: Twenty-eight-item CAS developed by Lawton et al. (1989), and an investigator-developed instrument to assess physical health and sociodemographic characteristics of both VAIs and their caregivers. INTERVENTION: None. ANALYSIS: Confirmatory factor analysis with principal components extraction. An oblique (oblimin) solution was used for rotation of the factor matrices. The number of common factors needed to obtain the best fit of the factor model was determined with use of maximum-likelihood estimation. Confirmatory factor analysis with linear structural equation modeling was also performed. RESULTS: Confirmatory factor analysis did not fully replicate the factor structure proposed by Lawton et al. CONCLUSIONS: The model proposed by Lawton et al. provides a useful foundation for examining the appraisal of family caregivers of home-based VAIs. Additional development work is needed for the CAS.

Adult↗

Creating a psychosocial measurement model from stressful life events.

Some have argued that failure to find evidence of a link between psychosocial stress factors and birth outcomes in humans may be attributed to a restriction in the range of measures used to characterize stress severity. This study describes the process of building and testing a measurement model from real life stressful experiences. To create a conceptual model, seven life events identified as stressful by successive samples of 3205 and 2090 Hartford inner city women between 1987 and 1992 and ten other experiences identified as potentially stressful were submitted to 10 academic colleagues and 4 health professionals associated with a preterm birth prevention project. Each rater attempted to identify a meaningful conceptual structure for clustering these psychosocial stressors. Seven of the thirteen proposed models were suitable for testing by means of structural equation modeling. Three models emerged as conceptually close and statistically acceptable with the number of information laden stressors dropping from 17 to 11 and clustering to form three latent variables representing economic, social support, and family stressors. The root mean square error of approximation was 0.03, where a value as low as 0.08 represents an adequate fit, and the generalized fit index was 0.99. The final model was cross-validated on the second sample where these and other fit indices were similar, indicating that a structurally meaningful measurement model fit the data well and could be used to investigate further the relationship of these theoretical variables to birth outcomes.

Adolescent↗

Glymphatic dysfunction mediates inflammation-driven vascular burden and cognitive decline in cerebral small vessel disease.

BACKGROUND: Cerebral small vessel disease (CSVD) is increasingly recognized as a disorder involving microvascular dysfunction, impaired perivascular clearance, and inflammatory processes. However, how systemic inflammatory burden, neurovascular coupling (NVC), glymphatic MRI markers, vascular lesion burden, and cognition are interrelated remains unclear. MATERIALS AND METHODS: In this prospective study, 155 patients with CSVD and 70 healthy controls (HCs) underwent multimodal MRI. NVC was quantified using the cerebral blood flow/fractional amplitude of low-frequency fluctuations ratio. Glymphatic function was assessed via the diffusion tensor image analysis along the perivascular space (ALPS) index, choroid plexus volume (CPV), and perivascular space (PVS) fractions. Structural equation modeling (SEM) was employed to evaluate the direct and indirect effects of inflammatory markers on vascular burden and cognitive performance. RESULTS: Patients with CSVD exhibited significantly diminished NVC (specifically in the right median cingulate and left frontal gyri) and impaired glymphatic function (lower ALPS-index; higher CPV and PVS fractions) compared to HCs. SEM revealed that inflammatory biomarkers exerted both a direct effect on vascular burden and a substantial indirect effect (accounting for 66.3% of the total effect) mediated through two pathways: a single-mediation path via glymphatic function (42.8%) and a serial-mediation path via NVC and glymphatic function (23.5%). Increased vascular burden was significantly associated with poorer cognitive performance. CONCLUSION: Inflammation drives CSVD progression and cognitive decline primarily through the disruption of NVC and glymphatic clearance mechanisms. These findings highlight glymphatic dysfunction as a critical mediator of inflammation-related structural brain damage.

Humans↗

Spatial Variation in the Selective Scenarios of Hormathophylla spinosa (Cruciferae).

The effects of multispecific systems containing both mutualistic and antagonistic interacting organisms on the evolution of plant traits have seldom been analyzed. We studied the selection exerted by several species of herbivores and pollinators in three populations of Hormathophylla spinosa (Cruciferae) in the Sierra Nevada (Spain) over 4 yr by using path analyses and structural equation modeling (SEM). The main selective pressures in our study sites were ungulates and pollinators. However, the importance of each kind of interacting organism differed among populations. Our results indicate a selection mosaic among populations of H. spinosa in the Sierra Nevada caused by the spatial variation in the relative importance of different interactions as selective pressures. We found two main selective scenarios, depending on the presence or absence of ungulates. In the populations with low ungulate pressure, there was positive phenotypic selection in flower number per plant and in flower density (mediated by nectarivorous pollinators). In the two populations with high ungulate pressure, there was a strong positive, ungulate-mediated selection in thorn density. Our results suggest that the application of SEM to several populations simultaneously monitored might help to isolate the major selection pressures on local populations and identify potential differences in selection among populations, becoming a useful exploratory approach to study the geographical variation of selection in complex systems.

evolutionary ecology↗

Methodological issues in adherence to cancer control regimens.

A six-factor model provides a heuristic framework for understanding adherence behavior: (1) effective provider communication; (2) rapport with provider; (3) client's beliefs and attitudes; (4) client's social climate and norms; (5) behavioral intentions; and (6) supports for and barriers to adherence. Four classes of methodological issues are discussed. Recruitment may be affected by the sociodemographics of the target population, biomedical variables, population size and location, and patient sources utilized. Interventions can be structured to maximize enrollment, participation and long-term retention, and adherence to the regimen promoted with behavioral methodology. Measurement of adherence optimally includes multiple measures at multiple time points, a well-defined focus and unit of adherence, well-constructed response options, and multiple sources of information. Sample size calculations and interpretation of clinical trial results are affected by adherence rates. Multivariate analytic techniques, such as structural equation modeling, make it possible to specify models depicting hypothesized structural relationships between different theoretical constructs and to evaluate the plausibility of these models.

Adaptation, Psychological↗

Multi-omics revealed the effects of rumen to blood path on early lactation performance in transition dairy cows.

BACKGROUND: The transition period is vitally important to the life cycle of dairy cows. However, the function of the microbiota during both pre- and post-partum and their relationship with ruminal, plasma, and milk metabolites still require systematic investigation. To address this, the 7 highest- and 7 lowest-performing animals among a cohort of 100 dairy cows were selected based on their postpartum energy-corrected milk yield. Rumen fluid and plasma samples were collected during both pre- and post-partum periods, whereas milk samples were obtained postpartum. Shotgun metagenomics of rumen contents in addition to metabolomics of rumen, plasma, and milk samples were performed to evaluate the associations between ruminal microbes and early lactation performance in transition dairy cows. RESULTS: Compared with prepartum cows, postpartum high-yield cows had greater concentrations of ruminal volatile fatty acids and plasma total bile acid. Moreover, plasma urea nitrogen and most amino acids, peptides, and their derivatives in plasma and milk were increased in postpartum high-yield cows, relative to postpartum low-yield cows. Metagenomic analysis revealed that the relative abundances of several species within the Prevotella, Succinimonas, Succinatimonas, and Methanosphaera increased, while other bacteria belong to Alistipes and Bacteroides, and archaeal Methanobrevibacter species decreased in postpartum cows, particularly in postpartum high-yield cows. Co-occurrence network and correlation analysis suggested that Prevotella and Succinatimonas were negatively correlated to Alistipes, Bacteroides, and Methanobrevibacter, potentially contributing to the nutritionally efficient phenotype of postpartum high-yield cows. A metabolic pathway analysis of our metagenomic data revealed that postpartum high-yield cows possessed more microbial genes involved in starch utilization and amino acid synthesis, while a wide range of microbial genes involved in cellulose utilization, acetogenesis, and amino acid degradation were found in prepartum cows with low-yield in postpartum. A structural equation model analysis showed that the increased relative abundances of Prevotella tf.2-5 and Succinatimonas CAG_777 were related to greater concentrations of plasma chenodeoxycholic acid glycine conjugate, milk 5-Methoxytryptophan, and energy-corrected milk yield. Finally, pan-genomic analysis confirmed that Alistipes, Bacteroides, and Methanobrevibacter possess genetic conservation of both hydrogenases and dehydrogenases, which may contribute to energy loss in the rumen via hydrogen dissipation. CONCLUSION: In summary, our findings provide a fundamental understanding of how microbiome-dependent mechanisms contribute to early lactation performance in dairy cows during the transition period. The increased abundance of Prevotella, Succinimonas, and Succinatimonas in postpartum cows suggest that they are important microbes during the transition period and may help in coping with metabolic challenges, while improving nutrient utilization efficiency during this period. Our study underscores the importance of the ruminal microbiome during the transition period and highlights the need for rumen-based nutritional intervention strategies to improve production efficiency in ruminants. Video Abstract.

Animals↗

Sport orientation model for wheelchair basketball athletes.

This study examined the validity of the Sport Orientation Questionnaire (Competitiveness: 13 items, Win Orientation: 6 items, and Goal Orientation: 6 items) in a sample of 195 wheelchair basketball athletes from the USA. Following evidence for sample-specific validity, the measurement model that underlies the questionnaire was examined. A short-form with 15 items for three factors of Competitiveness (7 items), Win Orientation (5 items) and Goal Orientation (3 items) fit the data (X2/df ratio=2.21, NNFI=.892, CFI=.991, RCFI=.935, SRMR=.058, RMSEA=.071). To evaluate the findings further, we cross-validated the short-form by sex. Structural equation modeling indicated there were similar measurement properties and factor structures for the men and women, indicating similar conceptualization of sport orientations. Meaningful comparisons across sex may be undertaken, since both men and women who are wheelchair basketball athletes perceive the three short-form SOQ factors similarly.

Achievement↗

A mediational model of PTSD in World War II veterans exposed to mustard gas.

Structural equation modeling (SEM) was used to examine associations among trauma-related contextual factors, initial psychological reactions, social support, and subsequent disclosure on posttraumatic stress disorder (PTSD) symptoms in a sample of World War II (WWII) veterans exposed to mustard gas (N = 305). A structural model suggested that initial psychological reaction mediated the relationship between variables related to the context of mustard gas exposure and severity of PTSD symptoms 50 years later. Unexpectedly, social support appeared to be positively related to PTSD symptoms, and not related to the contextual variables or initial psychological reactions. These findings contribute to our understanding of PTSD in older veterans, and have relevance for early intervention services to prevent PTSD among those at risk for exposure to toxic agents.

Aged↗

Adolescents' and parents' future beliefs.

We investigated how adolescents' and parents' future beliefs, i.e. their goals and probability estimations (regarding future career, social and family life) were (1) structured, (2) interrelated, and (3) whether adolescents' perceived family interaction mediated parents' and adolescents' beliefs, among 239 11-16-year olds and 197 parents. Using structural equation models we found that (a) goals were similarly structured, but unrelated, suggesting cultural transmission of goals and autonomous goal setting for adolescents, (b) probability estimations were differently structured, and related, suggesting different perceptions of opportunities, and (c) family interaction mediated the relationship between parents' probability estimations and adolescents' future beliefs, reflecting the role of the family for adolescents' future co-planning.

Adolescent↗

The structure of disgust: domain specificity in relation to contamination ideation and excessive washing.

The primary goal of the present study was to employ confirmatory factor analysis to compare two theoretical models regarding the factor structure of disgust (N=307). The two-factor model of Animal Reminder and Core disgust proposed by Rozin et al. (2000) demonstrated superior model fit over a one-factor model that has been implicated in prior research. However, contrary to theoretical predictions, categorizing Hygiene disgust as Core disgust rather than Animal Reminder disgust provided an overall better fit for the two-factor model. The second aim of the study was to investigate the relationship between the empirically derived two-factor model and contamination ideation and excessive washing using structural equation modeling. Findings indicated that the Contamination Ideation and Excessive Washing latent factor was specifically related to Core disgust (domain specific) and negatively related to Animal Reminder disgust. The relevance of these findings in the context of future research investigating the role of disgust in specific anxiety disorders is discussed.

Anxiety↗

Predictors for 2-year outcome of major depressive episode.

In this 2-year prospective study, we searched for predictive factors influencing the 2-year outcome of major depressive episodes. Demographic characteristics (age, gender, education, employment), illness-related variables (severity, age at onset, number and duration of previous episodes), personality characteristics (DSM-IV personality disorders, trait anxiety, coping style), life context factors (life events before and during the depressive episode, social support, social adjustment), and biological markers (dexamethasone suppression test, thyroid stimulating hormone levels) of 117 inpatients with major depressive episode were assessed. A structural equation model was used to test the proposed correlational structure of the relevant variables. The non-remission of the depressive symptoms by the end of a 6-week acute treatment phase was found to be the most relevant factor predicting sustained non-remission at the end of a 2-year follow-up period. At the end of the sixth week, the severity of depression depended on the level of social support and on the severity of depression at baseline. Among the baseline variables, anxious personality traits and a lower level of education predicted a high level of depressive symptoms at the end of the 2-year follow-up. Life events before and during the depressive episode, and the biological markers at baseline had no direct effect on the outcome. The rapid remission of the depressive symptoms is the most important predictor for the favorable long-term outcome of a depressive episode. Personality characteristics, social support and level of education,--interacting with each other--also play a significant role.

Adult↗

Measurement models for sexual orientation in a community twin sample.

Multivariate structural equation modeling techniques have been applied to examine the causes of individual differences in responses to several items concerning sexual orientation. To minimize potential ascertainment and response biases, the study sample involved a large (N = 4901) community-based cohort of Australian twins aged 18-52 who answered an anonymous questionnaire on sexual behavior and attitudes. The statistical power of the analysis was increased by the availability of multiple measures of sexual orientation (behaviors, attitudes and feelings), providing stronger evidence for the existence of additive genetic influences on this phenotype than in a previous analysis (Bailey et al., 2000). Estimates of the heritability of homosexuality in this sample ranged between 50 and 60% in females but were significantly lower (heritability of approximately 30%) in males.

Adolescent↗

Intentional weight loss in young adults: sex-specific genetic and environmental effects.

OBJECTIVE: To explore eating styles associated with intentional weight loss (IWL) and to determine whether the genetic liability in IWL is entirely shared with genetic liability affecting BMI. RESEARCH METHODS AND PROCEDURES: As part of a longitudinal assessment of various health-related behaviors in a large population-based sample of twins, eating styles, BMI, and the number of times the study participants had intentionally lost > or = 5 kg were assessed by questionnaire from 4667 male and female twins (22 to 27 years of age). Associations of eating styles and IWL were explored using polytomous logistic regression models adjusted for BMI. Sex-specific bivariate structural equation modeling was used to explore genetic and environmental correlations of BMI and IWL. RESULTS: Individuals who had engaged in IWL exhibited markedly more restricting, overeating, and alternating restricting/overeating than those in the no-IWL group. Snacking and eating in the evening were characteristic of women with at least two IWL attempts. Eating in response to visual and emotional cues was very pronounced in women who had engaged in IWL but much less so in men. IWL was estimated to have a heritability of 38% [95% confidence interval (CI), 19% to 55%] in men and 66% (95% CI, 55% to 75%) in women. The genetic covariance of BMI and IWL was 0.38 (95% CI, 0.28 to 0.47) for men and 0.45 (95% CI, 0.41 to 0.52) for women. DISCUSSION: Distinct sex differences exist in eating styles associated with IWL and in the heritability of IWL. Most genetic factors affecting BMI are different from those affecting IWL.

Adolescent↗

A preliminary test of a developmental model for the study of undernourished children in Indonesia.

OBJECTIVES: Structural equation modeling of an abbreviated version of the conceptual model of the effects of micronutrient and energy supplementation on growth and development of undernourished children in West Java. The study focused on the baseline data from the Pangalengan longitudinal project. DESIGN: This trial included two cohorts of children classified as nutritionally-at-risk who were randomly assigned to three treatments (condensed milk + micronutrients (E); skimmed milk + micronutrients (M); skimmed milk (S)). Supplements were given for a period of up to 12 months. SETTING: The sites were six tea plantations in Pangalengan. SUBJECTS: A 12-month-old (n=53) and an 18-month-old (n=83) cohort were recruited from 24 day care centers. Twenty children that received the S supplement were part of the 12- and 18-month-old cohorts. Criteria for inclusion were: no chronic disease; length-for-age < -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. VARIABLES: Indicators of socioeconomic status were economic and educational resources; length-for-age and weight-for-length were used as indicators of nutritional status; motor development and motor activity were measured with custom-made procedures; and carrying by caretaker and manipulation of objects were used as indicators of caretaking and exploratory behavior. RESULTS: The model fitted the data of the older but not of the younger cohort (chi2 statistic and three other indices of goodness to fit). However, there were no differences between cohorts in the estimation of the models.

Anthropometry↗

Redefining the factor structure of the Wechsler Memory Scale-III: confirmatory factor analysis with cross-validation.

The purpose of this study was to revisit the underlying factor structure of the Wechsler Memory Scale-III. The WMS-III Technical Manual (Wechsler, 1997) presented findings from confirmatory factor analyses that support a three- and five-factor solution with separate immediate and delayed memory factors. A rigorous structural equation modeling approach was used to examine the factor structure of the test. The results verify that a three-factor model composed of verbal (immediate and delayed), visual (immediate and delayed), and working memory factors accurately represents the factor structure of the WMS-III. Results were cross-validated on an independent sample.

Adolescent↗

Effects of components of personal need for structure on occupational strain.

The relationship of two elements of personal need for structure-desire for structure and negative reaction to lack of structure-to vulnerability to occupational strain was investigated. Data obtained from a questionnaire administered to female hospital personnel in Finland and analyzed with structural equation models indicated that a high personal desire for structure had a buffering effect on psychic strain symptoms, whereas a tendency to express negative reactions when confronted with a lack of structure intensified symptoms of strain.

Adult↗

Study of the integrated cognitive model of depression among Latin-Americans.

OBJECTIVE: The objective of the present study is to test the validity of the integrated cognitive model (ICM) of depression proposed by Kwon and Oei with a Latin-American sample. The ICM of depression postulates that the interaction between negative life events with dysfunctional attitudes increases the frequency of negative automatic thoughts, which in turns affects the depressive symptomatology of a person. This model was developed for Western Europeans such as Americans and Australians and the validity of this model has not been tested on Latin-Americans. METHOD: Participants were 101 Latin-American migrants living permanently in Brisbane, including people from Chile, El Salvador, Nicaragua, Argentina and Guatemala. Participants completed the Beck Depression Inventory, the Dysfunctional Attitudes Scale, the Automatic Thoughts Questionnaire and the Life Events Inventory. Alternative or competing models of depression were examined, including the alternative aetiologies model, the linear mediational model and the symptom model. RESULTS: Six models were tested and the results of the structural equation modelling analysis indicated that the symptom model only fits the Latin-American data. CONCLUSIONS: Results show that in the Latin-American sample depression symptoms can have an impact on negative cognitions. This finding adds to growing evidence in the literature that the relationship between cognitions and depression is bidirectional, rather than unidirectional from cognitions to symptoms.

Adaptation, Psychological↗

Attitudes towards smoking policies and tobacco control measures in relation to smoking status and smoking behaviour.

BACKGROUND: To examine support for various smoking policies and tobacco control measures among lifetime smokers in a country with weak anti-smoking legislation and an underdeveloped anti-smoking climate. METHODS: Current (n = 624) and former smokers (n = 131) from a general population survey filled in the 30-item Smoking Policy Index (SPI). Structural equation modelling was used to confirm the SPI factorial structure and to test whether smoking status and smoking behaviour variables were related to the six dimensions of the SPI. RESULTS: The dimension with the highest support was penalties for sales to minors. Sanctions against smokers had the lowest support. Current smokers compared with former smokers showed lower support on the taxes/fees, public education, and environmental restrictions dimensions while controlling for gender, age, and social status. Within current smokers, unfavourable smoking behaviours were associated with lower support. CONCLUSION: Even in a country with poor tobacco control conditions, lifetime smokers including smokers with highly unfavourable smoking behaviours strongly support smoking policies and tobacco control measures concerning penalties and advertising/promotion. These measures should be used to promote anti-smoking legislation, and strict law enforcement of these measures is expected to be accepted by all smokers. For measures that are not supported by all lifetime smokers, interventions may be useful to increase acceptability. A limitation of the present study is the absence of never-smokers as a comparison group.

Adult↗