Reliability and validity of a twelve-minute walking test for coronary heart disease patients

This study examined the reliability and validity of a 12-min. walking test for coronary heart disease patients. CHD patients (28 men, 18 women) were recruited out of 86 CHD patients of the Martini Hospital Groningen, The Netherlands. 46 CHD patients (age M=66.0 yr., SD=6.8) participated in the reliability study and 24 (age M=62.0 yr., SD=9.2) in the validity study. A test-retest analysis showed a satisfactory Bland-Altman plot and an intraclass coefficient of .98. The Pearson correlation between the score on the test and the VO2 peak was .77. This test gives a reliable and valid assessment of cardiorespiratory fitness of CHD patients.     

Confirmatory factor analysis of parents' and teachers' ratings of DSM-IV symptoms of attention deficit hyperactivity disorder in a Spanish sample

Confirmatory factor analysis examined the factor structure of DSM IV Attention Deficit Hyperactivity Disorder symptoms and analyzed the differences in informants' ratings of ADHD symptoms by children's age and sex. A sample of 1,018 Spanish school children, 574 girls and 444 boys, ages 4 to 12 years, was rated by teachers and parents. Confirmatory factor analysis showed a similar fit for the three-factor model of Inattention, Hyperactivity, and Impulsivity (teachers: CFI = .976, RMR = .041, % of total variance = 83.2; parents: CFI = .969, RMR = .037, % of total variance = 82.7) and for the two-factor model of Inattention and Hyperactivity Impulsivity (teachers: CFI = .958, RMR = .044, % of total variance = 79.3; parents: CFI = .961, RMR = .038, % of total variance, 79.9). The two-factor model was selected as a parsi monious representation of the teachers' and parents' ratings of ADHD symptoms. Analyses of variance indicated significant differences in teachers' and parents' mean ratings across sex and school grades of children.     

Likelihood inference on the underlying structure of IRT models

The assumptions underlying item response theory (IRT) models may be expressed as a set of equality and inequality constraints on the parameters of a latent class model. It is well known that the same assumptions imply that the parameters of the manifest distribution have to satisfy a more complicated set of inequality constraints which, however, are necessary but not sufficient. In this paper, we describe how the theory for likelihood-based inference under equality and inequality constraints may be used to test the underlying assumptions of IRT models. It turns out that the analysis based directly on the latent structure is simpler and more flexible. In particular, we indicate how several interesting extensions of the Rasch model may be obtained by partial relaxation of the basic constraints. An application to a data set provided by Educational Testing Service is used to illustrate the approach.We thank Dr. Gorman and Dr. Rogers of the Educational Testing Service for providing the data analyzed in Section 4. We also thank three reviewers for comments and suggestions.This revised article was published online in August 2005 with the PDF paginated correctly.     

Dispersion-weighted kappa: An integrative framework for metric and nominal scale agreement coefficients

The rater agreement literature is complicated by the fact that it must accommodate at east two different properties of rating data: the number of raters (two versus more than two) and the rating scale level (nominal versus metric). While kappa statistics are most widely used for nominal scales, intraclass correlation coefficients have been preferred for metric scales. In this paper, we suggest a dispersion-weighted kappa framework for multiple raters that integrates some important agreement statistics by using familiar dispersion indices as weights for expressing disagreement. These weights are applied to ratings identifying cells in the traditional inter-judge contingency table. Novel agreement statistics can be obtained by applying less familiar indices of dispersion in the same wayThis revised article was published online in August 2005 with the PDF paginated correctly.     

A Contextual Approach to Scientific Understanding

Achieving understanding of nature is one of the aims of science. In this paper we offer an analysis of the nature of scientific understanding that accords with actual scientific practice and accommodates the historical diversity of conceptions of understanding. Its core idea is a general criterion for the intelligibility of scientific theories that is essentially contextual: which theories conform to this criterion depends on contextual factors, and can change in the course of time. Our analysis provides a general account of how understanding is provided by scientific explanations of diverse types. In this way, it reconciles conflicting views of explanatory understanding, such as the causal-mechanical and the unificationist conceptions.     

Metarepresentative functions in borderline personality disorder

Many authors consider that patients suffering from Borderline Personality Disorder (BPD) are hampered in their ability to metarepresent, which is the correct ascribing of states of mind to oneself and to others and the reflecting thereon. Although the ability to mentalize is generally described as being uniform, various authors pinpoint problems which appear to be of a diverse psychological nature. Some describe difficulties in identifying emotions or a shortfall in their regulation, others identify a lack of integration between representations of self and those of others, and yet others focus on the failure to distinguish between fantasy and reality. In the present research all sessions during the first year of therapy of four patients suffering from BPD were tape-recorded and transcribed, and then analyzed using the Metacognition Assessment Scale (MAS), which is designed for the evaluation of the ability to metarepresent in clinical reports. The results support the hypothesis that there is a metarepresentation impairment in BPD but that it is more selective than was thought until now. In particular, such patients maintain their ability to identify internal states, whereas they are impaired in the integration of representations of self and others and in the differentiation between fantasy and reality.     

Reversibility of the other-race effect in face recognition during childhood

Early experience with faces of a given racial type facilitates visual recognition for this type of face relative to others. To assess whether this so-called other-race effect can be reversed by subsequent experience with new types of faces, we tested adults of Korean origin who were adopted by European Caucasian families when they were between the ages of 3 to 9. The adoptees performed a face recognition task with photographs of Caucasian and Asian faces. They performed exactly like a control group of French participants, identifying the Caucasian faces better than the Asiatic ones. In contrast, a control group of Koreans showed the reverse pattern. This result indicates that the face recognition system remains plastic enough during childhood to reverse the other-race effect.     

Word frequency of irrelevant speech distractors affects serial recall

In this study, participants memorized frequent or rare target words in silence or while ignoring frequent or rare distractor words. Distractor words impaired recall performance, but low-frequency distractor words caused more impairment than did high-frequency distractor words. We demonstrate how to solve the identifiability problem for Schweickert's (1993) multinomial processing tree model of immediate recall, and then use this model to show that irrelevant speech affected both the probability with which intact target word representations were available for serial recall and the probability of successful reconstruction of item identities based on degraded short-term memory traces. However, the type of irrelevant speech--low-versus high-frequency words--selectively affected the probability of intact target word representations. These results are consistent with an explanation of the irrelevant speech effect within the framework proposed by Cowan (1995), and they pose problems for other explanations of the irrelevant speech effect. The analyses also confirm the validity of Schweickert's process model.