The Heteroscedastic Graded Response Model with a Skewed Latent Trait: Testing Statistical and Substantive Hypotheses Related to Skewed Item Category Functions

The Graded Response Model (GRM; Samejima, Estimation of ability using a response pattern of graded scores, Psychometric Monograph No.?17, Richmond, VA: The Psychometric Society, 1969) can be derived by assuming a linear regression of a continuous variable, Z, on the trait, ??, to underlie the ordinal item scores (Takane & de Leeuw in Psychometrika, 52:393?C408, 1987). Traditionally, a normal distribution is specified for Z implying homoscedastic error variances and a normally distributed ??. In this paper, we present the Heteroscedastic GRM with Skewed Latent Trait, which extends the traditional GRM by incorporation of heteroscedastic error variances and a skew-normal latent trait. An appealing property of the extended GRM is that it includes the traditional GRM as a special case. This enables specific tests on the normality assumption of Z. We show how violations of normality in Z can lead to asymmetrical category response functions. The ability to test this normality assumption is beneficial from both a statistical and substantive perspective. In a simulation study, we show the viability of the model and investigate the specificity of the effects. We apply the model to a dataset on affect and a dataset on alexithymia.     

Neuropsychological Sequelae of PTSD and TBI Following War Deployment among OEF/OIF Veterans

Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are highly prevalent among Veterans of the conflicts in Iraq and Afghanistan. These conditions are associated with common and unique neuropsychological and neuroanatomical changes. This review synthesizes neuropsychological and neuroimaging studies for both of these disorders and studies examining their co-occurrence. Recommendations for future research, including use of combined neuropsychological and advanced neuroimaging techniques to study these disorders alone and in concert, are presented. It is clear from the dearth of literature that addiitonal studies are required to examine and understand the impact of specific factors on neurocognitive outcome. Of particular relevance are temporal relationships between PTSD and mTBI, risk and resilience factors associated with both disorders and their co-occurrence, and mTBI-specific factors such as time since injury and severity of injury, utilizing comprehensive, yet targeted cognitive tasks.     

Shared Decision-Making Among Caregivers and Health Care Providers of Youth with Type 1 Diabetes

The present study aimed to examine perceptions of shared decision-making (SDM) in caregivers of youth with type 1 diabetes (T1D). Interview, survey data, and HbA1c assays were gathered from caregivers of 439 youth with T1D aged 3–18 years. Caregiver-report indicated high perceived SDM during medical visits. Multivariable linear regression indicated that greater SDM is associated with lower HbA1c, older child age, and having a pediatric endocrinologist provider. Multiple logistic regression found that caregivers who did not perceive having made any healthcare decisions in the past year were more likely to identify a non-pediatric endocrinologist provider and to report less optimal diabetes self-care. Findings suggest that youth whose caregivers report greater SDM may show benefits in terms of self-care and glycemic control. Future research should examine the role of youth in SDM and how best to identify youth and families with low SDM in order to improve care.     

Post-Exercise Affect: The Effect of Mode Preference

It has been suggested that the performance of preferred modes of exercise will serve to maximize the affective response to exercise. Support has come from work that has shown the effect of exercise on affect to be mediated by enjoyment. However, there is a need to compare modes of exercise that differ in preference and enjoyment, yet are similar in intensity, duration and muscle group. This experiment was designed to achieve this aim. Thirty-four college-aged women completed 20 minutes of exercise on high and low preference modes of continuous exercise. Intensity was maintained at 65–75% of HRR. Affect was measured by the PANAS, collected prior to and at 5, 20, and 40 min post exercise. Results provided partial support for the hypothesis as mode preference moderated the improvement in positive affect, with no effect on the reduction in negative affect. Interestingly, regardless of mode preference, enjoyment ratings were found to mediate the change in both positive and negative affect.     

Pregnant and Parenting Battered Women Speak Out about their Relationships and Challenges

Domestic violence is one of the leading health risks to women in the United States. Abuse during pregnancy increases the negative health consequences for mothers and their unborn children. This article presents survey and open-ended interview data from participants in an innovative program for pregnant and parenting battered women and examines the health status of mothers and newborns, their experience and perception of both physical and nonphysical abuse, and their challenges to prenatal care.     

The Coping Paradox: Work,Stress, and Coping in the U.S. Army

The military environment has unique stressors. This study investigates the types of stressors, appraisals, and coping responses of U.S. soldiers and their leaders. A qualitative analysis of interviews indicates that the traditional coping buffers of social drinking and seeking social support from fellow soldiers, family, and leaders can potentially serve as sources of stress. While this paradox may be a result of the unique types of stressors in the military work environment, these results should direct researchers to better understand individuals' perceptions and appraisals of stress, with a focus on the meaning of stress, given contextual factors inherent in the workplace. The findings are discussed in relation to the literature on the impact of stress on physical and psychological health.     

Part-set cuing effects in younger and older adults

In 3 experiments, the authors examined part-set cuing effects in younger and older adults. Participants heard lists of category exemplars and later recalled them. Recall was uncued or cued with a subset of studied items. In Experiment 1, participants were cued with some of the category names, and they remembered fewer never-cued categories than a free-recall condition. In Experiment 2, a similar effect was observed for category exemplar cues. There was also an age difference: By some measures, a small number of cues impaired older adults more than younger. Experiment 3 replicated this result and found that older adults were disproportionately slow in the presence of cues. Across experiments, older adults showed robust part-set cuing effects, and sometimes, they were disproportionately impaired by cues.