A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas

Depression is a significant problem for ethnic minorities that remains understudied partly due to a lack of strong measures with established psychometric properties. One screening tool, the Patient Health Questionnaire-9 (PHQ-9), which was developed for use in primary care has also gained popularity in research settings. The reliability and validity of the PHQ-9 has been well established among predominantly Caucasian samples, in addition to many minority groups. However, there is little evidence regarding its utility among Hispanic Americans, a large and growing cultural group in the United States. In this study, we investigated the reliability and structural validity of the PHQ-9 in Hispanic American women. A community sample of 479 Latina women from southern California completed the PHQ-9 in their preferred language of English or Spanish. Cronbach's alphas suggested that there was good internal consistency for both the English- and Spanish-language versions. Structural validity was investigated using multigroup confirmatory factor analysis. Results support a similar one-factor structure with equivalent response patterns and variances among English- and Spanish-speaking Latinas. These results suggest that the PHQ-9 can be used with confidence in both English and Spanish versions to screen Latinas for depression.     

Age-related differences in brain electrical activity during extended continuous face recognition in younger children, older children and adults

To examine the development of recognition memory in primary-school children, 36 healthy younger children (8-9 years old) and 36 healthy older children (11-12 years old) participated in an ERP study with an extended continuous face recognition task (Study 1). Each face of a series of 30 faces was shown randomly six times interspersed with distracter faces. The children were required to make old vs. new decisions. Older children responded faster than younger children, but younger children exhibited a steeper decrease in latencies across the five repetitions. Older children exhibited better accuracy for new faces, but there were no age differences in recognition accuracy for repeated faces. For the N2, N400 and late positive complex (LPC), we analyzed the old/new effects (repetition 1 vs. new presentation) and the extended repetition effects (repetitions 1 through 5). Compared to older children, younger children exhibited larger frontocentral N2 and N400 old/new effects. For extended face repetitions, negativity of the N2 and N400 decreased in a linear fashion in both age groups. For the LPC, an ERP component thought to reflect recollection, no significant old/new or extended repetition effects were found. Employing the same face recognition paradigm in 20 adults (Study 2), we found a significant N400 old/new effect at lateral frontal sites and a significant LPC repetition effect at parietal sites, with LPC amplitudes increasing linearly with the number of repetitions. This study clearly demonstrates differential developmental courses for the N400 and LPC pertaining to recognition memory for faces. It is concluded that face recognition in children is mediated by early and probably more automatic than conscious recognition processes. In adults, the LPC extended repetition effect indicates that adult face recognition memory is related to a conscious and graded recollection process rather than to an automatic recognition process.     

Setting the bar: divergent sociocultural norms for women's and men's ideal appearance in real-world contexts

Research suggests that exposure to sociocultural norms for idealized appearance can reduce both women's and men's body satisfaction. Despite comparable effects for both genders in the lab, in the “real-world” women's body satisfaction is chronically lower than men's. Real-world gender differences may arise from discrepancies in men's and women's everyday exposure to norms. Across eight studies using a variety of content analysis, survey, and experimental methods, we examine differences in sociocultural norms for ideal appearance pertaining to women and men in “daily life” contexts. We demonstrate that appearance norms encountered by women in daily life are more rigid, homogenous and pervasive than those for men, and that more messages implying the attainability of the ideal appearance are directed at women. Finally, experimental results show that homogeneous, rigid norms (like those typically encountered by women) are more harmful to body image than heterogeneous, flexible norms (like those typically encountered by men).     

The effect of noun animacy on the processing of unambiguous sentences: evidence from French relative clauses

Two experiments, one using self-paced reading and one using eye tracking, investigated the influence of noun animacy on the processing of subject relative (SR) clauses, object relative (OR) clauses, and object relative clauses with stylistic inversion (OR-SI) in French. Each sentence type was presented in two versions: either with an animate relative clause (RC) subject and an inanimate object (AS/IO), or with an inanimate RC subject and an animate object (IS/AO). There was an interaction between the RC structure and noun animacy. The advantage of SR sentences over OR and OR-SI sentences disappeared in AS/IO sentences. The interaction between animacy and structure occurred in self-paced reading times and in total fixation times on the RCs, but not in first-pass reading times. The results are consistent with a late interaction between animacy and structural processing during parsing and provide data relevant to several models of parsing.     

Updating mental models in predictive reasoning

Abstract

A mental model account for predictive judgement is proposed. According to this view, solving a predictive task involves the foundation ad updating of a mental he work as the relevant data are provided. The final model state determines the subject's predictive outcome. Two experiments examine the temporal course of reasoning in novices (Experiment 1) and experts (Experiment 2). Each task provided in succession a quantitative source (e.g. “Last year, of the vehidts that stopped at the cafe, 80% were cars and 20% were trucks”), a diagnostic source (e.g. “This vehide is mksy”) and a categorical choice (e.g. “What kind of vehicle was it?”). Two factors were manipulated: The order of sources aimed at analysing the contextual dependence of the updating processes, and the between-sources congruence (congruent or incongruent) in order to explore the integrative processes in model building. The pattern of the sources reading times, the choice times and the categorical choices suggested that: (1) the processing of a source depends on the previous one, (2) subjects try to integrste both sources into a single mental framework, and (3) experts and novices have a similar performance, although experts give more importance to the quantitative source in the diagnostic-quantitative order. These results are better accounted for by the mental model framework than both the heuristic and the formal view of prediction.     

Generalization in a child's oppositional behavior across home and school settings

A 9-year-old clinic-referred boy, his mother, and his teacher were observed in 38 home and 38 school sessions on the same days. Categories of the boy's oppositional behavior and the inappropriate social attention of his mother and teacher were graphed to visually inspect changes during baseline, a parent-training phase, a follow-up phase, and a final parent-training booster phase. Parent-training phases produced reductions in the mother's inappropriate attention and in the boy's oppositional behavior, whereas the follow-up and baseline phases were associated with higher rates of these categories. Generalization occurred in the school across these home phases, as seen in the increase in rates of the boy's problem behavior, despite the lack of change in his teacher's attention. Correlational analyses of proportion scores reflecting the boy's home-school oppositional behavior and mother-teacher social attention suggested his responsiveness to relative changes in adult social contingencies across settings.     

Semantic and syntactic aspects of the mass/count distinction: a case study of semantic dementia

Semantic and syntactic contributions to processing of mass and count nouns were assessed by examining the performance of a patient suffering from a pure semantic deficit. Semantic and syntactic processing was evaluated on grammaticality judgement and sentence-picture matching tasks, respectively, where each task involved mass and count readings of metonymic nouns. While the patient did not show impaired performance on the grammaticality judgment task, he manifested difficulties in making mass/count distinctions in the sentence-picture matching task. It is thus argued that while distributionally the mass/count distinction may be established on a purely syntactic basis, cognitive processing of mass/count information requires both intact syntactic and semantic knowledge.     

The effect of Alzheimer's disease and aging on conceptual combination

Alzheimer's disease (AD) subjects, healthy elderly, and young adults interpreted a series of novel noun-noun expressions composed of familiar object words. Subjects interpreted each item by selecting one of three possible definitions: a definition in which the referents of each noun were associated together in a particular context (e.g., rabbit cat: a cat that is raised by rabbits); a definition based on integrating the semantic attributes from each noun into a single referent (e.g., rabbit cat: a cat that has long ears and hops); and a semantic foil. The results show that the AD subjects selected significantly fewer integrational definitions and significantly more foils than healthy elderly subjects. Healthy elderly participants were also found to select significantly more foil definitions than the young adult subjects. These findings suggest that AD individuals have difficulty in integrating semantic features when interpreting novel noun-noun expressions and that both AD and healthy elderly individuals have morphosyntactic impairments related to the identification of the modifying and head nouns of noun-noun expressions.     

Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study

A total of 480 patients were treated in a large, multicenter randomized trial of a brief form of cognitive therapy, manual-assisted cognitive behavior therapy (MACT) versus treatment as usual (TAU) for recurrent deliberate self-harm. Each patient was randomized after a self-harm episode assessed at an accident and emergency center and followed up over 1 year. The main hypothesis tested was that those allocated to MACT would have a lower proportion of self-harm episodes in the succeeding year. A total of 60% of those allocated to MACT had face-to-face treatment and 430 (90%) of all patients had self-harm data recorded after 1 year. Although the results showed no significant difference between those repeating self-harm in the MACT group (39%) compared with the TAU group (46%) (P = 0.20), the treatment was cost effective (10% cheaper than TAU) and the frequency of self-harm episodes was fewer (50%) in the MACT group. A total of nine of 10 patients had some personality disturbance (42% of these with disorder), and for those where information on parasuicide events was collected, the proportion having a repeat episode ranged from 33% to 63% for different personality disorders. Those with BPD were most likely to repeat episodes quickly (mean 89 days for 25% to repeat) with dissocial personality disorder (equivalent mean 384 days) the slowest to repeat. Total costs were significantly greater in those with personality disorder and were reduced in those allocated to MACT; this saving was reversed in those with borderline disorder. On average, MACT appeared to increase the cost of those patients with BPD (BPD) and reduce the cost of those with other personality disorders. It is concluded that MACT has value in preventing self-harm cost effectively but this appears to be confined mainly to those who do not have BPD.