Evaluating three stuttering assessments through network analysis,random forests and cluster analysis

PurposeIn stuttering, cognitive and behavioural variables interact in nonlinear fashion. These variables can be assessed by instruments which evaluate perceived impact of stuttering and stuttering severity. We applied three statistical methods in combination to the analysis of three assessment protocols to discover relationships within and between the tests to better understand variations in behavioural and social aspects of stuttering.MethodsScores from Stuttering Severity Index (SSI-IV), Overall Assessment of the Speaker’s Experience of Stuttering scale (OASES), and Unhelpful Thoughts and Beliefs About Stuttering scale (UTBAS), collected from 26 participants were compared using three statistical methods: network analysis, random forests, and cluster analysis.ResultsNetwork analysis demonstrated that SSI-IV only weakly interacts with a quality of life index (OASES) and a self-perception and belief systems index (UTBAS). Random forest analyses revealed the last two measures relate strongly to each other. The results from cluster analysis suggest a) a possible regrouping of OASES items and b) a possible use of one UTBAS scale instead of the three.ConclusionA combination of three statistical methods allowed us to evaluate the three assessments in more depth. The lack of interaction between the SSI-IV on the one hand, and OASES and UTBAS on the other, suggests that the network of the three commonly used stuttering assessments may be fractured in a non-productive way. A potential gap may exist for an assessment tool that would link behavioural and social aspects of stuttering.     

Client attendance measures in counselling psychology trainees

Counselling supervisors and educators have yet to reach a consensus about standard measures for evaluating the performance of graduate student therapists. Compared to self‐reports and rater judgements, client attendance records provide low‐inference behavioural data partially reflective of clients’ engagement with therapists. This naturalistic study evaluates client attendance data using archival records of 92 doctoral students in beginning and advanced counselling practica who produced data for 771 clients, 3,949 scheduled sessions and 3,186 attended sessions. Providing evidence of the sample representativeness for clinicians, results indicated that the mean number of sessions attended per client for student therapists (5.65) was very similar to that reported in the literature for outpatient therapists (<6). As expected because of structural differences in client assignment, beginning and advanced students evidenced statistically significant differences on attendance variables such as number of clients and scheduled sessions. In contrast, attendance ratios were equivalent across counsellor experience, suggesting that these individual difference variables could be useful for evaluation of therapist competencies related to client engagement.     

Momentary associations between stress and physical activity among children using ecological momentary assessment

Chronic and acute stress may have a detrimental effect on children's physical activity. Research on stress as a predictor of children's physical activity has mostly focused on stress between children, rather than how children's within-day variation in stress may predict physical activity. The current study assessed the within- and between-effects of stress on subsequent physical activity in three different time windows using ecological momentary assessment (EMA) and accelerometry. Children (N = 190; M_{Baseline Age} = 10.1 ± 0.9, 53% female, 56% self-identified Hispanic/Latino) completed six semi-annual assessment bursts across three years. During each burst, participants responded to up to seven (weekend) or three (weekday) randomly prompted EMA surveys on smartphones for seven days and wore a waist-worn accelerometer. Multi-level structural equation modeling examined within- and between-subjects effects of stress as a predictor of children's subsequent moderate-to-vigorous physical activity (MVPA) in the 15, 30, and 60 min following the EMA prompt. Latent variables were created for within- and between-subjects stress were comprised of three EMA stress items. Higher than average levels of stress (within-subjects) significantly predicted lower MVPA in the subsequent 15, 30 and 60 min (ps < .05). Between-subjects stress was not significantly associated with subsequent MVPA (ps > .05). Results indicate that elevated momentary stress predicts less subsequent MVPA. These findings suggest that within-day fluctuations in stress may be a barrier for children engaging in physical activity. Childhood physical activity promotion and interventions should consider the role of children's stress, aim to reduce the stress children experience throughout the day, and incorporate stress coping strategies.     

Do patients suffering from chronic diseases retrospectively overestimate how healthy they were before they fell ill?

Background/Objective: To examine the impact of a disease on a person's subjective health state, patients are often asked to assess their current health state and to retrospectively assess how healthy they were before they fell ill. The objective of this study was to test whether patients generally overestimated the quality of their pre-disease health. Method: Six samples of patients with chronic diseases (cancer patients, cardiovascular patients, and patients diagnosed with sarcoidosis, N between 197 and 1,197) were analyzed. The patients assessed their current health states and their health states at the time before diagnosis. The retrospective scores were compared with matched data from general population studies. Results: In three of the six studies, the retrospective health ratings of the patients were significantly higher than the general population norms (effect sizes between 0.24 and 0.46), two studies yielded nonsignificant effects, and in one study there was an opposite trend. The general overestimation of pre-disease health was more pronounced in older patients as compared with younger ones, and it was more pronounced when global health/quality of life was to be assessed. Conclusions: Retrospective assessments of pre-disease health states are not appropriate for assessing disease-related changes in a person's health state.     

Understanding subgroup differences with general mental ability tests in employment selection: Exploring socio-cultural factors across inter-generational groups

In employment selection, general mental ability (GMA) tests predict training and job performance but also lead to subgroup differences which in turn can produce adverse impact against minority groups. Although researchers have explored genetic, developmental, and environmental explanations for ethnic group differences, few studies have explored socio-cultural factors comparing immigrant and non-immigrant job applicants. Given that many ethnic job applicants may also be immigrants, understanding these factors can provide insight into GMA test score differences. The purpose of this paper is to explore the impact of individual and socio-cultural factors on GMA test scores with immigrant and non-immigrant bus driver applicants. This is the first study of its kind to our knowledge that has attempted to disentangle the effects of socio-cultural factors from race/ethnicity in the study of subgroup differences. Incorporating these variables between non-visible minority and minority groups accounted for considerable variance in GMA test scores across groups. The implications of focusing on socio-cultural variables to enhance our understanding of subgroup differences are discussed. Our results specifically suggest that practitioners attend to the issue of the intersecting grounds of potential discrimination when using GMA tests in personnel selection.     

Professionalism: A Competency Cluster Whose Time Has Come

Despite the burgeoning literature on professionalism in other health professions, psychology lags behind in the level of attention given to this core competency. In this article, we review definitions from other health professions and how they address professionalism. Next, we review how this competency evolved within health service psychology (HSP), and we propose a definition. We offer an approach for assessing professionalism within HSP. Consideration is given to strategies and methods for providing effective education and training in this multifaceted competency. Finally, recommendations are made for creating a culture of professionalism within HSP and honoring psychology’s social contract with multiple publics.     

Sibling Hostility and Externalized Symptoms of Psychological Distress

Sibling verbal and physical abuse has been underrepresented in childhood maltreatment research as a potential contributor to lifetime aggression. This study investigated associations between sibling hostility (physical abuse, threats of violence, heated verbal conflict) and conduct disorder symptoms, trait hostility, and lifetime aggression after control for variance attributable to physical and sexual abuse, exposure to domestic violence, and peer bullying. Over 20% of the respondents from this university sample (N = 1,331) recalled high levels of sibling hostility from the ages of 5 to 16. The frequency of these acts served as a significant predictor in regression models for all of the criterion measures among the women. Relationships between sibling hostility and these externalized symptom indicators were more limited among the men. Acts of sibling hostility as infrequent as once a year were associated in the total sample with higher conduct disorder symptoms, reactive aggression, lifetime acts of physical aggression, and Buss-Perry Aggression Questionnaire subscale scores. These findings suggested that even low frequencies of sibling abuse may have a deleterious impact on temper management. Sibling hostility warrants systematic attention in the childhood maltreatment literature.     

A Polytomous Model of Cognitive Diagnostic Assessment for Graded Data

Pursuing the line of the difference models in IRT (Thissen &; Steinberg, 1986 Thissen, D., &; Steinberg, L. (1986). A taxonomy of item response models. Psychometrika, 51:567–577. doi:10.1007/BF02295596.[Crossref], [Web of Science ®] , [Google Scholar]), this article proposed a new cognitive diagnostic model for graded/polytomous data based on the deterministic input, noisy, and gate (Haertel, 1989 Haertel, E. H. (1989). Using restricted latent class models to map the skill structure of achievement items. Journal of Educational Measurement, 26, 333–352. doi:10.1111/j.1745-3984.1989.tb00336.x.[Crossref], [Web of Science ®] , [Google Scholar]; Junker &; Sijtsma, 2001 Junker, B. W., &; Sijtsma, K. (2001). Cognitive assessment models with few assumptions, and connections with nonparametric item response theory. Applied Psychological Measurement, 25, 258–272. doi:10.1177/01466210122032064.[Crossref], [Web of Science ®] , [Google Scholar]), which is named the DINA model for graded data (DINA-GD). We investigated the performance of a full Bayesian estimation of the proposed model. In the simulation, the classification accuracy and item recovery for the DINA-GD model were investigated. The results indicated that the proposed model had acceptable examinees' correct attribute classification rate and item parameter recovery. In addition, a real-data example was used to illustrate the application of this new model with the graded data or polytomously scored items.     

Topics of Marital Conflict in the Everyday Lives of Empty Nest Couples and Their Implications for Conflict Resolution

To improve our understanding of marriage experiences during midlife, diary reports of naturalistic marital conflict were collected from 55 couples who were parents of grown children who had left the home. Communication, chores, and habits were the most frequent sources of disagreements reported by husbands and wives. Hierarchical linear models tested the unique associations between multiple conflict topics and interaction characteristics (length, recurrence, initiator, and importance) and constructive, angry, and depressive resolution strategies. Husbands and wives similarly rated money and habits as recurrent topics and conflicts concerning money and children as holding relatively high levels of current and long-term importance to the relationship. Compared with other topics, husbands and wives consistently perceived conflicts concerning habits and communication as being handled in relatively angry ways (e.g., defensiveness) and marital conflicts about children as eliciting greater depressive conflict (e.g., withdrawal, sadness). Husbands also viewed conflicts concerning relatives and commitment as being handled in relatively depressive ways. The findings explicate substantive sources of midlife marital disagreements and offer future research and clinical directions.