Accuracy of Self-Reported Personal History of Cancer in an Outpatient Breast Center

The self-reporting of cancer history is becoming increasingly important, as it frequently guides medical decision-making. We studied the accuracy of personal cancer history using a self-administered questionnaire, comparing the results with the Tumor Registry at our institution. Among 39,662 records, we identified 3614 women with a single cancer in the Tumor Registry who reported none or one cancer on their questionnaire. The sensitivity in self-reporting cancers was 85.7%, ranging from 92.1% for breast cancer to 42.9% for leukemia. The accuracy for breast cancer and Hodgkin's Lymphoma was significantly better than other cancers (p=0.00027, CI: 1.4–3.88). Analysis of patient's characteristics showed that Caucasians reported breast cancer more accurately than Asian/Pacific Islanders (p=0.008), and those with Jewish ancestry more accurately than non-Jewish (p=0.0435). These results will help us to improve data collection and thus improve medical decision-making.     

Estimation of the Nonlinear Random Coefficient Model when Some Random Effects Are Separable

A method is presented for marginal maximum likelihood estimation of the nonlinear random coefficient model when the response function has some linear parameters. This is done by writing the marginal distribution of the repeated measures as a conditional distribution of the response given the nonlinear random effects. The resulting distribution then requires an integral equation that is of dimension equal to the number of nonlinear terms. For nonlinear functions that have linear coefficients, the improvement in computational speed and accuracy using the new algorithm can be dramatic. An illustration of the method with repeated measures data from a learning experiment is presented.     

Neuropsychological Assessment of HIV-Infected Populations in International Settings

Resource-limited regions of the world represent the areas most affected by the global HIV epidemic. Currently, there are insufficient data on the neurocognitive effects of HIV in these areas and neuropsychological studies that have been carried out thus far are marked by inconsistent methods, test batteries, and rating systems for levels of cognitive impairment. These differences in methods, along with genetic variability of both virus and host, differences in co-infections and other co-morbidities, differences in language and culture, and infrastructural deficiencies in many international settings create challenges to the assessment of neurocognitive functioning and interpretation of neuropsychological data. Identifying neurocognitive impairment directly attributable to HIV, exploring relationships between HIV-associated neurocognitive impairment, disease variables, and everyday functioning, evaluating differences in HIV-1 subtype associated neuropathology, and determining implications for treatment remain complicated and challenging goals. Endeavors to establish a more standardized approach to neurocognitive assessments across international studies in addition to accumulating appropriate normative data that will allow more accurate rating of neuropsychological test performance will be crucial to future efforts attempting to achieve these goals.     

Measuring Moral Progress

The study provides an in-depth analysis of two young adult subjects from a longitudinal study who underwent successive and significant developmental changes. Their developmental patterns, however, are only revealed by a new conception of moral stages, which is both more comprehensive and more detailed than Kohlberg’s original approach. In particular, the suggested alternative taxonomy neatly accommodates what appears as developmental anomalies in the Kohlbergian frame of reference. What is more, apart from merely matching with the observed data, the new theory also explains why the subjects developed the way they did, since it reveals the inherent cognitive conflicts at each stage and how these are resolved at the following one. Although the theory stands against the Kohlberg theory as it is, it may be understood as an extension and further development of the latter, in the sense that Kohlbergian stages are differentiated, supplemented, and theoretically substantiated within the new framework.

A class of multidimensional IRT models for testing unidimensionality and clustering items

We illustrate a class of multidimensional item response theory models in which the items are allowed to have different discriminating power and the latent traits are represented through a vector having a discrete distribution. We also show how the hypothesis of unidimensionality may be tested against a specific bidimensional alternative by using a likelihood ratio statistic between two nested models in this class. For this aim, we also derive an asymptotically equivalent Wald test statistic which is faster to compute. Moreover, we propose a hierarchical clustering algorithm which can be used, when the dimensionality of the latent structure is completely unknown, for dividing items into groups referred to different latent traits. The approach is illustrated through a simulation study and an application to a dataset collected within the National Assessment of Educational Progress, 1996. The author would like to thank the Editor, an Associate Editor and three anonymous referees for stimulating comments. I also thank L. Scaccia, F. Pennoni and M. Lupparelli for having done part of the simulations.     

A Statistical Interpretive Method for Neuropsychological Test Data

The accurate interpretation of large numbers of neuropsychological tests within a flexible battery approach is a difficult and sometimes controversial process. We present a statistically based method of interpretation (Rohling's Interpretive Method or RIM) and evaluation of neuropsychological data that allows for varying numbers of tests along a varying number of cognitive domains, yet remains psychometrically based. This method requires informed clinical judgment in that the level of confidence for tests, cognitive domains, and global indices are used as the backdrop for interpretive decisions. Specific procedures for use are presented in a systematic, detailed fashion to allow the interested reader to replicate the method. Two case examples are presented: a straightforward case of cerebrovascular insult and a more complicated case of mixed etiology. Examples include a variety of different neuropsychological tests commonly used in a flexible battery approach. A discussion of the practicality, ease of use, and potential limitations of this method are further presented.     

A method for analyzing changes in response efficiency.

Although experimental effects typically are evaluated by summarizing levels of responding across time (e.g., calculating the mean levels of problem behavior during 10‐min sessions), these data summaries may obscure important mechanisms that may be responsible for changes in responding. A case study is reported to illustrate alternative methods of data analysis when decreasing trends in responding may be due to increases in response efficiency.     

关系研究的新取向：社会网络分析

社会网络分析（Social Network Analysis, SNA）是用社会实体之间的关系来描述、解释和预测社会现象的一种研究取向。SNA提供了深入探究社会环境特征及其对个体心理发展影响的一种方法。本文基于SNA的发展历程,依次介绍了中心性分析、小团体分析、位置分析、QAP以及统计模型法。SNA在社会学研究中得到了较多应用,近年来在心理学研究中开始受到重视。     

Normative values on the marks and mathews fear questionnaire: A comparison as a function of age and sex

While the Marks and Mathews Fear Questionnaire (1979) has gained widespread use, little information on its psychometric characteristics has been reported. Thus, one purpose of this investigation was to provide normative information on this device. A second purpose was to examine differences in reported fears as a function of age and sex. Fear Questionnaires were administered to a large sample of high-school students, college students, and adults. Means and standard deviations on the Fear Questionnaire are reported for the various groups. Significant differences were found between groups, with college and high-school women reporting more fears than corresponding men, college and high-school women reporting more fears than adult women, and college men showing a trend toward more fears than other men.Portions of this paper were presented at the Annual Meeting of the Association for the Advancement of Behavior Therapy, November 1985, Houston, Texas.