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Background/objective

The aim of this study was to examine the role of vital exhaustion in predicting the recurrence of vascular events.

Method

The sample comprised of 816 individuals (65.3% female, Mage = 43.2 years, SD = 14.7 years), 395 (48.4%) of whom reported treatment for the reoccurrence of a vascular event during the four-year follow-up period. Concurrent effects of baseline vital exhaustion (measured by a shortened version of the Maastricht Questionnaire), depression (assessed by a shortened version of the BDI), anxiety (assessed by the HADS), and hostility (assessed by a shortened version of the Cook-Medley Hostility Scale) in predicting the recurrence of T2 vascular events were examined. The analyses were also controlled for traditional risk factors, such as age, education, body mass index, smoking, alcohol use, and lack of physical activity.

Results

The regression analyses showed that vital exhaustion scores significantly predicted the reoccurrence of vascular events even after controlling for all covariates. None of the other psychological predictors (depression, anxiety, and hostility) was significant in the final model.

Conclusions

These results suggest that despite the partial conceptual overlap with several similar constructs, vital exhaustion is a distinct phenomenon that deserves consideration when planning and implementing interventions to reduce the risk of vascular diseases.  相似文献   
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Test theory without an answer key   总被引:2,自引:0,他引:2  
A general model is presented for homogeneous, dichotomous items when the answer key is not known a priori. The model is structurally related to the two-class latent structure model with the roles of respondents and items interchanged. For very small sets of respondents, iterative maximum likelihood estimates of the parameters can be obtained by existing methods. For other situations, new estimation methods are developed and assessed with Monte Carlo data. The answer key can be accurately reconstructed with relatively small sets of respondents. The model is useful when a researcher wants to study objectively the knowledge possessed by members of a culturally coherent group that the researcher is not a member of.This research was supported by NSF Grant No. SES-8320173 to the authors. We gratefully acknowledge comments and suggestions from John Boyd, Tarow Indow, and Kathy Maher as well as the editor and several anonymous referees.  相似文献   
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Binary programming models are presented to generate parallel tests from an itembank. The parallel tests are created to match item for item an existing seed test and match user supplied taxonomic specifications. The taxonomic specifications may be either obtained from the seed test or from some other user requirement. An algorithm is presented along with computational results to indicate the overall efficiency of the process. Empirical findings based on an itembank for the Arithmetic Reasoning section of the Armed Services Vocational Aptitude Battery are given.The Office of Naval Research, Program in Cognitive Science, N00014-87-C-0696 partially supported the work of Douglas H. Jones. The Rutgers Research Resource Committee of the Graduate School of Management partially supported the work of Douglas H. Jones and Ing-Long Wu. A Thomas and Betts research fellowship partially supported the work of Ing-Long Wu. The Human Resources Laboratory, United States Air Force, partially supported the work of Ronald Armstrong. The authors benefited from conversations with Dr. Wayne Shore, Operational Technologies, San Antonio, Texas. The order of authors' names is alphabetical and denotes equal authorship.  相似文献   
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This paper argues that test data are ordinal, that latent trait scores are only determined ordinally, and that test data are used largely for ordinal purposes. Therefore it is desirable to develop a test theory based only on ordinal assumptions. A set of ordinal assumptions is presented, including an ordinal version of local independence. From these assumptions it is first shown that the gamma-correlation between two tests is the product of their gamma-correlations with the true latent order. The theory is generalized to allow for heterogeneous tests by defining a weighted average local independence. The tau-correlations between total score and the latent order can be found in both homogeneous and heterogeneous cases, and a system of differential item weighting to maximize the tau-correlation between weighted items and the latent order is provided. Thus a purely ordinal test theory seems possible.Part of this work was done while the author was a Visiting Fellow at Macquarrie University. The paper has benefitted from discussions with Professors Thomas J. Reynolds and Roderick P. McDonald and from the comments of several anonymous reviewers.  相似文献   
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A 47-year-old man with a left temporo-occipital infarct in the area of the posterior cerebral artery is presented. The neuropsychological examination did not reveal aphasia or gross mental deficits. The patient presented with alexia without agraphia, color agnosia, but few visual perceptual deficits. The main impairment was in confrontation naming; he was incapable of naming objects and pictures, not from lack of recognition (excluding visual agnosia) but from lack of access to the appropriate word (optic aphasia). The patient also exhibited a deficit in the evocation of gesture from the visual presentation of an object (optic apraxia) and a difficulty in "conjuring up" visual images of objects (impaired visual imagery) and loss of dreams. The fundamental deficit of this patient is tentatively explained in terms of visuoverbal and visuogestural disconnection and a deficit of mental imagery.  相似文献   
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A series of studies is described demonstrating a coherent exploratory and confirmatory factor-analytic approach to the scaling of self-reported bodily feelings. This approach attempts to optimize the orthogonality, parsimony, and meaningfulness of a multifactor inventory. Psychometric properties of the resulting 35-item Bodily Feeling Scale (BFS) are presented and its comparability with other inventories is discussed. A validity study using item-content-based scales of the Minnesota Multiphasic Personality Inventory showed both concurrent and discriminative validity of the BFS. Implications for clinical and research utility are discussed.Portions of this research were conducted while the first author was supported by a University Graduate Fellowship awarded by the Graduate School of Arts and Sciences at Vanderbilt University.Professor Nunnally passed away in August 1982. His major contributions to the several stages of this research program are recognized through coauthorship.  相似文献   
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Assuming a nonparametric family of item response theory models, a theory-based procedure for testing the hypothesis of unidimensionality of the latent space is proposed. The asymptotic distribution of the test statistic is derived assuming unidimensionality, thereby establishing an asymptotically valid statistical test of the unidimensionality of the latent trait. Based upon a new notion of dimensionality, the test is shown to have asymptotic power 1. A 6300 trial Monte Carlo study using published item parameter estimates of widely used standardized tests indicates conservative adherence to the nominal level of significance and statistical power averaging 81 out of 100 rejections for examinee sample sizes and psychological test lengths often incurred in practice.The referees' comments were remarkably detailed and greatly enhanced the writeup and sensitized the author to certain pertinent issues. Discussions with Fritz Drasgow, Lloyd Humphreys, Dennis Jennings, Brian Junker, Robert Linn, Ratna Nandakumar, and Robin Shealy were also very useful.This research was supported by the Office of Naval Research under grant N00014-84-K-0186; NR 150-533, and by the National Science Foundation under grant DMS 85-03321.  相似文献   
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