Factor analysis

因子分析
  • 文章类型: Journal Article
    目的:现有的与提前护理计划(ACP)相关的系统评价主要集中在特定的人群和干预效果上,或者仅限于环境因素。这项研究旨在确定在医疗机构中ACP的不同用户所感知的可修改因素,并告知医疗保健专业人员影响ACP实践的因素。
    方法:五个英语数据库(ProQuest,PubMed,CINAHLPlus,Scopus,和Medline)和两个中文数据库(CNKI和NCL)进行了搜索,直到2022年11月。包括在医疗机构中确定与ACP相关因素的实证研究。ACP被定义为关于未来临终关怀的讨论过程。对所有纳入的研究进行主题合成。
    结果:共筛选了1871篇独特文章;193篇全文由4位审稿人评估,并纳入45篇文章进行分析。22项(54%)研究是定性的,15(33%)是定量的,和6(13%)使用混合方法。焦点在单个受试者组的28项(62%)研究中有所不同(任一患者,家庭,或医师),2个主题组(患者和家庭或患者和医疗保健专业人员)中的11个(25%),6个(13%)涵盖了3个受试者组(患者,家庭,和医疗保健专业人员)。在涉及1个以上主题组的17项研究中,只有2个在分析中采用了二进透镜。复杂的交织因素分为(1)内部因素,(2)人际关系因素,(3)社会环境因素,共有11个主题:个人信仰,情感,别人的负担,定时,响应性、响应性关系,家庭动态,经验,带头的人,文化,和支持。
    结论:患者,家庭,和医疗保健专业人员是ACP在医疗保健环境中的重要利益相关者。内部因素交织在一起,人际关系,和社会环境层面。有必要进行研究,以从多维角度检查三个基本利益相关者的动态相互作用,以及因素交织的机理。
    OBJECTIVE: Existing systematic reviews related to advance care planning (ACP) largely focus on specific groups and intervention efficacy or are limited to contextual factors. This research aims to identify the modifiable factors perceived by different users of ACP in healthcare settings and inform healthcare professionals about the factors affecting ACP practice.
    METHODS: Five English-language databases (ProQuest, PubMed, CINAHL Plus, Scopus, and Medline) and two Chinese-language databases (CNKI and NCL) were searched up to November 2022. Empirical research identifying factors related to ACP in healthcare settings was included. ACP is defined as a discussion process on future end-of-life care. Thematic synthesis was performed on all included studies.
    RESULTS: A total of 1871 unique articles were screened; the full texts of 193 were assessed by 4 reviewers, and 45 articles were included for analysis. Twenty-two (54%) studies were qualitative, 15 (33%) were quantitative, and 6 (13%) used mixed methods. Foci varied from 28 (62%) studies on a single subject group (either patient, family, or physician), 11 (25%) on 2 subject groups (either patient and family or patient and healthcare professional), and 6 (13%) covered 3 subject groups (patient, family, and healthcare professional). Among the 17 studies involving more than 1 subject group, only 2 adopted a dyadic lens in analysis. Complex interwoven factors were categorized into (1) intrapersonal factors, (2) interpersonal factors, and (3) socio-environmental factors, with a total of 11 themes: personal belief, emotions, the burden on others, timing, responsiveness, relationship, family dynamics, experience, person taking the lead, culture, and support.
    CONCLUSIONS: Patients, families, and healthcare professionals are the essential stakeholders of ACP in healthcare settings. Factors are interweaved among the intrapersonal, interpersonal, and socio-environmental dimensions. Research is warranted to examine the dynamic interactions of the 3 essential stakeholders from a multidimensional perspective, and the mechanism of the interweaving of factors.
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  • 文章类型: Systematic Review
    杂乱无章的讲话,或者,形式思维障碍(FTD),被认为是精神病的核心特征之一,然而,其要素结构仍存在争议。本系统综述旨在确定FTD的核心维度。根据系统评价和荟萃分析(PRISMA)的首选报告项目,对FTD因子分析文献进行了系统综述。16项研究来自PsycINFO,1971年10月至2023年1月之间的PubMed和WebofScience。在调查的39个因素分析中,研究结果表明,三因素结构是突出的。在三因素模型中发现了两个因素的广泛一致,通常被称为混乱和消极,第三维度的确切性质需要进一步澄清。质量评估揭示了与FTD评估相关的一些方法学挑战,并进行了因素分析。未来的研究应该澄清不同患者群体和方法的第三维度的确切性质,以确定是否可以阐明FTD的一致诊断概念。
    Disorganised speech, or, formal thought disorder (FTD), is considered one of the core features of psychosis, yet its factor structure remains debated. This systematic review aimed to identify the core dimensions of FTD. In line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA), a systematic review was conducted on the FTD factor analytic literature. Sixteen studies were identified from PsycINFO, PubMed and Web of Science between October 1971 and January 2023. Across the 39 factor analyses investigated, findings demonstrated the prominence of a three-factor structure. Broad agreement was found for two factors within the three-factor model, which were typically referred to as disorganisation and negative, with the exact nature of the third dimension requiring further clarification. The quality assessment revealed some methodological challenges relating to the assessment of FTD and conducted factor analyses. Future research should clarify the exact nature of the third dimension across different patient groups and methodologies to determine whether a consistent transdiagnostic concept of FTD can be elucidated.
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  • 文章类型: Journal Article
    尽管后验饮食模式(DP)自然反映了人群的实际饮食行为,它们的特异性限制了普适性。除其他问题外,缺乏标准化的分析方法进一步阻碍了在来自相同/相似人群的研究中发现真正可重复的DPs.对来自意大利的研究人群的主成分分析或探索性因子分析(EFA)的后验DP的系统评价为在流行病学研究中探索DP可重复性的评估和驱动因素提供了基础。首先我们的知识,我们进行了定性(即,基于文字描述的相似性图)和定量(即,同余系数,CC)评估DP重现性。这52篇论文发表于2001-2022年,代表了1965-2022年意大利70%地区的饮食习惯;儿童/青少年,怀孕/哺乳妇女,和老年人在15篇论文中被考虑。纳入的研究主要从食物频率问卷中得出基于EFA的食物组DP,并且根据标准量表具有“良好的质量”。基于文本描述,186个确定的DPs被分解为113个(69个食物为基础,44个营养为基础)明显不同的DPs(减少39.3%),后来总结了3种混合沙拉/蔬菜模式,面食和肉类导向/淀粉模式,乳制品和糖果/基于动物的模式组,通过匹配类似的基于食物和基于营养的塌陷的DP组。基于CC(215个CC,68DPs,18篇论文使用相同的输入列表),所有显示相同/相似名称的DP对至少“相当相似”,81%“相当相似”。30个“等效”DP最终变成了6个真正不同的DP(减少80%),针对水果和(生)蔬菜,意大利面和肉相结合,奶酪和熟食。这种减少反映了相同的研究设计,输入变量列表,和DP识别方法遵循来自相同组的论文。这篇评论在PROSPERO注册为CRD42022341037。重要声明(2句,真正的新颖性):这是从主要成分或探索性因子分析中收集意大利饮食模式证据的第一个系统综述。系统评价为定性和定量评估意大利饮食模式的可重复性提供了基础,基于文本描述和一致性系数,分别。我们发现意大利基于水果和(生)蔬菜的饮食模式,意大利面和肉相结合,奶酪和熟食肉类在研究中都是可重复的,尽管更严格的统计方法可以更好地识别可重复的饮食模式和相关原因。已建立的证据基础可能会为意大利人口的饮食模式识别提供信息,并为未来在同一国家/地区的研究中对饮食模式可重复性的研究提供更广泛的信息。
    Although a posteriori dietary patterns (DPs) naturally reflect actual dietary behavior in a population, their specificity limits generalizability. Among other issues, the absence of a standardized approach to analysis have further hindered discovery of genuinely reproducible DPs across studies from the same/similar populations. A systematic review on a posteriori DPs from principal component analysis or exploratory factor analysis (EFA) across study populations from Italy provides the basis to explore assessment and drivers of DP reproducibility in a case study of epidemiological interest. First to our knowledge, we carried out a qualitative (i.e., similarity plots built on text descriptions) and quantitative (i.e., congruence coefficients, CCs) assessment of DP reproducibility. The 52 selected articles were published in 2001-2022 and represented dietary habits in 1965-2022 from 70% of the Italian regions; children/adolescents, pregnancy/breastfeeding women, and elderly were considered in 15 articles. The included studies mainly derived EFA-based DPs on food groups from food frequency questionnaires and were of \"good quality\" according to standard scales. Based on text descriptions, the 186 identified DPs were collapsed into 113 (69 food-based and 44 nutrient-based) apparently different DPs (39.3% reduction), later summarized along with the 3 \"Mixed-Salad/Vegetable-based Patterns,\" \"Pasta-and-Meat-oriented/Starchy Patterns,\" and \"Dairy Products\" and \"Sweets/Animal-based Patterns\" groups, by matching similar food-based and nutrient-based groups of collapsed DPs. Based on CCs (215 CCs, 68 DPs, 18 articles using the same input lists), all pairs of DPs showing the same/similar names were at least \"fairly similar\" and ∼81% were \"equivalent.\" The 30 \"equivalent\" DPs ended up into 6 genuinely different DPs (80% reduction) that targeted fruits and (raw) vegetables, pasta and meat combined, and cheese and deli meats. Such reduction reflects the same study design, list of input variables, and DP identification method followed across articles from the same groups. This review was registered at PROSPERO as CRD42022341037.
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  • 文章类型: Journal Article
    一种被称为NOMOPHOIA的心理状况会导致个人担心失去使用或使用手机的能力。NMP-Q(恐惧症问卷)是用于评估与恐惧症相关的症状的常用调查。
    我们使用可靠性泛化(RG)对NMP-Q进行了荟萃分析。涉及15,929名参与者的13项研究报告了通过对现有文献进行全面和有条理的检查确定的NMP-Q的原始可靠性估计。
    对于总分,汇总的内部一致性信度为0.93[0.91;0.95],分量表的信度为0.83~0.91.具体来说,0.91[0.88;0.93],0.84[0.80;0.88],分量表0.83[0.78;0.88和0.83[0.80;0.85]。子尺度1=无法通信;子尺度2=失去连通性;子尺度3=无法访问信息;子尺度4=放弃便利\“,分别。所有报告的效果大小都是克朗巴赫的阿尔法。结构有效性支持四个因素的解决方案。
    NMP-Q具有出色的内部一致性。四个因素的结构有效性在拟合NMP-Q项目中似乎很有力。我们的建议是要求使用NMP-Q进行未来研究,以根据自己的数据提供可靠性估计。
    UNASSIGNED: A psychological condition known as NOMOPHOBIA causes individuals to fear losing ability to use or reach their mobile phones. The NMP-Q (nomophobia questionnaire) is a commonly used survey for assessing symptoms related to nomophobia.
    UNASSIGNED: We performed a meta-analysis using reliability generalization (RG) on the NMP-Q. Thirteen studies involving 15,929 participants have reported original reliability estimates of the NMP-Q determined through a comprehensive and methodical examination of the available literature.
    UNASSIGNED: For the total scores, the pooled internal consistency reliability was 0.93 [0.91; 0.95] and for the subscales it ranged from 0.83 to 0.91. Specifically, 0.91 [0.88; 0.93], 0.84 [0.80; 0.88], 0.83 [0.78; 0.88, and 0.83 [0.80; 0.85] for the subscales. Subscale 1 = not being able to communicate; subscale 2 = losing connectedness; subscale 3 = not being able to access information; and subscale 4 = giving up convenience\", respectively. All reported effect sizes are Cronbach\'s alphas. Structural validity supported a solution of four-factors.
    UNASSIGNED: NMP-Q has an excellent internal consistency. Structural validity of four factors appears to be vigorous in fitting NMP-Q items. Our recommendation is to require future studies using NMP-Q to provide a reliability estimate based on their own data.
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  • 文章类型: Journal Article
    Information Security Awareness (ISA) is a significant concept that got considerable attention recently and can assist in minimizing the risks associated with information security breaches. Several measurement scales have been developed in this regard, as measuring users\' ISA is paramount. Although ISA specific scales are very important, yet what methodological rigor they use in terms of initial conceptualization of ISA, data collection and analysis during the development, and scale validation of such scales are some unknown aspects. Therefore, we provide a comprehensive review of the existing ISA specific scales to address all the above concerns. A popular method, PRISMA, is utilized, and a total of 24 articles that match with criteria of this research are included for the final in-depth analysis. Also, a holistic evaluation framework is developed containing three phases and 19 criteria. Findings revealed that most studies treat ISA as a multi-dimensional construct, and ISA researchers rarely conduct both pilot testing and pre-text evaluation while validating and refining the initial scales. Additionally, several articles did not report some of the essential elements used for checking the rigor of factor analysis, and evidence for validities of the identified scales is inadequate. Consequently, existing ISA specific scales must be improved both in terms of the methodological thoroughness of the scale development procedure and their validities. Moreover, not only justifying why the development of a new scale is necessary, but also improving the quality of the existing scales by doing multiple iterations is significant in the future. Likewise, the inclusion of all the dimensions of ISA, while generating the initial items pool is an important aspect to be considered. A thorough discussion, recommendations for future research, conclusions, and study limitations are provided.
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  • 文章类型: Systematic Review
    多变量行为研究通常侧重于潜在的结构-如动机,自我概念,或福祉-不能直接观察到。通常,这些潜在的结构是用标准化仪器中的项目测量的。为了测试教育和心理学研究中潜在结构的阶乘结构和多维性,莫林等人。(2016a)提出了双因素探索性结构方程模型(B-ESEM)。这篇荟萃分析综述(158项研究,k=308,N=778,624)旨在估计B-ESEM模型拟合与其他模型表示不同的程度,包括验证性因子分析(CFA),探索性结构方程模型(ESEM),分级CFA,分层ESEM,和双因子CFA。研究领域包括学习和指导,动机和情感,自我和身份,抑郁和幸福,和人际关系。荟萃分析的拟合指数为χ2/df比,比较拟合指数(CFI),塔克-刘易斯指数(TLI),逼近均方根误差(RMSEA),和标准化均方根残差(SRMR)。这项荟萃分析综述的结果表明,B-ESEM模型拟合优于参考模型的拟合。此外,结果表明,模型拟合对样本量敏感,项目编号,以及模型中特定和一般因素的数量。
    Multivariate behavioral research often focuses on latent constructs-such as motivation, self-concept, or wellbeing-that cannot be directly observed. Typically, these latent constructs are measured with items in standardized instruments. To test the factorial structure and multidimensionality of latent constructs in educational and psychological research, Morin et al. (2016a) proposed bifactor exploratory structural equation modeling (B-ESEM). This meta-analytic review (158 studies, k = 308, N = 778,624) aimed to estimate the extent to which B-ESEM model fit differs from other model representations, including confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), hierarchical CFA, hierarchical ESEM, and bifactor-CFA. The study domains included learning and instruction, motivation and emotion, self and identity, depression and wellbeing, and interpersonal relations. The meta-analyzed fit indices were the χ2 /df ratio, the comparative fit index (CFI), the Tucker-Lewis index (TLI), the root mean square error of approximation (RMSEA), and the standardized root mean squared residual (SRMR). The findings of this meta-analytic review indicate that the B-ESEM model fit is superior to the fit of reference models. Furthermore, the results suggest that model fit is sensitive to sample size, item number, and the number of specific and general factors in a model.
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  • 文章类型: Journal Article
    了解人们的旅行行为对于实现增加骑自行车和步行等目标是必要的,减少交通拥堵,以及采用清洁燃料汽车。要了解潜在的动机,研究人员越来越多地将主观变量添加到旅行行为模型中。本文对158项此类研究进行了系统综述。几乎每篇评论文章都发现主观变量可以预测运输结果。然而,158项研究包括2864个不同的主观调查问题.这种异质性使得很难得出关于哪些主观变量对哪些运输结果最重要的明确结论。除了异质性,这些文献的挑战还包括一些主观变量和行为之间的因果关系和同义反复关系的不明确方向。在这些挑战带来的限制下,我们试图评估主观变量的解释力,哪些主观变量对哪些运输选择最重要,以及这些问题的答案是否因大陆而异。为了减少未来研究中的异质性,我们介绍了标准化的运输姿态测量协议,它确定了一组精选的主观问题。我们还开发了一个开放存取的数据库,包括审查的研究,包括所有主观调查问题和模型,通过互动,可搜索的界面。
    Understanding people\'s travel behavior is necessary for achieving goals such as increased bicycling and walking, decreased traffic congestion, and adoption of clean-fuel vehicles. To understand underlying motivations, researchers increasingly are adding subjective variables to models of travel behavior. This article presents a systematic review of 158 such studies. Nearly every reviewed article finds subjective variables to be predictive of transport outcomes. However, the 158 reviewed studies include 2864 distinct subjective survey questions. This heterogeneity makes it difficult to reach definitive conclusions about which subjective variables are most important for which transport outcomes. In addition to heterogeneity, challenges of this literature also include an unclear direction of causality and tautological relationships between some subjective variables and behavior. Within the constraints imposed by these challenges, we attempt to evaluate the explanatory power of subjective variables, which subjective variables matter most for which transport choices, and whether the answers to these questions vary between continents. To reduce heterogeneity in future studies, we introduce the Standardized Transport Attitude Measurement Protocol, which identifies a curated set of subjective questions. We have also developed an open-access database of the reviewed studies, including all subjective survey questions and models, with an interactive, searchable interface.
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  • 文章类型: Journal Article
    本系统评价的目的是使用由2020年膳食指南咨询委员会制定的方案,检查膳食模式与肌肉减少症之间的关系。并进行荟萃分析以总结证据。搜索了多个电子数据库,以进行调查少肌症危险因素或少肌症风险和饮食模式的研究。符合条件的研究是1)同行评审的对照试验或观察性试验,2)涉及健康和/或有慢性病风险的成人或老年人受试者,3)比较消费或坚持饮食模式的效果(以指数/分数衡量,因子或聚类分析;降阶回归;或常量营养素分布),和4)报告骨骼肌质量的测量,肌肉力量,肌肉性能,和/或肌肉减少症的风险。38份出版物符合定性综合的所有纳入标准。13项观察性研究符合荟萃分析的纳入标准。坚持健康饮食模式与降低步态速度的风险相关(OR=0.58;95%CI:0.18,0.97)。健康饮食模式依从性与其他中间指标或肌肉减少症风险之间的关联无统计学意义。大多数个别研究被判定为“严重”偏倚风险,对集体证据基础的分析提示发表偏倚。研究表明,健康的饮食模式与步态速度的维持与年龄之间存在显着关联,肌肉减少症风险的中间标记,但是证据基础受到严重偏见风险的限制,研究内部和研究之间。需要进一步的研究来了解健康的饮食模式与肌肉减少症风险之间的关系。
    The purpose of this systematic review is to examine the relationship between dietary patterns and sarcopenia using a protocol developed for use by the 2020 Dietary Guidelines Advisory Committee, and to conduct a meta-analysis to summarize the evidence. Multiple electronic databases were searched for studies investigating sarcopenia risk factors or risk of sarcopenia and dietary patterns. Eligible studies were 1) peer-reviewed controlled trials or observational trials, 2) involving adult or older-adult human subjects who were healthy and/or at risk for chronic disease, 3) comparing the effect of consumption or adherence to dietary patterns (measured as an index/score, factor or cluster analysis; reduced rank regression; or a macronutrient distribution), and 4) reported on measures of skeletal muscle mass, muscle strength, muscle performance, and/or risk of sarcopenia. Thirty-eight publications met all inclusion criteria for qualitative synthesis. Thirteen observational studies met inclusion criteria for meta-analysis. Higher adherence to a healthy dietary pattern was associated with a decreased risk of gait speed reduction (OR = 0.58; 95% CI: 0.18, 0.97). The association between healthy dietary pattern adherence and other intermediate markers or risk of sarcopenia was not statistically significant. The majority of individual studies were judged as \"serious\" risk of bias and analysis of the collective evidence base was suggestive of publication bias. Studies suggest a significant association between healthy dietary patterns and maintenance of gait speed with age, an intermediate marker of sarcopenia risk, but the evidence base is limited by serious risk of bias, within and between studies. Further research is needed to understand the association between healthy dietary patterns and risk of sarcopenia.
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  • 文章类型: Journal Article
    The main aim was to perform a systematic literature review of studies investigating the factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q), a widely used measure of eating pathology. Secondary aims were to summarize the quality of reporting of latent variable (factor) analyses in these studies and review support for different factor solutions.
    Literature was identified through Scopus, Medline, PsycInfo, and ProQuest databases published up to February 23, 2022 and outreach via an international listserv. All studies published in English reporting factor analysis of the EDE-Q were included with few restrictions. Sixty studies including 63,389 participants met inclusion criteria.
    The originally proposed four-factor solution received little empirical support, although few alternative models have been robustly evaluated. Items assessing shape and weight concerns frequently coalesce in factor solutions, suggesting that these constructs are closely related. Investigations of brief versions of the EDE-Q have produced more consistent findings, suggesting that these measures, particularly a seven-item version, might be useful alternatives to the full version. Quality of studies was reasonable, with important methodological elements of factor analysis often reported.
    The findings are of relevance to practitioners and researchers, suggesting that the \"original\" factor structure of the EDE-Q should be reconsidered and that use of a seven-item version is to be encouraged.
    Self-report questionnaires are widely used in the assessment of disordered eating. The current study found that there is little consensus about the structure of a common measure of eating psychopathology. There is more consistent support for a brief, seven-item, version assessing dietary restraint, body dissatisfaction, and overvaluation of weight and shape.
    El objetivo principal fue realizar una revisión sistemática de la literatura de los estudios que investigan la estructura factorial del Cuestionario de Eating Disorders Examination (EDE-Q), una medida ampliamente utilizada en la patología alimentaria. Los objetivos secundarios fueron resumir la calidad del informe de los análisis de variables latentes (factores) en estos estudios y revisar el apoyo a diferentes soluciones factoriales. MÉTODO: La literatura se identificó a través de las bases de datos Scopus, Medline, PsycInfo y ProQuest publicadas hasta el 23 de febrero de 2022 y de divulgación a través de un servidor de listas internacional. Todos los estudios publicados en inglés que reportaron el análisis factorial de la EDE-Q se incluyeron con pocas restricciones. Sesenta estudios con 63,389 participantes cumplieron los criterios de inclusión.
    La solución de cuatro factores propuesta originalmente recibió poco apoyo empírico, aunque pocos modelos alternativos han sido evaluados sólidamente. Los elementos que evalúan las preocupaciones de peso y figura corporal con frecuencia se unen en soluciones factoriales, lo que sugiere que estos constructos están estrechamente relacionados. Las investigaciones de versiones breves del EDE-Q han producido conclusiones más consistentes, lo que sugiere que estas mediciones, en particular una versión de siete ítems, podrían ser alternativas útiles a la versión completa. La calidad de los estudios fue razonable, y a menudo se reportaron elementos metodológicos importantes del análisis factorial. DISCUSIÓN: Los hallazgos son relevantes para los clínicos e investigadores, lo que sugiere que la estructura factorial “original” del EDE-Q debe reconsiderarse y que se debe alentar el uso de una versión de siete ítems.
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  • 文章类型: Systematic Review
    Background: Many phenotypic studies have estimated the degree of comorbidity between Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD), but few have examined the latent, or unobserved, structure of combined ASD and ADHD symptoms. This is an important perquisite toward better understanding the overlap between ASD and ADHD. Methods: We conducted a scoping review of studies that examined the factor or latent class structure of ASD and ADHD symptoms within the same clinical or general population sample. Results: Eight studies met final inclusion criteria. Four factor analysis studies found that ASD and ADHD domains loaded separately and one found that some ASD and ADHD domains loaded together. In the three latent class studies, there were evidence of profiles with high levels of co-occurring ASD and ADHD symptoms. Conclusions: Our scoping review provides some evidence of phenotypic overlap between ASD and ADHD at the latent, or unobserved, level, particularly when using a \"person-centered\" (latent class analysis) vs. a \"variable-centered\" (factor analysis) approach.
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