longitudinal

纵向
  • 文章类型: Journal Article
    背景:最近的研究表明,流利的处理可以解释为什么数字意义有助于简单的算术任务-“流利度假设”。
    目的:当前的研究调查了当控制其他认知因素(包括调节链接的因素)时,数字感是否有助于这种算术任务;以及这种贡献是否随参与者的个体数学流利程度而变化。
    方法:4137名中国学童(186名女性;法师=83.49个月)在一年级(没有以前的课堂培训)和二年级(一年后)完成了一系列的认知测量。
    方法:数字感应,算术(加法和减法),空间能力,视觉空间工作记忆,感知,反应时间,测量了性格阅读和一般智力。
    结果:我们的数据表明,与2级(.23-.28)相比,1级(加法为Beta=.15,减法为.06(ns))的数字意义和算术之间的联系较弱,但仍然坚持孩子没有以前的数学训练。Further,1年级的数学表现并不影响数字感和2年级的数学表现之间的联系。
    结论:我们的数据扩展了以前的发现,表明即使在控制了多个认知因素之后,数字感也与简单的数学任务表现有关。我们的结果带来了一些证据,表明数义算术联系对以前的正规数学教育有些敏感。需要进一步的研究,由于年级之间的效果差异很小,一年级的算术并没有缓和二年级问题的联系。
    BACKGROUND: Recent research suggested fluent processing as an explanation on why number sense contributes to simple arithmetic tasks-\'Fluency hypothesis\'.
    OBJECTIVE: The current study investigates whether number sense contributes to such arithmetic tasks when other cognitive factors are controlled for (including those that mediate the link); and whether this contribution varies as a function of participants\' individual maths fluency levels.
    METHODS: Four hundred and thirty-seven Chinese schoolchildren (186 females; Mage = 83.49 months) completed a range of cognitive measures in Grade 1 (no previous classroom training) and in Grade 2 (a year later).
    METHODS: Number sense, arithmetic (addition and subtraction), spatial ability, visuo-spatial working memory, perception, reaction time, character reading and general intelligence were measured.
    RESULTS: Our data showed that the link between number sense and arithmetic was weaker in Grade 1 (Beta = .15 for addition and .06 (ns) for subtraction) compared to Grade 2 (.23-.28), but still persisted in children with no previous maths training. Further, math\'s performance in Grade 1 did not affect the link between number sense and maths performance in Grade 2.
    CONCLUSIONS: Our data extended previous findings by showing that number sense is linked with simple maths task performance even after controlling for multiple cognitive factors. Our results brought some evidence that number sense-arithmetic link is somewhat sensitive to previous formal maths education. Further research is needed, as the differences in effects between grades were quite small, and arithmetic in Grade 1 did not moderate the link at question in Grade 2.
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  • 文章类型: Journal Article
    背景:这项探索性研究调查了双相情感障碍(BD)的脑脊液(CSF)突触蛋白生物标志物,旨在突出该疾病的神经生物学基础。BD和阿尔茨海默病具有共同的认知障碍特征,考虑到BD患者痴呆风险增加,这项研究探索了潜在的联系。
    方法:对59名具有良好特征的BD患者和37名健康对照者进行了检查并随访一年。包含神经元五聚素(NPTX)1,NPTX2和NPTX受体的突触蛋白,14-3-3蛋白家族ε,和zeta/delta,激活蛋白-2复合物亚基β,突触核蛋白β-突触核蛋白和γ-突触核蛋白,complexin-2,磷脂酰乙醇胺结合蛋白1,rabGDP解离抑制剂α,使用微流液相色谱-质谱多反应监测装置在CSF中测量了突触素1B和7。比较BD和HC之间以及BD之前的生物标志物水平,during,在情绪发作之后。
    结果:突触蛋白显示BD和HC之间没有统计学上的显着差异,无论是在基线,一年的随访,或从基线到后续行动的变化。此外,与基线相比,BD患者的CSF突触蛋白水平在情感发作后和1年随访时稳定在正常状态时没有改变.
    结论:由于我们还不知道这些蛋白质的释放机制,因此尚不确定CSF生物标志物浓度反映了什么。我们不确定水平的增加或减少反映了什么。
    结论:首次对一组BD和HC患者的突触功能障碍的CSF蛋白生物标志物进行研究发现,在横截面或纵向上没有统计学上的显著差异。
    BACKGROUND: This exploratory study investigated cerebrospinal fluid (CSF) synaptic protein biomarkers in bipolar disorder (BD), aiming to highlight the neurobiological basis of the disorder. With shared cognitive impairment features between BD and Alzheimer\'s disease, and considering increased dementia risk in BD patients, the study explores potential connections.
    METHODS: Fifty-nine well-characterized patients with BD and thirty-seven healthy control individuals were examined and followed for one year. Synaptic proteins encompassing neuronal pentraxins (NPTX)1, NPTX2, and NPTX-receptor, 14-3-3 protein family epsilon, and zeta/delta, activating protein-2 complex subunit beta, synucleins beta-synuclein and gamma-synuclein, complexin-2, phosphatidylethanolamine-binding protein 1, rab GDP dissociation inhibitor alpha, and syntaxins 1B and 7 were measured in CSF using a microflow liquid chromatography-mass spectrometric multiple reaction monitoring set-up. Biomarker levels were compared between BD and HC and in BD before, during, and after mood episodes.
    RESULTS: The synaptic proteins revealed no statistically significant differences between BD and HC, neither at baseline, one-year follow-up, or in terms of changes from baseline to follow-up. Moreover, the CSF synaptic protein levels in patients with BD were unaltered compared to baseline when they stabilized in euthymia following an affective episode and at one-year follow-up.
    CONCLUSIONS: It is uncertain what the CSF biomarker concentrations reflect since we yet do not know the mechanisms of release of these proteins, and we are uncertain of what increased or decreased levels reflect.
    CONCLUSIONS: This first-ever investigation of a panel of CSF protein biomarkers of synaptic dysfunction in patients with BD and HC individuals found no statistically significant differences cross-sectionally or longitudinally.
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  • 文章类型: Journal Article
    量化人内心理健康变化的能力是临床心理学使命的核心。通常,这是使用症状测量的总分或平均分来完成的;然而,这种方法假设度量量化了相同的结构,同样的方式,每次测量完成时。没有这种品质,称为纵向测量不变性,观察到的时间点之间的差异可能部分归因于测量特性的变化,而不是可比症状测量的变化.由于报告风格的潜在差异,这种担忧在研究中被放大,使用不同形式的测量跨发育期。项目措辞,和发展背景。本研究为焦虑量表的纵向测量不变性提供了最有力的支持,抑郁/情感问题:认知分量表,注意缺陷多动障碍(ADHD)量表;适度支持抑郁/情感问题量表和躯体量表,对抑郁/情感问题的支持不足:荷兰Achenbach基于经验的评估系统的躯体症状量表青年自我报告和成人自我报告,样本为1,309个人(N=1,090人群,在6波数据中,N=219基于诊所的/在11岁之前转诊到门诊诊所)(第1波中的平均年龄=11岁,第6波中的平均年龄=26岁)。
    The ability to quantify within-person changes in mental health is central to the mission of clinical psychology. Typically, this is done using total or mean scores on symptom measures; however, this approach assumes that measures quantify the same construct, the same way, each time the measure is completed. Without this quality, termed longitudinal measurement invariance, an observed difference between timepoints might be partially attributable to changing measurement properties rather than changes in comparable symptom measurements. This concern is amplified in research using different forms of a measure across developmental periods due to potential differences in reporting styles, item-wording, and developmental context. This study provides the strongest support for the longitudinal measurement invariance of the Anxiety Scale, Depression/Affective Problems: Cognitive Subscale, and the Attention Deficit Hyperactivity Disorder (ADHD) Scale; moderate support for the Depression/Affective Problems Scale and the Somatic Scale, and poor support for the Depression/Affective Problems: Somatic Symptoms Subscale of the Dutch Achenbach System of Empirically Based Assessment Youth Self-Report and Adult Self-Report in a sample of 1,309 individuals (N = 1,090 population-based, N = 219 clinic-based/referred to an outpatient clinic before age 11 years) across six waves of data (mean ages = 11 years at Wave 1 and 26 years at Wave 6).
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  • 文章类型: Journal Article
    护理人员使用组合标签,指向,对象抓取,凝视与婴儿交流环境中的对象。到两岁时,孩子们可靠地使用这些面向参考的线索来交流和学习。虽然有一些基于实验室的研究证据表明,年幼的婴儿在沟通过程中会注意并使用以参考为导向的线索,一些更自然的研究发现,在生命的第一年,婴儿在二元互动过程中不会强有力地利用这些线索。当前的研究检查了父母和婴儿的凝视,触摸,指向,并触及各种名词的指称,动词,形容词,以及其他早期学习的单词,在59个小时的头部摄像机记录中,从一个6到12个月大的英语学习婴儿的生活中采样。我们发现所有线索的单个单词之间存在很大差异。通过引用具体性和标签的语法类别来解释一些可变性。父母接触标记的参照物在几个月内增加,这表明父母与婴儿之间的互动可能会随着发育而变化。未来的研究应该调查特定类型的单词和上下文的轨迹,而不是试图发现可能不存在的父母和婴儿面向参考行为的普遍轨迹。
    Caregivers use a of combination labeling, pointing, object grasping, and gaze to communicate with infants about referents in their environment. By two years of age, children reliably use these referent-oriented cues to communicate and learn. While there is some evidence from lab-based studies that younger infants attend to and use referent-oriented cues during communication, some more naturalistic studies have found that in the first year of life, infants do not robustly leverage these cues during dyadic interactions. The current study examined parent and infant gaze, touching, pointing, and reaching to referents for a wide range of nouns, verbs, adjectives, and other early-learned words during 59 one-hour head-camera recordings sampled from one English-learning infants\' life between 6 and 12 months of age. We found substantial variability across individual words for all cues. Some variability was explained by referent concreteness and the grammatical category of the label. The parent\'s touching of labeled referents increased across months, suggesting that parent-infant-referent interactions may change with development. Future studies should investigate the trajectories of specific types of words and contexts, rather than attempting to discover possibly non-existent universal trajectories of parent and infant referent-oriented behaviors.
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  • 文章类型: Journal Article
    令人担忧的性行为(WSB)通常被描述为儿童性虐待(CSA)特有的结果。因此,研究WSB与性虐待密切相关,尤其是在非常年幼的孩子中,因为很难识别语言披露能力有限的儿童的性虐待。随着时间的推移,描述CSA之后的WSB的文献已经逐渐扩大。然而,在婴儿期或幼儿期遭受性虐待的儿童中,WSB的长期发展仍存在差距。据我们所知,我们的研究首次纵向研究了在很小的时候遭受性虐待的儿童中与发育相关的性行为和性虐待特定行为.总的来说,我们检查了性行为,据45名儿童的父母报告,这些儿童经历了五年以上的早期性虐待。总的来说,我们发现,对于在很小的时候遭到性虐待的儿童,WSB很可能是CSA特有的潜在长期结局.尽管性虐待行为随着时间的推移有所减少,性虐待后8年,这种行为的水平仍然很高。这一发现支持WSB长期监测、评估和干预。尽管有这些发现,值得注意的是,WSB并不作为儿童性虐待的证据;同样,当孩子没有出现WSB时,这并不表明没有被证实的性虐待史。
    Worrisome sexual behavior (WSB) is often described as an outcome specific to child sexual abuse (CSA). Therefore, it is highly relevant to study WSB in relation to sexual abuse, especially in very young children, as it is hard to recognize sexual abuse in children who have limited verbal capacities of disclosing. Over time, literature describing WSB following CSA has gradually broadened. However, a gap remains regarding the long-term development of WSB in children who were sexually abused during infancy or very early childhood. To our knowledge, our study is the first to examine developmentally-related sexual behavior versus sexual abuse-specific behavior longitudinally in children who were sexually abused at a very young age. In total, we examined the sexual behavior, as reported by parents of 45 children who experienced early-age sexual abuse for a period of more than five years. Overall, we found that WSB is likely to be a CSA-specific and potentially long-term outcome for children who were sexually abused at a very young age. Despite the decrease in sexual abuse-specific behavior over time, the level of this behavior was still significantly high 8 years after the sexual abuse. This finding supports long-term monitoring and assessment and intervention for WSB over time. Despite these findings, it is important to note that WSB does not serve as proof of sexual abuse in children; likewise, when a child does not present with WSB, it does not indicate the absence of a substantiated history of sexual abuse.
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  • 文章类型: Journal Article
    短暂的嗅觉丧失是流感和其他上呼吸道感染的常见症状。味觉丧失是可能的,但这些疾病很少见,和患者报告的“味觉丧失”通常是由味道/味道混淆引起的。因此,COVID-19患者味觉丧失和化学丧失的初步报告(即,化学躯体感觉,如变暖或降温)受到怀疑,直到多项研究证实SARS-CoV-2感染可以破坏这些感觉。许多研究都是基于自我报告或急性疾病结束后的单个时间点评估。这里,我们描述了2021年初招募的18-45岁成年人在28天内的密集纵向数据(即,在Delta和OmicronSARS-CoV-2波之前)。在2021年上半年,这些人要么是COVID-19阳性,要么是密切接触者(根据研究时的美国CDC标准)。注册后,所有参与者都被给予鼻夹,商品软糖(酸樱桃和肉桂)的盲样品,和划痕-n-嗅气味识别测试卡(ScentCheckPro),他们用于日常评估。在感染第10天或之前登记的COVID-19病例中,高斯过程回归显示了两种不同的功能指标-气味识别和气味强度-相对于对照组(从未患COVID-19的暴露个体)下降。因为入学是在暴露后开始的,一些参与者只有在入学后才生病,这让我们能够获得基线评级,损失的开始,和恢复。在28天内绘制来自这四个病例和四个年龄和性别匹配的对照的数据以创建面板图。变量包括四种气味的平均鼻前强度(ScentCheckPro),感觉到鼻塞,口腔烧伤(肉桂软糖),酸味和甜味(酸樱桃软糖)。对照随时间表现出稳定的评级。相比之下,随着时间的推移,COVID-19病例显示出明显的偏差。气味强度或气味识别的变化不能通过鼻塞来解释。没有单一的模式的味道损失或恢复是明显的,暗示不同的味道品质可能会以不同的速度恢复。在快速恢复之前,口腔烧伤暂时减少了一些,提示仅在疾病结束后收集的数据集中可能会遗漏急性丢失。总的来说,每天密集的测试显示鼻前气味,急性SARS-CoV-2感染分别改变了口腔化学和味觉。这种中断对于不同的模式是不同步的,模式和个人的损失率和回收率都不同。
    Transient loss of smell is a common symptom of influenza and other upper respiratory infections. Loss of taste is possible but rare with these illnesses, and patient reports of \'taste loss\' typically arise from a taste / flavor confusion. Thus, initial reports from COVID-19 patients of loss of taste and chemesthesis (i.e., chemical somatosensation like warming or cooling) were met with skepticism until multiple studies confirmed SARS-CoV-2 infections could disrupt these senses. Many studies have been based on self-report or on single time point assessments after acute illness was ended. Here, we describe intensive longitudinal data over 28 days from adults aged 18-45 years recruited in early 2021 (i.e., prior to the Delta and Omicron SARS-CoV-2 waves). These individuals were either COVID-19 positive or close contacts (per U.S. CDC criteria at the time of the study) in the first half of 2021. Upon enrollment, all participants were given nose clips, blinded samples of commercial jellybeans (Sour Cherry and Cinnamon), and scratch-n-sniff odor identification test cards (ScentCheckPro), which they used for daily assessments. In COVID-19 cases who enrolled on or before Day 10 of infection, Gaussian Process Regression showed two distinct measures of function - odor identification and odor intensity - declined relative to controls (exposed individuals who never developed COVID-19). Because enrollment began upon exposure, some participants became ill only after enrollment, which allowed us to capture baseline ratings, onset of loss, and recovery. Data from these four cases and four age- and sex- matched controls were plotted over 28 days to create panel plots. Variables included mean orthonasal intensity of four odors (ScentCheckPro), perceived nasal blockage, oral burn (Cinnamon jellybeans), and sourness and sweetness (Sour Cherry jellybeans). Controls exhibited stable ratings over time. By contrast, COVID-19 cases showed sharp deviations over time. Changes in odor intensity or odor identification were not explained by nasal blockage. No single pattern of taste loss or recovery was apparent, implying different taste qualities might recover at different rates. Oral burn was transiently reduced for some before recovering quickly, suggesting acute loss may be missed in datasets collected only after illness ends. Collectively, intensive daily testing shows orthonasal smell, oral chemesthesis and taste were each altered by acute SARS-CoV-2 infection. This disruption was dyssynchronous for different modalities, with variable loss and recovery rates across both modalities and individuals.
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  • 文章类型: Case Reports
    我们报告了一个病例的临床表现和演变,该病例具有一个新的前颗粒蛋白基因(GRN)突变和非流利的语言障碍。
    一位60岁的老人,由于有语言障碍史,对白人患者进行了随访。发病18个月后,患者接受了FDG正电子发射断层扫描(PET),在第24个月住院进行神经心理学评估,脑3TMRI,腰椎穿刺脑脊液(CSF)分析,和基因分型。在31个月时,患者重复神经心理学评估和脑MRI。
    患者起病时主诉明显的语言表达困难,比如费力的演讲和失范。在第18个月时,FDG-PET显示左额颞叶和纹状体低代谢。在第24个月,神经心理学评估报告了普遍存在的言语和理解缺陷。脑MRI报告左额-手术和纹状体萎缩,和左心室额叶周围白质高信号(WMHs)。观察到CSF总tau水平增加。基因分型揭示了一个新的GRNc.1018delC(p。H340TfsX21)突变。患者接受了原发性进行性失语症(nfvPPA)的非流利变体诊断。在第31个月,语言赤字恶化,以及注意力和执行功能。患者还表现出行为障碍,左额叶和颞内侧区域进行性萎缩。
    新的GRNp.H340TfsX21突变导致nfvPPA病例以额颞叶和纹状体改变为特征,典型的额叶不对称WMHs,并迅速发展为广泛的认知和行为障碍,这反映了额颞叶变性。我们的发现扩展了目前对GRN突变携带者之间表型异质性的认识。
    UNASSIGNED: We report the clinical presentation and evolution of a case with a novel Progranulin gene (GRN) mutation and non-fluent language disturbances at onset.
    UNASSIGNED: A 60 year-old, white patient was followed due to a history of language disturbances. Eighteen months after onset, the patient underwent FDG positron emission tomography (PET), and at month 24 was hospitalized to perform neuropsychological evaluation, brain 3 T MRI, lumbar puncture for cerebrospinal fluid (CSF) analysis, and genotyping. At month 31, the patient repeated the neuropsychological evaluation and brain MRI.
    UNASSIGNED: At onset the patient complained prominent language production difficulties, such as effortful speech and anomia. At month 18, FDG-PET showed left fronto-temporal and striatal hypometabolism. At month 24, the neuropsychological evaluation reported prevalent speech and comprehension deficits. Brain MRI reported left fronto-opercular and striatal atrophy, and left frontal periventricular white matter hyperintensities (WMHs). Increased CSF total tau level was observed. Genotyping revealed a new GRN c.1018delC (p.H340TfsX21) mutation. The patient received a diagnosis of non-fluent variant of primary progressive aphasia (nfvPPA). At month 31, language deficits worsened, together with attention and executive functions. The patient presented also with behavioral disturbances, and a progressive atrophy in the left frontal-opercular and temporo-mesial region.
    UNASSIGNED: The new GRN p.H340TfsX21 mutation resulted in a case of nfvPPA characterized by fronto-temporal and striatal alterations, typical frontal asymmetric WMHs, and a fast progression toward a widespread cognitive and behavioral impairment, which reflects a frontotemporal lobar degeneration. Our findings extend the current knowledge of the phenotypic heterogeneity among GRN mutation carriers.
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  • 文章类型: Journal Article
    社会支持已被确定为保护家庭临终关怀癌症护理人员福祉的关键因素。然而,在这种情况下,很少有研究评估随着时间的推移社会支持,支持措施通常仅限于对感知到的支持的一般评估。我们的目标是(1)描述癌症家庭临终关怀护理人员在护理期间和丧亲期间的社会支持随时间的变化,以及(2)探索家庭和非家庭成员的感知压力和支持对护理人员的影响感知一般社会支持。我们对纵向前瞻性问卷数据进行了二次分析。40名护理人员完成了一般感知支持措施,临终关怀纳入期间以及患者死亡后2个月和6个月的家庭和非家庭支持和压力。线性混合模型用于确定支持随时间的变化以及特定支持/压力等级对一般支持评估的贡献。随着时间的推移,护理人员总体上拥有中等稳定的社会支持水平,尽管个体之间和个体内部存在显着差异。家庭和非家庭的支持和压力来自家庭预测社会支持的一般看法,而对于非家庭压力没有发现影响。这项工作表明需要更具体的支持和压力措施,以及需要研究专注于提高护理人员感知支持的基线水平。
    Social support has been identified as a key factor to protect wellbeing for home hospice cancer caregivers. However, few studies have assessed social support over time in this context, and measures of support are often limited to general assessments of perceived support. Our goal was to (1) describe change in cancer home hospice caregivers\' social support over time during care and into bereavement and (2) explore the impact of perceived stress and support from family and non-family members on caregivers\' perceived general social support. We conducted a secondary analysis of longitudinal prospective questionnaire data. Forty caregivers completed measures of general perceived support, family and non-family support and stress during hospice enrollment and 2 and 6 months post the patient\'s death. Linear mixed models were used to determine change in support over time and the contribution of specific support/stress ratings to general support assessments. Caregivers overall had moderate and stable levels of social support over time, though there was significant variation between and within individuals. Family and non-family support and stress from family predicted general perceptions of social support, while no effects were found for non-family stress. This work suggests a need for more specific measures of support and stress, and the need for research to focus on improving baseline levels of caregiver perceived support.
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  • 文章类型: Journal Article
    UNASSIGNED: Individuals with subjective cognitive complaints (SCCs) are at an increased risk of dementia. Questions remain about participant-reported versus informant-reported SCCs as indicators of future dementia and about longitudinal changes in participant-and informant-reported SCCs and risk of incident dementia.
    UNASSIGNED: Participants were 873 older adults (M = 78.65-years; 55% female) and 849 informants from the Sydney Memory and Ageing Study. Comprehensive assessments occurred biennially, and clinical diagnoses were made by expert consensus for 10-years. SCCs were participants\' and informants\' responses to a single binary question concerning their/the participant\'s memory decline (Yes/No) over the first 6-years. Categorical latent growth curve analyses, using the logit transformation, were used to model SCC change over time. Associations of initial propensity to report SCCs at baseline, and change in propensity to report SCCs over time, with dementia risk were examined using Cox regression.
    UNASSIGNED: 70% of participants reported SCCs at baseline, with a proportional increase in the odds of reporting by 11% for each additional year in the study. In contrast, 22% of informants reported SCCs at baseline, with a proportional increase by 30% in the odds of reporting per year. Participants\' initial level of (p = 0.007), but not change in SCC reporting (p = 0.179), was associated with risk of dementia controlling for all covariates. Both informants\' initial level of (p < 0.001), and change in (p < 0.001), SCCs significantly predicted incident dementia. When modelled together, informants\' initial level of, and change in, SCCs were still independently associated with increased dementia risk (p\'s < 0.001).
    UNASSIGNED: These data suggest that informants\' initial impressions, and increased reporting, of SCCs appear to be uniquely prognostic of future dementia compared to participants\', even based on a single SCC question.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fpubh.202.913096。].
    [This corrects the article DOI: 10.3389/fpubh.2022.913096.].
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