positivity

积极性
  • 文章类型: Journal Article
    倾向评分方法的使用在因果推断中已经变得无处不在。这些方法的核心是积极性假设。违反积极性假设导致在估计平均因果效应时存在极端倾向得分权重,这影响了统计推断。为了避免这个问题,修剪或截断方法已被广泛使用。不幸的是,这些方法要求我们预先指定一个阈值。当我们估计平均治疗效果(ATE)时,有许多替代方法可以解决缺乏阳性的问题。然而,当目标是估计对患者的平均治疗效果(ATT)时,除了修剪和截断外,没有其他方法可以处理相同的问题。在这篇文章中,我们为ATT提出了一种基于倾向得分权重的替代方案,称为重叠加权平均治疗对治疗的影响。我们提出的方法的吸引力在于它能够获得比修剪和截断更相似甚至更好的结果,同时放松约束以选择先验阈值(或相关度量)。通过一系列蒙特卡洛模拟和有关医疗保健支出种族差异的数据分析,说明了所提出方法的性能。
     The use of propensity score methods has become ubiquitous in causal inference. At the heart of these methods is the positivity assumption. Violation of the positivity assumption leads to the presence of extreme propensity scoreweights when estimating average causal effects, which affects statistical inference. To circumvent this issue, trimming or truncating methods have been widely used. Unfortunately, these methods require that we pre-specify a threshold. There are anumber of alternative methods to deal with the lack of positivity when we estimate the average treatment effect (ATE). However, no other methods exist beyond trimming and truncation to deal with the same issue when the goal is to estimate theaverage treatment effect on the treated (ATT). In this article, we propose a propensity score weight-based alternative for the ATT, called overlap weighted average treatment effect on the treated. The appeal of our proposed method lies in its abilityto obtain similar or even better results than trimming and truncation while relaxing the constraint to choose an a priori threshold (or related measures). The performance of the proposed method is illustrated via a series of Monte Carlo simulationsand a data analysis on racial disparities in health care expenditures.
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  • 文章类型: Journal Article
    焦虑和抑郁通常是合并症和慢性疾病。先前的研究表明,放弃积极性是焦虑和抑郁的调节因素,这样,只有赞同放弃积极性的焦虑个体也会抑郁。我们试图通过使用自我报告的焦虑指标进行三个网络分析来扩展这些发现,抑郁症,避免活动,和感知到的避免活动的积极性(N=104)。我们预先注册了前两个网络的假设,即放弃积极性将成为焦虑和抑郁症状之间的中心桥梁症状。组合冗余节点后,我们估计了三个网络,并调查了每个网络中的桥症状。放弃积极性桥接了第一个网络中的症状群,在网络2和网络3中,避免积极被发现是焦虑和抑郁这两个症状群的桥梁。此外,在所有三个网络中都发现了一种快感缺失电路,其中失去了兴趣/无价值,能量损失,以及通过放弃或回避与焦虑有关的快乐/悲观情绪的丧失。我们的发现表明,放弃阳性和避免阳性可能是解释焦虑和抑郁发展和维持的潜在途径,应在治疗中适当定位。
    Anxiety and depression are often comorbid and chronic disorders. Previous research indicates that positivity relinquishment is a moderator of anxiety and depression, such that only anxious individuals who endorsed relinquishing positivity were also depressed. We sought to extend those findings by conducting three network analyses with self-report measures of anxiety, depression, activity avoidance, and perceived positivity of avoided activities (N = 104). We pre-registered our hypothesis for the first two networks that relinquishment of positivity would emerge as a central bridge symptom between anxiety and depressive symptoms. After combining redundant nodes, we estimated three networks and investigated the bridge symptoms in each network. Relinquishment of positivity bridged the symptom clusters in the first network, and avoidance of positivity was found to bridge the two symptom clusters of anxiety and depression in networks two and three. Additionally, an anhedonia circuit was uncovered in all three networks in which loss of interest/worthlessness, loss of energy, and loss of pleasure/pessimism connected to anxiety through relinquishment or avoidance. Our findings suggest that both relinquishment of positivity as well as avoidance of positivity could be potential pathways explaining the development and maintenance of anxiety and depression and should be properly targeted in treatment.
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  • 文章类型: Journal Article
    社区和医院的耐甲氧西林金黄色葡萄球菌(MRSA)病例数量在全球范围内呈上升趋势。在这项工作中,建立了社会中MRSA感染动态的非线性确定性模型,以可视化意识在干预措施中的重要性,该干预措施可用于在有和没有最佳控制的情况下预防传播。验证了所提出的腐败模型的积极性和唯一性,以识别社会中感染因素的解决水平。此外,通过数学技术和图形,探讨了各种参数如何影响生殖数R0,并对所提出的模型进行了敏感性分析。利用带有一阶导数检验的Lyapunov函数建立了模型均衡分析的全局稳定性。在该模型中,从由MRSA住院患者和门诊患者组成的私立医院收集的总共七年的数据用于数值模拟,并通过使用非标准有限差分(NSFD)方案观察感染动态。当最优控制作为第二个模型应用时,确定提高手卫生意识和戴口罩是预防社区获得性MRSA(CA-MRSA)和医院获得性MRSA(HA-MRSA)传播的关键控制措施.最后,结论是社区中CA-MRSA和HA-MRSA病例均呈上升趋势,提高对传播的认识对于防止进一步传播极为重要。
    The number of Methicillin-resistant Staphylococcus aureus (MRSA) cases in communities and hospitals is on the rise worldwide. In this work, a nonlinear deterministic model for the dynamics of MRSA infection in society was developed to visualize the significance of awareness in interventions that could be applied in the prevention of transmission with and without optimal control. Positivity and uniqueness were verified for the proposed corruption model to identify the level of resolution of infection factors in society. Furthermore, how various parameters affect the reproductive number R 0 and sensitivity analysis of the proposed model was explored through mathematical techniques and figures. The global stability of model equilibria analysis was established by using Lyapunov functions with the first derivative test. A total of seven years of data gathered from a private hospital consisting of inpatients and outpatients of MRSA were used in this model for numerical simulations and for observing the dynamics of infection by using a non-standard finite difference (NSFD) scheme. When optimal control was applied as a second model, it was determined that increasing awareness of hand hygiene and wearing a mask were the key controlling measures to prevent the spread of community-acquired MRSA (CA-MRSA) and hospital-acquired MRSA (HA-MRSA). Lastly, it was concluded that both CA-MRSA and HA-MRSA cases are on the rise in the community, and increasing awareness concerning transmission is extremely significant in preventing further spread.
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  • 文章类型: Journal Article
    基于能力的戏弄已被确定为儿童抑郁症状的危险因素。然而,调解这种关系的具体心理机制还没有得到很好的理解,尤其是在中国文化的背景下。这项研究考察了基于胜任力的戏弄,随后的抑郁症状,并利用平行过程潜在生长曲线模型研究了阳性在中国儿童中可能的中介作用。还探讨了性别差异。4376名中国儿童(55.1%的男孩;年龄:M=9.98岁,SD=0.88)在2年内五次完成相关结构的测量,使用半年的间隔。研究结果表明,在中国儿童中,基于能力的戏弄与随后的抑郁症状呈显着正相关。此外,积极性在女孩中介导了这种关系,但不是男孩。结果表明,积极培养和针对性别的干预措施可能有效降低中国儿童抑郁症状的风险。
    Competency-based teasing has been identified as a risk factor for children\'s depressive symptoms. However, the specific psychological mechanisms mediating this relationship are not well understood, especially in the context of Chinese culture. This study examined the relationship between competency-based teasing, subsequent depressive symptoms, and the possible mediating role of positivity in Chinese children by using parallel process latent growth curve modelling. Gender differences were also explored. A sample of 4376 Chinese children (55.1% boys; age: M = 9.98 years, SD = 0.88) completed measurements of the relevant constructs on five occasions across 2 years, using half-year intervals. The findings revealed that competency-based teasing was significantly positively associated with subsequent depressive symptoms in Chinese children. Furthermore, positivity mediated this relationship in girls, but not in boys. The results suggest that positivity-cultivating and gender-specific interventions may be effective to reduce the risk of depressive symptoms in Chinese children.
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  • 文章类型: Journal Article
    目标:抑郁症在不同的生活领域产生显著的负面影响,包括社会互动,职业功能,和经济福祉。这些影响渗透到个人和人际领域。然而,似乎性格优势,时间视角,自我意识在促进心理健康方面起着至关重要的作用。本研究旨在探讨积极性培训对性格优势的有效性,时间视角,和抑郁女性的自我意识。
    方法:根据贝克抑郁量表(BDI-II)的截止点(20分或更高),采用目的性抽样选择50名抑郁症参与者。然后将他们随机分配到对照组(n=25)和实验组(n=25)。这项准实验研究采用了前测-后测对照组设计。实验组接受八次每周90分钟的积极性训练。对照组参与者没有接受任何与抑郁管理相关的具体干预措施。角色力量量表,时间透视尺度,自我意识量表,和BDI-II用于收集数据。数据分析方法包括描述性统计(均值和标准差)和推断性统计(ANCOVA)。采用SPSS软件进行数据分析。
    结果:该研究包括50名被诊断为重度抑郁症(MDD)的女性样本。参与者的平均年龄为38.03岁(SD=7.96)。积极训练可增强抑郁症女性的性格优势。此外,积极干预影响了这些女性的时间视角因素。它减少了“过去的消极”和“现在的宿命论”,增加了“过去的积极”,\"\"目前享乐主义,“和”未来。“最后,积极训练能显著提高抑郁症女性的自我意识(p<0.01)。
    结论:样本量相对较小,这限制了统计推断。
    结论:结论:这项研究为积极训练作为改善性格优势的干预措施提供了有希望的初步证据,时间视角,以及MDD女性的自我意识。需要进一步的研究来证实和扩展这些发现,最终告知更全面的抑郁症治疗方法的发展。
    OBJECTIVE: Depression exerts significant negative impacts across various life domains, including social interactions, occupational functioning, and economic well-being. These effects permeate both personal and interpersonal spheres. However, it seems that character strengths, time perspective, and self-awareness play a critical role in promoting mental well-being. The present study aimed to investigate the effectiveness of positivity training on character strengths, time perspective, and self-awareness in depressed women.
    METHODS: Purposive sampling was employed to select 50 participants with depression based on the cut-off point (a score of 20 or greater) in Beck\'s Depression Inventory (BDI-II). They were then randomly assigned to a control group (n = 25) and an experimental group (n = 25). This quasi-experimental research adopted a pretest-posttest control group design. The experimental group received eight weekly 90-min sessions of positivity training. The control group participants did not receive any specific intervention related to depression management. The character strength scale, time perspective scale, self-awareness scale, and BDI-II were used to collect data. Data analysis methods included descriptive statistics (mean and standard deviation) and inferential statistics (ANCOVA). Data analysis was conducted using SPSS software.
    RESULTS: The study included a sample of 50 women diagnosed with Major Depressive Disorder (MDD). The participants\' mean age was 38.03 years (SD = 7.96). Positivity training enhanced character strengths in women with depression. Moreover, the positivity intervention affected the time perspective factors of those women. It reduced \"past negative\" and \"present fatalistic\" and increased \"past positive,\" \"present hedonistic,\" and \"future.\" Finally, positivity training significantly increased self-awareness in women with depression (p < 0.01).
    CONCLUSIONS: The sample size was relatively small, which limits the statistical inferences.
    CONCLUSIONS: In conclusion, this study provides promising initial evidence for the potential of positivity training as an intervention to improve character strengths, time perspective, and self-awareness in women with MDD. Further research is warranted to confirm and expand upon these findings, ultimately informing the development of more comprehensive treatment approaches for depression.
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  • 文章类型: Journal Article
    准确识别先前未感染严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)的个体对于血清流行病学研究和疫苗试验至关重要。由于广泛的COVID-19疫苗接种,抗核衣壳抗体仍然是没有COVID-19病史的个体的有价值的标志物。这项研究旨在使用多种商业和内部免疫测定方法对3年前感染COVID-19的个体进行全面评估抗核衣壳抗体阳性。我们在2020年1月至5月期间从首尔国立大学医院及其社区治疗中心招募了44名经实验室确认的COVID-19参与者。结果表明,根据所使用的免疫测定,抗核衣壳抗体阳性率为45.5%至87.9%。该研究强调了在血清流行病学或疫苗研究中考虑具有遥远的COVID-19病史的参与者中有限的抗核衣壳抗体阳性的重要性。
    The accurate identification of individuals without prior infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is pivotal for seroepidemiological research and vaccine trials. Because of widespread COVID-19 vaccination, the anti-nucleocapsid antibody continues to serve as a valuable marker for individuals without a history of COVID-19. This study aimed to comprehensively assess anti-nucleocapsid antibody positivity using diverse commercial and in-house immunoassays among individuals who contracted COVID-19 more than 3 years ago. We enrolled 44 participants with laboratory-confirmed COVID-19 between January and May 2020 from Seoul National University Hospital and its community treatment centers. The results showed anti-nucleocapsid antibody positivities ranged from 45.5% to 87.9% depending upon the immunoassay used. The study highlights the importance of considering the limited anti-nucleocapsid antibody positivity in participants with a distant COVID-19 history in seroepidemiological or vaccine research.
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  • 文章类型: Journal Article
    心理社会维度对于确保改善心血管疾病(CVD)患者情绪健康的最佳方法至关重要。有证据表明这些方面存在性别差异。因此,它们之间的联系对于实施个性化治疗至关重要。对593例CVD患者的数据进行了网络模型分析。这些模型包括医院焦虑和抑郁量表(HADS)的得分,积极(PA)和消极影响(NA),阳性(PS),生活满意度(SLS),社会支持(SS)情绪调节自我效能感(RESE),心脏自我效能感(CSE)和简短表格12健康调查。主要的性别差异是:PA-PS(p=0.03),SS-RESE(p=0.04),男性的正相关性强于女性,PA-RESE(p<0.01)女性的正相关性强于男性。应考虑这些细微差别,以便为每位CVD患者实施量身定制的综合疗法。
    Psychosocial dimensions are essential to guarantee an optimal approach to improve emotional well-being in patients with cardiovascular disease (CVD). There is evidence of sex differences regarding these dimensions. Thus, the connections between them are crucial to implement personalized therapies. Network model analyses were conducted on data from 593 CVD patients. The models included scores from the Hospital Anxiety and Depression Scale (HADS), positive (PA) and negative affect (NA), positivity (PS), satisfaction of life (SLS), social support (SS), self-efficacy on emotion regulation (RESE), cardiac self-efficacy (CSE) and the Short Form-12 Health Survey. The main sex differences were found in: PA-PS (p = 0.03), SS-RESE (p = 0.04), for which the positive associations are stronger for men than for women and PA-RESE (p < 0.01) for which the positive association is stronger for women than for men. These nuances should be considered to implement tailored and integrative therapies for each CVD patient.
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  • 文章类型: Journal Article
    我们研究了节点单调障碍耦合定律,由神经中枢模式发生器的突触耦合驱动。表明,这种耦合模仿了神经中枢模式发生器的理想特性。特别是,耦合定律(1)允许我们在圆上分配多个中心模式,(2)允许通过简单的“踢”在不同模式之间快速切换。最后,我们通过利用屏障效应并为所得分区的每个元素分配唯一的稳态行为来划分状态空间,从而实现完全控制。我们分析整体行为并研究设计的可行性。
    We study a node-wise monotone barrier coupling law, motivated by the synaptic coupling of neural central pattern generators. It is illustrated that this coupling imitates the desirable properties of neural central pattern generators. In particular, the coupling law (1) allows us to assign multiple central patterns on the circle and (2) allows for rapid switching between different patterns via simple \'kicks\'. In the end, we achieve full control by partitioning the state space by utilizing a barrier effect and assigning a unique steady-state behavior to each element of the resulting partition. We analyze the global behavior and study the viability of the design.
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  • 文章类型: Journal Article
    本文研究了一类具有时变时滞的切换奇异正系统,其中系统参数不确定。为了减少通信资源的消耗,避免数据拥塞的现象,这里采用循环协议。这是为此类正系统引入Round-Robin协议的最初几次尝试。此外,非脆弱控制器旨在抑制不期望的动力学行为,如果没有实施控制,可能会发生这种情况。通过矩阵分解技术和模式依赖平均停留时间方法,建立充分条件以确保获得的闭环系统具有规定的l1干扰衰减性能。最后,通过三个实例来说明所提出的控制方案的可行性和有效性。
    This paper investigates a class of switched singular positive systems with time-varying delay, where the system parameters are uncertain. In order to decrease the consumption of the communication resources and avoid the phenomenon of data congestion, Round-Robin protocol is employed here. This is the first few attempts to introduce the Round-Robin protocol for such kind of positive systems. Moreover, the nonfragile controller is designed to suppress the undesired dynamical behaviors, which may occur if no control is implemented. By means of the matrix decomposition technique and the mode-dependent average dwell time method, sufficient conditions are established to ensure that the obtained closed-loop system has a prescribed l1 disturbance attenuation performance. Finally, three examples are presented to illustrate feasibility and effectiveness of the proposed control scheme.
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  • 文章类型: Journal Article
    为了证明使用具有单调性的工具变量(IV)降低了平均治疗效果(ATE)的倾向评分(PS)加权估计器的准确性。
    二元IV和二元治疗变量之间的关系中的单调性是识别ATE的重要假设,适用于仅在IV鼓励时才接受治疗的编译器。我们进行了理论和数值研究,以研究根据阳性假设使用满足单调性的IV对治疗PS的影响,这要求PS严格在0和1之间,并且PS加权估计器的准确性。考虑了导致单侧或双侧不合规的两种单调性。
    当不合规发生在一个方向(单侧不合规)时,对IV的PS调整总是违反积极性假设,并且比在双侧不合规情况下没有IV更为极端。如果被鼓励接受治疗的概率和依从性评分,这些结果是有效的,成为合并者的可能性,严格在0和1之间。
    使用具有单调性的二进制IV作为PS模型的协变量使估计的PS不必要地极端,降低了PS加权估计器的精度。
    UNASSIGNED: To demonstrate that using an instrumental variable (IV) with monotonicity reduces the accuracy of propensity score (PS) weighted estimators for the average treatment effect (ATE).
    UNASSIGNED: Monotonicity in the relationship between a binary IV and a binary treatment variable is an important assumption to identify the ATE for compliers who would only take treatment when encouraged by the IV. We perform theoretical and numerical investigations to study the impact of using the IV that satisfies monotonicity on the PS of treatment in terms of the positivity assumption, which requires that the PS be strictly between 0 and 1, and the accuracy of PS weighted estimators. Two versions of monotonicity that result in one-sided or two-sided noncompliance are considered.
    UNASSIGNED: The PS adjusting for the IV always violates the positivity assumption when noncompliance occurs in one direction (one-sided noncompliance) and is more extreme than without the IV under two-sided noncompliance. These results are valid if the probability of being encouraged to get treatment and the compliance score, the probability of being a complier, are strictly between 0 and 1.
    UNASSIGNED: Using a binary IV with monotonicity as a covariate for the PS model makes the estimated PSs unnecessarily extreme, reducing the accuracy of the PS weighted estimators.
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