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Wilkinson ML, Karbassi N, Juarascio AS. Latent classes of alcohol and cannabis use among adults with binge-spectrum eating disorders: Associations with eating disorder symptom severity and personality features. EUROPEAN EATING DISORDERS REVIEW 2024; 32:440-449. [PMID: 38030958 PMCID: PMC10994745 DOI: 10.1002/erv.3056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 10/12/2023] [Accepted: 11/16/2023] [Indexed: 12/01/2023]
Abstract
OBJECTIVE Alcohol and cannabis use are prevalent among individuals with binge-spectrum eating disorders (B-ED) and vary in terms of frequency and associated problems. The current study aimed to identify latent classes of alcohol and cannabis use patterns among B-ED and examine associations between latent classes and demographic characteristics, eating disorder symptoms, and personality features. METHODS Participants (N = 236) were treatment-seeking adults with B-ED who completed a clinical interview of eating pathology and self-report measures of alcohol and cannabis use in the past 3 months, alcohol and cannabis-related problems, and personality features (i.e., impulsivity, affect lability). RESULTS Latent class analysis identified three heterogeneous classes, labelled as (a) Low Alcohol, (b) Moderate Drinking and Problems with Occasional Cannabis Use, and (c) No Alcohol and Cannabis Use. Latent classes significantly differed in terms of substance use engagement and problems, demographic characteristics, dietary restraint, impulsive personality features, and affect lability. CONCLUSIONS Study findings support heterogeneity in alcohol and cannabis use among B-ED and suggest patient characteristics and clinical severity associated with specific substance use presentations. Future research should replicate results using larger, diverse samples engaging in a broader range of alcohol and cannabis use symptoms.
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Affiliation(s)
- M L Wilkinson
- Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA
- Department of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA
| | - N Karbassi
- Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA
| | - A S Juarascio
- Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA
- Department of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA
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Yang XM, Yang XY, Wang XY, Gu YX. Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients. World J Gastrointest Oncol 2024; 16:810-818. [PMID: 38577467 PMCID: PMC10989373 DOI: 10.4251/wjgo.v16.i3.810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 12/22/2023] [Accepted: 02/07/2024] [Indexed: 03/12/2024] Open
Abstract
BACKGROUND Hepatocellular carcinoma (HCC) is a prevalent malignancy, and transcatheter arterial embolization (TAE) has emerged as a pivotal therapeutic modality. However, TAE may induce symptom distress and fatigue, adversely affecting the quality of life of patients. AIM To investigate symptom distress, fatigue, and associated factors in HCC patients undergoing TAE. METHODS We used a cross-sectional design and purposive sampling to enroll HCC patients who underwent TAE at our institution from January to December 2022. Questionnaires were utilized to collect data on symptom distress and fatigue scores from the first to the third day after TAE. RESULTS Our study revealed a significant reduction in fatigue and symptom distress among patients after TAE. Pain, fatigue, insomnia, fever and abdominal distension were the most common symptoms troubling patients during the first 3 d post-TAE. Marital status, presence of family support, physical functional status, age, and symptom distress were identified as predictors of fatigue in patients. CONCLUSION Healthcare professionals should educate HCC patients on symptom distress and fatigue, offering personalized relief strategies to lessen their psychological burden.
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Affiliation(s)
- Xu-Min Yang
- Department of Nursing, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai 200433, China
| | - Xu-Yan Yang
- Department of Nursing, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai 200433, China
| | - Xin-Yu Wang
- Department of Thyroid, Breast and Vascular Surgery, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China
| | - Yue-Xia Gu
- Department of Nursing, Shanghai Fourth People’s Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China
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Hwang W, Cheng KJ, Brown MT, Silverstein M. Does religiosity in early adulthood predict change in filial eldercare norms after midlife among baby boomers? JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2023; 37:1179-1189. [PMID: 34292031 PMCID: PMC8782926 DOI: 10.1037/fam0000899] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This study investigated whether patterns of religious change from early to middle adulthood is associated with patterns of change in filial norms from midlife to later life. Tracking change across 45 years of the adult life span, we link developmental processes occurring at two stages of life using midlife as the point of inflection. Respondents consisted of 436 individuals in the Baby Boom generation who participated in the Longitudinal Study of Generations from Waves 1 (1971) to 9 (2016). We conducted latent class and latent transition analysis to identify religious classes and their transitions over several decades, and latent growth curve modeling to identify change in filial norms. We identified three religiosity classes in Waves 1 and 5-strongly religious, weakly religious, and moderately religious-and five patterns of religious transitions. These transitions were then used to predict change in filial norms between Waves 5 and 9. Respondents who remained weakly religious from early to mid-adulthood reported weaker filial norms in midlife, compared to those who became more religious, and declined more rapidly in their strength of filial norms after middle age. Those who stayed weakly religious also declined more rapidly post-middle age. Our findings link dynamics in religiosity and filial norms across disparate stages of the adult life span and suggest that religious orientations earlier in adulthood are linked to filial norms at time of life when responsibilities for eldercare become a concern for one's parents as well as oneself. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Cintron DW, Loken E, McCoach DB. A Cautionary Note about Having the Right Mixture Model but Classifying the Wrong People. MULTIVARIATE BEHAVIORAL RESEARCH 2023; 58:675-686. [PMID: 35700328 DOI: 10.1080/00273171.2022.2082913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Mixture models can be used for explanation or individual prediction and classification. In practice, researchers are often tempted to make the class membership manifest by classifying cases according to their class of maximum posterior probability and using the "observed" class membership directly or as a variable in follow-up analyses to predict distal outcomes. This study revisits the issue of correct class assignment in latent profile analysis by providing an example where the number of classes is known (3-classes), sampling variability is eliminated, and precise estimates of classification indices are provided. This pseudo-population study design assumes the data-generating mechanism is known and provides a "best-case" scenario for evaluating correct class assignment. We use a variety of classification indices and graphical displays to show that correct classification may be poor despite relatively high entropy and overall correct class assignment metrics (e.g., percent correct). Our study serves as a reminder of the risks associated with trying to make latent class memberships manifest.
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Hwang W, Fu X, Brown MT, Silverstein M. Intergenerational Solidarity With Grandparents in Emerging Adulthood: Associations With Providing Support to Older Parents in Established Adulthood. JOURNAL OF FAMILY NURSING 2022; 28:408-422. [PMID: 36124905 PMCID: PMC10044513 DOI: 10.1177/10748407221122873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
We examined the link between types of intergenerational solidarity with grandparents among young adults in emerging adulthood and whether they provided instrumental and emotional support to their older parents in established adulthood. We used the 2000 and 2016 waves of the longitudinal study of generations and a sample of 229 grandmother-child and 175 grandfather-child dyads. Latent class analysis identified three classes describing intergenerational solidarity with grandparents (tight-knit, detached, and intimate-but-geographically distant) in grandmother-child and grandfather-child dyads in emerging adulthood. Path analyses showed that young adults who had a tight-knit relationship with their grandparents in emerging adulthood provided more instrumental and emotional support to their parents in established adulthood, compared with those who had a detached relationship with their grandparents in emerging adulthood. Results are interpreted in contexts of multigenerational interdependence within families and the sensitivity of young adults to the needs of older parents through their earlier connection to grandparents.
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Affiliation(s)
- Woosang Hwang
- Department of Human Development and Family Sciences, Texas Tech University
| | - Xiaoyu Fu
- Department of Human Development and Family Science, Syracuse University
| | - Maria T. Brown
- School of Social Work, Syracuse University
- Aging Studies Institute, Syracuse University
| | - Merril Silverstein
- Department of Human Development and Family Science, Syracuse University
- Department of Sociology, Syracuse University
- Aging Studies Institute, Syracuse University
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The Relationship Between Religiosity and Marriage From Emerging to Established Adulthood. JOURNAL OF ADULT DEVELOPMENT 2022. [DOI: 10.1007/s10804-022-09416-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Religiosity and Mental Health Among Young-Adults in Generation X from Emerging to Established Adulthood. JOURNAL OF ADULT DEVELOPMENT 2022. [DOI: 10.1007/s10804-022-09414-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Hwang W, Fu X, Kim S, Jung E, Zhang Y. A multidimensional construct of helicopter parenting and college students' game and social media addictive behaviors: A cross-cultural study in South Korea and China. Front Psychol 2022; 13:1022914. [PMID: 36938126 PMCID: PMC10017490 DOI: 10.3389/fpsyg.2022.1022914] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 12/28/2022] [Indexed: 03/06/2023] Open
Abstract
Introduction We explored latent classes of helicopter parenting among Korean and Chinese college students. In addition, we examined whether these latent classes of helicopter parenting are related to Korean and Chinese students' game and social media addictive behaviors. Methods A three-step latent class analysis was conducted using 452 students from six universities in South Korea and 372 students from four universities in China. Results and discussion We identified four distinct helicopter parenting latent classes among the parents of Korean and Chinese students: weak, strong, academic management, and academic and schedule management. We also found that Korean students in the strong class reported significantly higher levels of game and social media addictive behaviors than those in the other three classes, but this did not hold for Chinese students. This finding indicates that the association between helicopter parenting and college students' game and social media addictive behaviors can be differentiated within Asian cultural contexts.
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Affiliation(s)
- Woosang Hwang
- Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States
- *Correspondence: Woosang Hwang, ✉
| | - Xiaoyu Fu
- Department of Human Development and Family Science, Syracuse University, Syracuse, NY, United States
| | - Seonghee Kim
- Research Institute for Liberal Education, Yonsei University, Seoul, Republic of Korea
| | - Eunjoo Jung
- Department of Human Development and Family Science, Syracuse University, Syracuse, NY, United States
| | - Yue Zhang
- Department of Psychology, Santa Clara University, Santa Clara, CA, United States
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Shevlin M, Hyland P, Nolan E, Owczarek M, Ben-Ezra M, Karatzias T. ICD-11 'mixed depressive and anxiety disorder' is clinical rather than sub-clinical and more common than anxiety and depression in the general population. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2021; 61:18-36. [PMID: 34273110 PMCID: PMC9291022 DOI: 10.1111/bjc.12321] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 07/02/2021] [Indexed: 11/30/2022]
Abstract
Background The new International Classification of Diseases was published in 2018 (ICD‐11; World Health Organization, 2018) and now includes ‘Mixed depressive and anxiety disorder’ (6A73: MDAD) designated as a mood disorder. This disorder is defined by symptoms of both anxiety and depression occurring more days than not, for a period of two weeks, and neither set of symptoms considered separately reaches a diagnostic threshold for either disorder. However, to date no study has examined the validity of these guidelines in a general population sample. Methods Using Goldberg et al.’s (2017) guidelines regarding measurement of depression and anxiety, this study used factor mixture modelling (FMM) to examine the validity of the ICD‐11 criteria of MDAD. Symptom endorsement rates are provided as well as demographic predictors and somatization outcomes. Results Fit indices suggested the two‐factor four‐class solution was the best balance between model complexity and model fit. The results did not support a class that is subsyndromal to both anxiety and depression. On the contrary, we suggest that there exists a ‘Comorbid’ class that represents endorsement of both anxiety and depression symptoms at a higher level when compared to both ‘anxiety’ and ‘depression’ groups. Demographic predictors, as well as somatization and functional impairment outcomes, provided support for this FMM solution. Conclusions The ‘Comorbid’ group was the largest symptomatic group and had the highest levels of both anxiety and depression symptoms. Importantly, this group was larger than either the ‘anxiety’ or ‘depression’ group and was associated with high levels of functional impairment and somatization.
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Scharpf F, Kyaruzi E, Landolt MA, Hecker T. Prevalence and co-existence of morbidity of posttraumatic stress and functional impairment among Burundian refugee children and their parents. Eur J Psychotraumatol 2019; 10:1676005. [PMID: 31681466 PMCID: PMC6807941 DOI: 10.1080/20008198.2019.1676005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 09/03/2019] [Accepted: 09/05/2019] [Indexed: 11/03/2022] Open
Abstract
Background: Although the family constitutes the prime source of risk and resilience for the well-being of children growing up in adverse conditions, the mental health of children living in refugee camps has rarely been investigated in conjunction with their parents' mental health. Objectives: To examine the prevalence of posttraumatic stress disorder (PTSD) and other mental health problems among Burundian refugee children and their parents living in Tanzanian refugee camps and to identify patterns of comorbidity among children and their parents based on PTSD symptom levels and functional impairment. Methods: We recruited a representative sample of 230 children aged 7-15 years and both of their parents (n = 690) and conducted separate structured clinical interviews. Latent Class Analysis was applied to identify patterns of comorbidity. Results: Children and parents were exposed to multiple traumatic event types. In total, 5.7% of children fulfilled DSM-5 criteria for PTSD in the past month and 10.9% reported enhanced levels of other mental health problems. 42.6% indicated clinically significant functional impairment due to PTSD symptoms. PTSD prevalence was higher among mothers (32.6%) and fathers (29.1%). Latent Class Analysis (LCA) revealed a familial accumulation of PTSD symptoms as children with high symptom levels and impairment were likely to live in families with two traumatized parents. Conclusions: Although the number of children who need support for trauma-related mental health problems was relatively low, taking into account parental trauma could aid to identify at-risk children with elevated PTSD symptom levels and impairment even in the face of existing barriers to mental health care access for children in refugee camp settings (e.g. lack of targeted services, prioritization of managing daily stressors).
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Affiliation(s)
- Florian Scharpf
- Department of Psychology, Bielefeld University, Bielefeld, Germany
| | - Edna Kyaruzi
- Department of Educational Psychology and Curriculum Studies, Dar es salaam University College of Education, Dar es Salaam, Tanzania
| | - Markus A Landolt
- University Children's Hospital Zurich and Department of Psychology, University of Zurich, Zürich, Switzerland
| | - Tobias Hecker
- Department of Psychology, Bielefeld University and Department of Psychology, University of Zurich, Bielefeld, Germany
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