The concept of bootstrapping of structural equation models with smaller samples: an illustration using mealtime rituals in diabetes management

Individual differences in behaviour are related to metabolism, stress response, testosterone, and immunity in the subterranean rodent Ctenomys talarum

The growth of personality research has led to the integration of consistent variation of individual behaviour in multidimensional approaches including physiological variables, which are required to continue building a more comprehensive theory about coping strategies. In this study, we used wild-caught males of Ctenomys talarum (tuco-tucos), a solitary subterranean rodent, to assess the relationships among personality traits and several physiological variables, namely stress response, testosterone, immunity, and energy metabolism. Subjects (n = 21) were used in experimental tests assessing behaviour, energy metabolism, testosterone levels, inflammatory cell-mediated and humoral immunity, and stress response to a simulated predator attack. The structural equation model explained a moderate portion of the variance of personality behaviours related to activity (52%), boldness (35%), and socioaversion (30%). More active and bold individuals showed higher oxygen consumption. While those subjects had lower baseline cortisol levels, there was no relationship between cortisol levels of the stress-induced response. Cell-mediated immune response was related to activity levels. Finally, testosterone only affected boldness. Despite some of these relationships diverge in direction to predicted ones, overall they support the existence of coping styles in male C. talarum; and are discussed in the light of current hypotheses and particular behavioural and ecological traits of tuco-tucos.

Investigating Possibilities of Developing Self-Directed Learning in Architecture Students Using Design Thinking

Education systems are struggling to effectively integrate in their study programs the Sustainable Development Goals (SDGs) which define the challenges we need to overcome as a society in the 21st century. This study revealed the special agency that architecture and built environment have in shaping our social, economic, and natural environment using system and design thinking. Despite the several studies on the metacognitive design process, several cognitive traps still exist when developing design thinking in architecture education. This study investigated design thinking and self-directed learning in undergraduate architecture students. Responses collected from a sample of 117 undergraduates were subjected to bootstrapping in structural equation modelling to find significant relationships of reversed action when design thinking is used for developing self-directed learning. The findings suggest that design thinking is strongly connected with self-directed learning, and as shown in the resulting model, all components of self-directed learning are strongly explained by design thinking variables. This can provide insights for curriculum designers and educators on how to shape effective design thinking processes in architecture education to overcome existing shortcomings while improving interpersonal skills, creativity and digital skills, make pedagogical changes, and enhance redesign of learning outcomes towards sustainable architecture.

Movement Synchrony and Facial Synchrony as Diagnostic Features of Depression: A Pilot Study

ABSTRACT

The pilot study investigated with a matched-subjects design whether nonverbal synchrony is a diagnostic feature for depression and whether it mediates between depression and postsession ratings of the interviewer behavior. The sample includes n = 15 patients with major depression and n = 15 healthy controls (aged 20-30 years, 40% female). We conducted structured diagnostic interviews for somatic complaints to standardize the recording setting, issue, and course of conversation. Body movements and facial expressions were coded automatically frame by frame using computer vision methods. Ratings of the interviewers' professional behavior and positive affect were assessed using questionnaires. Patients with depression showed less movement synchrony and less synchronous positive facial expressions. Only synchronous positive expressions mediated between depression and less perceived positive affect. We conclude that the applied methodology is well suited to examine nonverbal processes under naturalistic but widely standardized conditions and that depression affects the nonverbal communication in medical conversations.

Family Functioning and Medical Adherence Across Children and Adolescents With Chronic Health Conditions: A Meta-Analysis

Objectives

A meta-analysis examined family functioning and medical adherence in children and adolescents with chronic health conditions. Family functioning was evaluated at the level of the family unit, as well as parent-child interactions.

Methods

We conducted literature searches using PubMed, PsycINFO, SCOPUS, Web of Science, and Cochrane. After reviewing 764 articles, 62 studies met eligibility criteria. Pearson's r correlations were the effect size of interest. We conducted both omnibus and domain-specific (e.g., family conflict, cohesion) meta-analyses. Meta-regressions examined whether relevant covariates related to the magnitude of the effect.

Results

The omnibus meta-analysis showed that family functioning was significantly related to medical adherence across a variety of pediatric chronic health conditions. Lower family conflict, greater family cohesion, greater family flexibility, more positive communication, and better family problem-solving were each associated with better adherence. There were no significant differences in the magnitude of the omnibus effect based on child age, measurement features (subjective vs. objective or bioassay adherence; family unit vs. parent-child interactions), or study quality.

Conclusions

Consistent with social-ecological frameworks, findings supported links between family functioning and medical adherence. This study highlights several limitations of the extant research, including absence of a guiding theoretical framework and several methodological weaknesses. We offer clinical and research recommendations for enhancing scientific understanding and promotion of adherence within the family context.

The Role of Depression and Self-Esteem in Facebook Intrusion and Gaming Disorder among Young Adult Gamers

In the modern day, it is important to identify the determinants of Facebook addiction and game disorder. The main aim of our study is to examine the relationship between Facebook intrusion, gaming disorder and depression to verify whether depression mediates the relationship between these types of addiction and self-esteem. A total of 235 video game players took place in the study. We used the Facebook Intrusion Scale, Problem Videogame Playing Questionnaire, Patient Health Questionnaire and Rosenberg Self-Esteem Scale. The findings indicate that depression and frequency of use are associated with Facebook intrusion and gaming disorder. Symptoms of depression and time spent using games or Facebook are predictors of these behavioural addictions. The results indicate that depression fully mediated the relationship between self-esteem and these types of addiction. Also, our results demonstrated that the model assuming a correlation between gaming disorder and Facebook intrusion was fitted to data, while the model assuming no correlation was not fitted to data. While previous studies indicated low self-esteem as a predictor of Facebook intrusion and gaming disorder, the current findings indicate that this association is mediated by the depression. Also, our results may support hypotheses of similar addiction mechanisms in the case of gaming disorder and Facebook intrusion.

The Influence of Fantasy Proneness, Dissociation, and Vividness of Mental Imagery on Male's Aggressive Sexual Fantasies

Many researchers have studied the prevalence and content of men's aggressive sexual fantasies, including their link with rape-supportive cognition. However, little to no research has examined the link between imaginal ability and the use of such fantasies. Based on existing research and theory, we propose that men who hold hostile beliefs toward women will use aggressive sexual fantasies more often if they possess a greater ability to engage in a "rich fantasy life." Operationally, we argue this involves (a) a proneness to fantasize in general, (b) an ability to vividly envision mental imagery, and (c) frequent experiences of dissociation. To test this, the present study hypothesized that a latent variable termed "rich fantasy life," via "hostile beliefs about women," influences the use of "aggressive sexual fantasies." A sample of 159 community males was recruited. Each participant completed a measure of fantasy proneness, dissociation, and vividness of mental imagery, along with two measures that assess hostile beliefs about women. Assessing how often the participants fantasized about rape-related and sadistic themes provided a measure of aggressive sexual fantasies. Structural equation modeling (along with bootstrapping procedures) indicated that the data had a very good fit with the hypothesized model. The results offer an important contribution to our understanding of aggressive sexual fantasies, which may have implications for clinical assessment and treatment. The limitations of the study are discussed, along with suggestions for future research.

Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis

Objective. Children’s health beliefs are significantly related to their adherence; however, pediatric literature has rarely tested health-related theories as a whole. The goal of the present study was to evaluate the use of the health belief model (HBM) in understanding children’s adherence, both globally and to individual treatment components. Method. Thirty-three patient–parent dyads completed questionnaires regarding health beliefs and adherence to medical regimens. Results. Multiple linear regressions found a significant relationship among the HBM variables and reports of global adherence for children and parents. For children, the HBM variables were significantly related to adherence to aerosol medications, aerosol antibiotics, metered dose inhalers, and vitamins. For parents, the HBM variables were significantly related to children’s adherence to airway clearance, oral antibiotics, and vitamins. Paired sample t tests found children and parents had significantly discrepant heath beliefs. Conclusion. These findings provide further support for the HBM in evaluating pediatric adherence, with evidence that barriers and cues to action may be targets for early intervention. Future research using this model to identify a comprehensive way to assess, understand, and elicit change in the adherence to medical regimens for youth with chronic illness would be beneficial.

Physical Activity Self-Efficacy and Fitness: Family Environment Relationship Correlates and Self-Esteem as a Mediator among Adolescents Who Are Overweight or Obese

BACKGROUND

Little is known regarding how dimensions of the family social environment relate to fitness levels and physical activity self-efficacy (PASE) among adolescents who are overweight or obese and whether these relationships are mediated by self-esteem.

METHODS

Potential associations were evaluated between relationship subdomains (cohesion, conflict, expressivity) of the Family Environment Scale (FES), self-esteem (Rosenberg Self-Esteem Scale, RSES), and PASE and fitness, using recovery heart rate [RHR, beats per minute (bpm)] from a 3-minute submaximal step test at baseline. Participants were 108 adolescents who were overweight or obese and were seeking weight-loss treatment as part of the Healthy Kids, Healthy Weight 12-week multidisciplinary pediatric weight management program. Structural equation modeling (SEM) was used to simultaneously evaluate paths between these variables and test for mediation.

RESULTS

In multivariable models, higher FES cohesion (β = -2.18, s.e. = 0.98; p = 0.02), expressivity (β = -1.97, s.e. = 0.99; p < 0.05), and PASE (β = -0.64, s.e. = 0.33; p < 0.05) scores were associated with lower RHR, which represents higher fitness. Furthermore, higher FES conflict scores were associated with lower RSES scores (β = -0.83, s.e. = 0.29; p < 0.01), and FES conflict (β = -0.63, s.e. = 0.22; p < 0.01) and RSES (β = 0.33, s.e. = 0.07; p < 0.01) were associated with PASE scores. In a good-fitting multivariate SEM [Comparative Fit Index (CFI) = 1.00; Standardized Root Mean Square Residual (SRMR) = 0.02; Tucker-Lewis index (TLI) = 1.22; Root Mean Squared Error of Approximation (RMSEA) <0.01], RSES mediated the relationship between FES conflict and PASE (sum of indirect paths: β = -0.30, s.e. = 0.11; p < 0.01) scores.

CONCLUSIONS

Our results highlight the importance of the relationship domain of the family environment on self-esteem, PASE, and physical fitness in adolescents who are overweight or obese.

Stress-related growth following sport injury: Examining the applicability of the organismic valuing theory

This study explored the applicability of organismic valuing theory (OVT) to stress-related growth (SRG) following sport injury. Specifically, the direct and indirect relationships between need satisfaction (i.e., autonomy, competence, and relatedness), SRG, and subjective well-being (i.e., positive affect) were examined. Previously injured athletes (n = 520), ranging from 18 to 59 years of age (Mage  = 23.3 years; standard deviation = 6.5), completed three measures: needs satisfaction scale, stress-related growth scale, and positive affect scale. Structural equation modeling with maximum likelihood estimation revealed a significant positive relationship between competence and relatedness and SRG, and between SRG and positive affect. In line with OVT, SRG was also found to mediate the relationship between need satisfaction (competence and relatedness) and subjective well-being. The findings offer preliminary support for the applicability of OVT in aiding our understanding of the antecedents and consequences of SRG. Future avenues of research are discussed, together with recommended methodologies to further extend and refine knowledge and understanding of the phenomenon of SRG following sport injury.

Using a Multidimensional Measure of Resilience to Explain Life Satisfaction and Academic Achievement of Adults With Reading Difficulties

We assessed the impact of intrapersonal and interpersonal resilience, persistence, and number of difficulties in addition to reading problems on life satisfaction (general, social, and self) and academic achievement. A total of 120 adults with reading difficulties who either were completing a university degree or were recent graduates responded to an in-lab or online survey. Results indicated that intrapersonal resilience correlated positively with interpersonal resilience and persistence, and both resilience factors were negatively associated with number of difficulties. Using structural equation modeling, intrapersonal resilience explained general satisfaction, intrapersonal resilience and number of difficulties explained self satisfaction, and interpersonal resilience explained social satisfaction. Academic achievement did not correlate with any of the included variables.

Psychosocial mechanisms of psychological health disparity in Japanese workers

Recent epidemiologic research has shown that people with higher socioeconomic status (SES) (e.g., educational attainment) have better psychological health than those with lower SES. However, the psychosocial mechanisms of underlying this relationship remain unclear. To fill this gap, the current study examines the mediating effects of job demands and job resources in the relationship between educational attainment and psychological distress. The hypothesized model was tested using large data sets from two different studies: a cross-sectional study of 9,652 Japanese employees from 12 workplaces (Study 1), and a longitudinal study of 1,957 Japanese employees (Study 2). Structural equation modeling revealed that (1) educational attainment was positively related to psychological distress through job demands, (2) educational attainment was negatively related to psychological distress through job resources, and (3) educational attainment was not directly related to psychological distress. These results suggest that educational attainment has an indirect effect, rather than a direct one, on psychological distress among workers; educational attainment had both a positive and a negative relationship to psychological distress through job demands and job resources, respectively.