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Simard M, Rahme E, Dubé M, Boiteau V, Talbot D, Sirois C. Multimorbidity prevalence and health outcome prediction: assessing the impact of lookback periods, disease count, and definition criteria in health administrative data at the population-based level. BMC Med Res Methodol 2024; 24:113. [PMID: 38755529 PMCID: PMC11097445 DOI: 10.1186/s12874-024-02243-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 05/08/2024] [Indexed: 05/18/2024] Open
Abstract
BACKGROUND Health administrative databases play a crucial role in population-level multimorbidity surveillance. Determining the appropriate retrospective or lookback period (LP) for observing prevalent and newly diagnosed diseases in administrative data presents challenge in estimating multimorbidity prevalence and predicting health outcome. The aim of this population-based study was to assess the impact of LP on multimorbidity prevalence and health outcomes prediction across three multimorbidity definitions, three lists of diseases used for multimorbidity assessment, and six health outcomes. METHODS We conducted a population-based study including all individuals ages > 65 years on April 1st, 2019, in Québec, Canada. We considered three lists of diseases labeled according to the number of chronic conditions it considered: (1) L60 included 60 chronic conditions from the International Classification of Diseases (ICD); (2) L20 included a core of 20 chronic conditions; and (3) L31 included 31 chronic conditions from the Charlson and Elixhauser indices. For each list, we: (1) measured multimorbidity prevalence for three multimorbidity definitions (at least two [MM2+], three [MM3+] or four (MM4+) chronic conditions); and (2) evaluated capacity (c-statistic) to predict 1-year outcomes (mortality, hospitalisation, polypharmacy, and general practitioner, specialist, or emergency department visits) using LPs ranging from 1 to 20 years. RESULTS Increase in multimorbidity prevalence decelerated after 5-10 years (e.g., MM2+, L31: LP = 1y: 14%, LP = 10y: 58%, LP = 20y: 69%). Within the 5-10 years LP range, predictive performance was better for L20 than L60 (e.g., LP = 7y, mortality, MM3+: L20 [0.798;95%CI:0.797-0.800] vs. L60 [0.779; 95%CI:0.777-0.781]) and typically better for MM3 + and MM4 + definitions (e.g., LP = 7y, mortality, L60: MM4+ [0.788;95%CI:0.786-0.790] vs. MM2+ [0.768;95%CI:0.766-0.770]). CONCLUSIONS In our databases, ten years of data was required for stable estimation of multimorbidity prevalence. Within that range, the L20 and multimorbidity definitions MM3 + or MM4 + reached maximal predictive performance.
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Affiliation(s)
- Marc Simard
- Institut national de santé publique du Québec, 945, Wolfe, 5e étage Québec, Québec, QC, G1V 5B3, Canada.
- Department of social and preventive medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada.
- Centre de recherche du CHU de Québec, Québec, QC, Canada.
- VITAM-Centre de recherche en santé durable, Québec, QC, Canada.
| | - Elham Rahme
- The Research Institute of the McGill University Health Centre, Montréal, QC, Canada
| | - Marjolaine Dubé
- Institut national de santé publique du Québec, 945, Wolfe, 5e étage Québec, Québec, QC, G1V 5B3, Canada
| | - Véronique Boiteau
- Institut national de santé publique du Québec, 945, Wolfe, 5e étage Québec, Québec, QC, G1V 5B3, Canada
| | - Denis Talbot
- Department of social and preventive medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada
- Centre de recherche du CHU de Québec, Québec, QC, Canada
| | - Caroline Sirois
- Institut national de santé publique du Québec, 945, Wolfe, 5e étage Québec, Québec, QC, G1V 5B3, Canada
- Centre de recherche du CHU de Québec, Québec, QC, Canada
- VITAM-Centre de recherche en santé durable, Québec, QC, Canada
- Faculty of Pharmacy, Université Laval, Québec, QC, Canada
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2
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Gamblin CL, Alende C, Corriveau F, Jetté A, Parent-Prévost F, Biehler C, Majeau N, Laurin M, Laprise P. The polarity protein Yurt associates with the plasma membrane via basic and hydrophobic motifs embedded in its FERM domain. J Cell Sci 2024; 137:jcs261691. [PMID: 38682269 DOI: 10.1242/jcs.261691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 04/16/2024] [Indexed: 05/01/2024] Open
Abstract
The subcellular distribution of the polarity protein Yurt (Yrt) is subjected to a spatio-temporal regulation in Drosophila melanogaster embryonic epithelia. After cellularization, Yrt binds to the lateral membrane of ectodermal cells and maintains this localization throughout embryogenesis. During terminal differentiation of the epidermis, Yrt accumulates at septate junctions and is also recruited to the apical domain. Although the mechanisms through which Yrt associates with septate junctions and the apical domain have been deciphered, how Yrt binds to the lateral membrane remains as an outstanding puzzle. Here, we show that the FERM domain of Yrt is necessary and sufficient for membrane localization. Our data also establish that the FERM domain of Yrt directly binds negatively charged phospholipids. Moreover, we demonstrate that positively charged amino acid motifs embedded within the FERM domain mediates Yrt membrane association. Finally, we provide evidence suggesting that Yrt membrane association is functionally important. Overall, our study highlights the molecular basis of how Yrt associates with the lateral membrane during the developmental time window where it is required for segregation of lateral and apical domains.
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Affiliation(s)
- Clémence L Gamblin
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Charles Alende
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - François Corriveau
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Alexandra Jetté
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Frédérique Parent-Prévost
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Cornélia Biehler
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Nathalie Majeau
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
| | - Mélanie Laurin
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
- Département de biologie moléculaire, de biochimie médicale et de pathologie, Faculté de médecine, Université Laval, Quebec City, Québec, G1V 0A6, Canada
| | - Patrick Laprise
- Centre de Recherche sur le Cancer, Université Laval, 9 McMahon, Quebec City, Québec, G1R 3S3, Canada
- axe Oncologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec-UL, 9 McMahon, Québec, QC, G1R 3S3, Canada
- Département de biologie moléculaire, de biochimie médicale et de pathologie, Faculté de médecine, Université Laval, Quebec City, Québec, G1V 0A6, Canada
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3
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Dupéré V, Dion E, Pelletier-Dumas M, Lacourse E, Archambault I, Cantin S, Ahn JS. Diseases of despair in early adulthood: The complex role of social relationships. Dev Psychol 2024; 60:791-808. [PMID: 38557066 DOI: 10.1037/dev0001716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
"Diseases of despair," most prominently depressive and substance-related problems, diminish the prospects of many young adults, especially those with lower levels of education. Yet many young adults in that situation avoid these problems. Close relationships are thought to be a key factor underpinning risk and resilience among this group. To examine this premise, this study explored links, beyond potential confounders assessed in adolescence, between strengths and strains in the social domain and markers of despair in the early and mid-20s in a Canadian sample overrepresenting youth without postsecondary credentials (N = 543, 52% male, 23% non-White). Having a good general ability to maintain supportive relationships was associated with fewer depressive and substance-related symptoms. Furthermore, support and less strain in relationships with parents and friends were associated with fewer depressive symptoms in the early and mid-20s, while for romantic relationships, associations with depressive symptoms became more consistent and robust in the mid-20s. Therefore, support and strains in romantic relationships gradually gained prominence as a determinant of depressive symptoms as youth advanced in adulthood. For substance-related problems, significant associations emerged for strains in friendships only, in both the early and mid-20s. These results suggest that multiple aspects of relationships pose a risk for or protect from the development of diseases of despair in early adulthood and that their relative importance changes depending on outcomes and developmental timing. Thus, facilitating meaningful social connections and reducing the prevalence and impact of relationship strains might contribute to preventing diseases of despair among youth with lower educational attainment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
| | - Eric Dion
- Departement d'Education et Formation Specialisees, Universite du Quebec a Montreal
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Delage E, Rouleau I, Akzam-Ouellette MA, Roy-Côté F, Joubert S. An examination of semantic performance in mild cognitive impairment progressors and nonprogressors. Neuropsychology 2024; 38:309-321. [PMID: 38358721 DOI: 10.1037/neu0000947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
OBJECTIVE Mild cognitive impairment (MCI) is a risk factor for developing Alzheimer's disease (AD), and about half of older people with MCI will progress to AD within the next 5 years. The aim of the present study was to compare the semantic performance of MCI progressors (MCI-p) and nonprogressors (MCI-np). The hypothesis was that MCI-p would present with poorer semantic performance relative to MCI-np at baseline, indicating that semantic deficits may increase the risk of future decline toward AD. METHOD Fifty-six MCI participants (aged 65-89) from the Consortium for Early Identification of Alzheimer's Disease-Quebec study were analyzed, with 18 progressing and 38 remaining stable over 2 years. Analysis of covariance assessed their initial semantic and nonsemantic cognitive performance, and mixed analyses of variance gauged longitudinal patterns of cognitive decline at the 2-year follow-up. RESULTS In the semantic domain, MCI-p performed significantly worse than MCI-np at baseline on two semantic tests (category fluency and object decision). In other cognitive domains, MCI-p performed worse than MCI-np on a test of executive functions (cognitive flexibility) but showed similar performance on a test of episodic memory. There were no significant differences between groups in the rates of progression on semantic tests over the 2-year period, but a steeper decline was observed in MCI-p at follow-up on tests of global cognition, episodic memory, and processing speed. CONCLUSION This suggest that MCI patients who present with semantic memory impairment in addition to episodic memory impairment are at greater risk of future progression to AD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Emilie Delage
- Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal
| | - Isabelle Rouleau
- Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal
| | | | | | - Sven Joubert
- Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal
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Deacon SH, Mimeau C, Levesque K, Ricketts J. Testing mechanisms underlying children's reading development: The power of learning lexical representations. Dev Psychol 2024:2024-77159-001. [PMID: 38647468 DOI: 10.1037/dev0001749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Prominent theories of reading development have separately emphasized the relevance of children's skill in learning (Share, 2008) and lexical representations (Perfetti & Hart, 2002). Integrating these ideas, we examined whether skill in learning lexical representations is a mechanism that might explain children's reading development. To do so we conducted a longitudinal study, following 139 children from Grades 3 to 5. In Grade 3, children completed measures of word reading and reading comprehension and again at Grade 5. In Grade 4, children read short stories containing novel words; they were later tested on their memory for the spellings and meanings of these new words, capturing orthographic and semantic learning, respectively. Using multiple-mediation path analysis, we tested whether children's skill in learning orthographic and semantic dimensions of new words was a mediator of individual differences in each of word reading and reading comprehension. In models controlling for nonverbal ability, working memory, vocabulary, and phonological awareness, we found two clear effects: individual differences in orthographic learning at Grade 4 mediated the gains that children made in word reading between Grades 3 and 5 and individual differences in semantic learning at Grade 4 mediated gains in reading comprehension over the same time period. These findings suggest that children's ability to learn lexical representations is a mechanism in reading development, with orthographic effects on word reading and semantic effects on reading comprehension. These findings show the power and the specificity of children's capacity to learn in determining their progress in learning to read. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- S Hélène Deacon
- Department of Psychology and Neuroscience, Dalhousie University
| | | | - Kyle Levesque
- Department of Psychology and Neuroscience, Dalhousie University
| | - Jessie Ricketts
- Department of Psychology, Royal Holloway, University of London
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Tremblay M, Brais B, Asselin V, Buffet M, Girard A, Girard D, Berbiche D, Gagnon C. The Development of a New Patient-Reported Outcome Measure in Recessive Ataxias: The Person-Reported Ataxia Impact Scale. Cerebellum 2024; 23:512-522. [PMID: 37165279 DOI: 10.1007/s12311-023-01565-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/03/2023] [Indexed: 05/12/2023]
Abstract
Autosomal recessive cerebellar ataxias (ARCAs) are inherited neurological disorders that can affect both the central and peripheral nervous systems. To assess the effects of interventions according to the perception of people affected, patient-reported outcome measures (PROMs) must be available. This paper presents the development process of the Person-Reported Ataxia Impact Scale (PRAIS), a new PROM in recessive ataxias, and the documentation of its content validity, interpretability, and construct validity (structural and discriminant). The development followed the PROMIS framework and the Food and Drug Administration guidelines. A mixed-method study design was used to develop the PROM. A systematic review of the literature, semistructured interviews, and discussion groups was conducted to constitute an item pool. Experts' consultation helped formulate items, and the questionnaire was sent online to be completed by people affected. Statistical analyses were performed to assess the structural and discriminant validity. A total of 125 people affected by recessive ataxia completed the questionnaire. The factor analysis confirmed the three components: physical functions and activities, mental functions, and social functions. The statistical analysis showed that it can discriminate between stages of mobility and level of autonomy. It showed very good levels of internal consistency (0.79 to 0.89). The Person-Reported Ataxia Impact Scale (PRAIS) is a 38-item questionnaire that assesses the manifestations and impacts of the disease according to the perception of people affected by recessive ataxia. It can be used in clinical and research settings.
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Affiliation(s)
- Marjolaine Tremblay
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada.
- Université de Sherbrooke, 2500 Bd de l'Université, Sherbrooke, QC, J1K 2R1, Canada.
| | - Bernard Brais
- McGill University, 845 Rue Sherbrooke O, Montréal, QC, H3A 0G4, Canada
- Montreal Neurological Institute and Hospital, 3801 University Street, Montreal, QC, H3A 2B4, Canada
| | - Véronique Asselin
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada
| | - Martin Buffet
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada
| | - André Girard
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada
| | - Denis Girard
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada
| | - Djamal Berbiche
- Université de Sherbrooke, 2500 Bd de l'Université, Sherbrooke, QC, J1K 2R1, Canada
- Centre de Recherche Charles-Lemoyne, 150, Place Charles-Le Moyne Bureau 200, Longueuil, QC, J4K 0A8, Canada
| | - Cynthia Gagnon
- Groupe de Recherche Interdisciplinaire Sur Les Maladies Neuromusculaires, 2230 de L'Hôpital Cp 1200, Jonquière, QC, G7X 7X2, Canada
- Université de Sherbrooke, 2500 Bd de l'Université, Sherbrooke, QC, J1K 2R1, Canada
- Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, 3001, 12e Avenue Nord, Aile 9, Porte 6, Sherbrooke, Québec, J1H 5N4, Canada
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Sharma R, Kalot R, Levin Y, Babayeva S, Kachurina N, Chung CF, Liu KJ, Bouchard M, Torban E. The CPLANE protein Fuzzy regulates ciliogenesis by suppressing actin polymerization at the base of the primary cilium via p190A RhoGAP. Development 2024; 151:dev202322. [PMID: 38546045 PMCID: PMC11006408 DOI: 10.1242/dev.202322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 02/14/2024] [Indexed: 04/12/2024]
Abstract
The primary cilium decorates most eukaryotic cells and regulates tissue morphogenesis and maintenance. Structural or functional defects of primary cilium result in ciliopathies, congenital human disorders affecting multiple organs. Pathogenic variants in the ciliogenesis and planar cell polarity effectors (CPLANE) genes FUZZY, INTU and WDPCP disturb ciliogenesis, causing severe ciliopathies in humans and mice. Here, we show that the loss of Fuzzy in mice results in defects of primary cilia, accompanied by increased RhoA activity and excessive actin polymerization at the basal body. We discovered that, mechanistically, Fuzzy interacts with and recruits the negative actin regulator ARHGAP35 (also known as p190A RhoGAP) to the basal body. We identified genetic interactions between the two genes and found that a mutant ArhGAP35 allele increases the severity of phenotypic defects observed in Fuzzy-/- mice. Based on our findings, we propose that Fuzzy regulates ciliogenesis by recruiting ARHGAP35 to the basal body, where the latter likely restricts actin polymerization and modifies the actin network. Our study identifies a mechanism whereby CPLANE proteins control both actin polymerization and primary cilium formation.
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Affiliation(s)
- Rhythm Sharma
- Department of Medicine and Department of Physiology, McGill University, Montreal H4A 3J1, QC, Canada
| | - Rita Kalot
- Department of Medicine and Department of Physiology, McGill University, Montreal H4A 3J1, QC, Canada
| | - Yossef Levin
- Department of Medicine and Department of Physiology, McGill University, Montreal H4A 3J1, QC, Canada
| | - Sima Babayeva
- Metabolic Disorders and Complications Program, Research Institute of the McGill University Health Centre, McGill University, Montreal H4A 3J1, QC, Canada
| | - Nadezda Kachurina
- Metabolic Disorders and Complications Program, Research Institute of the McGill University Health Centre, McGill University, Montreal H4A 3J1, QC, Canada
| | - Chen-Feng Chung
- Department of Medicine and Department of Physiology, McGill University, Montreal H4A 3J1, QC, Canada
| | - Karen J. Liu
- Centre for Craniofacial and Regenerative Biology, King's College London, London SE1 9RT, UK
| | - Maxime Bouchard
- Rosalind and Morris Goodman Cancer Institute, Department of Medicine of the McGill University,McGill University, Montreal H3A 1A3, QC, Canada
| | - Elena Torban
- Department of Medicine and Department of Physiology, McGill University, Montreal H4A 3J1, QC, Canada
- Metabolic Disorders and Complications Program, Research Institute of the McGill University Health Centre, McGill University, Montreal H4A 3J1, QC, Canada
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Rassart CA, Paradis A, Herba CM, Godbout N. Childhood interpersonal trauma and postpartum parenting alliance: The role of mindfulness in couples. J Fam Psychol 2024; 38:223-235. [PMID: 38032653 DOI: 10.1037/fam0001174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
A large body of evidence demonstrates that childhood interpersonal trauma is associated with poorer parental and couple outcomes following the birth of a new child. As a unique component of couple functioning, parenting alliance is key during this transition period and is associated with long-term parental and child well-being. However, parenting alliance remains understudied in relation to childhood trauma, and little is known regarding the underlying mechanisms of this relationship among couples. Given its documented role in the intimate relationships of childhood interpersonal trauma-exposed individuals, dispositional mindfulness could be considered as a potential explanatory mechanism. Using a dyadic approach, this study examined the role of dispositional mindfulness, and its different facets, in the association between cumulative childhood interpersonal trauma (CCIT) and parenting alliance. A randomly selected community sample of 421 parental couples with infants completed online questionnaires. For both mothers and fathers, CCIT was associated with a more negative perception of parenting alliance through lower dispositional mindfulness, specifically through lower scores on the nonjudgment and describing facets. Moreover, results revealed dyadic indirect effects between parents' CCIT and their partner's parenting alliance through both partners' dispositional mindfulness. This study provides insight on how parents of an infant may influence each other's perceived parenting alliance through their dispositional mindfulness. Results also highlight mindfulness as a relevant mechanism for CCIT survivors who struggle to establish or maintain a positive parenting alliance, as well as the need to involve both parents in research and intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
| | - Alison Paradis
- Department of Psychology, Université du Québec à Montréal
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Brousseau N, Carazo S, Febriani Y, Padet L, Hegg-Deloye S, Cadieux G, Bergeron G, Fafard J, Charest H, Lambert G, Talbot D, Longtin J, Dumont-Blais A, Bastien S, Dalpé V, Minot PH, De Serres G, Skowronski DM. Single-dose Effectiveness of Mpox Vaccine in Quebec, Canada: Test-negative Design With and Without Adjustment for Self-reported Exposure Risk. Clin Infect Dis 2024; 78:461-469. [PMID: 37769158 PMCID: PMC10874272 DOI: 10.1093/cid/ciad584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 09/05/2023] [Accepted: 09/22/2023] [Indexed: 09/30/2023] Open
Abstract
INTRODUCTION During the 2022 mpox outbreak, the province of Quebec, Canada, prioritized first doses for pre-exposure vaccination of people at high mpox risk, delaying second doses due to limited supply. We estimated single-dose mpox vaccine effectiveness (VE) adjusting for virus exposure risk based only on surrogate indicators available within administrative databases (eg, clinical record of sexually transmitted infections) or supplemented by self-reported risk factor information (eg, sexual contacts). METHODS We conducted a test-negative case-control study between 19 June and 24 September 2022. Information from administrative databases was supplemented by questionnaire collection of self-reported risk factors specific to the 3-week period before testing. Two study populations were assessed: all within the administrative databases (All-Admin) and the subset completing the questionnaire (Sub-Quest). Logistic regression models adjusted for age, calendar-time and exposure-risk, the latter based on administrative indicators only (All-Admin and Sub-Quest) or with questionnaire supplementation (Sub-Quest). RESULTS There were 532 All-Admin participants, of which 199 (37%) belonged to Sub-Quest. With exposure-risk adjustment based only on administrative indicators, single-dose VE estimates were similar among All-Admin and Sub-Quest populations at 35% (95% confidence interval [CI]:-2 to 59) and 30% (95% CI:-38 to 64), respectively. With adjustment supplemented by questionnaire information, the Sub-Quest VE estimate increased to 65% (95% CI:1-87), with overlapping confidence intervals. CONCLUSIONS Using only administrative data, we estimate one vaccine dose reduced the mpox risk by about one-third; whereas, additionally adjusting for self-reported risk factor information revealed greater vaccine benefit, with one dose instead estimated to reduce the mpox risk by about two-thirds. Inadequate exposure-risk adjustment may substantially under-estimate mpox VE.
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Affiliation(s)
- Nicholas Brousseau
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
- Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire (CHU) de Québec–Université Laval Research Center, Quebec, QC, Canada
- Social and Preventive Medicine Department, Faculty of Medicine, Laval University, Quebec, QC, Canada
| | - Sara Carazo
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
- Social and Preventive Medicine Department, Faculty of Medicine, Laval University, Quebec, QC, Canada
| | - Yossi Febriani
- Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire (CHU) de Québec–Université Laval Research Center, Quebec, QC, Canada
| | - Lauriane Padet
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
| | - Sandrine Hegg-Deloye
- Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire (CHU) de Québec–Université Laval Research Center, Quebec, QC, Canada
| | - Geneviève Cadieux
- Direction régionale de santé publique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, QC, Canada
| | - Geneviève Bergeron
- Direction régionale de santé publique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Judith Fafard
- Laboratoire de santé publique du Québec, Institut national de santé publique du Québec, Québec, QC, Canada
| | - Hugues Charest
- Laboratoire de santé publique du Québec, Institut national de santé publique du Québec, Québec, QC, Canada
- Faculty of Medicine, University of Montreal, Montreal, QC, Canada
| | - Gilles Lambert
- Direction régionale de santé publique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Denis Talbot
- Social and Preventive Medicine Department, Faculty of Medicine, Laval University, Quebec, QC, Canada
| | - Jean Longtin
- Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire (CHU) de Québec–Université Laval Research Center, Quebec, QC, Canada
| | | | - Steve Bastien
- Mpox Awareness Team, RÉZO Community Organization, Montreal, QC Canada
| | - Virginie Dalpé
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
| | - Pierre-Henri Minot
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
| | - Gaston De Serres
- Biological Risks Department, Institut national de santé publique du Québec, Quebec, QC, Canada
- Axe Maladies infectieuses et immunitaires, Centre Hospitalier Universitaire (CHU) de Québec–Université Laval Research Center, Quebec, QC, Canada
| | - Danuta M Skowronski
- Immunization Programs and Vaccine Preventable Diseases Service, BC Centre for Disease Control, Vancouver, British Columbia, Canada
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
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10
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Lanovaz MJ, Bailey JD. Tutorial: Artificial neural networks to analyze single-case experimental designs. Psychol Methods 2024; 29:202-218. [PMID: 35797162 DOI: 10.1037/met0000487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Since the start of the 21st century, few advances have had as far-reaching impact in science as the widespread adoption of artificial neural networks in fields as diverse as fundamental physics, clinical medicine, and psychology. In research methods, one promising area for the adoption of artificial neural networks involves the analysis of single-case experimental designs. Given that these types of networks are not generally part of training in the psychological sciences, the purpose of our article is to provide a step-by-step introduction to using artificial neural networks to analyze single-case designs. To this end, we trained a new model using data from a Monte Carlo simulation to analyze multiple baseline graphs and compared its outcomes with traditional methods of analysis. In addition to showing that artificial neural networks may produce less error than other methods, this tutorial provides information to facilitate the replication and extension of this line of work to other designs and datasets. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
| | - Jordan D Bailey
- School of Arts and Sciences, Franciscan Missionaries of Our Lady University
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11
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Caredda C, St-Laurent A, Gagnon M, Harrison S, Bernier E, Gagnon G, Plante AS, Lemieux S, Bégin C, Marceau S, Biertho LD, Tchernof A, Provencher V, Drapeau V, Michaud A, Morisset AS. Attitudes and Behaviors towards Food and Weight in Late Pregnancy: A Comparative Approach between Individuals with and without Previous Bariatric Surgery. Healthcare (Basel) 2024; 12:342. [PMID: 38338227 PMCID: PMC10855954 DOI: 10.3390/healthcare12030342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 01/16/2024] [Accepted: 01/26/2024] [Indexed: 02/12/2024] Open
Abstract
The aims of this study were to compare, between pregnant individuals with and without bariatric surgery: (1) eating behaviors, (2) intuitive eating components and, (3) attitudes towards weight gain. This retrospective study included data collected in healthy pregnant individuals with and without previous bariatric surgery who were recruited at the Centre Hospitalier Universitaire (CHU) de Québec-Université Laval. Pregnant individuals who underwent bariatric surgery (biliopancreatic bypass with duodenal switch [n = 14] or sleeve gastrectomy [n = 5]) were individually matched, for age (±0.4 years) and body mass index (BMI) (±0.3 kg/m2), with pregnant individuals who have not received bariatric surgery. In the second trimester, participants completed the Three Factor Eating Questionnaire (TFEQ) and the Intuitive Eating Scale 2 (IES-2). In the third trimester, participants completed the French version of the Pregnancy Weight Gain Attitude Scale assessing attitudes towards weight gain. Pregnant individuals who have had bariatric surgery had a higher score for flexible restraint and a lower score for situational susceptibility to disinhibition compared to individuals who have not had undergone bariatric surgery (2.89 ± 1.15 vs. 1.95 ± 1.31; p = 0.04 and 1.11 ± 1.29 vs. 2.79 ± 1.44, respectively; p < 0.001). Regarding intuitive eating, pregnant individuals who experienced bariatric surgery had a higher score for reliance on internal hunger and satiety cues and a lower one for unconditional permission to eat compared with those who had not experienced bariatric surgery (3.99 ± 0.81 vs. 3.30 ± 1.03; p = 0.02 and 3.28 ± 0.54 vs. 3.61 ± 0.68, respectively; p = 0.03). No difference in attitudes towards weight gain was observed between groups. Overall, pregnant individuals who had undergone bariatric surgery had different eating behaviors and intuitive eating components compared to pregnant individuals without bariatric surgery. These results need to be confirmed in further studies with larger sample sizes.
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Affiliation(s)
- Chloé Caredda
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Audrey St-Laurent
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Marianne Gagnon
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
| | - Stéphanie Harrison
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
| | - Emilie Bernier
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Geneviève Gagnon
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Anne-Sophie Plante
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
| | - Simone Lemieux
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Catherine Bégin
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- École de Psychologie, Université Laval, Québec, QC G1V 0A6, Canada
| | - Simon Marceau
- Axe Obésité, Diabète de Type 2 et Métabolisme, Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC G1V 4G5, Canada; (S.M.); (L.D.B.)
| | - Laurent D. Biertho
- Axe Obésité, Diabète de Type 2 et Métabolisme, Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC G1V 4G5, Canada; (S.M.); (L.D.B.)
| | - André Tchernof
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
- Axe Obésité, Diabète de Type 2 et Métabolisme, Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC G1V 4G5, Canada; (S.M.); (L.D.B.)
| | - Véronique Provencher
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
| | - Vicky Drapeau
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Département de Kinésiologie, Université Laval, Québec, QC G1V 0A6, Canada
| | - Andréanne Michaud
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
- Axe Obésité, Diabète de Type 2 et Métabolisme, Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC G1V 4G5, Canada; (S.M.); (L.D.B.)
| | - Anne-Sophie Morisset
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada (A.S.-L.); (M.G.); (S.H.); (E.B.); (A.-S.P.); (S.L.); (C.B.); (V.P.); (V.D.); (A.M.)
- Axe Endocrinologie et Néphrologie, Centre de Recherche du CHU de Québec, Université Laval, Québec, QC G1V 4G2, Canada
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada; (G.G.); (A.T.)
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12
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Souesme G, Poulin V, Ethier A, Grenier M, Sirois MJ, Beaulieu-Bonneau S, De Guise É, Lamontagne ME, Hudon C, Émond M, Ouellet MC. Challenges and facilitators in the experience of caregiving for an older adult with traumatic brain injury: A longitudinal qualitative study in the first-year postinjury. Rehabil Psychol 2024:2024-46932-001. [PMID: 38271016 DOI: 10.1037/rep0000531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
PURPOSE To obtain a better understanding of the factors which complicate or facilitate the adjustment of caregivers after traumatic brain injury (TBI) in older adults. RESEARCH METHOD At 4, 8, and 12 months post-TBI (mild to severe), 65 caregivers answered two open-ended questions regarding facilitators and challenges linked to the injury of their loved one. A thematic analysis was performed. RESULTS Participants mentioned almost as many facilitators as challenges at each time point. Among the facilitators, we found the following themes: receiving social support, having access to rehabilitation, improvement of the injured loved one's health condition, returning to live at home, having access to home services, feeling useful, effective communication, and having time for oneself. The challenges identified were: health issues in the injured loved one, psychological impact on the caregiver, assuming a new role, relationship strain, and decrease in activities and outings. CONCLUSIONS During the first year following TBI in older adults, caregivers were able to identify several facilitators despite the presence of challenging factors, suggesting effective coping and resilience. This knowledge can guide potential caregivers in their adaptation after TBI in an older adult, and we propose a simple tool to support this process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Guillaume Souesme
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Valérie Poulin
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Agnès Ethier
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Marianne Grenier
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Simon Beaulieu-Bonneau
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Marie-Eve Lamontagne
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Marcel Émond
- Centre de recherche du Centre hospitalier universitaire de Quebec
| | - Marie-Christine Ouellet
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
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13
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Marois A, Kopf M, Fortin M, Huot-Lavoie M, Martel A, Boyd JG, Gagnon JF, Archambault PM. Psychophysiological models of hypovigilance detection: A scoping review. Psychophysiology 2023; 60:e14370. [PMID: 37350389 DOI: 10.1111/psyp.14370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/31/2023] [Accepted: 06/01/2023] [Indexed: 06/24/2023]
Abstract
Hypovigilance represents a major contributor to accidents. In operational contexts, the burden of monitoring/managing vigilance often rests on operators. Recent advances in sensing technologies allow for the development of psychophysiology-based (hypo)vigilance prediction models. Still, these models remain scarcely applied to operational situations and need better understanding. The current scoping review provides a state of knowledge regarding psychophysiological models of hypovigilance detection. Records evaluating vigilance measuring tools with gold standard comparisons and hypovigilance prediction performances were extracted from MEDLINE, PsychInfo, and Inspec. Exclusion criteria comprised aspects related to language, non-empirical papers, and sleep studies. The Quality Assessment tool for Diagnostic Accuracy Studies (QUADAS) and the Prediction model Risk Of Bias ASsessment Tool (PROBAST) were used for bias evaluation. Twenty-one records were reviewed. They were mainly characterized by participant selection and analysis biases. Papers predominantly focused on driving and employed several common psychophysiological techniques. Yet, prediction methods and gold standards varied widely. Overall, we outline the main strategies used to assess hypovigilance, their principal limitations, and we discuss applications of these models.
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Affiliation(s)
- Alexandre Marois
- Thales Research and Technology Canada, Quebec City, Québec, Canada
- School of Psychology and Computer Science, University of Central Lancashire, Preston, Lancashire, United Kingdom
| | - Maëlle Kopf
- Thales Research and Technology Canada, Quebec City, Québec, Canada
| | - Michelle Fortin
- Faculty of Medicine, Université Laval, Quebec City, Québec, Canada
| | | | - Alexandre Martel
- Faculty of Medicine, Université Laval, Quebec City, Québec, Canada
| | - J Gordon Boyd
- Department of Medicine, Queen's University, Kingston, Ontario, Canada
- Kingston General Hospital, Kingston, Ontario, Canada
| | | | - Patrick M Archambault
- Faculty of Medicine, Université Laval, Quebec City, Québec, Canada
- Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada
- VITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Quebec City, Québec, Canada
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14
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Gagliano Taliun SA, Dinsmore IR, Mirshahi T, Chang AR, Paterson AD, Barua M. GWAS for the composite traits of hematuria and albuminuria. Sci Rep 2023; 13:18084. [PMID: 37872228 PMCID: PMC10593773 DOI: 10.1038/s41598-023-45102-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 10/16/2023] [Indexed: 10/25/2023] Open
Abstract
Our GWAS of hematuria in the UK Biobank identified 6 loci, some of which overlap with loci for albuminuria suggesting pleiotropy. Since clinical syndromes are often defined by combinations of traits, generating a combined phenotype can improve power to detect loci influencing multiple characteristics. Thus the composite trait of hematuria and albuminuria was chosen to enrich for glomerular pathologies. Cases had both hematuria defined by ICD codes and albuminuria defined as uACR > 3 mg/mmol. Controls had neither an ICD code for hematuria nor an uACR > 3 mg/mmol. 2429 cases and 343,509 controls from the UK Biobank were included. eGFR was lower in cases compared to controls, with the exception of the comparison in females using CKD-EPI after age adjustment. Variants at 4 loci met genome-wide significance with the following nearest genes: COL4A4, TRIM27, ETV1 and CUBN. TRIM27 is part of the extended MHC locus. All loci with the exception of ETV1 were replicated in the Geisinger MyCode cohort. The previous GWAS of hematuria reported COL4A3-COL4A4 variants and HLA-B*0801 within MHC, which is in linkage disequilibrium with the TRIM27 variant (D' = 0.59). TRIM27 is highly expressed in the tubules. Additional loci included a coding sequence variant in CUBN (p.Ala2914Val, MAF = 0.014 (A), p = 3.29E-8, OR = 2.09, 95% CI = 1.61-2.72). Overall, GWAS for the composite trait of hematuria and albuminuria identified 4 loci, 2 of which were not previously identified in a GWAS of hematuria.
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Affiliation(s)
- Sarah A Gagliano Taliun
- Department of Medicine and Department of Neurosciences, Université de Montréal, Montréal, QC, Canada
- Montréal Heart Institute, Montréal, QC, Canada
| | - Ian R Dinsmore
- Department of Genomic Health, Geisinger, Danville, PA, USA
| | | | - Alexander R Chang
- Department of Population Health Sciences, Center for Kidney Health Research, Geisinger, Danville, PA, USA
- Department of Nephrology, Geisinger, Danville, PA, USA
| | - Andrew D Paterson
- Divisions of Epidemiology and Biostatistics, Dalla Lana School of Public Health, Toronto, ON, Canada.
- Genetics and Genome Biology, Research Institute at the Hospital for Sick Children, Toronto, ON, Canada.
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
| | - Moumita Barua
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
- Division of Nephrology, University Health Network, Toronto, ON, Canada.
- Department of Medicine, University of Toronto, Toronto, ON, Canada.
- Toronto General Hospital Research Institute, 8NU-855, 200 Elizabeth Street, Toronto, ON, M5G2C4, Canada.
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15
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Boligarla S, Laison EKE, Li J, Mahadevan R, Ng A, Lin Y, Thioub MY, Huang B, Ibrahim MH, Nasri B. Leveraging machine learning approaches for predicting potential Lyme disease cases and incidence rates in the United States using Twitter. BMC Med Inform Decis Mak 2023; 23:217. [PMID: 37845666 PMCID: PMC10578027 DOI: 10.1186/s12911-023-02315-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 09/29/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND Lyme disease is one of the most commonly reported infectious diseases in the United States (US), accounting for more than [Formula: see text] of all vector-borne diseases in North America. OBJECTIVE In this paper, self-reported tweets on Twitter were analyzed in order to predict potential Lyme disease cases and accurately assess incidence rates in the US. METHODS The study was done in three stages: (1) Approximately 1.3 million tweets were collected and pre-processed to extract the most relevant Lyme disease tweets with geolocations. A subset of tweets were semi-automatically labelled as relevant or irrelevant to Lyme disease using a set of precise keywords, and the remaining portion were manually labelled, yielding a curated labelled dataset of 77, 500 tweets. (2) This labelled data set was used to train, validate, and test various combinations of NLP word embedding methods and prominent ML classification models, such as TF-IDF and logistic regression, Word2vec and XGboost, and BERTweet, among others, to identify potential Lyme disease tweets. (3) Lastly, the presence of spatio-temporal patterns in the US over a 10-year period were studied. RESULTS Preliminary results showed that BERTweet outperformed all tested NLP classifiers for identifying Lyme disease tweets, achieving the highest classification accuracy and F1-score of [Formula: see text]. There was also a consistent pattern indicating that the West and Northeast regions of the US had a higher tweet rate over time. CONCLUSIONS We focused on the less-studied problem of using Twitter data as a surveillance tool for Lyme disease in the US. Several crucial findings have emerged from the study. First, there is a fairly strong correlation between classified tweet counts and Lyme disease counts, with both following similar trends. Second, in 2015 and early 2016, the social media network like Twitter was essential in raising popular awareness of Lyme disease. Third, counties with a high incidence rate were not necessarily related with a high tweet rate, and vice versa. Fourth, BERTweet can be used as a reliable NLP classifier for detecting relevant Lyme disease tweets.
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Affiliation(s)
| | - Elda Kokoè Elolo Laison
- Department of Social and Preventive Medicine, École de Santé Publique, University of Montreal, Montréal, Canada
| | - Jiaxin Li
- Harvard Extension School, Harvard University, Cambridge, USA
| | - Raja Mahadevan
- Harvard Extension School, Harvard University, Cambridge, USA
| | - Austen Ng
- Harvard Extension School, Harvard University, Cambridge, USA
| | - Yangming Lin
- Harvard Extension School, Harvard University, Cambridge, USA
| | - Mamadou Yamar Thioub
- Department of Social and Preventive Medicine, École de Santé Publique, University of Montreal, Montréal, Canada
| | - Bruce Huang
- Department of Decision Sciences, HEC Montréal, Montréal, Canada
| | - Mohamed Hamza Ibrahim
- Department of Social and Preventive Medicine, École de Santé Publique, University of Montreal, Montréal, Canada
- Department of Mathematics, Faculty of Science, Zagazig University, Zagazig, Egypt
| | - Bouchra Nasri
- Department of Social and Preventive Medicine, École de Santé Publique, University of Montreal, Montréal, Canada.
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16
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Sandre A, Banica I, Weinberg A. Blunted neural response to errors prospectively predicts increased symptoms of depression during the COVID-19 pandemic. Emotion 2023; 23:1929-1944. [PMID: 36877489 DOI: 10.1037/emo0001224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
Symptoms of depression have increased during the COVID-19 pandemic, possibly due to increases in both chronic and episodic stress exposure. Yet these increases are being driven by a subset of people, leading to questions of what factors make some people more vulnerable. Individual differences in neural response to errors may confer vulnerability to stress-related psychopathology. However, it is unclear whether neural response to errors prospectively predicts depressive symptoms within the context of chronic and episodic stress exposure. Prior to the pandemic, neural response to errors, measured by the error-related negativity (ERN), and depression symptoms were collected from 105 young adults. Beginning in March 2020 and ending in August 2020, we collected symptoms of depression and exposure to pandemic-related episodic stressors at eight time points. Using multilevel models, we tested whether the ERN predicted depression symptoms across the first 6 months of the pandemic, a period of chronic stress. We also examined whether pandemic-related episodic stressors moderated the association between the ERN and depression symptoms. A blunted ERN predicted increased depression symptoms across the early part of the pandemic, even after adjusting for baseline depression symptoms. Moreover, episodic stress interacted with the ERN to predict concurrent symptoms of depression: For individuals exposed to greater episodic stress, a blunted ERN was associated with increased depressive symptoms at each timepoint during the pandemic. These findings indicate that blunted neural response to errors may enhance risk for depression symptoms under conditions of real-world chronic and episodic stress. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Jeanningros A, Baillot A, Corno G, Rivard MC, Aimé A, Bouchard S. Validation of a Virtual Environment to Induce State Social Physique Anxiety in Women with Obesity and Social Physique Anxiety. J Clin Med 2023; 12:6065. [PMID: 37763006 PMCID: PMC10531808 DOI: 10.3390/jcm12186065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 09/09/2023] [Accepted: 09/14/2023] [Indexed: 09/29/2023] Open
Abstract
State Social Physique Anxiety (SPA), in contrast to Trait SPA, is triggered by specific situations that elicit SPA. To date, no research has used virtual reality (VR) to recreate a situation that may elicit State SPA. The purpose of this study is to validate a virtual environment (VE) that simulates an anxiogenic situation to induce State SPA in women with obesity and high SPA. The high SPA group consisted of 25 self-identified women living with obesity and high Trait SPA. The low SPA group consisted of 20 self-identified women with low SPA. All participants were immersed in a virtual swimming pool environment for 10 min using a virtual reality headset. After the immersion, State SPA and fear of being negatively judged felt during immersion were measured with self-report questionnaires. A questionnaire assessing unwanted negative side effects was administered before and after the immersion. Using an ANCOVA with Trait SPA as covariate, State SPA was found to be significantly higher in the high SPA group. Fear of being judged negatively was also significantly higher in the high SPA group. Unwanted negative side effects scores did not increase post-immersion in either group. This study documents the validity of a novel VE for inducing State SPA in women with obesity and high SPA.
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Affiliation(s)
- Alice Jeanningros
- Psychoeducation and Psychology Department, Université du Québec en Outaouais (UQO), Gatineau, QC J8X 3X7, Canada
| | - Aurélie Baillot
- Interdisciplinary Health School, Université du Québec en Outaouais (UQO), 283 Boul. Alexandre-Taché, Gatineau, QC J8X 3X7, Canada
- Psychosocial Medicine Research Center, Centre Intégré de Santé et Services Sociaux de l’Outaouais (CISSSO), Gatineau, QC J8T 4J3, Canada
- Institut du Savoir de Montfort-Research Hospital, Ottawa, ON K1K 0T2, Canada
| | - Giulia Corno
- Centre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal IUSMM, Montreal, QC H1N 3V2, Canada
| | - Marie-Christine Rivard
- Cyberpsychology Laboratory, Université du Québec en Outaouais (UQO), Gatineau, QC J8X 3X7, Canada
| | - Annie Aimé
- Psychoeducation and Psychology Department, Université du Québec en Outaouais (UQO), Gatineau, QC J8X 3X7, Canada
| | - Stéphane Bouchard
- Psychoeducation and Psychology Department, Université du Québec en Outaouais (UQO), Gatineau, QC J8X 3X7, Canada
- Psychosocial Medicine Research Center, Centre Intégré de Santé et Services Sociaux de l’Outaouais (CISSSO), Gatineau, QC J8T 4J3, Canada
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Villeneuve K, Beaulieu-Bonneau S, Hudon C, Souesme G, Lévesque M, Predovan D, Sirois MJ, de Guise É, Lamontagne MÈ, Poulin V, Le Sage N, Émond M, Ouellet MC. Subjective and objective burden and psychological distress in care partners of older adults with traumatic brain injury. Rehabil Psychol 2023:2023-85628-001. [PMID: 37384485 DOI: 10.1037/rep0000500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2023]
Abstract
PURPOSE/OBJECTIVE In care partners of older persons (65 years and older) having sustained traumatic brain injury (TBI), the objectives were (a) to describe subjective burden (emotional, social, financial, and physical burden), objective burden (new roles and responsibilities), and psychological distress at 4 months postinjury, and (b) to explore the predictors of subjective burden and psychological distress. RESEARCH METHOD/DESIGN This is an observational study of care partners of older adults with TBI (n = 46; Mage = 65.2 years, SD = 11.2, 87% female). Participants completed the Zarit Burden Interview, the Hospital Anxiety and Depression Scale, the Brain Injury Complaint Questionnaire (measuring difficulties of the injured older adult perceived by the care partner), and the modified Medical Outcomes Study Social Support Survey. RESULTS A majority of care partners (88%) reported at least one form of objective burden (e.g., increased/decreased time spent in certain activities post-TBI), 29% perceived at least mild subjective burden, and 27% reported either significant anxiety or depressive symptoms. Linear regressions indicated that a higher number of difficulties reported regarding the injured person and poorer perceived social support predicted higher subjective burden and psychological distress. A younger age of the care partner also predicted a higher subjective burden. CONCLUSIONS/IMPLICATIONS This study provides a better understanding of the potential impacts of TBI in older age for care partners. Future research should examine how to support adequately care partners in their psychological adaptation after TBI in an elderly person. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Guillaume Souesme
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | - David Predovan
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | | | - Marie-Ève Lamontagne
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | - Valérie Poulin
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | - Marcel Émond
- Centre de recherche du CHU de Quebec, Universite Laval
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Fortin A, Lavoie KL, Ben-Porat T, Yousefi R, Peláez S, Studer AS, Bacon SL. Coconstruction of adjunct behavioral interventions to bariatric surgery: The INTER-Change program. Health Psychol 2023; 42:343-352. [PMID: 37036698 DOI: 10.1037/hea0001277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Abstract
OBJECTIVE The INTER-Change program aims to use systematic frameworks to develop adjunct behavioral interventions to enhance long-term behavior change and improve outcomes in patients undergoing bariatric surgery (BS). This paper details the program strategies and how engagement of interested parties is shaping the research. METHOD The core elements of this work include: (a) A living systematic review of behavioral weight management (BWM) interventions adjunct to BS; (b) Focus groups of interested parties, including patients, healthcare professionals, and administrators, on different aspects of designing and implementing adjunct behavioral interventions; (c) A patient-generated survey to assess needs for behavioral interventions to support BWM; (d) An international eDelphi study involving interested parties to prioritize intervention components and delivery structures; and (e) An international consensus meeting to construct testing intervention protocol(s). RESULTS The systematic review revealed that delivering BWM interventions during the postoperative period resulted in better weight maintenance; however, most interventions reviewed were poorly developed, and none included interested parties. Initial themes from ongoing focus groups highlighted nonweight-related outcomes as being key goals of adjunct behavior change interventions, with a strong emphasis on psychological well-being and health-related behaviors. The patient survey will add patients' feedback on current interventions and expectations. Finally, the eDelphi process and international consensus meeting will integrate all the findings to develop more efficient behavioral interventions and appropriate testing protocol(s). CONCLUSIONS This integrated knowledge translation approach will help ensure that the behavioral adjunct interventions are relevant to interested parties' needs, well-designed, effective, and more likely to be implemented successfully. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | | | | | | | - Sandra Peláez
- School of Kinesiology and Physical Activity Sciences (EKSAP)
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20
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Pocuca N, London-Nadeau K, Geoffroy MC, Chadi N, Séguin JR, Parent S, Boivin M, Tremblay RE, Côté SM, Castellanos-Ryan N. Changes in emerging adults' alcohol and cannabis use from before to during the COVID-19 pandemic: Evidence from a prospective birth cohort. Psychol Addict Behav 2022; 36:786-797. [PMID: 35201807 DOI: 10.1037/adb0000826] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Prospective research is needed to better-understand changes in substance use from before to during the coronavirus disease (COVID-19) pandemic, among emerging adults (18-25 years), a high-risk group for substance use. METHOD N = 1,096 (weighted sample N = 1,080; 54% female) participants enrolled in the Québec Longitudinal Study of Child Development, who completed prepandemic (2019; 21 years) and COVID-19 (mid-March to mid-June 2020) surveys. COVID-19-related and preexisting factors were examined as moderators of change in substance use. RESULTS Full sample analyses revealed decreased binge drinking (p < .001, Bayes factor [BF] = 22, Cohen's f² = 0.02), but no changes in alcohol and cannabis use. Stratified analyses revealed emerging adults who reported < monthly use prepandemic increased their alcohol use (p < .001, BF > 150, f² = 0.05) and binge drinking (p < .001, BF = 27, f² = 0.01), but not their cannabis use. Conversely, emerging adults who reported >monthly use prepandemic decreased their binge drinking (p < .001, BF > 150, f² = .12) and cannabis use (p < .001, BF > 150, f² = .06), but did not change their alcohol use frequency. Several factors moderated change in substance use, including employment loss (p = .005, BF > 39, f² = .03) and loneliness (p = .018, BF > 150, f² = .10) during COVID-19. CONCLUSIONS Changes in alcohol and cannabis use frequency among emerging adults in the first 3 months of COVID-19 largely differed according to prepandemic substance use, COVID-19-related factors, and preexisting factors. While some youth with preexisting vulnerabilities (e.g., more frequent substance use prepandemic) remained stable or decreased their substance use during COVID-19, emerging adults who experienced employment loss, loneliness, and financial concerns during COVID-19 increased their substance use, highlighting the need for increased supports for vulnerable populations. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Nina Pocuca
- School of Psychoeducation, University of Montreal
| | | | - Marie-Claude Geoffroy
- Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute
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Abstract
Retiring is associated with increased risk of cognitive decline (e.g., Bonsang, Adam, & Perelman, 2012; Wickrama, O'Neal, Kwag, & Lee, 2013). However, little is known about the moderating role of motivational and demographic factors that are implicated in adaptive development and the retirement transition process. We used data from the Midlife in the United States Study (n = 732, Mage = 57, SD = 5.76, 50% female) to examine whether the association between retirement and cognitive decline depended on a key motivation factor (goal disengagement) in propensity score matched samples of older retirees and employees. We explored whether these effects were further moderated by gender. Results showed that those who retired (vs. remained employed) experienced steeper 9-year declines in episodic memory (b = -.41, p = .001) only if they were high in goal disengagement and female. Findings are consistent with theories of lifespan development and cognitive aging and provide initial evidence that retirement may be associated with increased cognitive declines for only certain individuals prone to disengage from highly challenging activities and goal pursuits. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
- Jeremy M Hamm
- Department of Psychology, North Dakota State University
| | - Jutta Heckhausen
- Department of Psychological Science, University of California, Irvine
| | - Jacob Shane
- Department of Psychology, Brooklyn College, The City University of New York
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22
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Abstract
BACKGROUND/RATIONALE This systematic review aims to evaluate the efficacy of the nonpharmacological interventions reducing burden, psychological symptoms, and improving quality of life of caregivers of individuals with mild cognitive impairment (MCI). METHOD Databases reviewed included Medline, Cochrane Library, Embase, PsycNet, AgeLine, and ProQuest Dissertations and Theses. Studies using an experimental/quasi-experimental design including nonpharmacological intervention were included. Four studies were included, and no meta-analysis was conducted. RESULTS Calendar training and note-taking (cognitive intervention) significantly decreased caregiver's depressive symptoms and prevented worsening of subjective burden 6 months posttreatment. Daily engagement of meaningful activity combined with problem-solving therapy and educational material reduced depressive symptoms 3 months posttreatment. Moreover, educational intervention and social conversation phone calls decreased caregiver burden 3 months posttreatment. CONCLUSION Studies suggest that nonpharmacological interventions can support caregivers of older adults with MCI, but the few published articles present some bias and are inconclusive. Randomized-controlled trials targeting specifically caregivers are needed to determine the most efficient type of interventions for those individuals.
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Affiliation(s)
- Nélia Sofia Domingues
- CERVO Brain Research Centre, Quebec, Canada
- École de psychologie, Université Laval, Quebec, Canada
| | - Phylicia Verreault
- CERVO Brain Research Centre, Quebec, Canada
- École de psychologie, Université Laval, Quebec, Canada
| | - Carol Hudon
- CERVO Brain Research Centre, Quebec, Canada
- École de psychologie, Université Laval, Quebec, Canada
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