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Subjective cognitive concerns (SCCs) refer to individuals’ self-identified cognitive limitations, irrespective of objective neurocognitive performance. Previous literature has overwhelmingly found that psychiatric factors, not neurocognitive dysfunction, are a primary correlate of elevated SCCs across a wide range of clinical populations. However, the relationship between SCCs and objective neurocognitive performance is complex and may further be influenced by underlying mechanisms of various impairments or etiologies. Moreover, much of the extant literature has under-utilized performance validity tests (PVTs) when analyzing objective neuropsychological outcomes.
Methods
As such, this study examined the associations between SCCs, performance validity, neurocognitive performance, and psychiatric distress among adult clinical patients with primary medical/neurologic (n = 127) and psychiatric (n = 106) etiologies.
Results
Results showed that elevated SCCs are associated with greater degrees of performance invalidity and psychiatric distress, but not neurocognitive performance, among both groups.
Conclusions
Findings support the utility of PVTs in clinical research and further highlight the impact of psychiatric factors on SCCs, regardless of medical/neurologic or psychiatric etiology.
Smooth Infinitesimal Analysis (SIA) is a remarkable late twentieth-century theory of analysis. It is based on nilsquare infinitesimals, and does not rely on limits. SIA poses a challenge of motivating its use of intuitionistic logic beyond merely avoiding inconsistency. The classical-modal account(s) provided here attempt to do just that. The key is to treat the identity of an arbitrary nilsquare, e, in relation to 0 or any other nilsquare, as objectually vague or indeterminate—pace a famous argument of Evans [10]. Thus, we interpret the necessity operator of classical modal logic as “determinateness” in truth-value, naturally understood to satisfy the modal system, S4 (the accessibility relation on worlds being reflexive and transitive). Then, appealing to the translation due to Gödel et al., and its proof-theoretic faithfulness (“mirroring theorem”), we obtain a core classical-modal interpretation of SIA. Next we observe a close connection with Kripke semantics for intuitionistic logic. However, to avoid contradicting SIA’s non-classical treatment of identity relating nilsquares, we translate “=” with a non-logical surrogate, ‘E,’ with requisite properties. We then take up the interesting challenge of adding new axioms to the core CM interpretation. Two mutually incompatible ones are considered: one being the positive stability of identity and the other being a kind of necessity of indeterminate identity (among nilsquares). Consistency of the former is immediate, but the proof of consistency of the latter is a new result. Finally, we consider moving from CM to a three-valued, semi-classical framework, SCM, based on the strong Kleene axioms. This provides a way of expressing “indeterminacy” in the semantics of the logic, arguably improving on our CM. SCM is also proof-theoretically faithful, and the extensions by either of the new axioms are consistent.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
How does a politician’s gender shape citizen responses to performance in office? Much of the existing literature suggests that voters hold higher expectations of women politicians and are more likely to punish them for malfeasance. An alternative perspective suggests that voters view men politicians as more agentic and are, therefore, more responsive to their performance, whether good or bad. Using an online survey experiment in Argentina, we randomly assign respondents to information that the distribution of a government food programme in a hypothetical city is biased or unbiased, and we also randomly assign the gender of the mayor. We find that respondents are more responsive to performance information – both positive and negative – about men mayors. We find little evidence that respondents hold different expectations of malfeasance by men versus women politicians. These results contribute to our understanding of how citizens process performance information in a context with few women politicians.
Vaccine hesitancy among health care workers poses significant challenges to public health, particularly during times of crisis. This study investigates the factors influencing vaccine hesitancy among health care workers at Montefiore Medical Center, NY, with the aim of providing valuable insights to help shape and enhance future public health vaccination campaigns.
Methods
Utilizing Montefiore’s HER (Epic system) data from 2021–2023, linear logistic and multiple regression analyses were performed to assess correlations between demographic variables—such as age, race/ethnicity, job category, and county of residence—and vaccine uptake for both influenza and COVID-19 vaccines. Data were sourced from EPIC and Cority employee datasets. Missing demographic data were imputed where possible. The study population comprises a diverse workforce of 21 331 health care workers, encompassing a wide range of clinical and non-clinical roles.
Results
Key predictors of vaccine hesitancy included prior influenza vaccination status, age, race/ethnicity, job title, and county of residence. Workers vaccinated against influenza were 6.2% more likely to receive the COVID-19 vaccine. Younger health care workers and racial groups like Black and biracial employees demonstrated higher levels of hesitancy, while Asian workers exhibited higher rates of vaccine acceptance.
Conclusions
Tailored communication strategies and educational programs are critical for addressing vaccine hesitancy, particularly among younger health care workers and specific racial groups. Building trust and improving transparency will be essential to increasing vaccine uptake and achieving broader public health objectives.
One of the most effective treatments for social anxiety disorder (SAD) is cognitive behavioural therapy (CBT). Prior research indicates group cohesion is connected to treatment success in group CBT for SAD (CBGT). Videoconference CBGT delivery is now common following the COVID-19 pandemic; however, research investigating treatment outcomes and group cohesion in videoconference CBGT for SAD is limited.
Aims:
The present study aimed to compare group cohesion in videoconference CBGT for SAD to group cohesion in both in-person CBGT for SAD and videoconference CBGT for other anxiety and related disorders. A secondary aim was to compare symptom reduction across all three groups.
Method:
Patients completed a 12-week CBGT program for SAD in-person (n=28), SAD via videoconference (n=46), or for another anxiety or related disorder via videoconference (n=100). At mid- and post-treatment patients completed the Group Cohesion Scale Revised (GCS-R), and at pre- and post-treatment patients completed the Social Phobia Inventory (SPIN, only in the SAD groups) and the Depression Anxiety Stress Scales (DASS-21).
Results:
Over the course of treatment, all three groups showed a significant increase in cohesion and a significant decrease in symptoms (ηp2 ranged from .156 to .562, all p<.001). Furthermore, analyses revealed no significant difference in cohesion scores between groups at both mid- and post-treatment.
Conclusions:
These results suggest that videoconference CBGT for SAD is similarly effective in facilitating cohesion and reducing symptoms compared with in-person delivery. Limitations of the study and implications for treatment are discussed.
Research shows initial COVID-19 lockdowns increased population mental distress. Yet, the mental health impact of repeated lockdowns in England remains unknown.
Aims
To: (a) explore changes in population mental health symptoms over the COVID-19 pandemic period (March 2020 to March 2021) in England, comparing this with trends from a decade before (2009–2019) as well as after (2021–2023); (b) compare the mental health impact of each of the three lockdowns in England with periods of eased restrictions, determining who was most affected; (c) examine the impact of demographics and distinct time periods on the prevalence of mental health symptoms.
Method
A secondary analysis of a national longitudinal cohort study, utilising data from Waves 1–13 of the UK Household Longitudinal Study and from Waves 1–9 of the COVID-19 Survey. Mental health was assessed using the 12-item General Health Questionnaire. Student t-tests and logistical regressions were conducted.
Results
There was a significant increase in the prevalence of self-reported symptoms of mental health during England's pandemic period, encompassing three lockdowns, compared with the average of rates from 10 years before. Rates of reported mental health symptoms were not significantly different across each lockdown, but were significantly higher than pre-pandemic rates, declining with eased restrictions. Rates from the end of lockdown to May 2023 revealed elevated mental health symptoms compared with pre-pandemic. Elevated symptoms were observed for women, people homeworking, those with health conditions, individuals aged 30–45 years and those experiencing loneliness.
Conclusion
Repeated lockdowns in England had a substantial impact on mental health, indicating requirements for ongoing mental health support.
Covariance structure analysis and its structural equation modeling extensions have become one of the most widely used methodologies in social sciences such as psychology, education, and economics. An important issue in such analysis is to assess the goodness of fit of a model under analysis. One of the most popular test statistics used in covariance structure analysis is the asymptotically distribution-free (ADF) test statistic introduced by Browne (Br J Math Stat Psychol 37:62–83, 1984). The ADF statistic can be used to test models without any specific distribution assumption (e.g., multivariate normal distribution) of the observed data. Despite its advantage, it has been shown in various empirical studies that unless sample sizes are extremely large, this ADF statistic could perform very poorly in practice. In this paper, we provide a theoretical explanation for this phenomenon and further propose a modified test statistic that improves the performance in samples of realistic size. The proposed statistic deals with the possible ill-conditioning of the involved large-scale covariance matrices.
This paper considers some mathematical aspects of minimum trace factor analysis (MTFA). The uniqueness of an optimal point of MTFA is proved and necessary and sufficient conditions for a point x to be optimal are established. Finally, some results about the connection between MTFA and the classical minimum rank factor analysis will be presented.
In the last decade several authors discussed the so-called minimum trace factor analysis (MTFA), which provides the greatest lower bound (g.l.b.) to reliability. However, the MTFA fails to be scale free. In this paper we propose to solve the scale problem by maximization of the g.l.b. as the function of weights. Closely related to the primal problem of the g.l.b. maximization is the dual problem. We investigate the primal and dual problems utilizing convex analysis techniques. The asymptotic distribution of the maximal g.l.b. is obtained provided the population covariance matrix satisfies sone uniqueness and regularity assumptions. Finally we outline computational algorithms and consider numerical examples.
In theory, the greatest lower bound (g.l.b.) to reliability is the best possible lower bound to the reliability based on single test administration. Yet the practical use of the g.l.b. has been severely hindered by sampling bias problems. It is well known that the g.l.b. based on small samples (even a sample of one thousand subjects is not generally enough) may severely overestimate the population value, and statistical treatment of the bias has been badly missing. The only results obtained so far are concerned with the asymptotic variance of the g.l.b. and of its numerator (the maximum possible error variance of a test), based on first order derivatives and the asumption of multivariate normality. The present paper extends these results by offering explicit expressions for the second order derivatives. This yields a closed form expression for the asymptotic bias of both the g.l.b. and its numerator, under the assumptions that the rank of the reduced covariance matrix is at or above the Ledermann bound, and that the nonnegativity constraints on the diagonal elements of the matrix of unique variances are inactive. It is also shown that, when the reduced rank is at its highest possible value (i.e., the number of variables minus one), the numerator of the g.l.b. is asymptotically unbiased, and the asymptotic bias of the g.l.b. is negative. The latter results are contrary to common belief, but apply only to cases where the number of variables is small. The asymptotic results are illustrated by numerical examples.
For any given number of factors, Minimum Rank Factor Analysis yields optimal communalities for an observed covariance matrix in the sense that the unexplained common variance with that number of factors is minimized, subject to the constraint that both the diagonal matrix of unique variances and the observed covariance matrix minus that diagonal matrix are positive semidefinite. As a result, it becomes possible to distinguish the explained common variance from the total common variance. The percentage of explained common variance is similar in meaning to the percentage of explained observed variance in Principal Component Analysis, but typically the former is much closer to 100 than the latter. So far, no statistical theory of MRFA has been developed. The present paper is a first start. It yields closed-form expressions for the asymptotic bias of the explained common variance, or, more precisely, of the unexplained common variance, under the assumption of multivariate normality. Also, the asymptotic variance of this bias is derived, and also the asymptotic covariance matrix of the unique variances that define a MRFA solution. The presented asymptotic statistical inference is based on a recently developed perturbation theory of semidefinite programming. A numerical example is also offered to demonstrate the accuracy of the expressions.
In a recent article Bentler and Woodward (1983) discussed computational and statistical issues related to the greatest lower bound ρ+ to reliability. Although my work (Shapiro, 1982) was cited frequently some results presented were misunderstood. A sample estimate + of ρ + was considered and it was claimed (Bentler & Woodward) that: “Since + is not a closed form expression ... an exact analytic expression for h has not been found” (p. 247). (h is a vector of partial derivatives of ρ+ as a function of the covariance matrix.) Therefore Bentler and Woodward proposed to use numerical derivatives in order to evaluate the asymptotic variance avar (+) of +.
One of the intriguing questions of factor analysis is the extent to which one can reduce the rank of a symmetric matrix by only changing its diagonal entries. We show in this paper that the set of matrices, which can be reduced to rank r, has positive (Lebesgue) measure if and only if r is greater or equal to the Ledermann bound. In other words the Ledermann bound is shown to be almost surely the greatest lower bound to a reduced rank of the sample covariance matrix. Afterwards an asymptotic sampling theory of so-called minimum trace factor analysis (MTFA) is proposed. The theory is based on continuous and differential properties of functions involved in the MTFA. Convex analysis techniques are utilized to obtain conditions for differentiability of these functions.
An assertion that the parameters of a covariance structure are locally identified at a certain point only if the rank of the Jacobian matrix at that point equals the number of parameters, is shown to be false by means of a counterexample.
Consistency in paired comparison data is defined. Two types of inconsistency which may arise are defined. Computational formulas for these types of inconsistency are derived, and examples illustrating the use of these formulas are presented.
In a recent article Jennrich and Satorra (Psychometrika 78: 545–552, 2013) showed that a proof by Browne (British Journal of Mathematical and Statistical Psychology 37: 62–83, 1984) of the asymptotic distribution of a goodness of fit test statistic is incomplete because it fails to prove that the orthogonal component function employed is continuous. Jennrich and Satorra (Psychometrika 78: 545–552, 2013) showed how Browne’s proof can be completed satisfactorily but this required the development of an extensive and mathematically sophisticated framework for continuous orthogonal component functions. This short note provides a simple proof of the asymptotic distribution of Browne’s (British Journal of Mathematical and Statistical Psychology 37: 62–83, 1984) test statistic by using an equivalent form of the statistic that does not involve orthogonal component functions and consequently avoids all complicating issues associated with them.
The multivariate asymptotic distribution of sequential Chi-square test statistics is investigated. It is shown that: (a) when sequential Chi-square statistics are calculated for nested models on the same data, the statistics have an asymptotic intercorrelation which may be expressed in closed form, and which is, in many cases, quite high; and (b) sequential Chi-square difference tests are asymptotically independent. Some Monte Carlo evidence on the applicability of the theory is provided.
What is the effect of community policing in settings where trust in the police is low and local legal institutions make witness cooperation unusually critical for certain kinds of offenses? We study the effect of a citizen-centric problem-oriented policing (CPOP) intervention introduced in March 2019 in Punjab’s Sheikhupura Region, a mixed urban-rural region of 4.9M people. Treatment roll-out in Pakistan was significantly hampered by frequent transfers of the regional and district police officers, reflecting the challenges of implementing institutional reforms in settings where the police face frequent personnel changes. Despite these challenges, the intervention, which included regular town hall meetings at which citizens could share their concerns, led to significant increases in overall perceptions about the police and in citizen beliefs that police have good intentions with respect to addressing crime. Despite the favorable institutional environment for increased trust to lead to crime reduction, we find no evidence of downstream impacts of the program on self-reported crime victimization or crime reported to the police. Observational evidence from follow-up visits suggests that this was because of resource and institutional challenges that limited community police officers’ agency and prevented them from responding to community concerns.