Checking Different Video Game Mechanics to Assess Cognitive Abilities in Groups with and without Emotional Problems.

This study assesses cognitive abilities through video games for entertainment (Blek, Edge, and Unpossible) that were programmed from scratch to record players' behavior and the levels achieved in a sample without emotional problems and in one with emotional problems. The non-emotional-problem sample was recruited from three universities and two bachelor's degree programs. The emotional-problem sample was recruited from two outpatient centers. The participants in the emotional-problem sample completed reduced versions of the ability tests and video games, as required by their emotional problems. Three subtests of the Differential Aptitude Test that assessed abstract reasoning, visuospatial reasoning, and perceptual speed were selected as ability tests. All participants were required to complete a mental health questionnaire (PROMIS) and a brief questionnaire on their gaming habits and previous experience with the video games used. The results that were obtained showed good convergent validity of the video games as measures of cognitive abilities, and they showed that the behavior of players in the sample without emotional problems while playing predicted the level achieved in the Blek and Unpossible game fragments, but this was only true for Unpossible in the emotional-problem sample; finally, shorter versions of the Blek and Edge game fragments can be used because they maintain their good psychometric properties.

Summary of Recommendations and Key Points of the Consensus of Spanish Scientific Societies (SEPAR, SEMICYUC, SEMES; SECIP, SENEO, SEDAR, SENP) on the Use of Non-Invasive Ventilation and High-Flow Oxygen Therapy with Nasal Cannulas in Adult, Pediatric, and Neonatal Patients With Severe Acute Respiratory Failure.

Non-invasive respiratory support (NIRS) in adult, pediatric, and neonatal patients with acute respiratory failure (ARF) comprises two treatment modalities, non-invasive mechanical ventilation (NIMV) and high-flow nasal cannula (HFNC) therapy. However, experts from different specialties disagree on the benefit of these techniques in different clinical settings. The objective of this consensus was to develop a series of good clinical practice recommendations for the application of non-invasive support in patients with ARF, endorsed by all scientific societies involved in the management of adult and pediatric/neonatal patients with ARF. To this end, the different societies involved were contacted, and they in turn appointed a group of 26 professionals with sufficient experience in the use of these techniques. Three face-to-face meetings were held to agree on recommendations (up to a total of 71) based on a literature review and the latest evidence associated with 3 categories: indications, monitoring and follow-up of NIRS. Finally, the experts from each scientific society involved voted telematically on each of the recommendations. To classify the degree of agreement, an analog classification system was chosen that was easy and intuitive to use and that clearly stated whether the each NIRS intervention should be applied, could be applied, or should not be applied.

Echocardiographic Changes with Positive Airway Pressure Therapy in Obesity Hypoventilation Syndrome. Long-Term Pickwick Randomized Controlled Clinical Trial.

Rationale: Obesity hypoventilation syndrome (OHS) has been associated with cardiac dysfunction. However, randomized trials assessing the impact of long-term noninvasive ventilation (NIV) or continuous positive airway pressure (CPAP) on cardiac structure and function assessed by echocardiography are lacking.Objectives: In a prespecified secondary analysis of the largest multicenter randomized controlled trial of OHS (Pickwick Project; N = 221 patients with OHS and coexistent severe obstructive sleep apnea), we compared the effectiveness of three years of NIV and CPAP on structural and functional echocardiographic changes.Methods: At baseline and annually during three sequential years, patients underwent transthoracic two-dimensional and Doppler echocardiography. Echocardiographers at each site were blinded to the treatment allocation. Statistical analysis was performed using a linear mixed-effects model with a treatment group and repeated measures interaction to determine the differential effect between CPAP and NIV.Measurements and Main Results: A total of 196 patients were analyzed: 102 were treated with CPAP and 94 were treated with NIV. Systolic pulmonary artery pressure decreased from 40.5 ± 1.47 mm Hg at baseline to 35.3 ± 1.33 mm Hg at three years with CPAP, and from 41.5 ± 1.56 mm Hg to 35.5 ± 1.42 with NIV (P < 0.0001 for longitudinal intragroup changes for both treatment arms). However, there were no significant differences between groups. NIV and CPAP therapies similarly improved left ventricular diastolic dysfunction and reduced left atrial diameter. Both NIV and CPAP improved respiratory function and dyspnea.Conclusions: In patients with OHS who have concomitant severe obstructive sleep apnea, long-term treatment with NIV and CPAP led to similar degrees of improvement in pulmonary hypertension and left ventricular diastolic dysfunction.Clinical trial registered with www.clinicaltrials.gov (NCT01405976).

Long-term clinical effectiveness of continuous positive airway pressure therapy versus non-invasive ventilation therapy in patients with obesity hypoventilation syndrome: a multicentre, open-label, randomised controlled trial.

BACKGROUND: Obesity hypoventilation syndrome is commonly treated with continuous positive airway pressure or non-invasive ventilation during sleep. Non-invasive ventilation is more complex and costly than continuous positive airway pressure but might be advantageous because it provides ventilatory support. To date there have been no long-term trials comparing these treatment modalities. We therefore aimed to determine the long-term comparative effectiveness of both treatment modalities. METHODS: We did a multicentre, open-label, randomised controlled trial at 16 clinical sites in Spain. We included patients aged 15-80 years with untreated obesity hypoventilation syndrome and an apnoea-hypopnoea index of 30 or more events per h. We randomly assigned patients, using simple randomisation through an electronic database, to receive treatment with either non-invasive ventilation or continuous positive airway pressure. Both investigators and patients were aware of the treatment allocation. The research team was not involved in deciding hospital treatment, duration of treatment in the hospital, and adjustment of medications, as well as adjudicating cardiovascular events or cause of mortality. Treating clinicians from the routine care team were not aware of the treatment allocation. The primary outcome was the number of hospitalisation days per year. The analysis was done according to the intention-to-treat principle. This study is registered with ClinicalTrials.gov, number NCT01405976. FINDINGS: From May 4, 2009, to March 25, 2013, 100 patients were randomly assigned to the non-invasive ventilation group and 115 to the continuous positive airway pressure group, of which 97 patients in the non-invasive ventilation group and 107 in the continuous positive airway pressure group were included in the analysis. The median follow-up was 5·44 years (IQR 4·45-6·37) for all patients, 5·37 years (4·36-6·32) in the continuous positive airway pressure group, and 5·55 years (4·53-6·50) in the non-invasive ventilation group. The mean hospitalisation days per patient-year were 1·63 (SD 3·74) in the continuous positive airway pressure group and 1·44 (3·07) in the non-invasive ventilation group (adjusted rate ratio 0·78, 95% CI 0·34-1·77; p=0·561). Adverse events were similar between both groups. INTERPRETATION: In stable patients with obesity hypoventilation syndrome and severe obstructive sleep apnoea, non-invasive ventilation and continuous positive airway pressure have similar long-term effectiveness. Given that continuous positive airway pressure has lower complexity and cost, continuous positive airway pressure might be the preferred first-line positive airway pressure treatment modality until more studies become available. FUNDING: Instituto de Salud Carlos III, Spanish Respiratory Foundation, and Air Liquide Spain.

Obesity hypoventilation syndrome.

Obesity hypoventilation syndrome (OHS) is defined as a combination of obesity (body mass index ≥30 kg·m-2), daytime hypercapnia (arterial carbon dioxide tension ≥45 mmHg) and sleep disordered breathing, after ruling out other disorders that may cause alveolar hypoventilation. OHS prevalence has been estimated to be ∼0.4% of the adult population. OHS is typically diagnosed during an episode of acute-on-chronic hypercapnic respiratory failure or when symptoms lead to pulmonary or sleep consultation in stable conditions. The diagnosis is firmly established after arterial blood gases and a sleep study. The presence of daytime hypercapnia is explained by several co-existing mechanisms such as obesity-related changes in the respiratory system, alterations in respiratory drive and breathing abnormalities during sleep. The most frequent comorbidities are metabolic and cardiovascular, mainly heart failure, coronary disease and pulmonary hypertension. Both continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) improve clinical symptoms, quality of life, gas exchange, and sleep disordered breathing. CPAP is considered the first-line treatment modality for OHS phenotype with concomitant severe obstructive sleep apnoea, whereas NIV is preferred in the minority of OHS patients with hypoventilation during sleep with no or milder forms of obstructive sleep apnoea (approximately <30% of OHS patients). Acute-on-chronic hypercapnic respiratory failure is habitually treated with NIV. Appropriate management of comorbidities including medications and rehabilitation programmes are key issues for improving prognosis.

Conventional Polysomnography Is Not Necessary for the Management of Most Patients with Suspected Obstructive Sleep Apnea. Noninferiority, Randomized Controlled Trial.

RATIONALE: Home respiratory polygraphy may be a simpler alternative to in-laboratory polysomnography for the management of more symptomatic patients with obstructive sleep apnea, but its effectiveness has not been evaluated across a broad clinical spectrum. OBJECTIVES: To compare the long-term effectiveness (6 mo) of home respiratory polygraphy and polysomnography management protocols in patients with intermediate-to-high sleep apnea suspicion (most patients requiring a sleep study). METHODS: A multicentric, noninferiority, randomized controlled trial with two open parallel arms and a cost-effectiveness analysis was performed in 12 tertiary hospitals in Spain. Sequentially screened patients with sleep apnea suspicion were randomized to respiratory polygraphy or polysomnography protocols. Moreover, both arms received standardized therapeutic decision-making, continuous positive airway pressure (CPAP) treatment or a healthy habit assessment, auto-CPAP titration (for CPAP indication), health-related quality-of-life questionnaires, 24-hour blood pressure monitoring, and polysomnography at the end of follow-up. The main outcome was the Epworth Sleepiness Scale measurement. The noninferiority criterion was -2 points on the Epworth scale. MEASUREMENTS AND MAIN RESULTS: In total, 430 patients were randomized. The respiratory polygraphy protocol was noninferior to the polysomnography protocol based on the Epworth scale. Quality of life, blood pressure, and polysomnography were similar between protocols. Respiratory polygraphy was the most cost-effective protocol, with a lower per-patient cost of 416.7€. CONCLUSIONS: Home respiratory polygraphy management is similarly effective to polysomnography, with a substantially lower cost. Therefore, polysomnography is not necessary for most patients with suspected sleep apnea. This finding could change established clinical practice, with a clear economic benefit. Clinical trial registered with www.clinicaltrials.gov (NCT 01752556).

Individual differences in the dominance of interhemispheric connections predict cognitive ability beyond sex and brain size.

Global structural brain connectivity has been reported to be sex-dependent with women having increased interhemispheric connectivity (InterHc) and men having greater intrahemispheric connectivity (IntraHc). However, (a) smaller brains show greater InterHc, (b) larger brains show greater IntraHc, and (c) women have, on average, smaller brains than men. Therefore, sex differences in brain size may modulate sex differences in global brain connectivity. At the behavioural level, sex-dependent differences in connectivity are thought to contribute to men-women differences in spatial and verbal abilities. But this has never been tested at the individual level. The current study assessed whether individual differences in global structural connectome measures (InterHc, IntraHc and the ratio of InterHc relative to IntraHc) predict spatial and verbal ability while accounting for the effect of sex and brain size. The sample included forty men and forty women, who did neither differ in age nor in verbal and spatial latent components defined by a broad battery of tests and tasks. High-resolution T1-weighted and diffusion-weighted images were obtained for computing brain size and reconstructing the structural connectome. Results showed that men had higher IntraHc than women, while women had an increased ratio InterHc/IntraHc. However, these sex differences were modulated by brain size. Increased InterHc relative to IntraHc predicted higher spatial and verbal ability irrespective of sex and brain size. The positive correlations between the ratio InterHc/IntraHc and the spatial and verbal abilities were confirmed in 1000 random samples generated by bootstrapping. Therefore, sex differences in global structural connectome connectivity were modulated by brain size and did not underlie sex differences in verbal and spatial abilities. Rather, the level of dominance of InterHc over IntraHc may be associated with individual differences in verbal and spatial abilities in both men and women.

Increase in thyroid stimulating hormone levels in patients with gout treated with inhibitors of xanthine oxidoreductase.

Increase in thyroid stimulating hormone (TSH) levels over the upper normal limit has been reported in a small percentage of patients treated with febuxostat in clinical trials, but a mechanistic explanation is not yet available. In an observational parallel longitudinal cohort study, we evaluated changes in TSH levels in patients with gout at baseline and during urate-lowering treatment with febuxostat. Patients to be started on allopurinol who had a measurement of TSH in the 6-month period prior to baseline evaluation were used for comparison. TSH levels and change in TSH levels at 12-month follow-up were compared between groups. Patients with abnormal TSH levels or previous thyroid disease or on amiodarone were not included for analysis. Eighty-eight patients treated with febuxostat and 87 with allopurinol were available for comparisons. Patients to be treated with febuxostat had higher urate levels and TSH levels, more severe gout, and poorer renal function, but were similar regarding other characteristics. A similar rise in TSH levels was observed in both groups (0.4 and 0.5 µUI/mL for febuxostat and allopurinol, respectively); at 12-mo, 7/88 (7.9 %) of patients on febuxostat and 4/87 (3.4 %) of patients on allopurinol showed TSH levels over 0.5 µUI/mL. Doses prescribed (corrected for estimated glomerular filtration rate in the case if patients on allopurinol) and baseline TSH levels were determinants of TSH levels at 12-month follow-up. No impact on free T4 (fT4) levels was observed. Febuxostat, but also allopurinol, increased TSH levels in a dose-dependent way, thus suggesting rather a class effect than a drug effect, but with no apparent impact on either clinical or fT4 levels.

Still seeking for an explanation of the sequential compatibility effect / En busca de una explicación del Efecto Secuencial de Compatibilidad

The modulation of the Compatibility Effect (CE) according to the compatibility of the previous trial (Sequential Compatibility Effect, SCE) in three types of attentional tasks is explored. The flankers and spatial Stroop tasks have different degrees of cognitive complexity. In all three tasks it is analyzed whether the SCE varies when the stimuli in consecutive trials are exactly the same (pure replicas) or not. The data, collected from three independent samples (total N = 1.159), show the CE in the three tasks. However, SCE only shows up in the spatial Stroop task. The effect is smaller albeit still significant when the pure replica trials are removed, a result inconsistent with those of Mayr et al. (2003) and Hommel (1998) but consistent with the Conflict Theory (Botvinick et al., 2001). Furthermore, we also discuss the importance of cognitive complexity in relation to the perspective of Botvinick et al. (2004). From this point of view more complexity should be reflected in a greater presence of cognitive conflict, and therefore a higher SCE

Se estudia la modulación del Efecto de Compatibilidad (EC) según la compatibilidad del ensayo previo (Efecto Secuencial de Compatibilidad, ESC) en tres tipos de tareas atencionales, flancos verbal, flancos numérico y Stroop espacial, modeladas a partir de Gratton et al., (1992). Las tareas de flancos y Stroop espacial presentan diferente complejidad cognitiva. Se analiza en estas tareas si la modulación del EC está matizada por la repetición de estímulos exactamente iguales consecutivos (puras réplicas) o es independiente de ésta. Se registran datos de tres muestras independientes (Ntotal = 1.159) para averiguar si los resultados logran reproducirse. Se observa EC para las tres tareas atencionales, pero sólo hay ESC en la tarea de Stroop espacial. El efecto se mantiene después de eliminar del análisis los ensayos que son puras réplicas, un resultado inconsistente con las propuestas de Mayr et al. (2003) y Hommel (1998) pero congruente con la Teoría del Conflicto (Botvinick et al., 2001). Además, se analiza la importancia de la complejidad cognitiva en relación a la perspectiva de Botvinick et al. (2004). Desde este punto de vista una mayor complejidad se debería reflejar en una mayor presencia de conflicto cognitivo, y, por tanto, un mayor ESC

Renal clearance of uric acid is linked to insulin resistance and lower excretion of sodium in gout patients.

Inefficient renal excretion of uric acid is the main pathophysiological mechanism for hyperuricemia in gout patients. Polymorphisms of renal tubular transporters linked with sodium and monosaccharide transport have yet to be demonstrated. We intended to evaluate the impact of insulin resistance, evaluated with the homeostasis model assessment (HOMA), through a transversal study of non-diabetic patients with gout, with normal renal function, not treated with any medication but colchicine as prophylaxis. One hundred and thirty-three patients were evaluated. Clearance of uric acid was inversely correlated with insulin resistance and directly correlated with fractional excretion of sodium. In multivariate analysis, hypertension and hyperlipidemia, in addition to insulin resistance and fractional excretion of sodium, were associated with renal clearance of uric acid. HOMA cutoff for efficient versus inefficient renal handling of uric acid was 2.72, close to that observed in studies of reference population. The impact of insulin resistance and renal handling of sodium on renal clearance of uric acid may help to explain why hyperuricemia is more commonly associated with diabetes and hypertension.

Reversed hierarchy in the brain for general and specific cognitive abilities: a morphometric analysis.

Intelligence is composed of a set of cognitive abilities hierarchically organized. General and specific abilities capture distinguishable, but related, facets of the intelligence construct. Here, we analyze gray matter with three morphometric indices (volume, cortical surface area, and cortical thickness) at three levels of the intelligence hierarchy (tests, first-order factors, and a higher-order general factor, g). A group of one hundred and four healthy young adults completed a cognitive battery and underwent high-resolution structural MRI. Latent scores were computed for the intelligence factors and tests were also analyzed. The key finding reveals substantial variability in gray matter correlates at the test level, which is substantially reduced for the first-order and the higher-order factors. This supports a reversed hierarchy in the brain with respect to cognitive abilities at different psychometric levels: the greater the generality, the smaller the number of relevant gray matter clusters accounting for individual differences in intelligent performance.

Dimensionality and Transcultural Specificity of the Sexual Attraction Questionnaire (SAQ).

Sexual attraction was considered a component of sexual orientation from the beginning of the second half of the 20th century to present times. However, some recent researchers have studied sexual attraction as an independent field measuring it by the Sexual Attraction Questionnaire (SAQ). This study analyzes sexual attraction through the SAQ in 400 university students from a Peruvian catholic university. These participants -191 women and 209 men- show a very diverse curricular background. The following hypotheses were tested: a) the structure of the SAQ, pointing out two concepts: attraction to men and attraction to women; b) the high inverse correlation between these two concepts or factors; c) the specific impact of this context in sexual attraction: higher percentage of attracted by none of the sexes and lower percentage of attracted to the opposite sex, in comparison with other contexts; and d) the Lippa prediction (2006, 2007), regarding a higher polarization of sexual attraction for men than for women. Results support the first three hypotheses. Clarifications are laid down with regard to the fourth one. Discussion focuses on theoretical and applied advantages of using the SAQ as opposed to the frequent use of a single item of sexual attraction for each sex.

Dimensionality and transcultural specificity of the sexual attraction questionnaire (SAQ)

Sexual attraction was considered a component of sexual orientation from the beginning of the second half of the 20th century to present times. However, some recent researchers have studied sexual attraction as an independent field measuring it by the Sexual Attraction Questionnaire (SAQ). This study analyzes sexual attraction through the SAQ in 400 university students from a Peruvian catholic university. These participants -191 women and 209 men- show a very diverse curricular background. The following hypotheses were tested: a) the structure of the SAQ, pointing out two concepts: attraction to men and attraction to women; b) the high inverse correlation between these two concepts or factors; c) the specific impact of this context in sexual attraction: higher percentage of attracted by none of the sexes and lower percentage of attracted to the opposite sex, in comparison with other contexts; and d) the Lippa prediction (2006, 2007), regarding a higher polarization of sexual attraction for men than for women. Results support the first three hypotheses. Clarifications are laid down with regard to the fourth one. Discussion focuses on theoretical and applied advantages of using the SAQ as opposed to the frequent use of a single item of sexual attraction for each sex (AU)

La atracción sexual se ha venido considerando, desde el inicio de la segunda parte del siglo XX hasta nuestros días, como un componente más de la orientación sexual. Recientemente, se han realizado algunas investigaciones de la atracción sexual considerada en sí misma. Una de las formas de valorarla ha sido mediante el CAS (Cuestionario de Atracción Sexual). Un grupo de 400 estudiantes universitarios peruanos (191 mujeres y 209 varones), con una gran diversidad curricular, cumplimentó este instrumento. Se han puesto a prueba las siguientes hipótesis: a) la estructura del instrumento, materializando dos conceptos: la atracción hacia varones y la atracción hacia mujeres, b) la existencia de una relación inversa alta entre estos dos constructos o factores; c) la incidencia diferencial de este contexto en las frecuencias con que se manifiestan algunos tipos de atracción sexual: mayor porcentaje de los no atraídos por ningún sexo y menor de los atraídos por el otro sexo, en comparación con otros contextos; y d) la predicción de Lippa (2006, 2007) de la mayor polarización de la atracción sexual en los varones que en las mujeres. Los resultados suponen un apoyo a las hipótesis planteadas, aunque se establecen determinadas matizaciones con respecto a la cuarta. Por último se discuten las ventajas, tanto teóricas como aplicadas, de la utilización de un instrumento como el CAS frente al uso, tan frecuente, de un único ítem de atracción sexual para cada sexo (AU)

Escalas de masculinidad y feminidad: estado actual de la cuestión / Masculinity and femininity scales: Current state of the art

Tras más de un cuarto de siglo de investigaciones con las nuevas escalas de masculinidad y feminidad, se realiza una evaluación de su fundamentación teórica y de su adecuación empírica. Las hipótesis a poner a prueba son: a) la multidimensionalidad frente a la bidimensionalidad; b) la insatisfactoria proporción de varianza explicada (menos del 50%); c) la inconsistencia entre los factores a la luz del modelo dualístico(bidimensionalidad independiente). Se llevaron a cabo tres estudios diferentes, aunque complementarios: 618 estudiantes universitarios participaron en el primero, 200 en el segundo y 287 en el tercero. Tras los correspondientes análisis factoriales (PFA), los resultados ponen de manifiesto el apoyo empírico a la multidimensionalidad, la escasa proporción de varianza explicada por los ítems de estas escalas y la relativa inconsistencia entre factores. Se analizan todos estos datos a la luz del modelo de la doble realidad del sexo y el género

A theoretical and empirical review of masculinity and femininity scales was carried out after 30 years of their existence. Hypotheses to be tested were: (a) muldimensionality versus bidimensionality; (b) inadequate percentage of variance accounted for (less than 50%); (c) inconsistency between factor structure and the dualistic model. 618, 200 and 287 students took part in each of the three studies that were carried out. Factorial analyses (PAF) were performed. Results support multidimensionality, unsatisfactory percentage of variance accounted for, and lack of congruence between obtained factors and the dualistic model. All these data were analysed within the context of the twofold sex and gender reality model

Is sexual attraction independent of the instrumental and expressive traits?

Sexual attraction is an essential part of sex, just as the instrumental and expressive traits are the mainstay of gender. Various hypotheses concerning the dimensionality and independence versus dependence/overlapping of these core entities were tested. A group of 423 university students completed the Sexual Attraction Questionnaire (SAQ; Fernández, Quiroga, and Rodríguez, 2006) and the 12-item Bem Sex Role Inventory (BSRI; Bem, 1974). Internal consistency and factor analyses (PAF) were conducted. The results support the dimensionality established for the SAQ and reveal some psychometric and conceptual weaknesses of the 12-item BSRI. The results also support the independence of the two cores: sexual attraction and the instrumental and expressive traits. The logical implications for the different viewpoints of the relations between sex and gender are discussed.

Is sexual attraction independent of the instrumental and expressive traits?

Sexual attraction is an essential part of sex, just as the instrumental and expressive traits are the mainstay of gender. Various hypotheses concerning the dimensionality and independence versus dependence/overlapping of these core entities were tested. A group of 423 university students completed the Sexual Attraction Questionnaire (SAQ; Fernández,Quiroga, & Rodríguez, 2006) and the 12-item Bem Sex Role Inventory (BSRI; Bem, 1974). Internal consistency and factor analyses (PAF) were conducted. The results support the dimensionality established for the SAQ and reveal some psychometric and conceptual weaknesses of the 12-item BSRI. The results also support the independence of the two cores: sexual attraction and the instrumental and expressive traits. The logical implications for the different view points of the relations between sex and gender are discussed (AU)

Uno de los núcleos básicos de la realidad del sexo es la atracción sexual, al igual que uno de los núcleos básicos de género hace referencia a los dominios instrumental y expresivo. En este trabajo se van a poner a prueba las distintas hipótesis sobre la dimensionalidad de la atracción sexual y de los dominios instrumental y expresivo, a lapar que la hipótesis de la independencia frente a la dependencia o solapamiento de ambas realidades. Se contó para ello con la participación de 423 estudiantes universitarios. Los instrumentos utilizados fueron el Cuestionario de Atracción Sexual (CAS; Fernández, Quiroga, & Rodríguez, 2006) y la versión de 12 ítems del Bem Sex Role Inventory (BSRI; Bem, 1974). Los resultados proporcionaron un claro apoyo empírico a la dimensionalidad establecida para el SAQ, a la par que dejaron al descubierto ciertas debilidades conceptuales y psicométricas del BSRI. Los resultados apoyan la independencia de los dos núcleos: la atracción sexual y los dominios instrumental y expresivo. Se establecen las implicaciones lógicas para las distintas posturas en torno a las relaciones del sexo y el género (AU)