Improving test efficiency for a grid multidimensional computerized classification test by the application of a conditional latent-trait distribution to a sequential probability ratio test.

The measurement efficiency of a multidimensional computerized adaptive testing (MCAT) can be improved by taking the correlations between the dimensions into account during the item selection and latent-trait estimation procedures (Segall, 1996; Wang & Chen, 2004). Although a multidimensional computerized classification test (MCCT), which was based on a multidimensional itemresponse model, was previously found more efficient than its unidimensional counterpart, the difference was negligible (Seitz & Frey, 2013); the researchers had adopted a sequential probability ratio test (SPRT) as the termination criterion in this MCCT study. To make a classification decision on each dimension, which is called a grid classification (Wang et al., 2019), only items that loaded on that dimension were used to calculate the likelihood ratio, which squandered the available information of the correlations between the dimensions. The current study utilizes such useful information to improve the measurement efficiency of the MCCT by applying a conditional distribution of the latent-trait estimates and then including all the administered items to calculate the likelihood ratio in the SPRT. The performance of this newly proposed method was evaluated through a series of simulation studies. The results showed that the proposed method can sizably improve the measurement efficiency of an MCCT by saving 1% to 32% of the test length in comparison with the SPRT when the two test dimensions are at least moderately correlated. The findings and further applications of this study are discussed.

Child-Mother Agreement on Experiences of School Bullying Involvement in Children With ADHD.

Objective: To examine the levels of agreement between the reports of 452 children and their mothers on children's experiences of bullying involvement at school and investigate the factors influencing the levels of agreement in children with ADHD. Method: The levels of agreement between children's and mothers' reports were examined. The influence of age, sex, ADHD symptoms, and psychiatric comorbidities on the levels of agreement was also examined. Results: The results indicated low agreement on the experiences of bullying involvement in child-mother ADHD dyads. Age and hyperactivity-impulsivity, oppositional, depressive, and anxiety symptoms significantly influenced the levels of agreement on the victimization of physical bullying. Age significantly influenced the levels of agreement on the perpetration of physical bullying. Conclusion: Multiple sources of information are required when clinicians assess the experiences of bullying involvement at school in children with ADHD. The factors influencing the levels of agreement should be considered.

An Exploratory Strategy to Identify and Define Sources of Differential Item Functioning.

The sources of differential item functioning (DIF) items are usually identified through a qualitative content review by a panel of experts. However, the differential functioning for some DIF items might have been caused by reasons outside of the experts' experiences, leading to the sources for these DIF items possibly being misidentified. Quantitative methods can help to provide useful information, such as the DIF status and the number of sources of the DIF, which in turn help the item review and revision process to be more efficient and precise. However, the current quantitative methods assume all possible sources should be known in advance and collected to accompany the item response data, which is not always the case in reality. To this end, an exploratory strategy, combined with the MIMIC (multiple-indicator multiple-cause) method, that can be used to identify and name new sources of DIF is proposed in this study. The performance of this strategy was investigated through simulation. The results showed that when a set of DIF-free items can be correctly identified to define the main dimension, the proposed exploratory MIMIC method can accurately recover a number of possible sources of DIF and the items that belong to each. A real data analysis was also implemented to demonstrate how this strategy can be used in reality. The results and findings of this study are further discussed.

Safe sexual behaviors intention among female youth: The construction on extended theory of planned behavior.

AIM: To examine female youth's intentions for safe sex with the relationship partners based on the extended theory of planned behaviour (TPB) model and explore the direct and indirect impact of parent-child communication about sex, peer interaction related to sexual issues, and exposure to sexually explicit materials on female youth's safe sexual behaviour intentions. DESIGN: A non-experimental, cross-sectional research design. METHODS: A convenience sampling was employed for data collection and 731 female youth aged 15-24 years old were recruited in 2013-2014. An anonymous, self-report structured questionnaire was used as a research instrument to collect participants' basic information and measure the internal and additional variables in the extended TPB model. RESULTS: The extended TPB model explained 42-45% of the total variance. Perceived behavioural control (PBC) and subjective norms had a positive effect on female youth's intentions for contraceptive use, condom use, and dual use with relationship partner; PBC was found to have the greatest influence. Among the additional variables in the extended TPB model, more parent-child communication about sex was found to lead to more positive dual use intentions. More peer interaction related to sexual issues was found to lead to less dual use intentions. CONCLUSIONS: To improve female youth's sexual health, the priorities are to reinforce their PBC and subjective norms and enhance parent-child communication about sex. Future efforts should strengthen sex education in families and schools and shape a social environment that facilitates safe sex. IMPACT: The extended TPB model can successfully predict female youth's safe sexual behaviour intentions. Empowering female youth to establish a sense of subjectivity and awareness of being a mature individual with physical autonomy, is importance for their sexual health.

Effects of d-amphetamine on risk choice in rats depend on the manner in which the expected reward value is varied.

Decision making related to risks and rewards has been studied in the rodent by using several behavioral tests including the use of probability discounting tasks. However, it still remains unclear how long-term values and the different levels of risk are involved in decisions with reward uncertainty. In this study, we used a T-maze choice task to investigate the role of expected reward values in decision making under risk in the rat. The task was specifically set up to run with the expected value (EV) being equal to 1 between binary choice options (small-and-certain vs. large-but-risky rewards). The tests were carried out by providing three reward ratios that represented different levels of riskiness. Moreover, by varying the reward probabilities, the EV of the large-but-risky choice option that was set at either 0.5 or 2 was manipulated to determine whether choice could be influenced by the contrast between unequal EVs. Results demonstrated that the rats were able to distinguish different EVs because they clearly chose the option with a relatively larger EV (2 > 1 and 1 > 0.5). By way of contrast, risk-dependent choice appeared when the EVs were equal; in particular, risk-prone choice was made in a low-risk state, whereas risk-averse choice was made in a high-risk state. The systemic injection of d-amphetamine slightly increased the large-but-risky choices only under the high-risk condition in which the EVs were set to be equal; d-amphetamine did not affect the risk choices in the other two EVs set unequal. Overall, the present results implicate that the contrasts for unequal EVs and the different levels of risk are decision parameters critically involved in the rat's choice. And, relatively low doses of d-amphetamine did not have much of an effect on the present model of risk choice.

Using the Short-Form Cigarette Dependence Questionnaire in a Busy Clinical Practice.

The aim of this study was to refine the long version of the Cigarette Dependence Questionnaire (CDQ-29) that includes 29-items by removing some redundant questions, and then examining the predictive utility of the resulting scale in terms of its ability to explain saliva cotinine level, and testing the measurement structure of the remaining items. Across three diverse independent samples of smokers, we developed a one-factor CDQ-12 that showed good internal consistency and concurrent validity that was comparable with the CDQ-29. The proposed model was a good fit for the data. The reliability coefficient was .92, and the score of the 12-item CDQ had a moderate correlation with the total score of cigarette withdrawal ( r = .63, p < .01). The CDQ-12 is a reliable and valid Chinese-language instrument to assess cigarette dependence, which can be used to guide nursing interventions that support culturally and socially appropriate smoking cessation programs.

Heroin craving and its correlations with clinical outcome indicators in people with heroin dependence receiving methadone maintenance treatment.

BACKGROUND: Craving for substance use has been added as one of the diagnostic criteria of substance use disorders in DSM-5. However, further research is necessary to examine and expand the clinical potential of craving in the assessment and treatment for heroin users. This study aimed to examine the psychometrics of the Desire for Drug Questionnaire-Chinese Mandarin version (DDQ-CM) and its clinical utility of assessing craving for heroin measured among heroin users with methadone maintenance treatment (MMT). METHOD: Self-reported craving for heroin use was measured on the DDQ-CM and visual analog scale among 314 intravenous heroin users receiving MMT. Self-reported heroin dependence, attitude toward heroin use, readiness to change heroin use, and depression were collected. RESULTS: The results found that although the original three-factor model was acceptable for applying the DDQ-CM for heroin users with MMT, only the concurrent validity of the subscales of Desire and Intention and Negative Reinforcement was supported but not that of Control. Meanwhile, the levels of craving on the subscales of Desire and Intention and of Negative Reinforcement on the DDQ-CM were positively associated with the levels of heroin dependence, positive and negative attitudes toward heroin use, and depression, but negatively associated with readiness to change heroin use. CONCLUSIONS: This study supported the application of the subscales of Desire and Intention and Negative Reinforcement on the DDQ-CM to measure heroin craving in Taiwanese-Chinese heroin users and supported the clinical implication of craving in heroin users with MMT.

Childhood Adversity, Timing of Puberty and Adolescent Depressive Symptoms: A Longitudinal Study in Taiwan.

Childhood adversity contributes to depressive symptoms in adolescence, but far less research has focused on an Asian context. This study aims to identify the long-term impact of childhood adversity on adolescents' depressive symptoms and whether this association is moderated by gender and early pubertal timing in Taiwan. Data in this study are from the Taiwan Education Panel Survey, a longitudinal study that surveyed and followed 4261 junior high school students in year 2001 (at age 13) and three more waves (at ages 15, 17, and 18). Conditional latent growth model results show that having adversity is positively associated with the intercept, but negatively associated with the linear trend of changes of depressive symptoms in adolescence (p < .01). Early pubertal timing is only positively associated with baseline levels for boys (p < .01). Both adversity and early pubertal timing contributes to depressive symptoms when adolescents start junior high school.

Development and psychometric testing of an energy retention behavior scale for children.

BACKGROUND: Obesity is the consequence of energy retention due to energy-dense food intake (E-intake behavior) and sedentary behavior (S-behavior). PURPOSE: The purpose of this study was to develop and psychometrically test the Energy Retention Behavior Scale for Children (ERB-C scale). METHODS: The ERB-C scale was developed, consisting of an 11-item E-intake behavior subscale and a six-item S-behavior subscale. Confirmatory factor analysis and known-group validity were conducted on 371 children to examine the construct validity of this scale, and internal consistency and test-retest reliability were used to examine its reliability. RESULTS: Confirmatory factor analysis indicates that the ERB-C scale, including its subscales of E-intake behavior (10 items) and S-behavior (four items), fits the data well. The fit indices were as follows: χ = 268.22, df = 74, p < .001, normed fit index = .91, and nonnormed fit index = .92. The Cronbach's α and test-retest reliability of the ERB-C scale were .81 and .86, respectively. The mean ERB-C scale score for overweight/obese children was significantly higher than for underweight/normal-weight children (z = 3.81, p < .001). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The ERB-C scale showed satisfactory validity and reliability. This scale may help health professionals comprehensively assess the energy retention behavior of children.

Mediating effects of depression and anxiety on the relationship between bullying involvement and pain problems among adolescents in Taiwan.

BACKGROUND: This study aimed to examine the mediating effects of depression and anxiety on the relationships of bullying victimization and perpetration with pain among adolescents in Taiwan. METHOD: A total of 4976 students of junior and senior high schools completed the questionnaires. Bullying victimization and perpetration, pain problems, depression, and anxiety were assessed. The mediating effects of depression and anxiety on the relationship between bullying involvement and pain problems and the moderating effects of sex on the medicating roles of depression and anxiety were examined by structural equation model. RESULTS: Both depression and anxiety were significant mediators of the relationship between bullying victimization and pain problems among adolescents. Depression was also a significant mediator of the relationship between bullying perpetration and pain problems among adolescents. Sex had no moderating effect on the mediating role of depression/anxiety on the association between bullying involvement and pain problems. CONCLUSIONS: Medical and educational professionals should survey and intervene in depression and anxiety when managing pain problems among adolescents involved in bullying.

Development and psychometric evaluation of the psychological cigarette dependence scale for male smokers in taiwan.

BACKGROUND: The influence of psychological factors on cigarette dependence often surpasses the direct effects of the nicotine itself. Researcher opinions on the nature and extent of psychological contributors to cigarette dependence vary widely. PURPOSE: This study develops and psychometrically tests the Psychological Cigarette Dependence Scale (PCDS) for male smokers in Taiwan. METHODS: The PCDS was developed using domain identification, individual interviews for item generation, expert reviews, and testing for construct validity and instrument stability. After initial item analysis, the PCDS was tested for concurrent and construct validity and reliability on 256 adult male smokers recruited from community centers, trade and business organizations, private companies, and factories in southern Taiwan. Participants were limited to adult men because female smokers are a small (4.1%) proportion of the female population in Taiwan and thus are difficult to recruit in statistically significant numbers. RESULTS: Exploratory factor analysis showed that lifelong binding and health concerns are the two predominating factors addressed by the 37-item PCDS. The PCDS correlated positively with the Fagerstrom questionnaire (r = .54, p < .01). Cronbach's alpha was .94, and test-retest reliability (intraclass coefficient) was .77 (N = 28). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Preliminary evidence suggests that this scale is a valid measure of psychological cigarette dependence. Assessment results may help nursing professionals focus on smoking cessation interventions that are tailored to the patterns and severity of patients' psychological cigarette dependence.

Using cognitive modelling to investigate the psychological processes of the Go/NoGo discrimination task in male abstinent heroin misusers.

AIMS: To use cognitive modelling to investigate psychological processes underlying decision-making in male abstinent heroin misusers (AHMs). DESIGN: A case-control study design. SETTING: A drug misuse treatment centre in Taiwan. PARTICIPANTS: Eighty-eight male AHMs and 48 male controls. MEASUREMENTS: Four parameters representing the attention to wins, learning rate, response sensitivity and incentive of heroin-related stimuli from the modified Go/NoGo discrimination task. FINDINGS: A modified cue-dependent learning (CD) model with four parameters representing attention to wins, learning rate, response sensitivity and incentive of heroin-related stimuli had a lower value of the sum of Bayesian information criterion (showing a better fit) than the original CD model (9555.50 versus 11,192.22, P < 0.001). The AHM group had a higher value of the heroin-incentive parameter than the control group (0.26 versus -1.66, P < 0.05). The attention to wins and heroin-incentive parameters were associated positively with total commission rate and negatively with total omission rate in the AHM group (P < 0.001). CONCLUSIONS: Male abstinent heroin misusers appear to be more influenced by heroin-related stimuli during decision-making than males with no history of heroin misuse.

Mediating effects of bullying involvement on the relationship of body mass index with social phobia, depression, suicidality, and self-esteem and sex differences in adolescents in Taiwan.

The aims of this study were to examine the mediating effect of bullying involvement on the relationships between body mass index (BMI) and mental health problems, including social phobia, depression, suicidality, and low self-esteem among adolescents in Taiwan. The moderation effect of sex on the mediating role of bullying involvement was also examined. Five thousand two hundred and fifty-two students of high schools completed the questionnaires. Victimization and perpetration of passive and active bullying were assessed using the Chinese version of the School Bullying Experience Questionnaire. BMI was calculated from self-reported weight and height measurements. The Social Phobia Inventory, the Mandarin Chinese version of the Center for Epidemiological Studies-Depression Scale, the suicidality-related questionnaire from the epidemiological version of the Kiddie-Schedule for Affective Disorders and Schizophrenia, and the Rosenberg Self-Esteem Scale were applied to assess social phobia, depression, suicidality, and low self-esteem, respectively. The mediating effect of bullying involvement on the associations between increased BMI and mental health problems was examined by the Sobel test. The moderation effect of sex on the mediating role of bullying involvement was tested by the multiple-group structural equation model. Victimization of passive and active bullying and perpetration of passive bullying, but not perpetration of active bullying, had a mediating effect on the relationships between increased BMI and all four mental health problems. Sex did not have a significant moderation effect on the mediating role of bullying involvement. Bullying involvement should be a target of prevention and intervention in developing a strategy to improve mental health among adolescents with increased BMI.

The negative attribution processes of mothers of children with attention deficit/hyperactivity disorder.

The objective of this study was to investigate the attribution processes of mothers regarding children's prosocial behaviors, inattention, and hyperactivity/impulsivity (symptoms of attention deficit/hyperactivity disorder, ADHD) using two paradigms. The first paradigm involved multidimensional attributions. The second paradigm concerned making attributions of children's identical behaviors based on information such as consensus, distinctiveness, and consistency. The participants were 64 mothers of children with ADHD (7-13 years old) and 64 mothers with typical/normal children (7-12 years old). The results showed that mothers of typical children exhibited positive attribution styles or person attributions whereas mothers of children with ADHD exhibited negative attribution styles. Mothers of children with ADHD tended to make personal attributions of children's negative behaviors (e.g., inattention and hyperactivity/impulsivity; HI) but made situational attributions of prosocial behaviors. The results of this study can be used in future studies of the effects of intervention on children with ADHD or in studies related to neurophysiology.

The relation between family adversity and social anxiety among adolescents in Taiwan: effects of family function and self-esteem.

This study aimed to examine the relationship between three indicators of family adversity (domestic violence, family substance use, and broken parental marriage) and the severity of social anxiety among adolescents in Taiwan, as well as the mediating effects of perceived family function and self-esteem on that relationship, using structural equation modeling (SEM). A total of 5607 adolescents completed the social anxiety subscale of the Multidimensional Anxiety Scale for Children; the Family APGAR Index; the Rosenberg Self-Esteem Scale; and a questionnaire for domestic violence, family substance use, and broken parental marriage. The relation between family adversity and social anxiety, as well as the mediating effects of family function and self-esteem, was examined using SEM. SEM analysis revealed that all three indicators of family adversity reduced the level of family function, that decreased family function compromised the level of self-esteem, and that a low level of self-esteem further increased the severity of social anxiety. The results indicated that, along with intervening to change family adversity, evaluating and improving adolescents' self-esteem and family function are also important clinical issues when helping adolescents reduce their social anxiety.

The development of a Chinese-language instrument to measure social smoking motives among male Taiwanese smokers.

PURPOSE: The purpose of this study was to develop a scale to measure the social smoking motives of adult male smokers using a Chinese social context. DESIGN: Three phases were conducted between February 2006 and May 2009. First, the initial instrument development was guided by a literature review, interviews with smokers, and item analysis. Second, the validity and reliability of the refined scale were tested. The factor structures of the Social Smoking Measures (SSM-12) scale were validated. RESULTS: The final scale consists of 12 items. Two factors that account for 49.2% of the variance emerged from the exploratory factor analysis. Cronbach's alpha was .88, and test-retest reliability was .82. The results of the confirmatory factor analysis indicated that the SSM model was a two-correlated factor. CONCLUSION: Field testing revealed the SSM-12 to be a reliable and valid Chinese-language instrument to measure social smoking motives, which can be used to guide nursing interventions that support culturally and socially appropriate smoking cessation programs.

Transient insomnia versus chronic insomnia: a comparison study of sleep-related psychological/behavioral characteristics.

OBJECTIVES: Vulnerability to transient insomnia is regarded as a predisposing factor for chronic insomnia. However, most individuals with transient insomnia do not develop chronic insomnia. The current study investigated the differential contributing factors for these two conditions to further the understanding of this phenomenon. METHOD: Chronic insomnia patients and normal sleepers with high and low vulnerability to transient insomnia completed measures of pre-sleep arousal, dysfunctional sleep beliefs, and sleep-related safety behaviors. RESULTS: Both cognitive and somatic pre-sleep arousals were identified as significant predictors for transient insomnia. Dysfunctional beliefs regarding worry about insomnia and cognitive arousal were predictors for chronic insomnia. Sleep-related safety behavior, although correlated with insomnia severity, was not a significant predictor for both conditions. CONCLUSIONS: Dysfunctional beliefs associated with worry and losing control over sleep are the most critical factors in differentiating chronic insomnia from transient insomnia. These factors should be addressed to help prevent individuals with high sleep vulnerability from developing chronic sleep disturbance.

Wechsler Intelligence Scale for Children 4th edition-Chinese version index scores in Taiwanese children with attention-deficit/hyperactivity disorder.

AIM: The Wechsler Intelligence Scale for Children 4th edition-Chinese version (WISC-IV-Chinese) has been in clinical use in Taiwan since 2007. Research is needed to determine how the WISC-IV, modified from its earlier version, will affect its interpretation in clinical practice in a Mandarin-speaking context. METHODS: We attempted to use WISC-IV-Chinese scores to identify the cognitive strengths and weaknesses in 334 Taiwanese children with attention-deficit/hyperactivity disorder (ADHD). Comparison of cognitive profiles of WISC-IV-Chinese scores between subtypes of ADHD was also performed. RESULTS: The results indicated that the four-factor model of the WISC-IV-Chinese fitted well for Taiwanese children with ADHD. The profiles showed that performance in the index score of the Processing Speed Index was the weakness domain for the Taiwanese children with ADHD, as confirmed by two different kinds of analytic methods. Cognitive profile analysis of ADHD subtypes revealed children with inattentive subtypes to have a greater weakness in processing speed performance. CONCLUSION: The implications of the profiles of the index scores on the WISC-IV-Chinese version for Taiwanese children with ADHD were explored.

The prevalence of and psychosocial risks for suicide attempts in male and female college students in Taiwan.

The prevalence of and psychosocial risks for suicide attempts was investigated in college students in Taiwan by gender, after controlling for depressive symptoms. Self-reported data were collected from a nationally representative sample of 2,835 college students; 11.90% of females and 8.87% of males reported they had attempted suicide in the preceding 12 months. After controlling for depression, suicidal ideations were associated with suicide attempts in females, whereas there were fewer positive expectations toward the future associated with suicide attempts in males. Several explanations for the high prevalence of suicide attempts among college students in Taiwan were discussed. In the future, further verification of the findings is necessary.

Measurement equivalence across child self-reports and parent-proxy reports in the Chinese version of the pediatric quality of life inventory version 4.0.

An important assumption for comparing children's quality of life (QoL) between children's and parents' perceptions is that measurement equivalence/invariance (ME/I) exists. The ME/I across the child- and parent-reported Chinese PedsQL was examined, and the latent means between child self-reports and parent-proxy reports were compared. Third-grade to sixth-grade children (n = 519) and their parents (n = 270) respectively completed the child- and parent-reported PedsQL. Seventy-eight parents completed parent-proxy reports twice. Full ME/I across child and parent reports was found in first- and second-order factor loadings. Partial ME/I was supported in item intercepts and item residual variances. The latent means of child self-reports and of parent-proxy reports were not significantly different, which suggested interchangeability between child- and parent-reported PedsQL. The ME/I results support the use of PedsQL scores to compare children's and parents' perceptions of children's QoL.