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Not all plaques are created equal: Uncovering a unique molecular signature in Alzheimer's disease. 并非所有斑块都是相同的揭示阿尔茨海默病的独特分子特征
Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241280001
Kristjan Holt, Emily Payne, Tara L Spires-Jones

Although neuritic plaques - comprised of aggregated fibrils of the misfolded protein, amyloid β (Aβ) - have formed a central focus of Alzheimer's disease (AD) research for decades, it is now well understood that plaque burden alone is a poor correlate of cognitive decline. This is highlighted especially when compared against other neuropathological hallmarks, such as synapse loss (the strongest correlate) and hyperphosphorylated protein tau. However, it is known that Familial AD arises due to autosomal dominant mutations directly influencing the generation of Aβ, suggesting that Aβ pathology may play a key upstream role in the disease. Such contrasting lines of evidence have thus raised questions as to why some aged individuals with high plaque burden develop AD while others remain cognitively healthy. In their recent study, published in Analytical Chemistry (June 2024), Enzlein and colleagues aimed to investigate whether differences in the molecular composition of plaques between individuals with sporadic Alzheimer's disease (N = 9) versus age-matched amyloid positive but cognitively unaffected controls (N = 8) could go towards explaining this outstanding question in the field. Using novel methods integrating mass spectrometry imaging with machine learning feature extraction, the authors compared peptide and lipid profiles to a resolving limit of 400 μm2 for >5000 individual plaques. In doing so, a distinct peptide signature was identified in sporadic Alzheimer's disease plaques that was characterised by strongly increased aggregation of the short amyloid β isoform, Aβ1-38 coupled with a lesser co-aggregation of pyroglutamate-modified Aβ3-42pE. Sporadic Alzheimer's disease plaques also demonstrated a robust lipid signature denoted by an increased presence of cell membrane components, GM1 and GM2 gangliosides. Here, we review this work; aiming to place these findings within the context of existing literature and with a view to discussing their importance in developing our current knowledge of Alzheimer's disease.

尽管由折叠错误的蛋白质淀粉样蛋白β(Aβ)的聚集纤维组成的神经斑块数十年来一直是阿尔茨海默病(AD)研究的重点,但现在人们已经清楚地认识到,仅靠斑块负荷与认知能力下降的相关性很低。这一点在与其他神经病理学特征(如突触丢失(最强的相关性)和高磷酸化蛋白 tau)进行比较时尤为突出。然而,众所周知,家族性注意力缺失症是由于常染色体显性突变直接影响了 Aβ 的生成而引起的,这表明 Aβ 的病理变化可能在该疾病中起着关键的上游作用。因此,这些截然不同的证据引发了人们的疑问:为什么一些斑块负荷较高的老年人会罹患注意力缺失症,而另一些人却仍然认知健康。在最近发表于《分析化学》(Analytical Chemistry)(2024 年 6 月)的研究中,Enzlein 及其同事旨在研究散发性阿尔茨海默氏症患者(9 人)与年龄匹配的淀粉样蛋白阳性但认知功能未受影响的对照组(8 人)之间斑块分子组成的差异是否有助于解释该领域的这一悬而未决的问题。作者采用质谱成像与机器学习特征提取相结合的新方法,对超过5000个斑块的肽和脂质特征进行了比较,分辨率达到400微米2。在此过程中,发现散发性阿尔茨海默病斑块中存在一种独特的肽特征,其特点是短淀粉样β异构体Aβ1-38的聚集强烈增加,焦谷氨酸修饰的Aβ3-42pE的共同聚集较少。散发性阿尔茨海默氏症斑块还表现出强大的脂质特征,即细胞膜成分、GM1 和 GM2 神经节苷脂的含量增加。在此,我们对这项工作进行了回顾,旨在将这些发现置于现有文献的背景下,并讨论它们在发展我们目前对阿尔茨海默病的认识方面的重要性。
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引用次数: 0
Children aged 5-13 years show adult-like disgust avoidance, but not proto-nausea. 5-13 岁的儿童表现出类似成人的厌恶回避,但没有原发性恶心。
Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241279616
Sameer N B Alladin, Dani Berry, Evgeniya Anisimova, Ruth Judson, Poppy Whittaker, Edwin S Dalmaijer

Disgust is a vital emotion in the avoidance of illness. Human adults across cultures show disgust towards sources of potential contamination or pathogens, and elect to avoid their ingestion or even to look at them. Stomach rhythms appear to play an important role: disgust reduces normogastric power, and the pharmacological normalisation of gastric state reduces disgust avoidance. Human children are remarkably slow to develop disgust as measured by self-report and facial expressions. Here, we investigate whether disgust-induced avoidance (measured using eye tracking) and changes in gastric rhythm (measured using electrogastrography) exist in children aged 5 to 13 years (N = 45). We found that children in this bracket showed oculomotor avoidance of disgusting stimuli in a preferential-looking task, similar to adult samples in previous research. However, in contrast to adult samples in previous research, children did not show an attenuation in normogastric power. These findings could suggest that avoidance behaviour precedes gastric involvement during disgust. This would support the idea that children initially respond to parental modelling: parents set (and enforce) the social norm of disgust avoidance, and children initially conform and only later do they internalise disgust as an interoceptive signal. Alternatively, the employed stimuli could have been potent enough to induce oculomotor avoidance, but not a gastric response. Research is slim in this area, and future work should focus on elucidating the role of the stomach in disgust, and on longitudinal studies of disgust development from childhood to adolescence.

厌恶是避免生病的一种重要情绪。不同文化背景下的成年人都会对潜在的污染源或病原体表现出厌恶,并选择避免摄入或甚至不去看它们。胃的节律似乎起着重要的作用:厌恶会降低正常胃动力,而胃状态的药物正常化会降低厌恶回避。根据自我报告和面部表情的测量,人类儿童产生厌恶感的速度非常缓慢。在这里,我们研究了 5 至 13 岁儿童(45 人)是否存在厌恶诱发的回避(通过眼动追踪测量)和胃节律变化(通过电胃镜测量)。我们发现,该年龄段的儿童在偏好视觉任务中表现出对恶心刺激的眼动回避,这与之前研究中的成人样本类似。然而,与以往研究中的成人样本不同的是,儿童并没有表现出正常胃动力的衰减。这些发现可能表明,在厌恶过程中,回避行为先于胃部参与。这将支持这样一种观点,即儿童最初会对父母的示范做出反应:父母设定(并执行)厌恶回避的社会规范,儿童最初会顺从,之后才会将厌恶内化为一种感知信号。另一种情况是,所使用的刺激物可能足以诱发眼球运动回避,但不会诱发胃部反应。这一领域的研究还很薄弱,今后的工作应侧重于阐明胃在厌恶中的作用,以及对从儿童到青少年的厌恶发展进行纵向研究。
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引用次数: 0
Brain mechanisms of temporal processing in impulsivity: Relevance to attention-deficit hyperactivity disorder. 冲动的大脑时间处理机制:注意缺陷多动障碍的相关性。
Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241272234
Eleanor White, Jeffrey W Dalley

In this article, we critique the hypothesis that different varieties of impulsivity, including impulsiveness present in attention-deficit hyperactivity disorder, encompass an accelerated perception of time. This conceptualisation provides insights into how individuals with attention-deficit hyperactivity disorder have the capacity to maximise cognitive capabilities by more closely aligning themselves with appropriate environmental contexts (e.g. fast paced tasks that prevent boredom). We discuss the evidence for altered time perception in attention-deficit hyperactivity disorder alongside putative underlying neurobiological substrates, including a distributed brain network mediating time perception over multiple timescales. In particular, we explore the importance of temporal representations across the brain for time perception and symptom manifestation in attention-deficit hyperactivity disorder, including a prominent role of the hippocampus and other temporal lobe regions. We also reflect on how abnormalities in the perception of time may be relevant for understanding the aetiology of attention-deficit hyperactivity disorder and mechanism of action of existing medications.

在这篇文章中,我们对不同类型的冲动(包括注意力缺陷多动障碍中的冲动)包含对时间的加速感知这一假设进行了批判。这一概念让我们了解到,注意力缺陷多动障碍患者是如何通过更紧密地与适当的环境背景(如防止无聊的快节奏任务)保持一致来最大限度地提高认知能力的。我们讨论了注意力缺陷多动障碍患者时间知觉发生改变的证据,以及推测的潜在神经生物学底物,包括在多个时间尺度上介导时间知觉的分布式大脑网络。我们特别探讨了整个大脑的时间表征对注意力缺陷多动障碍患者的时间感知和症状表现的重要性,包括海马和其他颞叶区域的突出作用。我们还思考了时间感知的异常如何与理解注意力缺陷多动障碍的病因和现有药物的作用机制相关。
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引用次数: 0
Does theta synchronicity of sensory information enhance associative memory? Replicating the theta-induced memory effect. 感觉信息的θ同步性会增强联想记忆吗?复制θ诱导记忆效应。
Pub Date : 2024-05-24 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241255798
Fatih Serin, Danying Wang, Matthew H Davis, Richard Henson

The binding of information from different sensory or neural sources is critical for associative memory. Previous research in animals suggested that the timing of theta oscillations in the hippocampus is critical for long-term potentiation, which underlies associative and episodic memory. Studies with human participants showed correlations between theta oscillations in medial temporal lobe and episodic memory. Clouter et al. directly investigated this link by modulating the intensity of the luminance and the sound of the video clips so that they 'flickered' at certain frequencies and with varying synchronicity between the visual and auditory streams. Across several experiments, better memory was found for stimuli that flickered synchronously at theta frequency compared with no-flicker, asynchronous theta, or synchronous alpha and delta frequencies. This effect - which they called the theta-induced memory effect - is consistent with the importance of theta synchronicity for long-term potentiation. In addition, electroencephalography data showed entrainment of cortical regions to the visual and auditory flicker, and that synchronicity was achieved in neuronal oscillations (with a fixed delay between visual and auditory streams). The theoretical importance, large effect size, and potential application to enhance real-world memory mean that a replication of theta-induced memory effect would be highly valuable. The present study aimed to replicate the key differences among synchronous theta, asynchronous theta, synchronous delta, and no-flicker conditions, but within a single experiment. The results do not show evidence of improved memory for theta synchronicity in any of the comparisons. We suggest a reinterpretation of theta-induced memory effect to accommodate this non-replication.

将来自不同感官或神经源的信息结合起来对于联想记忆至关重要。以前对动物的研究表明,海马的θ振荡时间对长期潜能记忆至关重要,而长期潜能记忆是联想记忆和情节记忆的基础。对人类参与者的研究表明,内侧颞叶的θ振荡与外显记忆之间存在相关性。Clouter 等人通过调节视频片段的亮度和声音强度,使其在一定频率下 "闪烁",并在视觉和听觉流之间保持不同的同步性,从而直接研究了这种联系。在多项实验中发现,与不闪烁、异步θ或同步α和δ频率相比,同步θ频率闪烁的刺激物记忆效果更好。他们将这种效应称为θ诱导记忆效应,这与θ同步性对长期潜能的重要性是一致的。此外,脑电图数据显示,大脑皮层区域与视觉和听觉闪烁相一致,而且神经元振荡(视觉流和听觉流之间有固定延迟)也实现了同步。理论上的重要性、巨大的效应规模以及在增强现实世界记忆中的潜在应用,都意味着复制θ诱导记忆效应将非常有价值。本研究旨在复制同步θ、异步θ、同步δ和无闪烁条件之间的关键差异,但仅限于一次实验。结果显示,在任何一项比较中,都没有证据表明对θ同步性的记忆有所改善。我们建议重新解释θ诱导的记忆效应,以适应这种不可复制性。
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引用次数: 0
A multimodal approach connecting cortical and behavioural responses to the visual continuity illusion. 连接大脑皮层和行为对视觉连续性错觉反应的多模式方法。
Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241251685
Matthew C D Bailey, Johann F du Hoffmann, Jeffrey W Dalley

In their recently published study, Gil, Valente and Shemesh combined behaviour, functional magnetic resonance imaging, electroencephalography and causal interventions to establish and validate a cortical processing substrate underlying the transition from static to dynamic visual states in the rat. Their research highlights the superior colliculus as the primary mediator of visual temporal discrimination by showing a direct correlation between behavioural and cortically derived flicker fusion frequency thresholds. This work provides the first empirical evidence addressing the previously established disparity between behavioural and cortically derived flicker fusion frequency thresholds. It demonstrates how important convergent multimodal approaches are to mapping and validating previously disputed cortical pathways. Here, we discuss and evaluate their work, suggesting possible future applications in the field of behavioural neuroscience.

在最近发表的研究中,Gil、Valente 和 Shemesh 将行为、功能磁共振成像、脑电图和因果干预结合起来,建立并验证了大鼠从静态视觉状态过渡到动态视觉状态的皮层处理基质。他们的研究通过显示行为和大脑皮层得出的闪烁融合频率阈值之间的直接相关性,强调了上丘是视觉时间分辨的主要中介。这项研究首次提供了实证证据,解决了之前确定的行为和大脑皮层得出的闪烁融合频率阈值之间的差异。它证明了融合多模态方法对于绘制和验证之前存在争议的皮层通路是多么重要。在此,我们讨论并评估了他们的工作,并提出了未来在行为神经科学领域可能的应用。
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引用次数: 0
Unscheduled changes in pre-clinical stroke model housing contributes to variance in physiological and behavioural data outcomes: A post hoc analysis. 临床前中风模型住房的计划外变化导致生理和行为数据结果的差异:事后分析。
Pub Date : 2024-03-20 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241238934
Aisling McFall, Delyth Graham, Stuart A Nicklin, Lorraine M Work

Ischaemic stroke presents a significant problem worldwide with no neuroprotective drugs available. Many of the failures in the search for neuroprotectants are attributed to failure to translate from pre-clinical models to humans, which has been combatted with rigorous pre-clinical stroke research guidelines. Here, we present post hoc analysis of a pre-clinical stroke trial, conducted using intraluminal filament transient middle cerebral artery occlusion in the stroke-prone spontaneously hypertensive rat, whereby unscheduled changes were implemented in the animal housing facility. These changes severely impacted body weight post-stroke resulting in a change from the typical body weight of 90.6% of pre-surgery weight post-stroke, to on average 80.5% of pre-surgery weight post-stroke. The changes also appeared to impact post-stroke blood pressure, with an increase from 215.4 to 240.3 mmHg between housing groups, and functional outcome post-stroke, with a 38% increased latency to contact in the sticky label test. These data highlight the importance of tightly controlled housing conditions when using physiological or behavioural measurements as a primary outcome.

缺血性中风是全球面临的一个重大问题,目前尚无神经保护药物。在寻找神经保护剂的过程中,许多失败都归因于未能从临床前模型转化到人体,而严格的临床前中风研究指南已经解决了这一问题。在此,我们对一项临床前中风试验进行了事后分析,该试验是在易中风的自发性高血压大鼠中使用腔内丝状瞬时大脑中动脉闭塞进行的。这些变化严重影响了中风后的体重,导致体重从中风后手术前体重的 90.6% 降至中风后手术前体重的平均 80.5%。这些变化似乎还影响了中风后的血压(住房组之间的血压从 215.4 mmHg 上升到 240.3 mmHg)和中风后的功能结果(粘贴标签测试中的接触潜伏期增加了 38%)。这些数据强调了在使用生理或行为测量作为主要结果时严格控制饲养条件的重要性。
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引用次数: 0
Sex-dependence of synaptic depression induced by activation of metabotropic glutamate receptors in rat hippocampus. 大鼠海马代谢谷氨酸受体激活诱导突触抑制的性别依赖性
Pub Date : 2024-01-29 eCollection Date: 2024-01-01 DOI: 10.1177/23982128231223579
Liam T Ralph, John Georgiou, Graham L Collingridge, Patrick Tidball

The modulation of synaptic efficacy by group I metabotropic glutamate receptors is dysregulated in several neurodevelopmental and neurodegenerative disorders impacting cognitive function. The progression and severity of these and other disorders are affected by biological sex, and differences in metabotropic glutamate receptor signalling have been implicated in this effect. In this study, we have examined whether there are any sex-dependent differences in a form of long-term depression of synaptic responses that is triggered by application of the group I metabotropic glutamate receptor agonist 3,5-dihydroxyphenylglycine (DHPG). We studied DHPG-induced long-term depression at the Schaffer collateral-commissural pathway in area CA1 of hippocampal slices prepared from three separate age groups of Sprague Dawley rats. In both juvenile (2-week-old) and young adult (3-month-old) rats, there were no differences between sexes in the magnitude of long-term depression. However, in older adult (>1-year-old) rats, DHPG-induced long-term depression was greater in males. In contrast, there were no differences between sexes with respect to basal synaptic transmission or paired-pulse facilitation in any age group. The specific enhancement of metabotropic glutamate receptor-dependent long-term depression in older adult males, but not females, reinforces the importance of considering sex as a factor in the study and treatment of brain disorders.

在一些影响认知功能的神经发育和神经退行性疾病中,I 组代谢谷氨酸受体对突触功效的调节出现失调。这些疾病和其他疾病的进展和严重程度受生理性别的影响,而代谢谷氨酸受体信号的差异被认为与这种影响有关。在这项研究中,我们研究了一种由 I 组代谢型谷氨酸受体激动剂 3,5-二羟基苯甘氨酸(DHPG)引发的突触反应长期抑制形式是否存在性别差异。我们研究了 DHPG 在三个不同年龄组的 Sprague Dawley 大鼠海马切片 CA1 区的 Schaffer 侧支-神经通路诱导的长期抑制。在幼年大鼠(2周大)和年轻成年大鼠(3个月大)中,长期抑制的程度没有性别差异。然而,在成年大鼠(大于 1 岁)中,雄性大鼠的 DHPG 诱导的长期抑郁程度更高。相反,在基础突触传递或配对脉冲促进方面,任何年龄组的大鼠都没有性别差异。代谢型谷氨酸受体依赖性长期抑郁在老年雄性大鼠中的特异性增强,而在雌性大鼠中则没有,这进一步说明了在研究和治疗脑部疾病时考虑性别因素的重要性。
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引用次数: 0
Unveiling coding of prediction and sharpening of perceptual features through multivariate pattern analysis. 通过多元模式分析揭示预测的编码和感知特征的锐化。
Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI: 10.1177/23982128231200722
Sung-Mu Lee, Petar Raykov, Andrea Greve

A recent study by Blank, Alink and Büchel, uses multivariate neuroimaging to investigate how the human brain processes the strength of face-related expectations and explores whether these expectations are represented in the same regions that process facial stimuli. In line with predictive coding theories, their study presents compelling evidence that the brain adjusts its processing based on the certainty of expectations. This occurs exclusively within high-level face-sensitive regions, rather than across the entire processing hierarchy. Here we critically discuss these findings and outline potential directions for future research to better understand how the human brain expects, processes, and perceives images.

Blank、Alink和Büchel最近的一项研究使用多变量神经成像来研究人脑如何处理与面部相关的期望强度,并探索这些期望是否在处理面部刺激的相同区域中表现出来。根据预测编码理论,他们的研究提供了令人信服的证据,证明大脑根据预期的确定性调整其处理。这只发生在高级人脸敏感区域内,而不是整个处理层次中。在这里,我们批判性地讨论了这些发现,并概述了未来研究的潜在方向,以更好地了解人脑是如何期望、处理和感知图像的。
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引用次数: 0
Desert Island Papers. 荒岛文件。
Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/23982128231199006
Kate Baker, Jeffrey W Dalley

This article presents edited highlights from a special session at the BNA International Festival of Neuroscience held in Brighton in April 2023. The session involved Desert Island Disc-style interviews between early career researchers and established investigators, discussing papers that influenced their neuroscience careers.

本文介绍了2023年4月在布莱顿举行的BNA国际神经科学节特别会议的编辑亮点。会议包括早期职业研究人员和知名研究人员之间的荒岛圆盘式访谈,讨论影响他们神经科学职业生涯的论文。
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引用次数: 0
isiXhosa translation of the Patient Health Questionnaire (PHQ-9) shows satisfactory psychometric properties for the measurement of depressive symptoms [Stage 2]. 病人健康问卷(PHQ-9)的 IsiXhosa 翻译在测量抑郁症状方面显示出令人满意的心理测量特性[第 2 阶段]。
Pub Date : 2023-08-31 eCollection Date: 2023-01-01 DOI: 10.1177/23982128231194452
Arish Mudra Rakshasa-Loots, Thandi Hamana, Busiswa Fanqa, Filicity Lindani, Kaylee van Wyhe, Sharon Kruger, Barbara Laughton

Depression is a debilitating illness, and stigma associated with it often prevents people from seeking support. Easy-to-administer and culturally- inclusive tools can allow for early screening for depressive symptoms in primary care clinics, especially in resource-limited settings. In this pre-registered pilot study (Stage 1 Report available at DOI: 10.3389/fpsyt.2022.840912), we produced an open-access isiXhosa-language version of the nine-item Patient Health Questionnaire (PHQ-9), a well-validated measure of depression incidence and severity, using a transcultural translation framework. We validated this isiXhosa PHQ-9 in a sample of N = 47 adolescents living with and without HIV in Cape Town, South Africa who speak isiXhosa at home. Reliability, convergent validity, and criterion validity were assessed, with T scores on the Achenbach System of Empirically Based Assessment Youth Self Report (YSR) form completed previously as reference standard. Our isiXhosa PHQ-9 exhibited satisfactory reliability, with Cronbach's α=0.866, inter-item correlations ranging from 0.229 to 0.730, and mean item-total correlation of 0.69. PHQ-9 score and Withdrawn/Depressed component T scores on the Youth Self Report were moderately associated (Spearman's ρ=0.40,p=0.011), indicating acceptable convergent validity. The isiXhosa PHQ-9 showed satisfactory criterion validity (area under the receiver operating characteristic curve, AUC = 0.706), but these analyses were under-powered. Principal component analysis revealed a one-factor solution, with 45.8% of variance explained by the first principal component and all factor loadings above conventional thresholds. Our isiXhosa translation of the PHQ-9 thus exhibited satisfactory psychometric properties in this pilot validation study and performed comparably to other PHQ-9 versions validated in different languages in African and global contexts. This questionnaire may serve as an invaluable culturally-inclusive screening tool for measuring depressive symptoms among isiXhosa speakers. Caution must be exercised as screening tools including the PHQ-9 may over- or under-estimate prevalence of depression. Further validation in larger, independent cohorts may enable wider use of our isiXhosa PHQ-9 as a screening tool in clinics, research studies, and mental health non-profits who serve amaXhosa.

抑郁症是一种使人衰弱的疾病,与之相关的耻辱感往往阻碍人们寻求支持。易于使用且具有文化包容性的工具可以在初级保健诊所对抑郁症状进行早期筛查,尤其是在资源有限的环境中。在这项预先登记的试点研究中(第一阶段报告见 DOI:10.3389/fpsyt.2022.840912),我们采用跨文化翻译框架,制作了九项患者健康问卷(PHQ-9)的开放存取伊西克萨语版本,这是一种经过充分验证的抑郁症发病率和严重程度测量方法。我们在南非开普敦的 N = 47 名感染和未感染 HIV 的青少年样本中验证了这一 isiXhosa PHQ-9,这些青少年在家中讲 isiXhosa 语。以之前填写的阿亨巴赫实证评估系统(Achenbach System of Empirically Based Assessment)青少年自我报告(YSR)表中的 T 分数作为参考标准,对其可靠性、收敛有效性和标准有效性进行了评估。我们的 isiXhosa PHQ-9 的信度令人满意,Cronbach's α=0.866,项目间相关系数为 0.229 至 0.730,平均项目-总相关系数为 0.69。PHQ-9得分与青少年自我报告中的 "退缩/抑郁 "部分T得分呈中度相关(Spearman's ρ=0.40,p=0.011),这表明收敛效度是可以接受的。isiXhosa PHQ-9 显示出令人满意的标准效度(接收者操作特征曲线下的面积,AUC = 0.706),但这些分析的功率不足。主成分分析显示了一个单因素解决方案,45.8% 的方差由第一个主成分解释,所有因子载荷均高于常规阈值。因此,我们的 PHQ-9 isiXhosa 翻译版本在此次试验性验证研究中表现出令人满意的心理测量特性,其表现可与在非洲和全球背景下用不同语言验证的其他 PHQ-9 版本相媲美。该问卷可作为一种宝贵的文化包容性筛查工具,用于测量讲伊索萨语的人的抑郁症状。由于包括 PHQ-9 在内的筛查工具可能会高估或低估抑郁症的患病率,因此必须谨慎行事。在规模更大、独立的队列中进行进一步验证,可使我们的isiXhosa PHQ-9作为筛查工具在诊所、研究项目和为amaXhosa人服务的心理健康非营利组织中得到更广泛的应用。
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引用次数: 0
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Brain and neuroscience advances
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