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Association between Posttraumatic Stress Symptoms and Resilience in Frontline Healthcare Workers during the COVID-19 Pandemic in Vietnam 越南 COVID-19 大流行期间一线医护人员的创伤后应激症状与复原力之间的关系
Pub Date : 2023-11-30 DOI: 10.21926/obm.neurobiol.2304199
Linh Thi Phuong Nguyen, Khoa Le Duc, Khanh Do nam, Hao Tran Thi, Huong Dang Thi, Giang Le Minh, Van Hoang Thi Hai
The COVID-19 pandemic has placed a considerable burden on frontline healthcare workers (HCWs), thus increasing their vulnerability to developing posttraumatic stress disorder (PTSD). Our study aimed to examine the relationship between possible PTSD symptoms and resilience and identify associated factors with possible PTSD symptoms among Vietnamese frontline HCWs during the COVID-19 pandemic in 2021. We conducted a cross-sectional study across medical facilities at three administrative levels: provincial, district, and commune levels of Vietnam's healthcare service and management systems. The Item of Event Scale-Revised (IES-R) and Brief Resilience Scale (BRS) were used to measure possible PTSD symptoms and psychological resilience accordingly. In the sample of 763 HCWs, two-thirds were women, their median age was 34, and nearly half were nurses. 15.9% of HCWs reported having possible PTSD symptoms. Several variables, including COVID-19 concerns: worried about being infected with COVID-19, lacking personal protective equipment (PPE), about an uncontrollable pandemic, feeling lonely about being isolated from family, and resilience capacity were statistically significant with having possible PTSD symptoms. Multiple logistic regression showed that reused PPE, concerns about lacking PPE, and low levels of resilience were significantly associated with an increased likelihood of possible PTSD symptoms. It is suggested that greater priority should be given to improving healthcare plans to mitigate HCWs' PTSD symptoms and improve their resilience trait.
COVID-19 大流行给一线医护人员(HCWs)带来了相当大的负担,从而增加了他们患创伤后应激障碍(PTSD)的可能性。我们的研究旨在探讨可能出现的创伤后应激障碍症状与复原力之间的关系,并找出 2021 年 COVID-19 大流行期间越南一线医护人员中可能出现创伤后应激障碍症状的相关因素。我们在越南医疗服务和管理系统的省级、县级和乡级三个行政级别的医疗机构中进行了横断面研究。我们使用事件项目量表修订版(IES-R)和简明复原力量表(BRS)来测量可能出现的创伤后应激障碍症状和相应的心理复原力。在 763 名医护人员样本中,三分之二为女性,年龄中位数为 34 岁,近一半为护士。15.9%的医护人员表示可能有创伤后应激障碍症状。包括对 COVID-19 的担忧(担心感染 COVID-19、缺乏个人防护设备(PPE)、担心大流行无法控制、因与家人隔绝而感到孤独)和恢复能力在内的几个变量与可能的创伤后应激障碍症状有显著的统计学关系。多元逻辑回归显示,重复使用个人防护设备、对缺乏个人防护设备的担忧和复原能力低与可能出现创伤后应激障碍症状的可能性增加有显著相关性。建议应更优先考虑改进医疗保健计划,以减轻医护人员的创伤后应激障碍症状,并提高他们的复原力。
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引用次数: 0
Understanding the Potentiality of Artificial Intelligence in Psychological Disorders Detection and Diagnostics 了解人工智能在心理障碍检测和诊断中的潜力
Pub Date : 2023-11-29 DOI: 10.21926/obm.neurobiol.2304198
Krishanu Aich, Sukrit Kashyap, Konika Tyagi, Ishika Verma, Abhimanyu Chauhan, Chakresh Kumar Jain
Today, the advancement of assessment, forecasting, and therapy or medical attention for psychological healthcare is already using artificial intelligence (AI) technology, particularly machine learning, due to the introduction of digital tools to treat mental health conditions. In mental health treatment, the present and the future of artificial intelligence technologies hold both enormous promises and potential dangers. With the current global scenario, psychological disorders like clinical depression, general anxiety disorder, post-traumatic stress disorder, or bipolar disorder are being reported at an alarming rate. Nonetheless, from the perspective of artificial intelligence, we see a shifting trend in diagnosing and early detection of such disorders. The deep learning models and power of machine learning, including Support Vector Machine (SVM), Logistic Regression, Decision Trees, Random Forest, and deep learning models like Natural Language Processing, Neural Networks, etc., have been committed to helping experts build techniques and prediction models for the same. This article presents an eagle-eye view of the work being done in this field. It focuses on the four major psychological disorders mentioned above, artificial intelligence technology and its current applications in diseases, and a discourse on how artificial intelligence can complement patient care while considering its inherent challenges, limitations, and moral considerations. Artificial intelligence is a rapidly emerging and continuously expanding field of research, which offers many prospects to the healthcare sector along with the challenges.
如今,由于引入了数字工具来治疗心理健康疾病,心理保健的评估、预测、治疗或医疗的进步已经开始使用人工智能(AI)技术,尤其是机器学习。在心理健康治疗方面,人工智能技术的现在和未来都蕴含着巨大的前景和潜在的危险。在当前的全球形势下,临床抑郁症、一般焦虑症、创伤后应激障碍或躁郁症等心理疾病的报告率令人震惊。然而,从人工智能的角度来看,我们看到了诊断和早期检测这类疾病的转变趋势。深度学习模型和机器学习的力量,包括支持向量机(SVM)、逻辑回归、决策树、随机森林,以及自然语言处理、神经网络等深度学习模型,一直致力于帮助专家建立相关的技术和预测模型。本文以鹰眼视角介绍了这一领域正在开展的工作。文章重点介绍了上述四大心理疾病、人工智能技术及其在疾病中的应用现状,并探讨了人工智能如何在考虑其固有挑战、局限性和道德因素的同时,对患者护理起到补充作用。人工智能是一个迅速崛起且不断扩展的研究领域,它为医疗保健领域带来了许多前景,同时也带来了挑战。
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引用次数: 0
Anxiety, Stress and Depression as the Notorious Barriers to Achieving a Massive Performance among Egyptian Construction Site Workers 焦虑、压力和抑郁是埃及建筑工地工人取得巨大成就的显著障碍
Pub Date : 2023-11-24 DOI: 10.21926/obm.neurobiol.2304197
N. Abdelwahed, Mohammed A. Al Doghan, B. Soomro
In today's corporate landscape, optimizing performance has emerged as a formidable challenge for organizations, often hindered by formidable barriers and psychological factors. This study explores the role of anxiety, stress, and depression in attaining performance among Egyptian construction site workers. The quantitative analysis utilizes cross-sectional data collected from workers working at different construction sites in Egypt. The study concludes with findings from 298 valid cases. Leveraging the structural equation model (SEM) in a path analysis, the results unveil a stark negative impact of anxiety (p-value = 0.199), stress (p-value = 0.115), and depression (p-value = 0.209) on overall performance. Furthermore, it underscores the noteworthy predictive power of anxiety (p-value = 0.000) and stress (p-value = 0.000) on depression. These findings carry implications for both policy-makers and psychologists, offering valuable guidance for the formulation of strategies aimed at reducing anxiety, stress, and depression to catalyze enhanced performance. Besides, this study contributes a meaningful empirical perspective to the broader psychological and medical literature drawn from the unique context of construction site workers in a developing nation.
在当今的企业环境中,优化绩效已成为组织面临的一项严峻挑战,而这往往受到巨大障碍和心理因素的阻碍。本研究探讨了焦虑、压力和抑郁在埃及建筑工地工人实现绩效中的作用。定量分析利用了从在埃及不同建筑工地工作的工人那里收集到的横截面数据。研究通过 298 个有效案例得出结论。通过路径分析中的结构方程模型(SEM),结果揭示了焦虑(p 值 = 0.199)、压力(p 值 = 0.115)和抑郁(p 值 = 0.209)对总体绩效的明显负面影响。此外,它还强调了焦虑(p 值 = 0.000)和压力(p 值 = 0.000)对抑郁的显著预测能力。这些发现对政策制定者和心理学家都具有启示意义,为制定旨在减少焦虑、压力和抑郁以促进提高绩效的策略提供了宝贵的指导。此外,本研究还从发展中国家建筑工地工人的独特背景出发,为更广泛的心理学和医学文献提供了有意义的实证视角。
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引用次数: 0
Validation of the Insomnia Severity Index among University Students in Korea 韩国大学生失眠严重程度指数的验证
Pub Date : 2023-11-21 DOI: 10.21926/obm.neurobiol.2304196
Boram Lee, Yang-Eun Kim
Insomnia is the most common sleep complaint in clinical practice, affecting both the physical and mental health of patients as well as many aspects of their life quality. Young adults, especially university students, are prone to a high prevalence of poor sleep quality or insomnia. Accurate assessment of insomnia severity among university students has become an important issue. One promising screening tool to identify clinically significant insomnia in the campus setting is the Insomnia Severity Index (ISI), a seven-item self-report measure designed to assess the nature and severity of one’s insomnia. Although the ISI has been validated in primary care settings in Korea, no studies have examined its factor structure for university students. This study aimed to analyze the psychometric properties of the Korean version of the ISI. A convenience sample of 252 undergraduate students aged 18-64 attending a four-year university in South Korea was recruited for the study. The collected data underwent exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), which tested alternative models to determine the factorial structure of the ISI. Internal consistency and convergent and discriminant validity were examined. CFA findings showed that a two-factor model best fit the data. The ISI was found to be significantly correlated with higher depressive symptoms and possess adequate internal consistency. Our study confirmed that the ISI had insufficient reliability and good convergent and discriminant validity. This study generally supports the validity and factor structure of the ISI. Its two-factor structure is a psychometrically robust measure for evaluating the prevalence of insomnia.
失眠是临床上最常见的睡眠主诉,影响着患者的身心健康和生活质量的方方面面。年轻人,尤其是大学生,睡眠质量差或失眠的发生率很高。准确评估大学生失眠的严重程度已成为一个重要问题。失眠严重程度指数(ISI)是一种有前途的筛查工具,可用于在校园环境中识别有临床意义的失眠症,它是一种由七个项目组成的自我报告测量方法,旨在评估个人失眠的性质和严重程度。虽然 ISI 已在韩国的初级保健机构中得到验证,但还没有研究对大学生的因素结构进行过研究。本研究旨在分析韩国版 ISI 的心理测量特性。研究招募了 252 名就读于韩国一所四年制大学、年龄在 18-64 岁之间的本科生作为样本。对收集到的数据进行了探索性因子分析(EFA)和确证性因子分析(CFA),通过测试替代模型来确定 ISI 的因子结构。对内部一致性、收敛效度和判别效度进行了检验。CFA 分析结果表明,双因子模型最适合数据。研究发现,ISI 与较高的抑郁症状有明显的相关性,并具有足够的内部一致性。我们的研究证实,ISI 的信度不足,但具有良好的收敛效度和区分效度。本研究总体上支持 ISI 的有效性和因子结构。其双因子结构是一种心理测量学上稳健的失眠症患病率评估方法。
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引用次数: 0
Assessment of a Person's Social Success Through the Characteristics of Interpersonal Relationships in A Virtual Environment 通过虚拟环境中人际关系的特征来评估一个人的社会成功
Pub Date : 2023-11-13 DOI: 10.21926/obm.neurobiol.2304195
Aleksey Shevcov, Pavel Ustin, Leonid Popov, Fail Gafarov, Galim Vakhitov
The sudden spread of the COVID-19 pandemic has convincingly proved the role of social networks in human life activity as an actor of interpersonal relations. The need for isolation and the limitation of face-to-face communication between people has significantly transformed the system of interpersonal connections through an extensive increase in social contacts in the virtual environment and the growing importance of online social services. In the study, we addressed the problem of diagnosing the indicator of social success of a personality, reflecting characteristics of its interpersonal relations in offline activity through the attributes of its virtual activity in social networks. The research was based on the methods of social network analysis and traditional ways of psychodiagnostics. Social networks were analyzed using social graphs - mathematical models that describe the characteristics of relationships between users in social networks through various metrics (friends, elements, edges, density, closeness centrality, degree centrality, clustering coefficient, etc.). The study aims to prove the predictive validity of social graph indicators as predictors of personality social success through correlations of graph characteristics reflecting the features of interpersonal relations of a social network user in a virtual environment with the socio-psychological hands of traditional psychodiagnostic tools. The study included 601 subjects. Data was collected using psychological questionnaires and personal profiles from the social network VKontakte. The results of the study showed correlations between several characteristics of social graphs (density, clustering coefficient, closeness centrality, etc.) and several indicators of psychodiagnostic techniques (Dominance index in relationships with others, Organizational abilities, Desire for people, Narcissism, etc.). The significant contribution of the research is to expand the methodological apparatus of psychological science and to open new methods of predicting interpersonal relations of personality through its activity in a virtual environment.
COVID-19大流行的突然蔓延令人信服地证明了社交网络作为人际关系的参与者在人类生活活动中的作用。人与人之间隔离的需要和面对面交流的限制,通过虚拟环境中社会接触的广泛增加和在线社会服务的日益重要,极大地改变了人际关系系统。在本研究中,我们解决了人格社会成功指标的诊断问题,通过其在社交网络中的虚拟活动属性来反映其在线下活动中的人际关系特征。本研究基于社会网络分析方法和传统的精神诊断方法。社交网络使用社交图进行分析,社交图是一种数学模型,通过各种指标(朋友、元素、边缘、密度、亲密中心性、度中心性、聚类系数等)描述社交网络中用户之间的关系特征。本研究旨在通过反映虚拟环境中社交网络用户人际关系特征的图形特征与传统心理诊断工具的社会心理学手的相关性,证明社交图指标作为人格社会成功预测因子的预测有效性。该研究包括601名受试者。数据是通过心理问卷和社交网络VKontakte上的个人资料收集的。研究结果表明,社交图谱的若干特征(密度、聚类系数、亲近中心性等)与心理诊断技术的若干指标(人际关系支配指数、组织能力、对人的渴望、自恋等)之间存在相关性。本研究的重要贡献在于拓展了心理科学的方法论工具,开辟了通过虚拟环境中的人格活动来预测人格人际关系的新方法。
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引用次数: 0
Rehabilitation of Chronic Pain in Post-Critical Care Patients. A Narrative Review 危重症后慢性疼痛患者的康复治疗。叙述性回顾
Pub Date : 2023-11-08 DOI: 10.21926/obm.neurobiol.2304194
Evanthia Asimakopoulou, Periklis Zavridis
Chronic pain in post-critical care patients is a multifaceted issue with profound implications for patient well-being and quality of life. This review aims to address the rehabilitation of patients who suffer from chronic pain following discharge from the intensive care unit (ICU). Despite growing awareness of the prevalence and impact of this condition, significant gaps in knowledge persist regarding the optimal rehabilitation strategies for these patients. To conduct this study, an extensive literature search was undertaken, encompassing peer-reviewed articles, clinical trials, and observational studies in Medline, Scopus, and Cinahl databases, using specific keywords. Studies were identified based on their titles, abstracts, and those that met the inclusion criteria. Sixteen studies were eligible for inclusion in this review, varying in methodology, assessment tool, assessment time, or follow-up. The findings of this review illuminate the existing gaps in knowledge by synthesizing evidence on the various rehabilitation approaches employed, their effectiveness, and the factors influencing patient outcomes. So far, healthcare professionals have targeted either pain treatment, finding an analgesic medication or the proper position/exercise, or pain management, helping the patient manage life despite the unrelieved pain. Conventional pain treatment or control has been replaced by pain rehabilitation, in which a biopsychosocial approach enables healthcare professionals to provide patients with the knowledge and skills to manage their pain and disability through personal multidimensional choices. Early rehabilitation programs, quick mobilization, and greater family participation should be encouraged. The strengths of this study lie in its thorough analysis of the available literature and the provision of valuable insights into the heterogeneous nature of chronic pain in post-critical care patients. However, limitations include the limited availability of high-quality randomized controlled trials in this domain. Overall, this review contributes to an improved understanding of rehabilitation strategies for chronic pain in post-critical care patients and underscores the need for further research to enhance patient care and outcomes.
慢性疼痛在危重症后护理患者是一个多方面的问题,深刻影响患者的福祉和生活质量。本综述旨在解决慢性疼痛患者从重症监护病房(ICU)出院后的康复问题。尽管越来越多的人意识到这种情况的患病率和影响,但关于这些患者的最佳康复策略的知识仍然存在重大差距。为了进行这项研究,我们进行了广泛的文献检索,包括Medline、Scopus和Cinahl数据库中的同行评议文章、临床试验和观察性研究,并使用了特定的关键词。根据题目、摘要和符合纳入标准的研究进行鉴定。16项研究符合纳入本综述的条件,在方法学、评估工具、评估时间或随访方面各不相同。本综述的研究结果通过综合各种康复方法、其有效性和影响患者预后的因素的证据,阐明了现有知识的空白。到目前为止,医疗保健专业人员的目标要么是疼痛治疗,找到一种镇痛药物或适当的姿势/运动,要么是疼痛管理,帮助患者在疼痛未缓解的情况下管理生活。传统的疼痛治疗或控制已被疼痛康复所取代,其中生物心理社会方法使医疗保健专业人员能够通过个人多维选择为患者提供知识和技能来管理他们的疼痛和残疾。应该鼓励早期康复方案、快速动员和更多的家庭参与。本研究的优势在于其对现有文献的深入分析,并对危重症后患者慢性疼痛的异质性提供了有价值的见解。然而,该领域的局限性包括高质量随机对照试验的有限可用性。总的来说,这篇综述有助于提高对危重症后慢性疼痛患者康复策略的理解,并强调了进一步研究以提高患者护理和结果的必要性。
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引用次数: 0
Building Resilience in Students: Managed and Minimised Stress in Students 建立学生的弹性:管理和减少学生的压力
Pub Date : 2023-11-07 DOI: 10.21926/obm.neurobiol.2304193
Gulzhaina Kassymova, Vladimir V. Podberezniy, Mariam Arpentieva, Bakhyt Zhigitbekova, Hans Schachl, Aigerim Kosherbayeva, Kundyz Aganina, Farid Vafazov, Marina G. Golubchikova, Andrey I. Korobchenko
Stressful events in students' and teachers' personal, academic, and professional lives are widespread. The paper discusses many effective methods and techniques for correcting and preventing stress that are simple to learn and practice. They give good results in working with children, adolescents, and youths in training and education. Some practices are more complex and require more attention and effort to understand and master them, but they also have broader capabilities in various situations. Therefore, training sessions aimed at training in the prevention and correction of (di)stress conditions are very relevant and necessary. The results showed that there is a conscious and urgent need for students to reduce anxiety and stress, including ways to deal with learning stresses. Stress management can and should be structured and systematically organized, including in the instrumental sense: students need to be taught how to manage stress and themselves, increase their resistance to stress (resilience), and be trained to use different coping techniques with anxiety, as appropriate. In an empirical study, representatives of other groups of students from three Kazakh universities answered questions from three author's stress questionnaires. According to the respondents, the study results showed that students need knowledge about stress. The study showed the urgent need for special educational and training seminars, lectures, and even courses on (di)stress and physical, mental, and moral injuries and coping with them. Such classes are needed to help schoolchildren and students cope with stress and avoid problems with moral, mental, and physical health to prevent other negative consequences of school and related strains.
在学生和教师的个人、学术和职业生活中,压力事件是普遍存在的。本文讨论了许多易于学习和实践的纠正和预防压力的有效方法和技巧。他们在儿童、青少年和青年的培训和教育工作中取得了良好的成果。有些实践更复杂,需要更多的关注和努力来理解和掌握它们,但它们在各种情况下也具有更广泛的能力。因此,旨在预防和纠正(di)应激条件的培训课程是非常相关和必要的。结果表明,学生有一个有意识的和迫切的需要减少焦虑和压力,包括处理学习压力的方法。压力管理可以而且应该是结构化的和系统的组织,包括在工具意义上:学生需要被教导如何管理压力和自己,增加他们对压力的抵抗力(恢复力),并接受训练,适当地使用不同的应对焦虑的技巧。在一项实证研究中,来自哈萨克斯坦三所大学的其他学生群体的代表回答了三位作者的压力问卷中的问题。根据受访者,研究结果表明,学生需要有关压力的知识。该研究表明,迫切需要举办专门的教育和培训研讨会、讲座,甚至开设有关(di)压力和身体、精神和道德伤害以及如何应对的课程。需要这样的课程来帮助学童和学生应付压力,避免道德、心理和身体健康问题,以防止学校和相关压力的其他负面后果。
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引用次数: 0
Low-Frequency Oscillations for Nonlocal Neuronal Coupling in Shared Intentionality Before and After Birth: Toward the Origin of Perception 出生前后共享意向性中非局部神经元耦合的低频振荡:感知的起源
Pub Date : 2023-11-02 DOI: 10.21926/obm.neurobiol.2304192
Igor Val Danilov
The theoretical study observes literature to understand whether or not low-frequency oscillations can simultaneously alter the excitability of neurons from peripheral nervous subsystems in different individuals to provide Shared Intentionality in recipients (e.g., fetuses and newborns) and what are the attributes of ecological context for Shared Intentionality. To grasp the perception of objects during environmental learning at the onset of cognition, a fetus needs exogenous factors that could stimulate her nervous system to choose the relevant sensory stimulus. Low-frequency brain oscillations can cause the nonlocal coupling of neurons in peripheral and central nervous subsystems that provide subliminal perception. An external low-frequency oscillator and the proximity of individuals can stimulate the coordination of their heart rates and modulate neuronal excitability. External low-frequency oscillations can increase the cognitive performance of the subjects. The characteristics of this pulsed low-frequency field are oscillations with 400 and 700 nm wavelengths alternately with the pulsed frequency ranging from 1 to 1.6 Hz. This theoretical work contributes to knowledge about nonlocal neuronal coupling in different organisms that can appear due to low-frequency oscillations. The significance of the article is that it explains the neurophysiological processes occurring during Shared Intentionality - one of the central issues in understanding the cognitive development of young children, as the conventional view in cognitive sciences argues. The article's impact is a proposal of the universal mechanism of nonlocal neuronal coupling in shaping the embryonal nervous system in animals of all species, which opens new directions for research on the origin of perception of objects.
理论研究观察文献,以了解低频振荡是否可以同时改变不同个体周围神经子系统神经元的兴奋性,从而为受体(如胎儿和新生儿)提供共享意向性,以及共享意向性的生态环境属性是什么。胎儿在认知开始的环境学习过程中,为了掌握对物体的感知,需要外源性因素刺激其神经系统选择相关的感觉刺激。低频脑振荡可引起提供阈下知觉的外周和中枢神经子系统神经元的非局部耦合。外部低频振荡器和个体的接近可以刺激他们心率的协调和调节神经元的兴奋性。外部低频振荡可以提高被试的认知能力。该脉冲低频场的特点是脉冲频率在1 ~ 1.6 Hz范围内,以400和700 nm波长交替振荡。这一理论工作有助于了解不同生物体中可能由于低频振荡而出现的非局部神经元耦合。这篇文章的意义在于,它解释了在共同意向性中发生的神经生理过程——正如认知科学的传统观点所认为的那样,这是理解幼儿认知发展的核心问题之一。这篇文章的影响是提出了非局部神经元耦合在所有物种动物胚胎神经系统形成中的普遍机制,为物体感知起源的研究开辟了新的方向。
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引用次数: 0
Technological Resources for Early Intervention in Cases of Dyscalculia: A Deductive-Inductive Categorization 计算障碍病例早期干预的技术资源:演绎-归纳分类
Pub Date : 2023-10-23 DOI: 10.21926/obm.neurobiol.2304191
Estefanía Espina, José M. Marbán, Ana Maroto
Dyscalculia is a math learning disability that significantly interferes with students' academic performance and math-related aspects of their daily lives. Early diagnosis and the design of intervention programs adapted to the needs of each case are essential. In this sense, multiple technological resources are created to address both issues. Still, it is difficult to identify which characteristics they share and which are more relevant regarding didactic suitability. Given this situation, this research proposes categorizing these resources according to the type of addressee, objective, format, and supporting scientific evidence. The categorization process has been carried out in two phases: deductive and inductive. In the first phase, a systematic review of the literature was carried out in the main scientific publication databases. Based on the review publications reading, the aspects common to the technological resources found were identified in the second phase, and the final categorization criteria were created. The result of such a procedure provides a valuable bank of technological resources for intervention in dyscalculia at early ages. However, more scientific evidence is lacking to support its efficacy and validity in educational settings.
计算障碍是一种数学学习障碍,严重影响学生的学习成绩和日常生活中与数学相关的方面。早期诊断和设计适合每个病例需要的干预方案至关重要。从这个意义上说,需要创建多种技术资源来解决这两个问题。然而,很难确定它们共有哪些特征,哪些特征与教学适用性更相关。鉴于这种情况,本研究建议根据收件人类型、目的、格式和支持的科学证据对这些资源进行分类。分类过程分为演绎和归纳两个阶段。在第一阶段,对主要科学出版物数据库中的文献进行了系统的综述。基于对评审出版物的阅读,在第二阶段确定了所发现的技术资源的共同方面,并创建了最终的分类标准。这一过程的结果为早期计算障碍的干预提供了宝贵的技术资源。然而,缺乏更多的科学证据来支持其在教育环境中的有效性和有效性。
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引用次数: 0
Factor Structure of ASD Symptoms in Russian 3-4-Year-Olds 俄罗斯3 ~ 4岁儿童ASD症状的因素结构
Pub Date : 2023-10-19 DOI: 10.21926/obm.neurobiol.2304190
Andrey Nasledov, Sergey Miroshnikov, Liubov Tkacheva, Sergey Fedorov
The study aims to reveal autism vectors that are inherent in 3-4-year-olds with ASD. Three hundred eighty-three children with ASD took part in the research. An online questionnaire developed earlier by our research group was used. In the first stage, with the repeated use of exploratory factor analysis, the task of identifying the simplest factor structure was solved. As a result, a 7-factor system was obtained, including from 9 to 14 items in each factor (78 items in total): 1) "Persistence on sameness" (Sam); 2) "Emotional dysregulation" (Em); 3) "Alienation" (Al); 4) "Speech understanding" (SU); 5) "Disinhibition/Hyperactivity" (Hyp); 6) "Echolalia" (Ech); 7) "Sensory disintegration" (Sen). Next, a "parcel approach" was applied: binary items included in each factor were randomly distributed into 3 packages, from 3 to 5 items in each box. Thus, instead of 78 binary things, 21 quantitative variables were analyzed. At the second stage, a multi-group confirmatory factor analysis was applied to verify the factor validity and structural and measurement equivalence of the obtained 7-factor model to the parts of the sample that differ by gender (m, f) and age (3 and 4 years). The factor validity of the 7-factor model was confirmed: the factors Em, Al, Su, and Ech correlated with each other (correlations from 0.33 to 0.65), forming a group of communication disorders, the second group consisted of factors Sam and Sen (r = 0.66), the factor Hyp did not correlate with other elements. The equivalence of this 7-factor model was confirmed with respect to samples differing in gender (m, f) and age (3 and 4 years). According to all 7 calculated factors-scales, the example of children with ASD statistically significantly differed from other children with the magnitude of the Coen's d effect from 0.688 to 2.088. However, it can be supposed that the factor dimension of autism symptoms can be even more significant, because the revealed structure is based on 436 initial hypothetical symptoms of autism.
这项研究旨在揭示3-4岁自闭症儿童的自闭症载体。383名自闭症儿童参与了这项研究。使用了我们研究小组早些时候开发的在线问卷。在第一阶段,通过反复使用探索性因子分析,解决了识别最简单因子结构的任务。结果得到一个7因子体系,每个因子包含9 ~ 14个项目(共78个项目):“坚持千篇一律”(山姆);2) “情绪失调”(Em);3)“异化”(Al);4)“言语理解”(SU);5)“去抑制/多动”(忧郁);6)“仿说”(决定);7)“感觉解体”(Sen)。接下来,采用“包裹法”:将每个因子中包含的二进制项目随机分配到3个包裹中,每个盒子中有3 - 5个项目。因此,我们分析的不是78个二元变量,而是21个定量变量。第二阶段,采用多组验证性因子分析,对不同性别(m, f)和年龄(3岁和4岁)的样本部分,验证所获得的7因子模型的因子效度以及结构和测量等效性。7因子模型的因子效度得到证实:因子Em、Al、Su、Ech相互相关(相关系数为0.33 ~ 0.65),构成一组沟通障碍,第二组由因子Sam和Sen组成(r = 0.66),因子Hyp与其他因子不相关。对于性别(m, f)和年龄(3岁和4岁)不同的样本,证实了该7因素模型的等效性。根据所有计算的7个因子量表,自闭症儿童的例子与其他儿童的Coen's d效应的大小在0.688到2.088之间,具有统计学上的显著差异。然而,可以假设自闭症症状的因素维度可能更重要,因为揭示的结构是基于436个自闭症的初始假设症状。
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