scholarly journals Identifying Symptom Profiles of Depression and Anxiety in Patients with an Acute Coronary Syndrome Using Latent Class and Latent Transition Analysis

2011 ◽  
Vol 42 (2) ◽  
pp. 195-210 ◽  
Author(s):  
Mayra Tisminetzky ◽  
Bethany C. Bray ◽  
Ruben Miozzo ◽  
Onesky Aupont ◽  
Thomas J. McLaughlin
2016 ◽  
Vol 13 (12) ◽  
pp. 1294-1300 ◽  
Author(s):  
Natalie Colabianchi ◽  
Jamie L. Griffin ◽  
Kerry L. McIver ◽  
Marsha Dowda ◽  
Russell R. Pate

Background:Numerous studies have focused on the role of environments in promoting physical activity, but few studies have examined the specific locations where children are active and whether being active in these locations is associated with physical activity levels over time.Methods:Self-reported locations of where physical activity occurred and physical activity measured via accelerometry were obtained for a cohort of 520 children in 5th and 6th grades. Latent class analysis was used to generate classes of children defined by the variety of locations where they were active (ie, home, school grounds, gyms, recreational centers, parks or playgrounds, neighborhood, and church). Latent transition analyses were used to characterize how these latent classes change over time and to determine whether the latent transitions were associated with changes in physical activity levels.Results:Two latent classes were identified at baseline with the majority of children in the class labeled as ‘limited variety.’ Most children maintained their latent status over time. Physical activity levels declined for all groups, but significantly less so for children who maintained their membership in the ‘greater variety’ latent status.Conclusions:Supporting and encouraging physical activity in a variety of locations may improve physical activity levels in children.


2015 ◽  
Vol 46 (3) ◽  
pp. 657-667 ◽  
Author(s):  
S. Landau ◽  
V. Harris ◽  
D. J. Burn ◽  
J. V. Hindle ◽  
C. S. Hurt ◽  
...  

BackgroundDepression and anxiety in Parkinson's disease are common and frequently co-morbid, with significant impact on health outcome. Nevertheless, management is complex and often suboptimal. The existence of clinical subtypes would support stratified approaches in both research and treatment.MethodFive hundred and thirteen patients with Parkinson's disease were assessed annually for up to 4 years. Latent transition analysis (LTA) was used to identify classes that may conform to clinically meaningful subgroups, transitions between those classes over time, and baseline clinical and demographic features that predict common trajectories.ResultsIn total, 64.1% of the sample remained in the study at year 4. LTA identified four classes, a ‘Psychologically healthy’ class (approximately 50%), and three classes associated with psychological distress: one with moderate anxiety alone (approximately 20%), and two with moderate levels of depression plus moderate or severe anxiety. Class membership tended to be stable across years, with only about 15% of individuals transitioning between the healthy class and one of the distress classes. Stable distress was predicted by higher baseline depression and psychiatric history and younger age of onset of Parkinson's disease. Those with younger age of onset were also more likely to become distressed over the course of the study.ConclusionsPsychopathology was characterized by relatively stable anxiety or anxious-depression over the 4-year period. Anxiety, with or without depression, appears to be the prominent psychopathological phenotype in Parkinson's disease suggesting a pressing need to understanding its mechanisms and improve management.


Author(s):  
Hanna Lee ◽  
Jeong-Won Han

This study aimed to classify the latent class of parenting attitude for parents with preschool children and school-age children, identify the pattern of transition in the type of parenting attitude over time, and determine the influencing factors associated with the transition. A total of 1462 households were the subjects of this longitudinal study that used latent profile analysis, latent transition analysis, and logistic regression analysis. The parenting attitude in the preschool year was classified into a model of three latent classes of ‘parent uninvolved’, ‘maternal authoritative and paternal authoritarian’, and ‘maternal authoritarian and paternal authoritative’, and the parenting attitude in the school year was classified into a model of four latent classes of ‘parent weak uninvolved’, ‘parent strong uninvolved’, parent authoritative’, and ‘maternal authoritarian and paternal authoritative.’ All latent class subjects with preschool children showed an attitude transition to maternal authoritarian and paternal authoritative when their children were in school years. It was confirmed that a mother’s depression and father’s parenting stress were the most influential factors in the parenting attitude transition. This study lay in identifying the patterns of parenting attitude and the transition in attitude according to the developmental stage of children.


2019 ◽  
Vol 123 (6) ◽  
pp. 2125-2146
Author(s):  
In Shil Paik ◽  
Sungsik Ahn ◽  
Sang Min Lee

Adopting a contextual, systematic perspective, the present study aimed to understand whether an individual’s adverse circumstances in one domain have a continuous effect on his or her maladaptation in another domain. The Korean Children and Youth Panel Survey data set, comprising a stratified sample of 1,932 students recruited from 95 schools from 16 cities in Korea, was used for pattern identification, latent class analysis, and latent transition analysis. Consistent with Masten’s resilience model, latent class analysis was used to identify the following four types of patterns: resilient, maladaptive, vulnerable, and competent-unchallenged. These four patterns were clearly identified at Time 1, Time 2, and Time 3. Latent transition analysis was used to identify the continuity and change patterns in the four groups across the developmental pathology. The transition probabilities from Time 1 to Time 2 were relatively unstable, with many variations observed among the latent classes; however, the transition probabilities from Time 2 to Time 3 remained relatively stable. An in-depth discussion of the findings and their implications is provided.


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