Mapping Protective Performance of Social Network Types on Health and Quality of Life in Older People in European Regions

Objectives: To identify social network profiles using Latent Profile Analysis (LPA), to study the relationships of these profiles with health markers, mental health, quality of life, and cognitive functioning, and to compare profiles across European regions. Methods: 27,272 participants from the Wave 8 of the SHARE project, aged 65 or older (M = 74.95, SD = 7.17) from Europe. Statistical analyses included LPAs followed by MANOVAs to compare the profiles and the health markers. Results: Five profiles were identified: family, friends, spouse, diverse, and others. A no network group was also added. The prevalence of the specific profiles differed across European regions. Individuals with no network and those categorized into the others profile presented the worst health outcomes. Discussion: The "friends" network is more protective toward cognitive functioning and physical health and the "spouse" and "family" ones are more protective toward mental health. The variability according to European regions is discussed

Method Effects Associated to Item Valence: Evidence From the 10-Item Big-Five Inventory in Older Adults

The objective of this study is to analyze the factor structure of the BFI-10 considering item valence effects when applied to measure older adults. Likewise, this study aims to estimate the factorial structure, internal consistency of the scale, to assess the nomological validity, and the association of the Big Five traits with age. 75,078 participants with mean age of 68.27 from the 7th Wave of the SHARE study were included. Confirmatory Factor Analyses, omega coefficients and Pearson correlations were estimated. The best-fit model identified a five-factor structure with two valence effects, internal consistency ranged from .26 to .64, the nomological network showed that loneliness is negatively associated to neuroticism and positively with the other four traits, and the opposite direction in the associations with the five traits and satisfaction and quality of life. Consciousness, Extraversion and Openness have been found as dimensions that tend to decrease with age

Psychometric properties of the EURO-D scale of depressive symptomatology: Evidence from SHARE wave 8

Background The EURO-D is a short scale to measure symptoms of depression, very used in large population surveys. Although there are numerous validation studies, its psychometric properties remain unclear. The two-factor structure (Affective Suffering and Lack of Motivation) is replicated in several studies but with different item compositions, and none reported reliability indices for both factors. For that reason, the aim of this study is to examine the factorial validity of the scale, the reliability of the dimensions, the gender differential item functioning (DIF), and the nomological validity. Methods 46,317 participants aged 50 and over (M = 71.33), from which 57.4 % were females, in Wave 8 of the Survey of Health, Aging and Retirement in Europe (SHARE) were included. Instruments: EURO-D, R-UCLA, Self-perceived health index, and indicator of taking drugs for anxiety or depression. Factor Analyses, DIF, Reliability Index and Spearman correlations were estimated. Results Factor analysis identified a bifactor structure: a general factor of Depression and two specific factors of Affective Suffering and Lack of Motivation, which reliabilities were 0.83, 0.83 and 0.79 respectively. No relevant DIF item by gender was found, but higher scores were found in women in all factors. Both factors had positive relations with loneliness, taking drugs and self-perceived health. Limitations this study has a cross-sectional design; future research may consider the longitudinal stability of the scale. Conclusions EURO-D shows adequate psychometric properties when a general factor of depression and two specific factors are considered. Women have higher scores on all dimensions

Frequency of use and preferences for information and communication technologies in patients with sleep apnea: A multicenter, multinational, observational cross-sectional survey study

Background: Obstructive sleep apnea (OSA) is a condition characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. An accessible method to facilitate self-management education is through information and communication technologies (ICTs). Purpose: To assess the frequency of and preferences for ICT use in patients with sleep apnea. Methods: A multicenter, multinational, observational cross-sectional survey study was conducted between 2018 and 2019 in sleep units in different countries of Latin America, including patients of both genders older than 18 years with a diagnosis of sleep apnea. Participants were asked to complete 20 questions in a self-administered survey about the frequency of use of ICTs and their preferences for receiving disease-related information. Results: A total of 435 patients participated in the study, with a mean age of 59.1 ± 14.0; 62.5% (n = 272) were males. Most patients had access to cellphones (92.4%, n = 402), smartphone (83.0%, n = 361) and an internet connection (82.3%, n = 358). One-to-one ICTs were regarded as the most frequently used ICT type, as 75.4% (n = 328) of participants reported using them daily (χ2(4) = 848.207, p =.000). With respect to categories of interest, one-to-one ICTs were also the best rated ICT type to receive (59.1%, n = 257; χ2(2) = 137.710, p =.000) and ask physicians (57.0%, n = 248; χ2(2) = 129.145, p =.000) information about OSA. Finally, older adults and those with lower educational levels were found to be less likely to use and be interested in ICTs. Conclusion: Most patients have access to different ICTs and often use them to seek and receive medical information. The preferred ICTs include those in the one-to-one category (WhatsApp, email) and the one-to-many category (web browsers) for general health and OSA-related informatio

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Carta de Psicología No. 55

Alteración de las funciones ejecutivas en adultos consumidores de cocaína. Alteraciones neuropsicológicas de la demencia frontotemporal. Ansiedad y aprendizaje: retos para la educación virtual. Efectos del aislamiento social sobre el estrés y la memoria de trabajo. Efectos de los videojuegos sobre la atención en niños y adolescentes. Calidad en la educación superior enfocada en la comprensión de lectura. ¿Saben los estudiantes de la Universidad Católica en qué consiste el cambio climático y cuáles son susconsecuencias? Fortalecimiento: una mirada conceptual desde la psicología comunitaria. Del estrés laboral al síndrome de burnout en tiempos de teletrabajo. Conoce las alternativas de trabajo de grado del programa de pregrado en Psicología. El eneagrama: una herramienta para la gestión del talento humano. Relación de factores psicosociales con el engagement en empleados de modalidad de teletrabajo debido a la pandemia de COVID-19. La inteligencia emocional como estrategia para impulsar competencias y habilidades en el desarrollo. El comportamiento proambiental de cuidado del agua: una caracterización bibliométrica. Motivaciones de una persona para hacerse modificaciones corporales. Percepción de la población colombiana sobre corrupción e injusticia. Instrumento para identificar la percepción de los sectores sociales LGBTI+ en relación con su vida laboral y profesional.1a ed