Compensatory Behaviors Research Articles

Prevalence of Eating Disorder Symptoms in Transgender and Gender Diverse Adolescents Presenting for Gender-Affirming Care

PurposeTo describe the prevalence of eating disorder symptoms among adolescents seeking gender-affirming care. MethodsCross-sectional study of 660 gender-diverse adolescents who completed the Branched Eating Disorder Test to measure anorexia and bulimia symptoms. Results23.9% (95% CI 20.7–27.4) reported both anorexia symptoms, namely overvaluation of weight and fear of (or recurrent interference with) weight gain. 0.9% (95% CI 0.3–2.0) reported all bulimia symptoms, namely overvaluation of weight, recurrent binge eating, and recurrent compensatory behaviors (e.g., weekly purging). For all symptoms, prevalence was higher among i) adolescents assigned female at birth compared to those assigned male at birth, and ii) adolescents who felt unsure about their gender identity compared to those who identified as trans or nonbinary. DiscussionClinicians should monitor eating disorder symptoms among adolescents presenting for gender-affirming care, especially among those assigned female at birth or who are unsure about their gender identity.

Understanding compensatory travel

Resources to which people expect to represent their social and personal status influence important traveler decisions. Yet we know little about the antecedents and consequences of travelers' behavior under resource fluctuation. Three studies examined how resource status affects travelers' spending propensities in crisis times from the life-history framework. Results presented that travelers with lower childhood backgrounds increased their willingness to pay for international flights to compensate for their resource deficit when their current income is relatively low and travel restriction is severe. Without resource-scarce cues, travel intentions were associated with travelers' childhood travel habits. The research suggests potential customer relationship strategies by showing how and why travelers' life histories affect compensatory behavior that companies may adopt during the industrial crisis.

The Chinese Version of the Compensatory ADHD Behaviors Scale (CABS): A Study on Reliability, Validity, and Clinical Utility.

With the further development of attention-deficit/hyperactivity disorder (ADHD) research, more and more assessment tools related to ADHD have been used. However, there is still no measurement instrument to evaluate the compensatory behavior of ADHD in China. This study aimed to examine the reliability and validity of the Compensatory ADHD Behaviors Scale (CABS) adapted in Chinese and explore ecological characteristics in adults with ADHD using the CABS. Data were collected from a sample of 306 adults (Mage = 26.43 years, SD = 5.32; 46.08% male). The original version CABS was translated into Chinese using the forward and backward translation procedures. Participants completed the CABS and questionnaires assessing ADHD symptoms and executive function. We utilized content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and criterion validity to test the validity. Internal consistency and test-retest reliability were employed to test the reliability. Analysis of variance (ANOVA) was employed to compare ADHD subgroups based on gender, ADHD subtype, comorbidities, and medication status, while controlling for demographic variables as covariates. CABS exhibited good construct validity (two factors: present-oriented and future-oriented), content validity (content validity index: 0.98), internal consistency reliability (Cronbach's alpha coefficient: 0.85 to 0.87) and test-retest reliability (intraclass correlation coefficient: 0.59 to 0.88). The results of CFA showed acceptable fitness for each subscale. CABS demonstrated significant associations with inattention symptoms and plan/organizational abilities. Medicated ADHD individuals scored higher on future-oriented effectiveness subscale of CABS than non-medicated (F = 6.106, p = 0.014). The results indicate that the Chinese CABS exhibited good validity and reliability. It can be considered a valid tool for assessing compensatory behaviors in Chinese adults with ADHD. Further research is needed to explore the connection between medication and compensatory behavior.

Consenso del grupo de trabajo de los trastornos de la conducta alimentaria de SENPE (GTTCA-SENPE). Evaluación y tratamiento médico-nutricional en la anorexia nerviosa. Actualización 2023

Anorexia nervosa (AN) is a multifactorial disorder. A possible role of the social network and the gut microbiota in pathogenesis has been added. Exogenous shocks such as the COVID19 pandemic have had a negative impact on patients with AN. The potential medical and nutritional impact of malnutrition and/or compensatory behaviors gives rise to a complex disease with a wide range of severity, the management of which requires a multidisciplinary team with a high level of subject matter expertise. Coordination between levels of care is necessary as well as understanding how to transition the patient from pediatric to adult care is essential. A proper clinical evaluation can detect possible complications, as well as establish the organic risk of the patient. This allows caregivers to tailor the medical-nutritional treatment for each patient. Reestablishing adequate nutritional behaviors is a fundamental pillar of treatment in AN. The design of a personalized nutritional treatment and education program is necessary for this purpose. Depending on the clinical severity, artificial nutrition may be necessary. Although the decision regarding the level of care necessary at diagnosis or during follow-up depends on a number of factors (awareness of the disease, medical stability, complications, suicidal risk, outpatient treatment failure, psychosocial context, etc.), outpatient treatment is the most frequent and most preferred choice. However, more intensive care (total or partial hospitalization) may be necessary in certain cases. In severely malnourished patients, the appearance of refeeding syndrome should be prevented during renourishment. The presence of AN in certain situations (pregnancy, vegetarianism, type 1 diabetes mellitus) requires specific care. Physical activity in these patients must also be addressed correctly.

Пятифакторная модель и диагностический опросник внутриличностного гендерного ролевого конфликта

Background. Personal self-regulation at the level of value-semantic formations is complicated when gender self-awareness is formed with multiple, sometimes mutually exclusive gender roles and images. This creates conditions for the development of intrapersonal conflicts, one of them being the Intrapersonal Gender Role Conflict (IGRC). We define IGRC as a systemic contradiction at the value-semantic level of personality, arising as a result of the clash between the high subjective significance of various gender roles and dissatisfaction with self-realization in these roles. Compensatory behavior serves as a sign of IGRC, while the absence of IGRC is associated with effective self-regulation of a person based on the conscious individual transformation of gender models of self-realization. The study of this phenomenon requires developing the diagnostic tools. Objectives. Testing of a questionnaire developed on the basis of the five-factor IGRC model. Study Participants. 397 women and 209 men (working, having a family and children) aged 25 to 46. Methods. Descriptive statistics and internal consistency (Cronbach's alpha), non-linear standardization on a five-point scale, intercorrelation analysis. Results. The study presented psychometric indicators and standardization of the IGRC questionnaire on the role areas of “Gender Self”, “Professional Self”, “I am like a husband/wife”, “I am like a host/hostess”, “I am like a father/mother” on the samples of men and women. It was found that in the female sample the expression, as well as the range and dispersion of indicators in all spheres, are significantly higher compared to those in the men sample. The analysis revealed a correlation between all spheres of the IGRC formation in women, while in men this trend is not observed: the conflict may develop in one sphere and not affect the others. Conclusions. Testing of the IGRC questionnaire confirmed that both men and women can exhibit compensatory behavior, manifesting the development of this type of conflict in its five identified areas. Gender differences in IGRC are manifested in the fact that in women, as a rule, all areas of the conflict develop in a more integrated way and have greater severity, compared to men. The five-factor IGRC questionnaire with standardized scores on the scales presented in the article makes it possible to use this tool for further studies of the manifestations and mechanisms of IGRC.

Compensation behaviors and phase transitions of a 3D fullerene-like polymer

Compensation behaviors and phase transitions of a 3D fullerene-like polymer

The effect of CEO's compensation in driving corporate ESG greenwashing: Evidence from China.

This study examines the relationship between CEO compensation schemes and ESG greenwashing behavior in Chinese listed firms during the period 2013-2022. We find that a CEO's cash (equity) compensation has a significantly positive (negative) correlation with corporate ESG greenwashing behavior. From mechanism analysis, consistent with the agency problem view, firms engage in more severe ESG greenwashing behavior under a higher proportion of cash in the CEO compensation structure. Such distortion behavior is mitigated by higher internal control quality in firms having an equity incentive for their CEO under the convergence of interest viewpoint. Additional analysis reveals that corporates audited by large accounting firms and those with more media coverage exacerbate the positive correlation between CEO cash compensation and ESG greenwashing behavior, while government environmental regulations reinforce the inhibitory effect of CEO equity compensation on ESG greenwashing. Our results imply that different CEO compensation schemes can have opposite effects on limiting firms' ESG greenwashing behavior in the Chinese context. Furthermore, we highlight that the question of form over substance principle to certain external governance mechanisms, leading CEO to exacerbate impression management of ESG disclosure.

Different effects of visual occlusion on interpersonal coordination of head and body movements during dyadic conversations.

In recent decades, interpersonal coordination and synchrony have been extensively examined in the field of psychology and cognitive science. Studies suggest that perceptual information enables interpersonal coordination and that perceptual noise may even enhance coordination. However, how these perceptual factors influence interpersonal coordination dynamics between head and body movements remains unclear. This study investigated the effect of visual information on the interpersonal coordination of head and body movements during dyadic conversations. The availability of visual information was manipulated by positioning a partition halfway between a pair of participants, and the conversations were recorded using a video camera. A video-based human pose estimation software (OpenPose) was used to quantify each interlocutor's head and body movements, which were submitted for cross-recurrence quantification analysis (CRQA), to assess the degree of coordination between the interlocutors. The results showed different effects between head- and body-movement coordination (i.e., a CRQA measure, maximum line length). The occlusion of visual information increased head-movement coordination, whereas it decreased body-movement coordination. The results suggest that a distinct mechanism may be present at the head- and body-movement coordination level and this study observed differing appearances of compensatory behaviors. Further studies should be conducted to investigate the complex relationships between interpersonal coordination dynamics and various kinds of communication constraints, such as long-term or short-term, and lower-order (perceptual-motor) or higher-order (cognitive-social) level constraints.

The effects of compensatory behaviour on group-based guilt, group-based responsibility, and group-based shame in moral transgressors

The effects of compensatory behaviour on group-based guilt, group-based responsibility, and group-based shame in moral transgressors

A novel electroencephalography-based paradigm to measure intergroup prosociality: An intergenerational study in the aftermath of the genocide against Tutsis in Rwanda.

Studying how intergroup prosociality evolves in war-torn societies is critical for gaining a better understanding of conflict perpetuation. Rwanda provides a unique example of how two groups must reconcile and manage their intergroup biases following a genocidal process. In this study, we employed a novel intended behavior task to measure intergroup prosociality among former genocide perpetrators, genocide survivors, and their children in Rwanda. Participants were required to choose between various individuals representing their own in-group or their out-group as recipients of their prosocial intentions. We measured how frequently they selected in-group or out-group individuals and to what extent choosing each individual induced cognitive conflict, as measured by reaction times (RTs) and midfrontal theta (FMθ) activity. The results indicated that survivors and their children selected former perpetrators and their offspring less frequently. Furthermore, selecting them involved a higher cognitive conflict, as evidenced by longer RT and a higher FMθ, compared to choosing their own in-group. For the group composed of former perpetrators and their children, we observed a dissociation. They selected out-group individuals more frequently, perhaps as a compensatory behavior for their past wrongdoings. Nonetheless, selecting the out-group individuals involved a higher cognitive conflict than selecting their own in-group. Importantly, we observed a similar intergroup prosociality bias in the children of both survivors and former perpetrators, mirroring that of their parents. These results are important for understanding how past conflicts influence intergroup prosociality bias and the extent to which this bias is transmitted to the next generation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Hip-Knee Motion-Lagged Coordination Mapping Enables Speed Adaptive Walking for Powered Knee Prosthesis.

The commonly used finite-state-machine (FSM) impedance control for powered prostheses deploys diverse control parameters according to different gait phases, resulting in dozens of parameter adjustments and possible gait phase misrecognition. In contrast, this study presents a straightforward, continuous, and speed-adaptive control approach based on hip-knee motion-lagged coordination mapping (MLCM). The mapping, featured by the motion lag, can effectively generate the prosthetic knee's goal gait within a second-order polynomial. It is also verified from extensive gait analysis that the motion lag and polynomial coefficients evolve linearly with respect to walking speed and gait period, promising a simple real-time deployment for prosthesis control. Experimental validation with two non-disabled subjects and two transfemoral amputees wearing a prosthesis demonstrates the MLCM controller's ability to reduce the hip compensatory behavior, generate biomimetic knee kinematics, stance phase time, stride length, and hip-knee motion coordination across various speeds. Furthermore, compared to the benchmark FSM impedance controller, the MLCM controller reduces the number of control parameters from 17 to 7 and avoids misrecognition during gait phase transitions.

Depressive Symptoms and Binge Eating in Children: Examining Symptom Specificity in a Population-based Sample of Male and Female Children

Introduction: Binge eating and compensatory behaviors have significant adverse health implications and are understudied among children. Studies have shown overlap between depressive symptoms and binge eating and compensatory behaviors, but little research has examined sex differences in depressive symptom specificity and binge eating and compensatory behaviors. The present study examined the associations between depressive symptoms and binge eating and compensatory behaviors among male and female children. Methods: Population-based data of 6,975 children ages 9 – 10 years and their caregivers from the multisite Adolescent Brain Cognitive Development (ABCD) study were analyzed. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) was utilized to measure binge eating, compensatory behavior, and depressive symptoms. Results: There was an association between presence of anhedonia with increased likelihood of binge eating among females and males. There were no significant associations between individual depressive symptoms and compensatory symptoms among females or males. Lifetime DSM-5 major depressive disorder was associated with binge eating in males and females and compensatory behaviors in females. Discussion: This study provides new knowledge of the specificity of the association between depressive symptoms and binge eating in female compared to male children. Anhedonia may be a key clinical target to reducing binge eating in female and male children.

Suicidal Behavior in Eating Disorders

Many studies have shown that people with eating disorders have higher rates of suicidal ideation, suicide attempts, and completed suicide than the general population. One of the diseases with the highest suicide rate among psychiatric disorders is anorexia nervosa. Some hypotheses have been proposed to explain possible causes of increased suicidal behavior in eating disorders. Some conditions common to eating disorders and suicidal behavior, such as dissatisfaction with the body and interoceptive deficits, have been cited. It has been conclusively shown that psychiatric comorbidity, especially the co-diagnosis of depression, increases the risk of suicide in patients with eating disorders. However, increased suicidal behavior in eating disorders cannot be explained by comorbidity alone. The interpersonal psychological theory of suicide (IPTS), developed by Joiner, aims to understand why people commit suicide and to explain the differences in individual suicidal behavior. Some researchers have thought that the increased suicidal behavior of people with eating disorders, especially anorexia nervosa patients, is expected from the perspective of IPTS. The compensatory behaviors of patients with eating disorders, such as vomiting or chronic restrictive food intake, are painful and challenging actions for the body. It can be considered that repeated encounters with painful and challenging experiences form a habit in the individual and reduce pain avoidance. When viewed from the IPTS perspective, decreased pain avoidance may explain the increased suicide attempts and completed suicides of individuals. Clinicians working with eating disorder patients must conduct regular and comprehensive assessments of suicide. Comorbidities such as major depression, anxiety disorder, and substance-use disorder should not be overlooked in patients with eating disorders and should be taken seriously.

Mean Field Study of a Cylindrical Ferrimagnetic Nanotube with Different Anisotropies

In this paper, the ferrimagnetic mixed spins (1, 5/2) Blume-Capel model is proposed to investigate the phase diagrams and hysteresis behaviors of a magnetic cylindrical nanotube with a core-shell structure using the mean-field approximation based on the Bogoliubov inequality for the Gibbs free energy. The core sites are occupied by σ= ±1, 0 spins, whereas the shell sites are filled by S= ±5/2, ±3/2, ±1/2 spins. The effects of exchange couplings (Jin, JS) and single-ion anisotropies (DC, DS) on core, shell, and total magnetizations are investigated, as well as hysteresis behaviors. The entropy, free energy, and specific heat are analyzed to establish the stability of the solutions. The presentation and discussion of phase diagrams is detailed. The system shows a first-order and second-order phase transitions, as well as tricritical and critical end- points. In addition, the system shows compensation and reentrant behaviors. Various multiple hysteresis loop behaviors are seen according on the Hamiltonian parameters, such as the presence of triple, quintuple, and septuple hysteresis loops.

Financial Toxicity and Quality of Life in Patients Undergoing Stem-Cell Transplant Evaluation: A Single-Center Analysis.

We investigated the prevalence of financial toxicity in a population undergoing hematopoietic cell transplantation (HCT) evaluation and measured its impact on post-transplant clinical and health-related quality-of-life outcomes. This was a prospective study in patients undergoing evaluation for allogeneic HCT between January 1, 2018, and September 23, 2020, at a large academic medical center. Financial health was measured via a baseline survey and the comprehensive score for financial toxicity-functional assessment of chronic illness therapy (COST-FACIT) survey. The cohort was divided into three groups: none (grade 0), mild (grade 1), and moderate-high financial toxicity (grades 2-3). Health-related quality of life outcomes were measured at multiple time points. Multivariate logistic regression analysis evaluated factors associated with financial toxicity. Kaplan-Meier curves and log-rank tests was used to evaluate overall survival (OS) and nonrelapse survival. Of 245 patients evaluated for transplant, 176 (71.8%) completed both questionnaires (median age was 57 years, 63.1% were male, 72.2% were White, and 39.2% had myelodysplastic syndrome, 38.1% leukemia, and 13.6% lymphoma). At initial evaluation, 83 (47.2%) patients reported no financial toxicity, 51 (29.0%) with mild, and 42 (23.9%) with moderate-high financial toxicity. Patients with financial toxicity reported significant cost-cutting behaviors, including reduced spending on food or clothing, using their savings, or not filling a prescription because of costs (P < .0001). Quality of life was lower in patients with moderate-high financial toxicity at 6 months (P = .0007) and 1 year (P = .0075) after transplant. Older age (>62; odds ratio [OR], 0.33 [95% CI, 0.13 to 0.79]; P = .04) and income ≥$60,000 in US dollars (USD) (OR, 0.17 [95% CI, 0.08 to 0.38]; P < .0001) were associated with lower odds of financial toxicity. No association was noted between financial toxicity and selection for transplant, OS, or nonrelapse mortality. Financial toxicity was highly correlated with patient-reported changes in compensatory behavior, with notable impact on patient quality of life after transplant.

Memory support training and lifestyle modifications to promote healthy aging in persons at risk for Alzheimer's disease: a digital application supported intervention (Brain Boosters)

BackgroundEvidence-based interventions to protect against cognitive decline among older adults at risk for Alzheimer’s disease and related dementias (ADRD) are urgently needed. Rehabilitation approaches to support memory and behavioral/lifestyle interventions are recognized as promising strategies for preserving or improving cognitive health, although few previous interventions have combined both approaches. This paper describes the protocol of the Brain Boosters intervention, which synergistically combines training in compensatory and healthy lifestyle behaviors and supports implementation and tracking of new behaviors with a digital application.MethodsThe study utilizes a single-site, single-blinded, randomized controlled design to compare a structured lifestyle and compensatory aid intervention to an education-only self-guided intervention. We plan to enroll 225 community-dwelling adults (25% from underrepresented groups) aged 65 + who endorse subjective cognitive decline (SCD) and low baseline levels of healthy lifestyle behaviors. Both interventions will be administered in group format, consisting of 15 two-hour classes that occur weekly for ten weeks and taper to bi-monthly and monthly, for an intervention duration of 6 months. Participants in both interventions will receive education about a variety of memory support strategies and healthy lifestyle behaviors, focusing on physical and cognitive activity and stress management. The structured intervention will also receive support in adopting new behaviors and tracking set goals aided by the Electronic Memory and Management Aid (EMMA) digital application. Primary outcomes include global cognition (composite of memory, attention, and executive function tests) and everyday function (Everyday Cognition Questionnaire). Data will be collected at baseline and outcome visits, at approximately 6, 12, and 18 months. Qualitative interviews, self-report surveys (e.g., indicators of self-determination, health literacy) and EMMA data metrics will also be used to identify what components of the intervention are most effective and for whom they work.DiscussionSuccessful project completion will provide valuable information about how individuals with SCD respond to a compensation and preventative lifestyle intervention assisted by a digital application, including an understanding of factors that may impact outcomes, treatment uptake, and adherence. The work will also inform development, scaling, and personalization of future interventions that can delay disability in individuals at risk for ADRD.Trial RegistrationClinicalTrials.gov. (NCT05027789, posted 8/30/2021).

Modeling non-compensatory strategies on path choices in a complex urban rail transit network considering characteristics of transfer passengers and trips

The path choice behavior of passengers is highly affected by transfer across different lines in a complex urban rail transit network that provides passengers with multiple path alternatives. Hence, the design of a transfer station in terms of its layout and transfer paths is gaining impact on passengers’ path choices in an expanding urban rail transit network. A comprehensive understanding of passenger behavior is essential for transportation planning and management to better design transfer stations and network operations. A questionnaire survey is conducted for passengers’ path choices and perception of transfer stations. Based on the collected data, this study develops a joint path choice model that combines Multinomial Logit Model (MNL) and Constrained Multinomial Logit Model (CMNL) to capture both compensatory and non-compensatory behavior, especially the latter one, which has not been fully explored in the current literature. Further, a membership model is constructed to analyze the heterogeneity of passengers’ non-compensatory behavior on transfer walking time. Four behavioral segments are identified in regard to passenger and trip characteristics. The estimation results show that the proposed model outperforms the general MNL model and allows a more convincing explanation of urban rail transit passenger behavior. Several research findings are derived, including that transfer walking time is more negatively perceived by passengers without non-compensatory behavior. Moreover, in-vehicle travel time is likely to be a minor consideration for passengers with non-compensatory behavior. The proposed model and framework enable urban rail transit operators and planners to retrieve more precise prediction of passenger flows and enhance service quality.

Magnetic Properties of a Mixed Spin-1/2 and Spin-7/2 Hexagonal Core-Shell Nanotube

"The magnetic properties and phase diagrams of a hexagonal nanotube with core-shell structure have been examined within the framework of the mean field theory based on the Bogoliubov inequality as well as the Monte Carlo simulation via the Metropolis algorithm. We have studied in detail the influences of the different ex- change couplings and the crystal field on the phase diagrams of the system. This study allowed us to discover the existence of interesting critical phenomena, in particular the compensation behavior. Moreover, we have investigated the behavior of the magne- tizations corresponding to each of the phase diagrams in order to verify the obtained results."

Emotional reactivity and prosocial behaviour in response to witnessing social exclusion in adolescents with eating disorders and healthy controls

BackgroundProsocial behaviour can promote positive social interactions and it is a key skill in adolescence. People with emotional problems or psychiatric disorders, such as people with eating disorders might have impairments in prosocial behaviour, due to broader documented difficulties in underlying processes (e.g., mentalizing).MethodsThe aim of this study was to examine prosocial behaviour in adolescents with eating disorders compared to healthy controls, using a computerised behavioural task. Adolescents (N = 123) including patients with eating disorders (n = 61) and healthy adolescents (n = 62) played a four-player computerised Prosocial Cyberball Game with three pre-programmed avatar players. During the task, participants witnessed the exclusion of one of the players, and subsequently had the opportunity to compensate for this by throwing the ball more often to the excluded player. Throughout the game, participants rated the level of negative emotion in themselves and in the excluded player.ResultsPatients made significantly fewer ball tosses towards the excluded player during the compensation round compared to healthy controls (large effect size). Patients reported a significantly smaller increase in negative emotion after witnessing the exclusion and a significantly smaller decrease in negative emotion following the compensation round (large effect sizes). Patients also estimated a smaller decrease in negative emotion in the excluded player following the compensation round (medium effect size). There were no significant associations between these outcomes and eating disorder psychopathology in patients.ConclusionsCompared to healthy adolescents, adolescent patients with eating disorders demonstrated less prosocial compensatory behaviour towards a computerised victim of social exclusion. In addition, they reported flatter negative emotion in themselves in response to witnessing and compensating for exclusion, and in the excluded player following compensation. If these findings are replicated, interventions to target these difficulties might contribute to improvements in social functioning in this patient group.

Phase Diagrams of a Mixed-Spin-1/2 and Spin-5/2 Hexagonal Nanotube with Core–Shell Structure

A ferrimagnetic hexagonal Ising nanotube with spin-1/2 core and spin-5/2 shell is investigated using the mean field approximation (MFA) and the Monte Carlo simulation (MCS). More exactly, we have examined the effects of the exchange interactions and crystal field on the magnetic properties of the system. Our phase diagrams show the appearance of critical and compensation behaviors, as well as first-order phase transitions terminating at isolated critical end-points in the ferrimagnetic phase region at low temperatures. Furthermore, we have made a comparison with other studies of similar nanosystems.