Cross-lagged Panel Models Research Articles

Development of Comorbid Alcohol Use and Depressive Symptoms During Late Adolescence: Examining the Roles of Emotion Regulation and Gender Differences.

Depression and alcohol use are highly comorbid, and often emerge during adolescence. Depressive symptoms may precede alcohol use, via the self-medication pathway, or alcohol use may precede depressive symptoms, via the alcohol induced disruption pathway. Yet little is known about other risks for developing comorbidity via either path. The present study hypothesized that poor cognitive and physiological emotion regulation (ER) are risk factors implicated in the development of comorbid depression and alcohol use during late adolescence. Participants were 229 (113 girls) Mexican-origin youth who reported on depressive symptoms and alcohol use at ages 17 (Time 1) and 19years (Time 2). At age 17, cognitive reappraisal (CR), an adaptive ER strategy, and baseline respiratory sinus arrhythmia (RSA), a physiological index of ER capacity, were assessed. CR, RSA and gender were examined as predictors and moderators of the developing comorbidity of alcohol use and depression in cross-lagged panel models. Lower use of CR was concurrently associated with more depressive symptoms at age 17 and predicted greater depression at age 19. Age 17 alcohol use predicted age 19 depressive symptoms for boys. Lower RSA at age 17 also predicted more depressive symptoms at age 19 for boys. Neither CR nor RSA moderated the predicted relations between depression and alcohol use. Findings supported the alcohol induced disruption model of comorbidity for boys, and showed that poor cognitive and physiological ER increased risk for exacerbating depressive symptoms in late adolescence.

Prospective Interrelation Between Sensory Sensitivity and Fine Motor Skills During the First 18 Months Predicts Later Autistic Features.

Sensory features are included in the diagnostic criteria of autism and atypical sensory responsiveness may produce "cascading effects" on later development. Similarly, autistic individuals often struggle with motor coordination and early delays in the motor domain appear to be linked to later development. However, the longitudinal interrelation between early sensory profiles and motor features on later socio-communicative skills remains to be defined. This study aimed to investigate whether sensory sensitivity impacts fine motor abilities and vice versa from 12 to 18 months of age and to examine how sensory-motor interplay would be associated with later autistic traits at 24-36 months of age. The sample included 118 infant siblings of autistic children recruited at 12 months of age. Sensory sensitivity and eye-hand coordination were assessed at 12 and 18 months of age and autistic traits were evaluated at 24-36 months of age. Cross-lagged panel analysis revealed significant within-domain effects for sensory sensitivity and eye-hand coordination from 12 to 18 months. Furthermore, a significant association between these two domains on later autistic traits was found. In analyzing the longitudinal bidirectional relationship, we found that lower eye-hand coordination skills at 12 months predicted later sensory sensitivity at 18 months, and in turn, social communication skills at 24-36 months. The present study offers new empirical evidence supporting the potential clinical value of including sensory and motor measures besides social communication skills within early autism surveillance programs.

Longitudinal association of peripheral blood DNA methylation with liver fat content: distinguishing between predictors and biomarkers

BackgroundAlterations in DNA methylation (DNAm) have been observed in patients with fatty liver, but whether they are cause or consequence remains unknown. The study aimed to investigate longitudinal association of epigenome-wide DNAm with liver fat content (LFC) in Chinese participants, and explore their temporal relationships.MethodsData were obtained from 2 waves over a four-year time period of the Shanghai Changfeng Study (discovery, n = 407 and replication, n = 126). LFC and peripheral blood DNAm were repeatedly measured using quantitative hepatic ultrasonography and the 850 K Illumina EPIC BeadChip, respectively. Longitudinal and cross-sectional epigenome-wide association studies (EWASs) were conducted with linear mixed model and linear regression model, respectively. Meta-analysis was performed using METAL. Cross-lagged panel analysis (CLPA) was carried out to infer temporal relationships between the significant CpGs and LFC.ResultsLongitudinal EWAS identified cg11024682 (SREBF1), cg06500161 (ABCG1), cg16740586 (ABCG1), cg15659943 (ABCA1) and cg00163198 (SNX19) significantly associated with LFC with P < 1e-7. Another 6 of the 22 previously reported CpGs were replicated in the present longitudinal EWAS. CLPA showed longitudinal effects of cg11024682 (SREBF1) (β = 0.14 [0.06, 0.23]), cg16740586 (ABCG1) (β = 0.17 [0.08, 0.25]), cg06500161 (ABCG1) (β = 0.12 [0.03, 0.20]), cg17901584 (DHCR24) (β = -0.10 [-0.18, -0.02]), cg00574958 (CPT1A) (β = -0.09 [-0.17, -0.01]), cg08309687 (LINC00649) (β = -0.11 [-0.19, -0.03]), and cg27243685 (ABCG1) (β = 0.09 [0.01, 0.18]) on subsequent LFC. The effects were attenuated when further adjusting for body mass index. High levels of LFC led to alterations in DNAm of cg15659943 (ABCA1) (β = 0.13 [0.04, 0.21]), cg07162647 (β = -0.11 [-0.19, -0.03]), cg06500161 (ABCG1) (β = 0.10 [0.02, 0.18]), and cg27243685 (ABCG1) (β = 0.10 [0.02, 0.18]).ConclusionsBlood DNAm at SREBF1, ABCG1, DHCR24, CPT1A, and LINC00649 may be predictors of subsequent LFC change. The effects of DNAm at SREBF1 and ABCG1 on LFC were partially influenced by obesity. The findings have potential implications in understanding disease pathogenesis and highlight the potential of DNAm for early detection or intervention of fatty liver.

Childhood maltreatment, social connectedness, and depression: A prospective analysis of trajectories over time.

Childhood maltreatment is associated with a range of negative social and psychological outcomes at different developmental stages. Using data from a prospective longitudinal study of the consequences of childhood maltreatment, we examine whether childhood maltreatment predicts lower levels of social connectedness and more depression symptoms over a 30-year time period and examine the directionality of the trajectories from childhood into middle adulthood. Children (ages 0-11 years) with documented histories of maltreatment and demographically matched controls were followed into adulthood across four waves: 1989-1995 (n = 1,196; Mage = 29.2 years, SD = 3.9), 2000-2002 (n = 896; Mage = 39.5 years, SD = 3.6), 2003-2005 (n = 808; Mage = 41.2 years, SD = 3.6), and 2009-2010 (n = 649; Mage = 47.0 years, SD = 3.5). Social connectedness and depressive symptoms were measured at all four time points. Random intercept cross-lagged panel models were used to estimate bidirectional relationships between social connectedness and depression symptoms and the extent to which the trajectories differed for the maltreated and control groups. Individuals with documented histories of childhood maltreatment generally had significantly lower levels of social connectedness and higher levels of depression compared to matched controls. Depression was associated with lower levels of social connectedness concurrently at ages 39, 41, and 47. Depression predicted lower social connectedness, and social connectedness predicted lower depression in middle adulthood, but not young adulthood. Better understanding of the long-term impact of childhood maltreatment on social connectedness and depression has implications for designing effective interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Will the Dark Triad Engender Psychopathological Symptoms or Vice Versa? A Three-Wave Random Intercept Cross-Lagged Panel Analysis.

The Dark Triad (DT), including narcissism, Machiavellianism, and psychopathy, represents the dark side of human nature and has been related to psychopathological symptoms (e.g., depression, anxiety, and stress). However, little is known about how the two constructs are related longitudinally. To fill this gap and to clarify the directionality between them, we conducted a longitudinal study. We measured DT traits and psychopathological symptoms in a large sample of university students (NT1 = 1815) annually for 3 years. We implemented random intercept cross-lagged panel models in analysis. Narcissism and psychopathological symptoms showed a reciprocal relationship at the within-person level: greater narcissism preceded a decline in psychopathological symptoms, while more severe symptoms preceded a decrease in narcissism. Within the same individual, increases in the DT, particularly psychopathy and Machiavellianism, were linked to concurrent escalations in the symptoms. Additionally, all DT traits were positively correlated with psychopathological symptoms as stable differences between individuals. This study constitutes an important step in clarifying the directionality between the DT and psychopathological symptoms, and advances our understanding of the interplay between these two constructs at both the between-person and within-person levels.

The development of morphological awareness and vocabulary: What influences what?

Abstract The awareness of words’ morphological structure has been thought to allow generalizing meaning to other, similarly constructed words. Conversely, a large vocabulary is thought to facilitate the recognition of words’ morphological regularities, thereby contributing to morphological awareness. For this reason, morphological awareness and vocabulary have been suggested to be reciprocally associated across development. We followed 242 (girls = 119) Norwegian preschoolers (Mage = 5.5 years) from preschool through Grade 2 and examined the cross-lagged relations between morphological awareness (inflections and derivations) and vocabulary (receptive and expressive). Our results confirm that the traditional cross-lagged panel model shows significant cross-lagged relations between morphological awareness and vocabulary, as previous studies have shown. However, no cross-lagged relations were found when we accounted for longitudinal measured stability through a cross-lagged panel model with lag-2 paths or unmeasured stability through the random intercept cross-lagged panel model. We found that approximately 50% of the variation in morphology and vocabulary was due to highly stable and invariant factors across grades. We discuss how the significant cross-lagged relations found in previous studies could have been due to their not accounting for the right type of stability when using longitudinal panel data.

The role of SNAP and WIC in the bidirectional relationship between food insecurity and maternal depressive symptoms

BackgroundThe association between food insecurity and maternal depressive symptoms has been established by many cross-sectional and longitudinal studies however the understanding of the reciprocal relationship between them remains unclear. Further, previous research demonstrates that federal nutrition assistance decreases food insecurity and promotes maternal mental well-being but further research is needed to elucidate the moderating role of these programs in the association between food insecurity and maternal depressive symptoms. Therefore, the current study examined the bidirectional associations between maternal depression probability and food insecurity using cross-lagged models and then tested the main and moderating effects of SNAP and WIC. MethodsData were from the Future of Families and Child Wellbeing Study and the sample included 1948 mothers who participated in year 3 and year 5 of data collection. ResultsThe cross-lagged paths show that food insecurity at year 3 predicted maternal depression probability at year 5 and depression probability at year 3 predicted food insecurity at year 5. There was a significant moderating effect of WIC receipt on the association between food insecurity at year 3 and at year 5 such that when mothers with high food insecurity at year 3 received WIC, they were less food insecure at year 5. LimitationsThe study oversampled for unmarried mothers only two waves of data were used for the cross-lagged panel models. ConclusionsResults demonstrate the need to incorporate mental health services with the existing food assistance programs and the need to destigmatize the application process and program structure.

Multidimensional frailty and sleep quality in late adulthood: A UK biobank examination.

Frailty and sleep disturbances are two major concerns in late adulthood, that not only profoundly threaten health and wellbeing at the individual level but place enormous demands on our healthcare systems. Given that both constructs represent dynamic states that are preventable and reversible, understanding the potential pathways to and effects of these variables on one another is critical in providing effective and tailored support. However, despite growing interest in the relationship between sleep and frailty, only one study to date has directly explored their potential bidirectionality. Accordingly, this study was designed to extend the current understanding by investigating the reciprocal relationship of frailty and sleep quality at the multidimensional level. Specifically, the bidirectionality of these relationships was considered separately for physical, psychological, cognitive, and social frailty. Four random-intercept cross-lagged panel models with three time points were conducted, using 3192 older adults (Mage = 60.21; 46.37% female at baseline) from the UK Biobank. The results revealed that while physical, psychological, and cognitive frailty were neither predictive of, nor predicted by, sleep quality, social frailty and sleep share a reciprocal relationship. These data therefore offer important preliminary evidence for the efficacy of early intervention and prevention strategies aimed at enhancing sleep quality to reduce social frailty, and vice versa.

The Interplay Between Personal Identity and Social Identity Among Vocational High School Students: A Three-Wave Longitudinal Study

AbstractAlthough identity research has predominantly focused on college-bound adolescents, it has largely neglected vocational high school students who enter the job market immediately after graduation. Furthermore, most studies have concentrated on personal identity and have overlooked the concurrent development of social identity. This study examined the relationship between adolescents’ personal and social identities over three years of vocational high school. The participants were 4,264 vocational high school students in Japan (Time 1: 46.44% girls; Mage = 15.78). Using a random intercept cross-lagged panel model, the results indicated that within-person increases in social identity predicted increases in personal identity one year later. These findings highlight the importance of social identity as a valuable resource for personal identity development among vocational high school students, a group underrepresented in identity research.

Thinking clearly about time-invariant confounders in cross-lagged panel models: A guide for choosing a statistical model from a causal inference perspective.

Thinking clearly about time-invariant confounders in cross-lagged panel models: A guide for choosing a statistical model from a causal inference perspective.

Cross-lagged panel modeling with binary and ordinal outcomes.

Cross-lagged panel modeling with binary and ordinal outcomes.

Negative self-referent cognition predicts future depression symptom change: an intensive sampling approach

ABSTRACT Cognitive theories of depression assert that negative self-referent cognition has a causal role in the development and maintenance of depression symptoms, but few studies have examined temporal associations between these constructs using intensive, longitudinal sampling strategies. In three samples of undergraduate students, we examined associations between change in self-referent processing and depression across 5 daily assessments (Sample 1, N = 303, 1,194 measurements, 79% adherence), 7 daily assessments (Sample 2, N = 313, 1,784 measurements, 81% adherence), and 7 weekly assessments (Sample 3; N = 155, 833 measurements, 81% adherence). Random intercept cross-lagged panel models indicated large cross-lagged effects in two of the three samples (Samples 1 and 3 but not Sample 2), such that more negative self-referent thinking than usual was significantly associated with a subsequent increase in depression symptoms at the next time lag. Notably, change in depression from usual was not associated with increases in negative self-referent processing at the next time point in any sample. These findings suggest that change in negative self-referent processing may be causally linked to future increases in depression on a day-to-day and week-to-week basis, although confidence in this conclusion is tempered somewhat by a lack of replication in Sample 2.

A Cross-Lagged Panel Analysis of Social Participation in the Relationship Between Functional Limitations and Cognitive Functioning: Evidence From CHARLS.

Functional limitations refer to the dependency to perform activities of daily living. Increasing evidence has demonstrated a bidirectional association between functional limitations and cognitive functioning, although the exact mechanism remains unclear. This study investigated whether social participation bidirectionally mediates the association between functional limitations and cognitive decline. We analyzed a sample of 16,385 middle-aged and older adults (aged over 50years) using longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS; Waves 1-4). We utilized a cross-lagged panel model to examine the bidirectional mediation of social participation between functional limitations and cognitive functioning over a span of eight years. The results indicated that social participation bidirectionally and partially mediated the relationship between the onset of functional limitations and cognitive decline, indicating that social participation may play an important role in mitigating the disablement process.

Bidirectional association between perioperative skeletal muscle and subcutaneous fat in colorectal cancer patients and their prognostic significance.

Low skeletal muscle mass and high adipose tissue coexist across the body weight spectrum and independently predict the survival ratio of colorectal cancer (CRC) patients. This combination may lead to a mutually exacerbating vicious cycle. Tumor-associated metabolic conditions primarily affect subcutaneous adipose tissue, but the nature and direction of its relationship with skeletal muscle are unclear. This study aims to examine the bidirectional causal relationship between skeletal muscle index (SMI) and subcutaneous fat index (SFI) during the perioperative period in CRC patients; as well as to validate the association between perioperative SMI, SFI, and CRC prognosis. This population-based retrospective cohort study included patients with stage I-III colorectal cancer who underwent radical resection at the Third Affiliated Hospital of Kunming Medical University between September 2012 and February 2019. Based on inclusion and exclusion criteria, 1,448 patients were analyzed. Preoperative (P1), 2 months postoperative (P2), and 5 months postoperative (P3) CT scans were collected to evaluate the skeletal muscle index (SMI; muscle area at the third lumbar vertebra divided by height squared) and subcutaneous fat index (SFI; subcutaneous fat area at the third lumbar vertebra divided by height squared). A random intercept cross-lagged panel model (RI-CLPM) was used to examine the intra-individual relationship between SMI and SFI, and Cox regression was employed to assess the association between SMI, SFI, recurrence-free survival (RFS), and overall survival (OS). The median age at diagnosis was 59.00 years (IQR: 51.00-66.00), and 587 patients (40.54%) were female. RI-CLPM analysis revealed a negative correlation between SFI and subsequent SMI at the individual level: P1-P2 (β = -0.372, p = 0.038) and P2-P3 (β = -0.363, p = 0.001). SMI and SFI showed a negative correlation during P1-P2 (β = -0.363, p = 0.001) but a positive correlation during P2-P3 (β = 0.357, p = 0.006). No significant correlation was found between the random intercepts of SFI and SMI at the between-person level (r = 0.157, p = 0.603). The Cox proportional hazards multivariate regression model identified that patients with elevated SFI had poorer recurrence-free survival (HR, 1.24; 95% CI: 1.00-1.55). Compared to patients with normal preoperative SMI and SFI, those with low SMI or high SFI had poorer recurrence-free survival (HR, 1.26; 95% CI: 1.03-1.55) and overall survival (HR, 1.39; 95% CI: 1.04-1.87). However, no significant association between SMI and SFI and the prognosis of colorectal cancer patients was observed postoperatively. In CRC patients, preoperative muscle loss leads to postoperative fat accumulation, exacerbating muscle loss in a feedback loop. Elevated preoperative SFI predicts poorer survival outcomes. Monitoring SMI and SFI is crucial as prognostic indicators, despite non-significant postoperative associations. Further research is needed to improve patient outcomes.

Whether and How Family Functioning Relates to the Development of Self-Compassion and Emotion Regulation in Chinese Migrant Children? A Random Intercept Cross-Lagged Panel Analysis.

Given the heightened difficulties in social adjustment and the potential diminishment of social networks encountered by migrant children, family functioning may play a crucial role in their development. Existing research has highlighted the significance of family environment in shaping adolescent self-compassion and emotion regulation, which can serve as protective factors against adverse emotional outcomes. However, there remains a lack of comparative studies to examine the specific effects of family functioning on fostering self-compassion and emotion regulation in both migrant and their non-migrant counterparts. The present study utilized a three-wave longitudinal design with 12-month intervals to examine the longitudinal effects of family functioning on self-compassion and emotion regulation, while also examining potential variations in these associations between migrant and non-migrant children. A total of 244 migrant children and 491 non-migrant children from a high school in Guangdong Province (357 females; Mage = 15.3 at Time 1, SDage = 0.53) participated in this study. Random-intercept cross-lagged panel models (RI-CLPMs) were utilized to examine the longitudinal associations among family functioning, self-compassion, and emotion regulation in both groups. The results showed that, at the within-person level, family functioning reciprocally predicted self-compassion over time among migrant children, and it also exerted an indirect effect on emotion regulation, mediated by self-compassion. Among non-migrant children, emotion regulation positively predicted self-compassion over time, with no other observed cross-lagged effects.

Self-Esteem and Sexual Experiences.

There is evidence that people with higher self-esteem tend to have more satisfying sexual relationships, but little is known about how changes in people's self-esteem and sexual experiences are related over time. Several theories predict reciprocal effects between self-esteem and sexual experiences. The present study tested these theories using 12-wave longitudinal data from more than 11,000 participants of a representative sample in Germany. Data were analyzed using Random Intercept Cross-lagged Panel Models. Results indicated significant between-person associations between stable levels of self-esteem and both the frequency and the quality of sexual experiences. Moreover, we found reciprocal within-person transactions between self-esteem and sexual satisfaction but not sexual frequency. Overall, the present pattern of results provides evidence for theories that consider self-esteem as both a source and consequence of intimate sexual relationships.

Post-traumatic growth promotes resilience development: A Longitudinal Mediation Model

BackgroundThe frequent occurrence of global disasters poses unprecedented challenges to nursing practice. The frontline nurses in disaster relief are exposed to these events and bear significant levels of stress and psychological distress. Resilience and posttraumatic growth (PTG) are essential protective factors that contribute to sustaining their mental health. The purpose of this study was to determine the directional relationship between resilience and PTG using a cross-lagged design. Furthermore, employing longitudinal mediation to test whether the T1 resilience of frontline nurses would promote the development of T3 resilience through the mediating role of T2 PTG. MethodsA total of 258 frontline nurses were selected as subjects. They completed self-reported measurements in three periods. The present study was conducted using a cross-lagged panel model and a longitudinal mediation model. ResultsThe results of cross-lagged path analysis from T2 to T3 showed that PTG could positively predict the development of resilience (β = 0.235, p < 0.001). Resilience did not positively predict the development of PTG (p > 0.05). The analysis of mediating effect results showed that the development of PTG at T2 mediated the relationship between resilience from T1 to T3. LimitationsFindings may be limited by self-report, recall bias of resilience before the epidemic and short tracking frequency. ConclusionsThese results can identify individuals with an increased risk of low resilience under disaster and the mediating role of posttraumatic growth in promoting the development of nurses' resilience, which provides a theoretical basis for psychological crisis intervention and the resilience promotion plan for posttraumatic growth under disaster events.

Longitudinal Associations between Future Time Perspective, Sleep Problems, and Depressive Symptoms among Chinese College Students: Between- and within-Person Effects.

Depressive symptoms and sleep problems are extremely prevalent in adolescence, and future time perspective has been found to be strongly associated with them. However, little is known about the longitudinal relationship and the temporal dynamics of future time perspective, sleep problems, and depressive symptoms. Moreover, it is unclear whether sleep problems mediate the associations between future time perspective and depressive symptoms. To address this gap, a one-year longitudinal study was performed using data collected at three waves from 622 Chinese college students (aged 17-22 years, Mage = 18.16, SD = 1.49, 46.95% males). The results of cross-lagged panel models showed a bidirectional relationship between future time perspective and depressive symptoms, and that sleep problems were a mediating mechanism for these relationships. The results of random intercept cross-lagged panel models showed that at the within-person level, the change of sleep problems and depressive symptoms significantly affected the development of future time perspective, but the reverse effect not significant. Moreover, sleep problems mediated the within-person effect of depressive symptoms on future time perspective. These findings deepen the understanding of the longitudinal relationship between future time perspective, sleep problems and depressive symptoms, and emphasize the important role of sleep health in adolescent mental health and future development.

A multigroup random-intercept cross-lagged panel model for Finnish secondary school students in frame of situated expectancy-value theory

The aim of this study is to examine both within-person and between-person associations of academic self-concept and task values in literacy and mathematics to identify the most promising motivational construct to prevent motivational decline during school transitions. The sample included 3636 students (average age at the start: 15.73 years, SD: 0.32 years) followed up three times from lower secondary school (T1) to the third year (T3) of upper secondary education, either in vocational or academic tracks. Multi-group random intercept cross-lagged panel models detected several spillover (cross-lagged) effects between self-concept and task values in mathematics but not in literacy. There were also marginal but significant differences between students from different educational tracks in both subjects. Overall, utility value and academic self-concept in mathematics were found to be the most promising motivational constructs in changing motivational beliefs, thus presenting important starting points in motivational interventions. Educational relevance and implications statementThis study highlights that spillover effects are more pronounced in maths than in literacy, emphasising the need for tailored interventions in mathematics education. Moreover, the potential disruption in students' motivational beliefs during school transitions suggests the importance of ensuring continuity in support to help mitigate the impact of these transitions. While our results indicate limited carryover effects, it is possible that school transitions are experienced as breaks in motivational development. The role of utility value in exhibiting spillover effects over school transitions in both maths and literacy suggests the significance of emphasising the practical relevance of academic subjects to sustain students' motivation. Additionally, recognising the superior role of academic self-concept in maths in spillover effects on task values underscores the importance of nurturing students' confidence and beliefs in their own mathematical abilities.

Relations between dimensions of self-perceptions and academic achievement in Chinese children: A cross-lagged panel analysis.

The goal of the present study was to examine the associations between different dimensions of self-perceptions and academic achievement in Chinese children. Participants were 604 children in Grades 4-7 attending primary and middle schools in mainland China (342 boys, 262 girls; Mage = 11.25 years). Measures of children's self-perceptions and academic achievement were collected via self-reports and school records at two time points over one academic year. Results from cross-lagged panel analysis indicated that after controlling for the effects of gender, grade, and stabilities, Time 1 perceived scholastic competence positively predicted Time 2 academic achievement (β = .08, p < .05), and Time 1 academic achievement predicted Time 2 perceived scholastic competence (β = .10, p < .05). Time 1 perceived athletic competence negatively predicted Time 2 academic achievement (β = -.08, p < .01). The findings provide evidence that self-perceptions have different facets and are differently associated with academic achievement and emphasize the reciprocal predictive relations between perceived scholastic competence and academic achievement and the negative impact of perceived athletic competence self-perception on academic achievement. The implications of these results are discussed in the context of self-development and academic performance within Chinese culture, as well as their educational implications for school practices. (PsycInfo Database Record (c) 2024 APA, all rights reserved).